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Published in: BMC Public Health 1/2006

Open Access 01-12-2006 | Research article

Vaccination coverage and reasons for non-vaccination in a district of Istanbul

Authors: Sebahat D Torun, Nadi Bakırcı

Published in: BMC Public Health | Issue 1/2006

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Abstract

Background

In order to control and eliminate the vaccine preventable diseases it is important to know the vaccination coverage and reasons for non-vaccination. The primary objective of this study was to determine the complete vaccination rate; the reasons for non-vaccination and the predictors that influence vaccination of children. The other objective was to determine coverage of measles vaccination of the Measles Immunization Days (MID) 2005 for children aged 9 month to 6 years in a region of Umraniye, Istanbul, Turkey.

Methods

A '30 × 7' cluster sampling design was used as the sampling method. Thirty streets were selected at random from study area. Survey data were collected by a questionnaire which was applied face to face to parents of 221 children. A Chi-square test and logistic regression was used for the statistical analyses. Content analysis method was used to evaluate the open-ended questions.

Results

The complete vaccination rate for study population was 84.5% and 3.2% of all children were totally non-vaccinated. The siblings of non-vaccinated children were also non-vaccinated. Reasons for non-vaccination were as follows: being in the village and couldn't reach to health care services; having no knowledge about vaccination; the father of child didn't allow vaccination; intercurrent illness of child during vaccination time; missed opportunities like not to shave off a vial for only one child. In logistic regression analysis, paternal and maternal levels of education and immigration time of both parents to Istanbul were found to influence whether children were completely vaccinated or non-vaccinated. Measles vaccination coverage during MID was 79.3%.

