Measles, mumps, and rubella vaccination coverage: an ecological study of primary health care and socio-economic factors in Catalonia, Spain.

Autor: Martínez-Marcos M; Preventive Medicine Service, Sub-directorate General for Health Promotion, Secretariat of Public Health, Department of Health, Generalitat de Catalunya, Barcelona, Spain.; School of Medicine, Universitat Internacional de Catalunya, Barcelona, Spain., Reñé-Reñé A; Central Vaccine Registry Management Team, Institut Català de la Salut, Girona, Spain., Zabaleta-Del-Olmo E; Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Gran Via Corts Catalanes 587 àtic, 08007, Barcelona, Spain. ezabaleta@idiapjgol.org.; Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain. ezabaleta@idiapjgol.org.; Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain. ezabaleta@idiapjgol.org., Guiriguet C; Sistema d'Informació dels Serveis d'Atenció Primària (SISAP), Healthcare Management, Information Systems Directorate, Institut Català de la Salut, Barcelona, Spain.; Gotic Primary Care Centre, Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain., Gómez-Durán EL; School of Medicine, Universitat Internacional de Catalunya, Barcelona, Spain., Cabezas-Peña C; Sub-directorate General for Health Promotion, Secretariat of Public Health, Department of Health, Generalitat de Catalunya, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Journal of public health policy [J Public Health Policy] 2024 Jun; Vol. 45 (2), pp. 299-318. Date of Electronic Publication: 2024 Apr 25.
DOI: 10.1057/s41271-024-00484-3
Abstrakt: This study examined the association of socio-economic factors and the structure of primary care centres (PCCs) with measles, mumps, and rubella (MMR) vaccination coverage among the 8-year-old population in Catalonia, Spain. We conducted an ecological study to retrospectively assess the MMR vaccination-recorded status of children born in 2012, using public health data extracted in December 2020. For each of 300 PCCs serving 70,498 children, we calculated vaccination coverage rates from electronic health records and linked these rates to a composite deprivation index corresponding to the territory served by each PCC. We identified a relationship between unfavourable socio-economic factors and higher recorded vaccination coverage. On average, directly managed PCCs had higher vaccination coverage rates than indirectly managed PCCs. Greater utilisation of primary care services by the population was also associated with higher vaccination coverage rates. Further research is needed to generate knowledge valuable for informing more equitable child-vaccination service delivery models.
(© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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