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孟加拉国城乡地区破伤风类毒素疫苗接种覆盖率及差异

Tetanus toxoid vaccination coverage and differential between urban and rural areas of Bangladesh.

作者信息

Rahman Mosiur

机构信息

Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.

出版信息

East Afr J Public Health. 2009 Apr;6(1):26-31. doi: 10.4314/eajph.v6i1.45739.

Abstract

BACKGROUND

Government commitment and support from a range of partnerships have led to a massive increase in tetanus toxoid immunization coverage among women of childbearing age, ensuring that both mothers and babies are protected against tetanus infection in Bangladesh. In order to control and eliminate the vaccine preventable diseases it is important to know the vaccination coverage.

OBJECTIVES

The major objective of this study is to determine the complete vaccination rate and the predictors that influence vaccination of mothers during pregnancy and to see whether there is any gap lies between the women of urban and rural areas regarding the tetanus toxoid injection receiving.

METHODOLOGY

This study utilizes the data extracted from Bangladesh Demographic and Health Survey 2004 (BDHS).To meets the objectives this study considers bivariate and multivariate analysis.

RESULTS

The study represents that 88 per cent urban mothers and 84 per cent rural mothers receive tetanus toxoid injection during their pregnancy period. Logistic regression model is adjusted by wealth index, mother's age at last birth, education, husband's occupation, ever using contraception, fertility preference, wanted last child, having permission to go to hospital/health center, telling about pregnancy complications and mass media exposure for receiving TT injection. All these explanatory variables come out to be as significant determinants of receiving TT injection for all mothers as well as for rural mothers in Bangladesh. On the other hand ever using contraception, wanted last child, telling about pregnancy complications, mass media exposure and wealth index are the significant determinants of receiving TT injection for mothers of urban area.

摘要

背景

政府的承诺以及一系列合作伙伴的支持使得孟加拉国育龄妇女的破伤风类毒素免疫接种覆盖率大幅提高,确保母亲和婴儿都能免受破伤风感染。为了控制和消除疫苗可预防疾病,了解疫苗接种覆盖率很重要。

目的

本研究的主要目的是确定完整的疫苗接种率以及影响孕期母亲接种疫苗的预测因素,并查看城乡地区妇女在接受破伤风类毒素注射方面是否存在差距。

方法

本研究利用了从2004年孟加拉国人口与健康调查(BDHS)中提取的数据。为实现这些目标,本研究采用了双变量和多变量分析。

结果

该研究表明,88%的城市母亲和84%的农村母亲在孕期接受了破伤风类毒素注射。逻辑回归模型根据财富指数、母亲最后一次生育时的年龄、教育程度、丈夫的职业、是否曾使用避孕措施、生育偏好、是否想要最后一个孩子、是否有权前往医院/健康中心、是否被告知妊娠并发症以及接触大众媒体等因素进行了调整,以分析接受破伤风类毒素注射的情况。所有这些解释变量均被证明是孟加拉国所有母亲以及农村母亲接受破伤风类毒素注射的重要决定因素。另一方面,是否曾使用避孕措施、是否想要最后一个孩子、是否被告知妊娠并发症、接触大众媒体以及财富指数是城市地区母亲接受破伤风类毒素注射的重要决定因素。

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