Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance

Hagemann C, Streng A, Krämer A, Liese JG (2017)
BMC PUBLIC HEALTH 17(1): 724: 724.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
Download
Es wurde kein Volltext hochgeladen. Nur Publikationsnachweis!
Autor*in
Hagemann, ChristineUniBi; Streng, Andrea; Krämer, AlexanderUniBi ; Liese, Johannes G.
Abstract / Bemerkung
Background: In 2004, routine varicella vaccination was introduced in Germany for children aged 11-14 months. Routine measles vaccination had already been introduced in 1973 for the same age group, but coverage is still too low (<95%) in some areas to eliminate measles. The present study assessed varicella and measles vaccination coverage and determinants of parental acceptance in two study regions, situated in Northern and Southern Bavaria (Germany). Methods: From 2009 to 2011, annual cross-sectional parent surveys were performed on random samples of 600 children aged 18-36 months in the Bavarian regions of both Munich and Wurzburg. Logistic regression models were used to identify factors associated with varicella and measles vaccination. Results: In 2009, 2010 and 2011, vaccination coverage was lower in Munich than in Wurzburg, for both varicella (Munich 53%, 67%, 69% vs. Wurzburg 72%, 81%, 83%) and for measles (Munich 88%, 89%, 91% vs. Wurzburg 92%, 93%, 95%). Recommendation by the physician was the main independent factor associated with varicella vaccination in both regions (adjusted odd ratios (OR) with 95% confidence interval (CI): Munich OR 19.7, CI 13.6-28.6; Wurzburg OR 34.7, CI 22.6-53.2). Attendance at a childcare unit was positively associated with a higher acceptance of varicella vaccination in Munich (OR 1.5, CI 1.1-2.2). Regarding measles vaccination, attendance at a childcare unit was positively associated in both regions (Munich OR 2.0; CI 1.3-3.0; Wurzburg OR 1.8; CI 1.1-3.1), and a higher level of parental school education was negatively associated in Wurzburg (OR 0.5, CI 0.3-0.9). Conclusions: Vaccination rates differed between regions, with rates constantly higher in Wurzburg. Within each region, vaccination rates were lower for varicella than for measles. Measles vaccination status was mainly dependent upon socio-demographic factors (attendance at a childcare unit, parental school education), whereas for the more recently introduced varicella vaccination recommendation by the physician had the strongest impact. Hence, different strategies are needed to further improve vaccination rates for both diseases.
Stichworte
Varicella; Measles; Vaccination; Coverage; Surveillance; Pediatric
Erscheinungsjahr
2017
Zeitschriftentitel
BMC PUBLIC HEALTH
Band
17
Ausgabe
1
Art.-Nr.
724
Seite(n)
724
ISSN
1471-2458
Page URI
https://pub.uni-bielefeld.de/record/2914413

Zitieren

Hagemann C, Streng A, Krämer A, Liese JG. Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance. BMC PUBLIC HEALTH. 2017;17(1):724: 724.
Hagemann, C., Streng, A., Krämer, A., & Liese, J. G. (2017). Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance. BMC PUBLIC HEALTH, 17(1), 724., 724. doi:10.1186/s12889-017-4725-6
Hagemann, C., Streng, A., Krämer, A., and Liese, J. G. (2017). Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance. BMC PUBLIC HEALTH 17, 724:724.
Hagemann, C., et al., 2017. Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance. BMC PUBLIC HEALTH, 17(1), p 724: 724.
C. Hagemann, et al., “Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance”, BMC PUBLIC HEALTH, vol. 17, 2017, pp. 724, : 724.
Hagemann, C., Streng, A., Krämer, A., Liese, J.G.: Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance. BMC PUBLIC HEALTH. 17, 724 : 724 (2017).
Hagemann, Christine, Streng, Andrea, Krämer, Alexander, and Liese, Johannes G. “Heterogeneity in coverage for measles and varicella vaccination in toddlers - analysis of factors influencing parental acceptance”. BMC PUBLIC HEALTH 17.1 (2017): 724: 724.

1 Zitation in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Can Flanders resist the measles outbreak? Assessing vaccination coverage in different age groups among Flemish residents.
Braeckman T, Theeten H, Roelants M, Blaizot S, Hoppenbrouwers K, Maertens K, Van Damme P, Vandermeulen C., Epidemiol Infect 146(8), 2018
PMID: 29716667

49 References

Daten bereitgestellt von Europe PubMed Central.

