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探索沙特阿拉伯利雅得儿童疫苗接种延迟的影响因素。

Exploring influential factors in childhood vaccine delays in Riyadh, Saudi Arabia.

作者信息

Basham Karam, Al Mutairi Faris, Baw Bara, Al Said Leila

机构信息

Department of Family of Medicine, King Saud Medical City, Riyadh, Saudi Arabia.

出版信息

J Family Med Prim Care. 2024 Aug;13(8):3165-3172. doi: 10.4103/jfmpc.jfmpc_95_24. Epub 2024 Jul 26.

Abstract

INTRODUCTION

Infectious diseases present a substantial worldwide health challenge, yet vaccines have played a crucial role in significantly decreasing illness rates. Despite their effectiveness, global vaccination coverage stands at 85%, leaving a considerable number of infants without routine immunization. Our study seeks to examine the occurrence of delayed primary vaccination and the factors influencing it in Riyadh, Saudi Arabia addressing a critical void in current research.

METHODOLOGY

A cross-sectional investigation was carried out in the primary care facilities of the first health cluster in Riyadh, Saudi Arabia. Information was gathered utilizing a well-structured questionnaire, modified from a prior study. The study encompassed children aged two years and younger, accompanied by their parents who brought their vaccination cards for the visit. Non-probability convenience sampling was employed for data collection. Subsequently, the data underwent thorough cleaning in Excel (Microsoft Excel) and was subjected to analysis using IBM SPSS 29 (IBM SPSS Statistics 29).

RESULTS

The study involved 402 participants, primarily over 12 months old, with a balanced gender distribution. Noteworthy findings indicate a 20.9% prevalence of childhood vaccine delays, with reasons such as high-grade fever (33.3%) and travel (26.2%). Significant associations were found in children aged 6-12 months (25.8%, = 0.039), families with over four children (31%, = 0.010), perceptions of vaccine harm (50.0%, = 0.013), and acknowledgment of neglect (96.4%, = 0.001).

CONCLUSION

The research illuminates the complex factors influencing childhood vaccine delays in Saudi Arabia. Stressing the significance of personalized interventions, it underscores the necessity to tackle challenges specific to age, parental perspectives, and access issues for improved vaccination outcomes.

摘要

引言

传染病是全球重大的健康挑战,然而疫苗在显著降低发病率方面发挥了关键作用。尽管疫苗成效显著,但全球疫苗接种覆盖率仅为85%,仍有相当数量的婴儿未接受常规免疫接种。我们的研究旨在调查沙特阿拉伯利雅得地区延迟初次接种疫苗的情况及其影响因素,以填补当前研究的关键空白。

方法

在沙特阿拉伯利雅得首个卫生集群的初级保健机构中进行了一项横断面调查。使用从先前研究修改而来的结构良好的问卷收集信息。该研究涵盖两岁及以下儿童,他们由父母陪同前来就诊,并携带了疫苗接种卡。采用非概率便利抽样进行数据收集。随后,数据在Excel(微软Excel)中进行了全面清理,并使用IBM SPSS 29(IBM SPSS Statistics 29)进行分析。

结果

该研究涉及402名参与者,主要为12个月以上儿童,性别分布均衡。值得注意的发现表明,儿童疫苗延迟发生率为20.9%,原因包括高烧(33.3%)和出行(26.2%)。在6至12个月大的儿童中(25.8%,P = 0.039)、有四个以上孩子的家庭中(31%,P = 0.010)、对疫苗危害的认知方面(50.0%,P = 0.013)以及承认疏忽方面(96.4%,P = 0.001)发现了显著关联。

结论

该研究揭示了影响沙特阿拉伯儿童疫苗延迟的复杂因素。强调了个性化干预的重要性,凸显了应对年龄、家长观念和获取问题等特定挑战以改善疫苗接种结果的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f35/11368322/53ec97374c35/JFMPC-13-3165-g001.jpg

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