Publication:
Assessment of sociodemographic factors and socio-economic status affecting the coverage of compulsory and private immunization services in Istanbul, Turkey

Simple item page
dc.contributor.authorTOPUZOĞLU, AHMET
dc.contributor.authorsTopuzoglu, A; Ozaydin, GAN; Cali, S; Cebeci, D; Kalaca, S; Harmanci, H
dc.date.accessioned2022-03-12T17:18:38Z
dc.date.available2022-03-12T17:18:38Z
dc.date.issued2005
dc.description.abstractObjectives: The primary objective of this study was to determine the coverage of the Expanded Programme of Immunization (EPI) of the Ministry of Health and the coverage of private vaccines in the Umraniye Health District in order to establish approaches for improving vaccination services. Other objectives were to define the areas that present higher risks for non-vaccination and to determine the factors that influence vaccination coverage. Methods: A '30X7' cluster sampling design was adopted as the sampling method. Thirty streets were selected at random from each healthcare region. Sociodemographic and socio-economic characteristics of the population, utilization of vaccination services and vaccination status of children under the age of 5 years were determined by face-to-face interviews. Odds ratios for the sociodemographic and socio-economic characteristics, health centre region and inner country immigration were assessed as possible related factors with the vaccination coverage rates for children under 5 years and under 1 year using the backward elimination method in logistic regression. Results: Vaccination coverage was as follows: hepatitis B third dose, 84.6%; Bacitle Calmette-Guerin, 94.8%; diphtheria, tetanus, pertussis (DPT) third dose, 90.1%; oral polio virus (OPV) third dose, 90.0%; measles, 88.7%; DPT booster dose, 79.1%; OPV booster dose, 79.0%; measles, mumps, rubella (MMR), 13.3%; haemophilus influenza type b (Hib), 9.3%; and Varicella vaccine, 3.3%. The full vaccination rates for children under 5 years and under 1 year were 68.3 and 79.5%, respectively. Higher socioeconomic status was associated with a higher rate of full vaccination and private vaccination for children under 5 years of age. Conclusions: Full vaccination rates for children aged less than 1 year and less than 5 years were higher in our district than in Istanbul. However, we did not meet the EPI aims for any of the vaccines, and differences were observed in vaccination coverage rates between different socio-economic groups in the district. Therefore, an intervention programme should be considered to achieve the EPI's goals, particularly in socio-economically disadvantaged groups. Also, the coverage of private vaccination (MMR, Hib, Varicella) is tow and more children from higher socioeconomic groups receive these vaccines. (c) 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. ALL rights reserved.
dc.identifier.doi10.1016/j.puhe.2005.01.015
dc.identifier.eissn1476-5616
dc.identifier.issn0033-3506
dc.identifier.pubmed15949829
dc.identifier.urihttps://hdl.handle.net/11424/227989
dc.identifier.wosWOS:000232171500003
dc.language.isoeng
dc.publisherW B SAUNDERS CO LTD
dc.relation.ispartofPUBLIC HEALTH
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectsocio-economic
dc.subjectsociodemographic
dc.subjectcoverage
dc.subjectvaccination
dc.subjectvaccine
dc.subjectEPI
dc.subjectTurkey
dc.subjectVACCINATION
dc.subjectMEASLES
dc.titleAssessment of sociodemographic factors and socio-economic status affecting the coverage of compulsory and private immunization services in Istanbul, Turkey
dc.typearticle
dspace.entity.typePublication
local.avesis.id021a3901-446c-4efc-957c-f5d3930ab3b4
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
oaire.citation.endPage869
oaire.citation.issue10
oaire.citation.startPage862
oaire.citation.titlePUBLIC HEALTH
oaire.citation.volume119
relation.isAuthorOfPublicationaed1c14b-c963-4a0a-a0d9-97802048007c
relation.isAuthorOfPublication.latestForDiscoveryaed1c14b-c963-4a0a-a0d9-97802048007c

Files

Collections

Research Outputs