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首页> 外文期刊>Paediatrics & Child Health >The effectiveness of telephone reminders and home visits to improve measles, mumps and rubella immunization coverage rates in children
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The effectiveness of telephone reminders and home visits to improve measles, mumps and rubella immunization coverage rates in children

机译：电话提醒和家访对提高儿童麻疹，腮腺炎和风疹免疫接种率的有效性

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INTRODUCTION In the Saskatoon Health Region (Saskatchewan), only 67.4% of children overall are fully immunized for measles, mumps and rubella (MMR) at 24 months of age, with only 43.7% of low-income children fully immunized. METHODS Parents of children who were behind in MMR immunizations were contacted to determine knowledge about, beliefs toward and barriers to immunization. The effectiveness of a telephone reminder system in improving immunization rates in a health region compared with a control health region was determined. Finally, the effectiveness of telephone reminders versus telephone reminders combined with home visits in improving child immunization coverage rates in low-income neighbourhoods was compared. RESULTS The survey was completed by 629 parents (69% response rate). Of those, 81.8% were not aware that their child was behind in immunizations. In the Saskatoon Health Region, the MMR immunization coverage increased from 67.4% to 74.0% in the first year of intervention (rate ratio = 1.10; 95% CI 1.08 to 1.12). All four neighbourhood groupings (three urban by income and one rural) had relative increases ranging from 9% to 11%. The control health region observed an immunization coverage increase from 66.5% to 69.2% in the first year (rate ratio = 1.04; 95% CI 1.01 to 1.07). The three low-income neighbourhoods with only telephone reminders had an immunization coverage rate of 48.7% (95% CI 39.5% to 57.8%). The three low-income neighbourhoods that received a telephone reminder and home visit had an immunization coverage rate of 60.5% (95% CI 52.5% to 68.6%). CONCLUSION Telephone reminder systems have some benefit in increasing child immunization coverage rates.
机译：简介在萨斯卡通卫生区（萨斯喀彻温省），只有67.4％的儿童在24个月大时得到了麻疹，腮腺炎和风疹（MMR）的完全免疫，只有43.7％的低收入儿童得到了充分免疫。方法与未接受MMR疫苗接种的孩子的父母联系，以确定有关免疫接种的知识，信念和障碍。确定了电话提醒系统与对照健康区相比在提高健康区免疫率方面的有效性。最后，比较了电话提醒与电话提醒与家访相结合在提高低收入社区儿童免疫接种率方面的有效性。结果此项调查由629位父母完成（答复率为69％）。在这些人中，有81.8％的人不知道自己的孩子在免疫接种方面落后。在萨斯卡通卫生区，在干预的第一年，MMR免疫接种率从67.4％增加到74.0％（比率= 1.10; 95％CI 1.08到1.12）。四个社区类别（按收入划分的三个城市和一个农村地区）的相对增长率在9％至11％之间。对照健康区在第一年的免疫覆盖率从66.5％增加到69.2％（比率= 1.04; 95％CI从1.01增加到1.07）。只有电话提醒的三个低收入社区的免疫覆盖率为48.7％（95％CI为39.5％至57.8％）。收到电话提醒和家访的三个低收入社区的免疫覆盖率为60.5％（95％CI 52.5％至68.6％）。结论电话提醒系统在提高儿童免疫覆盖率方面有一些好处。

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