Empirical data on the varicella situation in Germany for vaccination decisions.
Wagenpfeil S, Neiss A, Banz K, Wutzler P., Clin. Microbiol. Infect. 10(5), 2004
PMID: 15113320
Varicella vaccination in Europe - taking the practical approach.
Bonanni P, Breuer J, Gershon A, Gershon M, Hryniewicz W, Papaevangelou V, Rentier B, Rumke H, Sadzot-Delvaux C, Senterre J, Weil-Olivier C, Wutzler P., BMC Med 7(), 2009
PMID: 19476611
Varicella: efficacy of two-dose vaccination in childhood.
Wutzler P, Knuf M, Liese J., Dtsch Arztebl Int 105(33), 2008
PMID: 19471675
The burden of varicella complications before the introduction of routine varicella vaccination in Germany.
Liese JG, Grote V, Rosenfeld E, Fischer R, Belohradsky BH, v Kries R; ESPED Varicella Study Group., Pediatr. Infect. Dis. J. 27(2), 2008
PMID: 18227713
Varicella-related deaths in children and adolescents--Germany 2003-2004.
Grote V, von Kries R, Springer W, Hammersen G, Kreth HW, Liese J., Acta Paediatr. 97(2), 2007
PMID: 18076716

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
Varicella vaccination coverage of children under two years of age in Germany.
Reuss AM, Feig M, Kappelmayer L, Siedler A, Eckmanns T, Poggensee G., BMC Public Health 10(), 2010
PMID: 20723217

AUTHOR UNKNOWN, 2012
Epidemiology and economic burden of measles, mumps, pertussis, and varicella in Germany: a systematic review.
Damm O, Witte J, Wetzka S, Prosser C, Braun S, Welte R, Greiner W., Int J Public Health 61(7), 2016
PMID: 27488917

AUTHOR UNKNOWN, 0
[Vaccination coverage against measles and sero-epidemiology of measles-specific IgG antibodies in German children and adolescents].
Poethko-Muller C, Mankertz A., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 56(9), 2013
PMID: 23990086

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
[Hot spot: epidemiology of measles and rubella in Germany and the WHO European region].
Matysiak-Klose D., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 56(9), 2013
PMID: 23990084

AUTHOR UNKNOWN, 0
[Improvement strategy to increase vaccination rates in adolescents].
Roggendorf H, Freynik P, Hofmann F., Gesundheitswesen 73(8-9), 2010
PMID: 20845266

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
[Varicella vaccination in Germany. A provisional appraisal in the context of MMR vaccination].
Siedler A, Hecht J, Rieck T, Tolksdorf K, Hengel H., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 56(9), 2013
PMID: 23990095
Immunisation status of children in Germany: temporal trends and regional differences.
Kalies H, Grote V, Schmitt HJ, von Kries R., Eur. J. Pediatr. 165(1), 2005
PMID: 16160869

AUTHOR UNKNOWN, 0
Varicella vaccination coverage in Bavaria (Germany) after general vaccine recommendation in 2004.
Streng A, Seeger K, Grote V, Liese JG., Vaccine 28(35), 2010
PMID: 20600490

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0
Timely MMR vaccination in infancy: influence of attitudes and medical advice on the willingness to vaccinate.
Schonberger K, Ludwig MS, Wildner M, Kalies H., Klin Padiatr 224(7), 2012
PMID: 22821294
Full breastfeeding and hospitalization as a result of infections in the first year of life.
Paricio Talayero JM, Lizan-Garcia M, Otero Puime A, Benlloch Muncharaz MJ, Beseler Soto B, Sanchez-Palomares M, Santos Serrano L, Rivera LL., Pediatrics 118(1), 2006
PMID: 16818542
Attitudes to vaccination: a critical review.
Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J., Soc Sci Med 112(), 2014
PMID: 24788111
Determinants of European parents' decision on the vaccination of their children against measles, mumps and rubella: A systematic review and meta-analysis.
Tabacchi G, Costantino C, Napoli G, Marchese V, Cracchiolo M, Casuccio A, Vitale F; The Esculapio Working Group., Hum Vaccin Immunother 12(7), 2016
PMID: 27163657
The impact of sociodemographic variables on immunization coverage of children.
Waldhoer T, Haidinger G, Vutuc C, Haschke F, Plank R., Eur. J. Epidemiol. 13(2), 1997
PMID: 9084996
Factors underlying parental decisions about combination childhood vaccinations including MMR: a systematic review.
Brown KF, Kroll JS, Hudson MJ, Ramsay M, Green J, Long SJ, Vincent CA, Fraser G, Sevdalis N., Vaccine 28(26), 2010
PMID: 20438879
Advocating for vaccination in a climate of science denial.
Betsch C., Nat Microbiol 2(), 2017
PMID: 28653682
[Vaccination coverage and predictors for vaccination level. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)].
Poethko-Muller C, Kuhnert R, Schlaud M., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5-6), 2007
PMID: 17514471

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

AUTHOR UNKNOWN, 0

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 28927384
PubMed | Europe PMC

Suchen in

Google Scholar