Viviani S, Binkin N, Carrieri P, Greco D, Salamina G, Salmaso S, Tozzi A E, Niccolini A, D'Argenio P, Maestro A
Lab. di Epidemiologia e Biostatistica, Ist. Superiore di Sanità, Roma.
Ann Ig. 1995 Jul-Aug;7(4):243-50.
During the year 1993 a series of surveys aimed to estimate the immunization coverage against measles and pertussis have been carried out in seven Italian regions and two large towns (Milan and Naples). Mothers of children aged between 12 and 23 months, randomly selected from the list of newborns, by using the EPI cluster sampling, have been interviewed in order to determine the reasons for absent or incomplete vaccinations. The observed coverage for pertussis ranges between 8% in the Molise region and 71% in the town of Milan; coverage for measles ranges between 9% in the town of Naples and 52% in the region Lombardy. The most commonly reported reason for not-vaccinating for pertussis has been the negative advise given by the caring physician. Immunization against measles has often not been administered because of relative contraindications and the negative advise by the physicians. The coverage for the two non-compulsory vaccinations are low compared to compulsory vaccinations and to the immunization level reported for most European countries, pointing out that further health education is needed for improving the up-take of such voluntary vaccinations.
1993年期间，在意大利的七个地区以及两个大城市（米兰和那不勒斯）开展了一系列旨在估算麻疹和百日咳免疫接种覆盖率的调查。通过扩大免疫规划（EPI）整群抽样，从新生儿名单中随机选取12至23个月大儿童的母亲进行访谈，以确定未接种或接种不完全的原因。观察到的百日咳疫苗接种覆盖率在莫利塞地区为8%，在米兰市为71%；麻疹疫苗接种覆盖率在那不勒斯市为9%，在伦巴第地区为52%。最常报告的未接种百日咳疫苗的原因是护理医生给出的负面建议。由于相对禁忌证以及医生的负面建议，麻疹疫苗接种常常未进行。与强制疫苗接种以及大多数欧洲国家报告的免疫接种水平相比，这两种非强制疫苗接种的覆盖率较低，表明需要进一步开展健康教育以提高此类自愿疫苗接种的接种率。
