1991年纽约市麻疹疫情期间参加妇女、婴儿和儿童营养补充计划（WIC）的儿童的麻疹疫苗接种水平。
Measles vaccination levels of children enrolled in WIC during the 1991 measles epidemic in New York City.
作者信息
LeBaron C W, Birkhead G S, Parsons P, Grabau J C, Barr-Gale L, Fuhrman J, Brooks S, Maes E, Friedman S, Hadler S C
机构信息
National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga. 30333, USA.
出版信息
Am J Public Health. 1996 Nov;86(11):1551-6. doi: 10.2105/ajph.86.11.1551.
OBJECTIVES
This study assessed measles vaccination rates and risk factors for lack of vaccination among preschool children enrolled in the Special Supplemental Food Program for Women, Infants, and Children (WIC) during the 1991 measles epidemic in New York City.
METHODS
Children aged 12 to 59 months presenting for WIC certification between April 1 and September 30, 1991, at six volunteer WIC sites in New York City were surveyed.
RESULTS
Of the 6181 children enrolled in the study, measles immunization status was ascertained for 6074 (98%). Overall measles coverage was 86% (95% confidence interval [CI] = +/- 1%) and at least 90% by 21 months of age (95% CI = +/- 1%). Young age of the child, use of a private provider, and Medicaid as a source of health care payment were risk factors for lack of vaccination (P < .001).
CONCLUSIONS
During the peak of a measles epidemic, measles immunization rates were more than 80% by 24 months of age in a sample of WIC children. The ease of ascertaining immunization status and the size of the total WIC population underscore the importance of WIC immunization initiatives.
目的
本研究评估了在1991年纽约市麻疹流行期间，参加妇女、婴儿和儿童特别补充食品计划（WIC）的学龄前儿童的麻疹疫苗接种率及未接种疫苗的风险因素。
方法
对1991年4月1日至9月30日期间在纽约市六个志愿WIC站点进行WIC认证的12至59个月大的儿童进行了调查。
结果
在纳入研究的6181名儿童中，确定了6074名（98%）儿童的麻疹免疫状况。总体麻疹疫苗接种率为86%（95%置信区间[CI]=±1%），到21个月龄时至少为90%（95%CI=±1%）。儿童年龄小、使用私人医疗服务提供者以及将医疗补助作为医疗保健支付来源是未接种疫苗的风险因素（P<0.001）。
结论
在麻疹流行高峰期，WIC儿童样本中到24个月龄时麻疹疫苗接种率超过80%。确定免疫状况的便利性以及WIC总人群规模凸显了WIC免疫计划的重要性。
Zotero 插件