Artikel ; Online: Vorsorgeuntersuchungen und Routineimpfungen bei Vorschulkindern – Eine Analyse zum wechselseitigen Teilnahmeverhalten unter Einbeziehung der Lebensverhältnisse.
Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))
2021 Band 83, Heft 7, Seite(n) 498–508
Abstract: Aim of the study: Preventive screenings and vaccinations are essential health protecting measures in childhood, but no quantitative data on mutual distribution patterns of acceptance are available. The aim of the study was the quantification of ... ...
| Titelübersetzung | Preventive Check-ups and Routine Vaccinations in Pre-school Children - An Analysis of Mutual Participation Behaviour, Taking into Account Living Conditions. |
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| Abstract | Aim of the study: Preventive screenings and vaccinations are essential health protecting measures in childhood, but no quantitative data on mutual distribution patterns of acceptance are available. The aim of the study was the quantification of distribution patterns and the identification of associations between preventive check-ups and defined routine vaccinations for children starting school, taking into account the social environment. Methods: The 2015 school entrance health checks included documented preventive screenings and routine vaccinations on a city-wide basis. In addition, a voluntary proxy questionnaire was distributed to persons entitled to care for the children starting school in order to record additional characteristics of family living conditions. We used SPSS 25.0 to calculate participation rates for all screenings and defined routine vaccinations as well as specific cross-prevalences and associations. Results: Of the 407 children starting school, both prevention measures were carried out in 76.8%; additional questionnaires were distributed to those in charge of 280 (68.8%) of these children. Full preventive check-ups with complete vaccination status at the same time were observed in 70.3% of children born in Germany and 69.7% of children born in Germany with German nationality. In terms of family environment, children with siblings (17.5%), children with separated parents (13.3%) and families with up to four close relatives (7.1%) were significantly less likely than others to have completed all preventive measures. Incomplete preventive medical examinations were strongly associated with a child not born in Germany (OR=7.95) and with both parents with a non-German Nationality (OR=4.52). Conclusion: The distribution patterns and associations identified provide new insight for the establishment of measures specific to risk groups to increase acceptance of screenings and defined routine vaccinations. This can allow for needs-optimised health care for children based on the principle of social compensation. |
| Mesh-Begriff(e) | Child ; Child, Preschool ; Germany/epidemiology ; Humans ; Parents ; Social Conditions ; Surveys and Questionnaires ; Vaccination |
| Sprache | Deutsch |
| Erscheinungsdatum | 2021-04-21 |
| Erscheinungsland | Germany |
| Dokumenttyp | Journal Article |
| ZDB-ID | 1101426-x |
| ISSN | 1439-4421 ; 0941-3790 ; 0949-7013 |
| ISSN (online) | 1439-4421 |
| ISSN | 0941-3790 ; 0949-7013 |
| DOI | 10.1055/a-1399-9130 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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