Meleth S, Dahlgren L S, Sankaran R, Sankaran K
Department of Pediatrics, University of Saskatchewan, Saskatoon.
CMAJ. 1995 Aug 15;153(4):415-9.
To determine the vaccination rate among infants discharged from a neonatal intensive care unit (NICU) and factors affecting that rate.
Cross-sectional survey conducted when the children were 12 to 18 months of age.
NICU at the Royal University Hospital, Saskatoon, Sask.
All 395 infants discharged from the NICU between Jan. 1 and June 30, 1992.
Vaccination rate, ethnic background (native or non-native), place of residence (urban or rural), health status (number of days spent in the NICU), reasons for delay in or incomplete vaccinations (those involving parents' responsibility, infant illness or contraindications).
Of the 395 infants, 20 (5.0%) had died and incomplete information was available for 30 (7.6%). Complete data were available for 345 (87.3%). Of the infants for whom data were available, 8 (2.3%) had never been vaccinated and 142 (41.2%) had a delayed vaccination schedule or had not completed their scheduled vaccinations. Only 195 (56.6%) of the infants had received a full vaccination series. Non-native ethnic background was a predictor of completed vaccinations (odds ratio [OR] 5.40, 95% confidence interval [CI] 3.05 to 9.52). In a univariate model, urban area of residence was not a significant predictor of vaccination status, but when ethnic background was controlled for in a multivariate logistic regression analysis, urban area of residence was found to be inversely associated with completed vaccinations (OR 0.34, 95% CI 0.15 to 0.79). The number of days the child had spent in the NICU was not a significant predictor of vaccination status.
The vaccination rate of infants discharged from the NICU is not optimal. Urban native children appears to be at risk of not being vaccinated. Non-native infants are five times more likely than native infants to have completed all of their scheduled vaccinations. Methods to improve the rate of completed vaccinations, especially for native children, must be sought and tested.
确定新生儿重症监护病房（NICU）出院婴儿的疫苗接种率及影响该率的因素。
在儿童12至18个月大时进行横断面调查。
萨斯喀彻温省萨斯卡通市皇家大学医院的NICU。
1992年1月1日至6月30日期间从NICU出院的所有395名婴儿。
疫苗接种率、种族背景（原住民或非原住民）、居住地点（城市或农村）、健康状况（在NICU住院天数）、疫苗接种延迟或未完成的原因（涉及父母责任、婴儿疾病或禁忌证）。
395名婴儿中，20名（5.0%）死亡，30名（7.6%）信息不完整。345名（87.3%）有完整数据。在有数据的婴儿中，8名（2.3%）从未接种过疫苗，142名（41.2%）疫苗接种计划延迟或未完成预定接种。只有195名（56.6%）婴儿完成了全程疫苗接种。非原住民种族背景是完成疫苗接种的一个预测因素（优势比[OR]5.40，95%置信区间[CI]3.05至9.52）。在单变量模型中，居住在城市地区不是疫苗接种状况的显著预测因素，但在多变量逻辑回归分析中控制种族背景后，发现居住在城市地区与完成疫苗接种呈负相关（OR 0.34，95%CI 0.15至0.79）。婴儿在NICU住院的天数不是疫苗接种状况的显著预测因素。
NICU出院婴儿的疫苗接种率不理想。城市原住民儿童似乎有未接种疫苗的风险。非原住民婴儿完成所有预定疫苗接种的可能性是原住民婴儿的五倍。必须寻找并测试提高完成疫苗接种率的方法，尤其是针对原住民儿童。