Conclusion

Efforts to increase vaccination coverage should take reasons for non-vaccination into account.
Appendix
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Literature
1.
go back to reference Primary Health Care Division Report. Ankara: Turkish Republic Ministry of Health. 2001, 51- Primary Health Care Division Report. Ankara: Turkish Republic Ministry of Health. 2001, 51-
2.
go back to reference Report of Health Ministry. Three years in Turkeys' Health Services: 1999–2001 (In Turkish). 1999, –2001 (In Turkish) Report of Health Ministry. Three years in Turkeys' Health Services: 1999–2001 (In Turkish). 1999, –2001 (In Turkish)
3.
go back to reference Tezcan S, Kurtulus E: Vaccination and Child Health, Turkey DHS Report 2003. Ankara: Hacettepe Population Institute. 2004 Tezcan S, Kurtulus E: Vaccination and Child Health, Turkey DHS Report 2003. Ankara: Hacettepe Population Institute. 2004
4.
go back to reference Topuzoglu A, Ozaydın GAN, Cali S, Cebeci D, Kalaca S, Harmanci H: Assessment of sociodemographic factors and socio-economic status affecting the coverage of compulsory and private immunization services in Istanbul, Turkey. Public Health. 2005, 119: 862-869. 10.1016/j.puhe.2005.01.015.CrossRefPubMed Topuzoglu A, Ozaydın GAN, Cali S, Cebeci D, Kalaca S, Harmanci H: Assessment of sociodemographic factors and socio-economic status affecting the coverage of compulsory and private immunization services in Istanbul, Turkey. Public Health. 2005, 119: 862-869. 10.1016/j.puhe.2005.01.015.CrossRefPubMed
5.
go back to reference World Health Organization, Description and comparison of the methods of cluster sampling and lot quality assurance sampling to assess immunization coverage, Geneva, WHO/V&B/01.26. 2001 World Health Organization, Description and comparison of the methods of cluster sampling and lot quality assurance sampling to assess immunization coverage, Geneva, WHO/V&B/01.26. 2001
7.
go back to reference AbdelSalam HHM, Sokal MM: Accuracy of parental reporting of immunization. Clin Pediatr. 2004, 43: 83-10.1177/000992280404300111.CrossRef AbdelSalam HHM, Sokal MM: Accuracy of parental reporting of immunization. Clin Pediatr. 2004, 43: 83-10.1177/000992280404300111.CrossRef
8.
9.
go back to reference Bolton P, Holt E, Ross A, Hughart N, Guyer B: Estimating vaccination coverage using parental recall, vaccination cards and medical records. Public Health Rep. 1998, 114: 521-526. Bolton P, Holt E, Ross A, Hughart N, Guyer B: Estimating vaccination coverage using parental recall, vaccination cards and medical records. Public Health Rep. 1998, 114: 521-526.
10.
go back to reference Hacettepe University Population Research Institute, Turkish Ministery of Health, Government of Turkey State Planning Organization and European Union. Turkish Demographic and Health Survey (TDHS) 2003. Ankara: Hacettepe University, Population Research Institute. 2004 Hacettepe University Population Research Institute, Turkish Ministery of Health, Government of Turkey State Planning Organization and European Union. Turkish Demographic and Health Survey (TDHS) 2003. Ankara: Hacettepe University, Population Research Institute. 2004
11.
go back to reference Şener S: Evaluation of Expanded Immunization Programme in Kahramanmaraş and Kars with Lot Quality Technique. Doctorate of Public Health Thesis, Ankara, (In Turkish). 1997 Şener S: Evaluation of Expanded Immunization Programme in Kahramanmaraş and Kars with Lot Quality Technique. Doctorate of Public Health Thesis, Ankara, (In Turkish). 1997
12.
go back to reference Stokley S, Smith PJ, Klevens RM, Battaglia MP: Vaccination status of children living in rural areas in the United States: are they protected?. Am J Prev Med. 2001, 20: 55-60. 10.1016/S0749-3797(01)00280-X.CrossRefPubMed Stokley S, Smith PJ, Klevens RM, Battaglia MP: Vaccination status of children living in rural areas in the United States: are they protected?. Am J Prev Med. 2001, 20: 55-60. 10.1016/S0749-3797(01)00280-X.CrossRefPubMed
13.
