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Immunization coverage,knowledge,satisfaction,and associated factors of non-National Immunization Program vaccines among migrant and left-behind families in China:evidence from Zhejiang and Henan provinces

引用

Infectious Diseases of Poverty 2023年第5期12卷 69-80页

作者： Yaguan Zhou Duanhui Li Yuan Cao Fenhua Lai Yu Wang Qian Long Zifan Zhang Chuanbo An Xiaolin Xu School of Public Health The Second Afliated HospitalZhejiang University School of MedicineYuhangtang Road 866Hangzhou 310058ZhejiangChina The Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province HangzhouZhejiangChina Songxian Center for Disease Control and Prevention LuoyangHenanChina Department of Immunoprophylaxis Xiaoshan Center for Disease Control and PreventionHangzhouZhejiangChina Global Health Research Center Division of Social SciencesDuke Kunshan UniversityKunshanJiangsuChina Global Health Research Center Duke Kunshan UniversityKunshanJiangsuChina School of Public Health Faculty of MedicineThe University of QueenslandBrisbaneAustralia

Background Migrant and left-behind families are vulnerable in health services utilization,but little is known about their disparities in immunization of non-National Immunization Program(NIP)*** study aims to evaluate the immunization coverage,knowledge,satisfaction,and associated factors of non-NIP vaccines among local and migrant families in the urban areas and non-left-behind and left-behind families in the rural areas of *** A cross-sectional survey was conducted in urban areas of Zhejiang and rural areas of Henan in China.A total of 1648 caregivers of children aged 1-6 years were interviewed face-to-face by a pre-designed online questionnaire,and their families were grouped into four types:local urban,migrant,non-left-behind,and ***-NIP vaccines includedHemophilus influenza b(Hib)vaccine,varicella vaccine,rotavirus vaccine,enterovirus 71 vaccine(EV71)and 13-valent pneumonia vaccine(PCV13).Log-binomial regression models were used to calculate prevalence ratios(PRs)and 95%confidence intervals(CIs)for the difference on immunization coverage of children,and knowledge and satisfaction of caregivers among *** network models were conducted to explore the interplay of immunization coverage,knowledge,and *** regression models with odds ratios(ORs)and 95%CIs were used to estimate the associated factors of non-NIP *** The immunization coverage of all non-NIP vaccines and knowledge of all items of local urban families was the highest,followed by migrant,non-left-behind and left-behind *** with local urban children,thePRs(95%CIs)for getting all vaccinated were 0.65(0.52-0.81),0.29(0.22-0.37)and 0.14(0.09-0.21)among migrant children,non-left-behind children and left-behind children,*** coverage-knowledge-satisfaction network model showed the core node was the satisfaction of vaccination ***-NIP vaccination was associated with characteristics of both children and car

关键词： Non-National Immunization Program vaccines Migrant family left-behind family Immunization coverage Immunization knowledge Immunization satisfaction China

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