Department of Child Health, National School of Public Health, 196 Alexandras Av, 11521 Athens, Greece.
Vaccine. 2010 Feb 17;28(7):1861-9. doi: 10.1016/j.vaccine.2009.11.078. Epub 2010 Jan 19.
To identify predictive factors of complete and age-appropriate vaccination status in Greece, we conducted a cross-sectional study, using stratified cluster sampling, among children attending the first year of the Greek Grammar school (about 6 years of age) and their parents/guardians. Almost 88% (N=3878) of pupils in the selected clusters (school classrooms) provided their vaccination booklet and their parents/guardians completed a questionnaire regarding beliefs and attitudes towards immunization. Belonging to a minority group, having other siblings and perceiving long distance to immunization site as a barrier were independent predictors of both incomplete and delayed vaccination status in the final logistic regression model. Maternal age >or=30 years and the perception that natural disease is preferable to vaccination were associated with complete vaccination, whereas paternal education of high school or higher was the other independent determinant of age-appropriate immunization. Socioeconomic factors rather than parental beliefs and attitudes towards immunization explained underimmunization. Further interventions are warranted to enhance vaccine coverage in high-risk groups identified in this study.
为了确定希腊儿童完全和适龄疫苗接种状态的预测因素，我们采用分层聚类抽样方法，对希腊文法学校（约 6 岁）的儿童及其家长/监护人进行了横断面研究。在选择的聚类（学校教室）中，近 88%（N=3878）的学生提供了他们的疫苗接种手册，他们的家长/监护人完成了一份关于免疫接种信念和态度的问卷。属于少数族裔、有其他兄弟姐妹以及认为接种地点距离远是未完全和延迟接种状态的独立预测因素。母亲年龄≥30 岁和认为自然疾病比疫苗接种更好与完全接种相关，而父亲的高中学历或更高是适龄免疫的另一个独立决定因素。本研究确定的社会经济因素而非父母对免疫接种的信念和态度解释了免疫不足的原因。需要进一步的干预措施来提高高危人群的疫苗接种覆盖率。