go back to reference Ozcirpici B, Sahinoz S, Ozgur S, Bozkurt AI, Sahinoz T, Ceylan A, Ilcin E, Saka G, Acemoglu H, Palanci Y, Ak M, Akkafa F: Vaccination coverage in the South-East Anatolian Project (SEAP) region and factors influencing low coverage. Public Health. 2006, 120: 145-154. 10.1016/j.puhe.2005.04.008.CrossRefPubMed Ozcirpici B, Sahinoz S, Ozgur S, Bozkurt AI, Sahinoz T, Ceylan A, Ilcin E, Saka G, Acemoglu H, Palanci Y, Ak M, Akkafa F: Vaccination coverage in the South-East Anatolian Project (SEAP) region and factors influencing low coverage. Public Health. 2006, 120: 145-154. 10.1016/j.puhe.2005.04.008.CrossRefPubMed
14.
go back to reference Altinkaynak S, Ertekin V, Guraksın A, Kılıc A: Effect of several sociodemographic factors on measles immunization in children of Eastern Turkey. Public Health. 2004, 118: 565-569. 10.1016/j.puhe.2004.01.004.CrossRefPubMed Altinkaynak S, Ertekin V, Guraksın A, Kılıc A: Effect of several sociodemographic factors on measles immunization in children of Eastern Turkey. Public Health. 2004, 118: 565-569. 10.1016/j.puhe.2004.01.004.CrossRefPubMed
15.
go back to reference Lowery NE, Belansky ES, Siegel CD, Goodspeed JR, Harman CP, Steiner JF: Rural childhood immunization rates and demographic characteristics. J Fam Pract. 1998, 47: 221-225.PubMed Lowery NE, Belansky ES, Siegel CD, Goodspeed JR, Harman CP, Steiner JF: Rural childhood immunization rates and demographic characteristics. J Fam Pract. 1998, 47: 221-225.PubMed
16.
go back to reference Morrow AL, Rosenthal J, Lakkis HD, Bowers JC, Butterfoss FD, Crews RC, Sirotkin B: A population-based study of access to immunization among urban Virginia children served by public, private, and military health care systems. Pediatrics. 1998, 101: 5-10.1542/peds.101.2.e5.CrossRef Morrow AL, Rosenthal J, Lakkis HD, Bowers JC, Butterfoss FD, Crews RC, Sirotkin B: A population-based study of access to immunization among urban Virginia children served by public, private, and military health care systems. Pediatrics. 1998, 101: 5-10.1542/peds.101.2.e5.CrossRef
17.
go back to reference Angelillo IF, Ricciardi G, Rossi P, Pantisano P, Langiano E, Pavia M: Mothers and vaccination: knowledge, attitudes, and behaviors in Italy. Bull World Health Org. 1999, 77: 224-229.PubMedPubMedCentral Angelillo IF, Ricciardi G, Rossi P, Pantisano P, Langiano E, Pavia M: Mothers and vaccination: knowledge, attitudes, and behaviors in Italy. Bull World Health Org. 1999, 77: 224-229.PubMedPubMedCentral
18.
go back to reference Impicciatore P, Bosetti C, Schiavio S, Pandolfini C, Bonati M: Mothers as active partners in the prevention of childhood diseases: maternal factors related to immunization status of preschool children in Italy. Prevent Med. 2000, 31: 45-55. 10.1006/pmed.2000.0677.CrossRef Impicciatore P, Bosetti C, Schiavio S, Pandolfini C, Bonati M: Mothers as active partners in the prevention of childhood diseases: maternal factors related to immunization status of preschool children in Italy. Prevent Med. 2000, 31: 45-55. 10.1006/pmed.2000.0677.CrossRef
19.
go back to reference Bates AS, Wolinsky FD: Personal, financial, and structural barriers to immunization in socioeconomically disadvantaged urban children. Pediatrics. 1998, 101: 591-596. 10.1542/peds.101.4.591.CrossRefPubMed Bates AS, Wolinsky FD: Personal, financial, and structural barriers to immunization in socioeconomically disadvantaged urban children. Pediatrics. 1998, 101: 591-596. 10.1542/peds.101.4.591.CrossRefPubMed
20.
go back to reference Etiler N, Velipasaoglu S, Aktekin M: Risk factors for overall and persistent diarrhoea in infancy in Antalya, Turkey: a cohort study. Public Health. 2004, 118: 62-69. 10.1016/S0033-3506(03)00132-X.CrossRefPubMed Etiler N, Velipasaoglu S, Aktekin M: Risk factors for overall and persistent diarrhoea in infancy in Antalya, Turkey: a cohort study. Public Health. 2004, 118: 62-69. 10.1016/S0033-3506(03)00132-X.CrossRefPubMed
21.
go back to reference Aksit B: Sociocultural determinants of infant and child mortality in Turkey. Soc Sci Med. 1989, 28: 571-576. 10.1016/0277-9536(89)90251-7.CrossRefPubMed Aksit B: Sociocultural determinants of infant and child mortality in Turkey. Soc Sci Med. 1989, 28: 571-576. 10.1016/0277-9536(89)90251-7.CrossRefPubMed
22.
