黎巴嫩公民和黎巴嫩境内叙利亚难民的疫苗接种率。

Vaccine coverage for Lebanese citizens and Syrian refugees in Lebanon.

机构信息

Toxicology Laboratory and Poison Control Center, Faculty of Pharmacy, Campus of Medical Sciences, Saint Joseph University, Damascus Road, Beirut, Lebanon. P.O. Box: 11-5076-Riad El Solh, Beirut 1107 2180, Lebanon.

出版信息

Int Health. 2019 Nov 13;11(6):568-579. doi: 10.1093/inthealth/ihz023.

DOI:10.1093/inthealth/ihz023

PMID:31089721

Abstract

ARTICLE HISTORY

Following the refugee crisis in Lebanon, the on-going inflow of Syrian refugees presented new challenges to optimal immunization coverage for all the children living in the country. Healthcare facilities have been overburdened during this period and the country witnessed outbreaks of many infectious diseases. Thus, the evaluation of vaccine compliance for mandatory and non-mandatory vaccines as well as the factors affecting the vaccination rate among Lebanese residents and Syrian refugees is fundamental.

BACKGROUND

Since 2012, Lebanon has hosted around 1.2 million Syrian refugees, a high number in a country whose population does not exceed 4.4 million. Healthcare facilities have been overburdened during this period, which has led to the spread of many infectious diseases, including outbreaks of measles, mumps and hepatitis. At the appearance of such outbreaks, it becomes essential to evaluate vaccine compliance and the factors influencing the vaccination rate among Lebanese residents and Syrian refugees in infants and children up to 15 y of age.

METHODS

A total of 571 infants and children were recruited in Beirut and Mount Lebanon, two governorates that together host half of the Lebanese population.

RESULTS

A very high rate of vaccine compliance was seen for mandatory vaccines, whereas an intermediate to very low rate of compliance was found for non-mandatory vaccines. Both bivariate and multiple regression analyses indicated that age group and regular consultation of a pediatrician were independently associated with immunization coverage. Bivariate analysis indicated that parental age, occupational and educational status of parents, family size and vaccine price were also independently associated with immunization coverage. Incomplete vaccination coverage was associated with socioeconomic factors.

CONCLUSIONS

From these results, it becomes apparent that it may be necessary to reassess vaccination priorities considering the current socioeconomic situation.

摘要

背景

自 2012 年以来，黎巴嫩已收容约 120 万叙利亚难民，这一数字在一个人口不超过 440 万的国家中是相当高的。在这段时间里，医疗保健设施不堪重负，导致许多传染病的传播，包括麻疹、腮腺炎和肝炎的爆发。在出现这种爆发时，评估黎巴嫩居民和叙利亚难民中婴儿和 15 岁以下儿童的疫苗接种率以及影响接种率的因素就变得至关重要。