伊朗大不里士市儿科 COVID-19 疫苗接种的预测因素：病例对照研究。
Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran.
机构信息
Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
出版信息
BMC Pediatr. 2023 Jul 31;23(1):379. doi: 10.1186/s12887-023-04202-y.
INTRODUCTION
COVID-19 vaccination of children can help reduce the severity of the infection and the death rate caused by it and also helps achieve herd immunity. The level of acceptance and high vaccination coverage is the main elements in the success of immunization programs. Children's vaccination is dependent on their parent's decision. This study aims to identify predictors of the children's COVID-19 vaccination accomplishment by their parents.
METHOD
In this case-control study, 577 vaccinated children as cases and 366 un-vaccinated children as controls were randomly selected from the general population of Tabriz, Iran 2022, and their data were collected by telephone calls and interviews with the children's parents. Cases and controls were compared in terms of clinical and demographic factors of the child as well as the socioeconomic status (SES) of their parents by using a multivariable mixed-effect logistic regression model.
RESULTS
According to the results of the multivariable logistic regression, the age of the child (OR = 1.26 95% CI (1.14, 1.40), p-value < 0.001), previous COVID-19 infection of the child (OR = 1.92, 95% CI (1.21, 3.04), p-value < 0.001), having no underlying disease in the child (OR = 1.76, 95% CI (1.02, 3.02), p-value = 0.04), the dwelling place of the household (the high-level dwelling in compared to a low level (OR = 3.34, 95% CI (1.6, 6.64), p-value = 0.001), the middle level of dwelling compared with low level (OR = 4.87, 95% CI (2.46, 9.51), p-value < 0.001)), and Father's job (Employee and technician Fathers compared to worker fathers (OR = 2.99, 95% CI (1.55, 5.77), p-value = 0.001)) were significant independent predictors of children COVID-19 vaccination.
CONCLUSION
Several demographic and socioeconomic factors were associated with children's vaccination. Older children, children without any underlying disease, children with a history of COVID-19 infection, and children of parents with higher levels of SES were more likely to receive the COVID-19 vaccine. This finding can be considered in children's vaccination policymaking.
简介
为儿童接种 COVID-19 疫苗有助于减轻感染的严重程度和死亡率，并有助于实现群体免疫。接受程度和高疫苗接种覆盖率是免疫计划成功的主要因素。儿童的疫苗接种取决于他们父母的决定。本研究旨在确定父母对儿童 COVID-19 疫苗接种完成情况的预测因素。
方法
在这项病例对照研究中，2022 年从伊朗大不里士的普通人群中随机选择了 577 名接种疫苗的儿童作为病例和 366 名未接种疫苗的儿童作为对照，并通过电话和对儿童父母进行访谈收集了他们的数据。通过多变量混合效应逻辑回归模型，比较了病例和对照组儿童的临床和人口统计学因素以及父母的社会经济地位（SES）。
结果
根据多变量逻辑回归的结果，儿童年龄（OR=1.26，95%CI（1.14，1.40），p 值<0.001）、儿童以前感染过 COVID-19（OR=1.92，95%CI（1.21，3.04），p 值<0.001）、儿童无潜在疾病（OR=1.76，95%CI（1.02，3.02），p 值=0.04）、家庭住所（与低水平相比，高水平住宅（OR=3.34，95%CI（1.6，6.64），p 值=0.001），与低水平相比，中层住宅（OR=4.87，95%CI（2.46，9.51），p 值<0.001））和父亲的工作（与工人父亲相比，雇员和技术员父亲（OR=2.99，95%CI（1.55，5.77），p 值=0.001））是儿童 COVID-19 疫苗接种的显著独立预测因素。
结论
一些人口统计学和社会经济因素与儿童疫苗接种有关。年龄较大的儿童、没有任何潜在疾病的儿童、有 COVID-19 感染史的儿童以及 SES 较高的父母的子女更有可能接种 COVID-19 疫苗。这一发现可在儿童疫苗接种政策制定中考虑。
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