go back to reference Ay P, Topuzoglu A, Korukluoglu G, Cali S: Rubella seroprevalence among first-grade primary school students in a district in Istanbul, Turkey. Public Health. 2006, 120: 267-273. 10.1016/j.puhe.2005.09.006.CrossRefPubMed Ay P, Topuzoglu A, Korukluoglu G, Cali S: Rubella seroprevalence among first-grade primary school students in a district in Istanbul, Turkey. Public Health. 2006, 120: 267-273. 10.1016/j.puhe.2005.09.006.CrossRefPubMed
23.
go back to reference Inandi T, Ertekin V, Ayyildiz A: Sero-epidemiology of tetanus antibody among the children in eastern Turkey. Public Health. 2002, 116: 379-382. 10.1016/S0033-3506(02)00564-4.CrossRefPubMed Inandi T, Ertekin V, Ayyildiz A: Sero-epidemiology of tetanus antibody among the children in eastern Turkey. Public Health. 2002, 116: 379-382. 10.1016/S0033-3506(02)00564-4.CrossRefPubMed
24.
go back to reference Ulukangil M, Seyrek A: Demographic and socio-economic factors affecting the physical development, haemoglobin and parasitic infection status of schoolchildren in Sanliurfa province, Turkey. Public Health. 2004, 118: 151-158. 10.1016/j.puhe.2003.06.003.CrossRef Ulukangil M, Seyrek A: Demographic and socio-economic factors affecting the physical development, haemoglobin and parasitic infection status of schoolchildren in Sanliurfa province, Turkey. Public Health. 2004, 118: 151-158. 10.1016/j.puhe.2003.06.003.CrossRef
25.
go back to reference Olmez S, Uzamis M: Risk factors of early childhood caries in Turkish children. Turk J Pediatr. 2002, 44: 230-236.PubMed Olmez S, Uzamis M: Risk factors of early childhood caries in Turkish children. Turk J Pediatr. 2002, 44: 230-236.PubMed
26.
go back to reference Gebre-Egzbiabher Kirosa , Michael J: White. Migration, community context, and child immunization in Ethiopia. Social Science & Medicine. 2004, 59: 2603-2616. 10.1016/j.socscimed.2004.04.009.CrossRef Gebre-Egzbiabher Kirosa , Michael J: White. Migration, community context, and child immunization in Ethiopia. Social Science & Medicine. 2004, 59: 2603-2616. 10.1016/j.socscimed.2004.04.009.CrossRef
27.
go back to reference Danni Daniels , Ruth B, Jiles R, Monina Klevens , Guillermo Herrera: Under vaccinated African-American Preschoolers A Case of Missed Opportunities. Am J Prev Med. 2001, 20 (4S): Danni Daniels , Ruth B, Jiles R, Monina Klevens , Guillermo Herrera: Under vaccinated African-American Preschoolers A Case of Missed Opportunities. Am J Prev Med. 2001, 20 (4S):
28.
go back to reference Szilagyi PG, Rodewald LE, Humiston SG, Pollard L, Klossner K, Jones AM, Barth R, Woodin KA: Reducing missed opportunities for immunization – easier said than done. Arch Pediatr Adoles Med. 1996, 150: 1193-1200.CrossRef Szilagyi PG, Rodewald LE, Humiston SG, Pollard L, Klossner K, Jones AM, Barth R, Woodin KA: Reducing missed opportunities for immunization – easier said than done. Arch Pediatr Adoles Med. 1996, 150: 1193-1200.CrossRef
29.
go back to reference Shefer A, Briss P, Rodewald L, Bernier R, Strikas R, Yusuf H: Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev. 1999, 21: 96-142.CrossRefPubMed Shefer A, Briss P, Rodewald L, Bernier R, Strikas R, Yusuf H: Improving immunization coverage rates: an evidence-based review of the literature. Epidemiol Rev. 1999, 21: 96-142.CrossRefPubMed
30.
go back to reference Ciofi degli Atti ML, Maria Cristina Rota , Antonino Bella , Stefania Salmaso : Do changes in policy affect vaccine coverage levels? Results of a national study to evaluate childhood vaccination coverage and reasons for missed vaccination in Italy. Vaccine. 2004, 22: 4351-4357. 10.1016/j.vaccine.2004.04.026.CrossRefPubMed Ciofi degli Atti ML, Maria Cristina Rota , Antonino Bella , Stefania Salmaso : Do changes in policy affect vaccine coverage levels? Results of a national study to evaluate childhood vaccination coverage and reasons for missed vaccination in Italy. Vaccine. 2004, 22: 4351-4357. 10.1016/j.vaccine.2004.04.026.CrossRefPubMed
Metadata
Title
Vaccination coverage and reasons for non-vaccination in a district of Istanbul
Authors
Sebahat D Torun
Nadi Bakırcı
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2006
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-6-125

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