[Evaluation of measles, mumps and rubella vaccine coverage in 3 year old children in twelve French counties. Time-trends and related factors].

Abstract

BACKGROUND:

The aims of our study were to estimate the measle-mumps-rubella (MMR) vaccine coverage in 3 years old children in 12 French countees, to document the evolution between 1997 and 1999 in two groups of 6 countees (pilot group and control group) before and after the implementation of promotion programmes in the pilot group, and to identify factors related to measle-mumps-rubella vaccination.

METHODS:

Two telephone surveys were carried out in 1997 and 1999 among children randomly selected in the birth rolls of 12 French countees. Parents of 3 years old children were interviewed on measle-mumps-rubella vaccination, knowledge and opinions on vaccinations, utilisation of health care and socio-demographic characteristics.

RESULTS:

The participation rate was 97% in both surveys. Among the 7382 respondent parents, 98% had immediate access to the child's medical file and could document the vaccine status. The vaccine coverage did not increase significantly between 1997 and 1999 (86.7% versus 87.2%), both in control (89.3% vs. 90.2%) and pilot groups (84.3% vs. 84.3%). A logistic regression model showed that several factors were independently and significantly related to measle-mumps-rubella vaccination (utilisation of homeopathic medicines, mother's age, number of children, physician speciality (general practitioner or pediatrician) and opinion on vaccinations).

CONCLUSION:

Our study shows that there is a stagnation of vaccine coverage in several French countees, which makes unlikely the national objective of viruses eradication. This epidemiological situation makes very likely outbreaks of measles, mumps and rubella in these countees. National and local pilot programmes did not succeed to promote vaccination in countees with a low measle-mumps-rubella vaccine coverage. Our study identified sub-groups of parents who should be targeted by promotion programmes.

• Authors: M Rotily, V Guagliardo, D Fontaine, B Garros, C Mayer, J Arrighi, A S Woronoff, B Ledesert, R Lepec, F Chabaud, M P Janvrin, F Baudier
• Journal: Revue d'epidemiologie et de sante publique (Rev Epidemiol Sante Publique) Vol. 49 Issue 4 Pg. 331-41 (Sep 2001) ISSN: 0398-7620 [Print] France
• Vernacular Title: Evaluation de la couverture vaccinale rougeole-oreillons-rubéole chez les enfants de trois ans dans douze départements français. Evolution temporelle et facteur associés.
• PMID: 11567200 (Publication Type: Clinical Trial, Controlled Clinical Trial, English Abstract, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)

Chemical References

• Measles-Mumps-Rubella Vaccine

Topics

• Adult
• Attitude to Health
• Child, Preschool
• Educational Status
• France
• Health Care Surveys
• Health Knowledge, Attitudes, Practice
• Health Promotion (organization & administration)
• Humans
• Logistic Models
• Measles-Mumps-Rubella Vaccine
• Parents (education, psychology)
• Pilot Projects
• Program Evaluation
• Residence Characteristics (statistics & numerical data)
• Surveys and Questionnaires
• Vaccination (statistics & numerical data, trends)