Department of Community Medicine, Babcock University, Ilisan, Ogun State, Nigeria.
Department of Community Medicine and Primary Care, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria.
Niger Postgrad Med J. 2020 Oct-Dec;27(4):336-342. doi: 10.4103/npmj.npmj_101_20.
Paternal involvement in vaccination programmes is associated with improved uptake of childhood immunisation. However, paternal involvement is low in many climes including Nigeria. This study aimed to compare paternal involvement in childhood immunisation in urban and rural areas of Ogun Central Senatorial District, Nigeria.
This was a comparative cross-sectional study involving 440 fathers each in urban and rural areas selected using a multistage sampling method. A structured interviewer-administered questionnaire was employed to obtain data. Analysis was done using SPSS version 20. Chi-square test was used to assess the associations between categorical variables, whereas t-test was used to compare the means of respondents' involvement scores. Logistic regression was used to determine the predictors of paternal involvement. Results were presented as odds ratios (ORs) and 95% confidence intervals (CIs). P < 0.05 was taken as statistically significant.
The mean age of respondents in urban areas was 36.58 ± 6.76 and the mean age of respondents in rural areas was 37.61 ± 9.79. The difference in the mean age of urban and rural residents was not statistically significant (P = 0.07). Paternal involvement was significantly better among fathers in rural areas, with 79.8% of them having good involvement as compared to only 50.0% of the urban respondents (P = < 0.001). Being educated up to the tertiary level (adjusted OR [AOR] = 2.43, 95% CI = 1.66-3.57) was the predictor of involvement in childhood immunisation among fathers in the urban area. Among fathers in rural areas, being currently married (AOR = 4.51, 95% CI = 2.12-9.60) was the predictor of involvement in childhood immunisation.
CONCLUSION/RECOMMENDATION: Paternal involvement in childhood immunisation is better among rural dwellers compared to urban dwellers. Educated and currently married fathers who have the propensity to be more involved can be trained as peer educators to encourage others to participate, particularly in the urban areas.
父亲参与疫苗接种计划与儿童免疫接种率的提高有关。然而，在包括尼日利亚在内的许多地区，父亲的参与度都很低。本研究旨在比较尼日利亚奥贡中参议员区城乡地区父亲在儿童免疫接种中的参与度。
这是一项比较性的横断面研究，涉及城乡地区各 440 名父亲，采用多阶段抽样方法选择。使用结构化访谈员管理的问卷获取数据。使用 SPSS 版本 20 进行分析。卡方检验用于评估分类变量之间的关联，t 检验用于比较受访者参与度得分的平均值。逻辑回归用于确定父亲参与的预测因素。结果以比值比（OR）和 95%置信区间（CI）表示。P<0.05 被认为具有统计学意义。
城市地区受访者的平均年龄为 36.58±6.76，农村地区受访者的平均年龄为 37.61±9.79。城乡居民平均年龄的差异无统计学意义（P=0.07）。农村地区父亲的参与度明显更好，其中 79.8%的父亲有良好的参与度，而城市地区只有 50.0%的受访者（P<0.001）。接受过高等教育（调整后的比值比[OR] = 2.43，95%CI = 1.66-3.57）是城市地区父亲参与儿童免疫接种的预测因素。在农村地区的父亲中，目前已婚（OR=4.51，95%CI = 2.12-9.60）是参与儿童免疫接种的预测因素。
结论/建议：与城市居民相比，农村居民在儿童免疫接种中的参与度更高。受过教育且目前已婚的父亲更有参与意愿，可以培训为同伴教育者，鼓励其他人参与，特别是在城市地区。
