Université de Lille, CHU de Lille, EA 2694 - Santé publique : épidémiologie et qualité des soins, 59000 Lille, France.
Unité de réanimation et médecine neonatales, pole femme-mère-enfant, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
Infect Dis Now. 2021 Mar;51(2):153-158. doi: 10.1016/j.medmal.2020.09.027. Epub 2020 Oct 12.
Monitoring of vaccination coverage rates (VCRs) is essential to assess the implementation of a country's vaccine policy and its effectiveness. Through the French Vaccinoscopy study, we measured the evolution of VCRs as well as mothers' opinion towards vaccination between 2008 and 2018, before and after implementation of infant mandatory vaccination extension.
This is a study based on an internet-standardised questionnaire. In 2018, a representative sample of 3000 mothers of infants 0 to 35 months of age answered on their opinion on vaccination and reported all vaccinations recorded in their child's health record.
On the period considered, infant VCRs were stable and high for diphtheria, tetanus, poliomyelitis, pertussis and pneumococcus components and progressed for measles, mumps rubella, 2 doses at 24 months of age from 45.3% in 2008 to 81.0% in 2018, hepatitis B (HepB) complete primovaccination at 6 months of age from 45.9% in 2008 to 86.3% in 2017 and 95.5% in 2018, and meningococcus C (MenC) 1 dose at 6 months of age from 43.0% in 2017 to 74.2% in 2018. In 2018, 69.0% of mothers were in favour of vaccination while this rate dropped from 80.2% in 2012 to 64.0% in 2017, and 80.8 to 89.6% perceived HepB, MenC measles and pertussis vaccinations as useful/essential, percentages in progress versus 2017.
Following the implementation of infant mandatory vaccination in 2018, proportion of mothers in favour of vaccination increased significantly. HepB and MenC VCRs significantly progressed between 2017 and 2018.
监测疫苗接种覆盖率（VCR）对于评估国家疫苗政策的实施情况及其效果至关重要。通过法国 Vaccinoscopy 研究，我们测量了 2008 年至 2018 年期间在实施婴儿强制性疫苗接种扩展前后，VCR 以及母亲对疫苗接种的看法的变化。
这是一项基于互联网标准化问卷的研究。2018 年，对 3000 名 0 至 35 个月龄婴儿的母亲进行了一项代表性调查，调查她们对疫苗接种的看法，并报告了她们孩子健康记录中记录的所有疫苗接种情况。
在所考虑的时间段内，白喉、破伤风、脊髓灰质炎、百日咳和肺炎球菌成分的婴儿 VCR 保持稳定且较高，麻疹、腮腺炎、风疹、24 个月龄时的 2 剂疫苗接种率从 2008 年的 45.3%上升到 2018 年的 81.0%，乙型肝炎（HepB）6 个月龄时完全初免接种率从 2008 年的 45.9%上升到 2017 年的 86.3%和 2018 年的 95.5%，以及脑膜炎球菌 C（MenC）6 个月龄时的 1 剂接种率从 2017 年的 43.0%上升到 2018 年的 74.2%。2018 年，69.0%的母亲支持疫苗接种，而这一比例从 2012 年的 80.2%下降到 2017 年的 64.0%，而 HepB、MenC 麻疹和百日咳疫苗接种的比例从 2017 年的 80.8%上升到 89.6%。
在 2018 年实施婴儿强制性疫苗接种后，支持疫苗接种的母亲比例显著增加。HepB 和 MenC 的 VCR 在 2017 年至 2018 年间显著提高。
