Chen Weiwei, Elam-Evans Laurie D, Hill Holly A, Yankey David
1 Florida International University, Miami, FL, USA.
2 Centers for Disease Control and Prevention, Atlanta, GA, USA.
Clin Pediatr (Phila). 2017 Apr;56(4):348-356. doi: 10.1177/0009922816660540. Epub 2016 Jul 28.
This study examined whether additional information on parents' employment and household characteristics would help explain the differences in children's up-to-date (UTD) vaccination status using the 2008 National Immunization Survey and its associated Socioeconomic Status Module. After controlling for basic sociodemographic factors in multivariable analyses, parent's work schedules and ease of taking time off from work were not associated with UTD vaccination status among 19- to 35-month-old children. We also conducted a stratified analysis to test the heterogeneous effects of the factors among children at 3 age-restricted maternal education levels and found the benefit of paid sick leave had a significant association only among families where the mother had a college degree. Families who had moved since the child's birth, especially if the mother had high school or lower education, were less likely to have children UTD on the vaccine series.
本研究利用2008年国家免疫调查及其相关的社会经济地位模块,考察了有关父母就业和家庭特征的额外信息是否有助于解释儿童最新疫苗接种状况的差异。在多变量分析中控制了基本的社会人口学因素后,父母的工作时间表以及从工作中抽出时间的难易程度与19至35个月大儿童的最新疫苗接种状况无关。我们还进行了分层分析,以检验这些因素在3个年龄限制的母亲教育水平儿童中的异质性影响,发现带薪病假的益处仅在母亲拥有大学学位的家庭中存在显著关联。自孩子出生后搬家的家庭,尤其是母亲受教育程度为高中或更低的家庭,其孩子完成疫苗系列接种的可能性较小。