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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Which newborns missed the hepatitis B birth dose vaccination among U.S. children?
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Which newborns missed the hepatitis B birth dose vaccination among U.S. children?

机译：哪些新生儿未在美国儿童中接种乙肝疫苗？

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Objectives: Hepatitis B birth dose vaccination is a critical step in preventing perinatal hepatitis B virus infection. This study assesses the prevalence of children who missed the birth dose of hepatitis B vaccination and identifies socio-demographic factors associated with non-receipt of the birth dose among children in the United States. Methods: A survey observation study was conducted with the national representative sample of 17,053 U.S. children aged 19-35. months obtained from the 2009 National Immunization Survey. Categorical data analysis and multivariable logistic regression in the context of complex sample survey were applied to evaluate the prevalence and determine the independent risk factors. Results: 39.2% of children missed the birth dose of hepatitis B vaccination. Children who reside in states without a universal hepatitis B vaccine supply policy, are not covered by health insurance, and have only 1 vaccination provider are significantly associated with non-receipt of the birth dose hepatitis B vaccination. Conclusions: Children who reside in states without a universal hepatitis B vaccine supply policy, and who are not covered by health insurance are two important modifiable risk factors for not receiving the birth dose hepatitis B vaccination. Future intervention studies could be needed to help control those modifiable risk factors.
机译：目的：乙肝疫苗的出生剂量疫苗接种是预防围产期乙肝病毒感染的关键步骤。这项研究评估了未接种乙肝疫苗的出生剂量的儿童的患病率，并确定了在美国儿童中与未收到出生剂量有关的社会人口统计学因素。方法：对17,053名美国19-35岁儿童的国家代表性样本进行了调查观察研究。从2009年国家免疫调查中获得的数据。在复杂样本调查的背景下，使用分类数据分析和多变量逻辑回归来评估患病率并确定独立的危险因素。结果：39.2％的儿童未接种乙肝疫苗的出生剂量。居住在没有普遍的乙型肝炎疫苗供应政策的州，未享受健康保险且只有一名疫苗接种者的儿童与未接受出生剂量的乙型肝炎疫苗显着相关。结论：居住在没有普遍的乙型肝炎疫苗供应政策的州的儿童以及未获得健康保险的儿童是未接受出生剂量乙型肝炎疫苗接种的两个重要的可改变的危险因素。未来可能需要进行干预研究，以帮助控制那些可改变的危险因素。

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