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[墨西哥7岁以下儿童的疫苗接种覆盖率及未完成疫苗接种计划的比例]

[Vaccination coverage and proportion of incomplete vaccination schedule in children under seven years of age in Mexico].

作者信息

Díaz-Ortega José Luis, Cruz-Hervert Luis Pablo, Ferreira-Guerrero Elizabeth, Ferreyra-Reyes Leticia D, Delgado-Sánchez Guadalupe, de Lourdes García-García María

机构信息

Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.

出版信息

Salud Publica Mex. 2018 May-Jun;60(3):338-346. doi: 10.21149/8812.

Abstract

OBJECTIVE

To assess vaccination coverage in children under seven years of age.

MATERIALS AND METHODS

Study based on the Halfway National Health and Nutrition Survey (Ensanut MC 2016).

RESULTS

Full vaccination coverage in children <1 year was 51.7%, (range: 67.6% [pentavalent (PV)] to 93.9% [BCG]), in those aged 12-23 months was 53.9% (range: 68.5% [MMR] to 98.3% [BCG]) and in those 24-35 months was 63.2% (range: 85.3% [pneumococcal]) to 98.6% [BCG]). In children aged six years, the coverage of 1 MMR dose was 97.8% and 50.7% for two doses. Only 2.2% of six year olds were not vaccinated. Variables associated with incomplete schedule were age of 2-5 months, mother being under 20 years of age or maternal language indigenous.

CONCLUSIONS

The vaccination program needs to improve recruitment of newborns and their follow-up until they complete their immunization schedule, taking advantage of the local contacts with health services to vaccinate them.

摘要

目的

评估7岁以下儿童的疫苗接种覆盖率。

材料与方法

基于全国中途健康与营养调查(Ensanut MC 2016)开展研究。

结果

1岁以下儿童的全程疫苗接种覆盖率为51.7%(范围:五价疫苗(PV)为67.6%至卡介苗(BCG)为93.9%),12至23个月龄儿童为53.9%(范围:麻疹、腮腺炎、风疹联合疫苗(MMR)为68.5%至卡介苗为98.3%),24至35个月龄儿童为63.2%(范围:肺炎球菌疫苗为85.3%至卡介苗为98.6%)。在6岁儿童中,1剂MMR疫苗的接种覆盖率为97.8%,2剂的接种覆盖率为50.7%。只有2.2%的6岁儿童未接种疫苗。与接种程序不完整相关的变量包括2至5个月龄、母亲年龄在20岁以下或母语为本地语言。

结论

疫苗接种计划需要改善新生儿的招募及其后续跟踪,直至他们完成免疫接种程序,利用与卫生服务机构的本地联系为他们接种疫苗。

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