A P Zucs1, A Crispin, E Eckl, R Weitkunat, U Schlipköter. 1. Postgraduate Program in Public Health, Ludwig Maximilian University School of Medicine, Marchioninistrasse 15, D-81377 Munich, Germany. apzucs@hotmail.com
Abstract
BACKGROUND: Due to insufficient vaccination rates, measles outbreaks still pose a threat to public health in Germany. The purpose of this study was to identify risk factors for undervaccination against measles. PATIENTS AND METHODS: Datasets from two cross-sectional surveys were analyzed by logistic regression models. The surveys had been done prior to and after an intervention aiming to raise measles, mumps, and rubella vaccination rates among children entering primary school in five Bavarian counties. Subjects were 9,582 children aged 6 to 7 years and their parents. RESULTS: Main independent predictors of non-immunization were doctors advising against vaccination (OR 84.8; 95% CI 19.9-360.4), doctors abstaining from advice (OR 6.3; 95% CI 4.8-8.4), and parental reservations due to alternative health beliefs (OR 27.9; 95% CI 17.6-44.1). CONCLUSION: Doctors advising against measles vaccination and doctors not giving any advice proved to be important risk factors for childhood undervaccination against measles. Future strategies to increase measles vaccination rates in Germany should focus more on family doctors. Copyright Urban and Vogel
BACKGROUND: Due to insufficient vaccination rates, measles outbreaks still pose a threat to public health in Germany. The purpose of this study was to identify risk factors for undervaccination against measles. PATIENTS AND METHODS: Datasets from two cross-sectional surveys were analyzed by logistic regression models. The surveys had been done prior to and after an intervention aiming to raise measles, mumps, and rubella vaccination rates among children entering primary school in five Bavarian counties. Subjects were 9,582 children aged 6 to 7 years and their parents. RESULTS: Main independent predictors of non-immunization were doctors advising against vaccination (OR 84.8; 95% CI 19.9-360.4), doctors abstaining from advice (OR 6.3; 95% CI 4.8-8.4), and parental reservations due to alternative health beliefs (OR 27.9; 95% CI 17.6-44.1). CONCLUSION: Doctors advising against measles vaccination and doctors not giving any advice proved to be important risk factors for childhood undervaccination against measles. Future strategies to increase measles vaccination rates in Germany should focus more on family doctors. Copyright Urban and Vogel
Authors: Jee-Young Hong; Mo Ran Ki; Hye-Jung Hwang; Delacroix Sinny; Young-Joon Park; Geun-Ryang Bae; Moo-Sik Lee Journal: Osong Public Health Res Perspect Date: 2013-04
Authors: Linda Eichner; Stephanie Wjst; Stefan O Brockmann; Kerstin Wolfers; Martin Eichner Journal: BMC Public Health Date: 2017-08-14 Impact factor: 3.295
Authors: Raúl Herzog; María José Álvarez-Pasquin; Camino Díaz; José Luis Del Barrio; José Manuel Estrada; Ángel Gil Journal: BMC Public Health Date: 2013-02-19 Impact factor: 3.295
Authors: Heinz-J Schmitt; Robert Booy; Robert Aston; Pierre Van Damme; R Fabian Schumacher; Magda Campins; Carlos Rodrigo; Terho Heikkinen; Catherine Weil-Olivier; Adam Finn; Per Olcén; David Fedson; Heikki Peltola Journal: BMC Med Date: 2007-05-29 Impact factor: 8.775