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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Diphtheria-Tetanus-Polio Measles-Mumps-Rubella and Hepatitis B Vaccination Coverage and Associated Factors among Homeless Children in the Paris Region in 2013: Results from the ENFAMS Survey
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Diphtheria-Tetanus-Polio Measles-Mumps-Rubella and Hepatitis B Vaccination Coverage and Associated Factors among Homeless Children in the Paris Region in 2013: Results from the ENFAMS Survey

机译：2013年巴黎地区无家可归儿童的白喉-破伤风-小儿麻痹症麻疹-腮腺炎-风疹和乙型肝炎疫苗接种率及相关因素：ENFAMS调查结果

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: The number of homeless families has increased considerably since the 1990s in France. We aimed to estimate the homeless children vaccination coverage (VC) for diphtheria, tetanus, polio, measles–mumps–rubella and hepatitis B and identify factors associated with insufficient VC according to birthplace. : A cross-sectional survey was conducted among homeless shelter families in the greater Paris area. A nurse conducted face-to-face interviews and collected vaccination records. We analyzed factors associated with insufficient VC, stratified by birthplace and vaccine, using robust Poisson regression. : The study included 214 children born in France and 236 born outside France. VC in French-born homeless children was high (>90% at 24 months for most vaccinations) and similar to levels observed in the general population, whereas VC in those born outside France was low (<50% at 24 months for all vaccines). Factors significantly associated with insufficient VC among children born outside France were age, parents with French-language difficulties, and changing residence at least twice in the previous year. Children in contact with the healthcare system at least once in the previous year had significantly higher VC, irrespective of vaccine and birthplace. : Special attention should be paid to homeless children born outside France, with recent European and French recommendations confirming the need for catch-up vaccination in children with undocumented VC.
机译：：自1990年代以来，法国无家可归的家庭数量大大增加。我们旨在评估无家可归儿童的白喉，破伤风，脊髓灰质炎，麻疹，腮腺炎，风疹和乙型肝炎疫苗接种率，并根据出生地确定与VC不足相关的因素。 ：在大巴黎地区的无家可归者收容所家庭中进行了横断面调查。一名护士进行了面对面的采访并收集了疫苗接种记录。我们使用稳健的Poisson回归分析了与VC不足，出生地和疫苗分层有关的因素。 ：研究包括在法国出生的214名儿童和在法国以外出生的236名儿童。法国出生的无家可归儿童的VC较高（大多数疫苗在24个月时> 90％），与一般人群中观察到的水平相近，而法国以外出生的儿童的VC较低（所有疫苗在24个月时<50％） 。与法国境外出生的儿童中的VC不足显着相关的因素包括年龄，父母法语水平不佳以及上一年至少两次更换居住地。与疫苗系统和出生地无关，在上一年中至少与一次医疗系统接触过的儿童VC明显较高。 ：应特别注意在法国境外出生的无家可归儿童，欧洲和法国最近的建议确认了无证VC儿童的补充疫苗接种的必要性。

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