Department of Preventive Medicine, College of Medicine, Konyang University, Daejeon, Korea.
Yonsei Med J. 2011 Jan;52(1):104-12. doi: 10.3349/ymj.2011.52.1.104.
This study was aimed to determine the status and related factors of age-appropriate immunization among urban-rural children aged 24-35 months in a 2005 population-based survey in Nonsan, Korea.
We conducted household survey and provider check using questionnaire and checklist to obtain data on immunization status for children, aged 24-35 months. Age-appropriate immunization was defined as status of receiving the fourth diphtheria-tetanus-pertussis (4 DTP), 3 Polio, the first measles-mumps-rubella (1 MMR) doses, and the 4 : 3 : 1 series.
Age-appropriate immunization rates were 51.7% for 4 DPT, 88.0% for 3 Polio, 87.9% for 1 MMR, and 50.3% for the 4 : 3 : 1 series. First-born children, lower perceived barrier scores, and higher perception of immunization data were significantly related to age-appropriate immunization.
The findings indicated that age-appropriate immunization rate could be improved by implementing reminder/recall service and providing the knowledge about immunization. Identification and consideration related factors would improve immunization rate and age-appropriate immunization.
本研究旨在通过 2005 年在韩国礼山郡进行的一项基于人群的调查，确定城乡 24-35 月龄儿童适时免疫的现状及其相关因素。
我们通过问卷调查和检查表对儿童进行了家庭调查和提供者检查，以获取儿童免疫状况的数据。24-35 月龄儿童的适时免疫定义为接受第四剂白喉-破伤风-百日咳（4 DTP）、三剂脊髓灰质炎、第一剂麻疹-腮腺炎-风疹（1 MMR）疫苗和 4:3:1 系列疫苗的情况。
4 DTP 的适时免疫率为 51.7%，3 剂脊髓灰质炎疫苗的适时免疫率为 88.0%，1 剂麻疹-腮腺炎-风疹疫苗的适时免疫率为 87.9%，4:3:1 系列疫苗的适时免疫率为 50.3%。第一胎儿童、较低的感知障碍评分和对免疫数据的较高认知与适时免疫显著相关。
研究结果表明，通过实施提醒/召回服务和提供有关免疫的知识，可以提高适时免疫率。确定和考虑相关因素将提高免疫率和适时免疫率。
