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영아의 豫防接種에 關한 調査

A Survey on Immunization of Infants

공중보건잡지 1968년 5권 2호 p.213 ~ 223
홍재웅 (  ) - 서울대학교 보건대학원

Abstract


A survey was carried out on immunization of infants, during the period from 22 June to 14 August of 1968 through home visit interviews with 540 married women residing in Sungdong Ku, Seoul.
In conjunction with the knowledge and attitude of the mothers, the status of immunization of D.P.T., smallpox, poliomyelitis and B.C.G. during infancy was investigated towards 485 last-born children excluding 55 who had not been pregnant or whose last-born child died within first year of age.
This survey disclosed the following facts:
1. An absolute majority(99.4%) of women interviewed are affirmative to necessity of immunization for their children.
2. As many as 98.1% and 93.5% of all women interviewed reported knowing about the purpose of smallpox and poliomyelitis immunization, respectively. Those who knew of D.P.T. and B.C.G. were 58.9% and 55.7%, respectively. Such knowledge was found to correlate positively with advancing education and was definitely low among those women who had not been pregnant.
3. During their infancy, 62.4% of children investigated had been immunized against smallpox, 55.3% against poliomyelitis, 39.3% with D.P.T and 27.6% with B.C.G.
The percentage of children adequately (3 times)immunized with D.P.T. and polio. vaccine turned out to be only 29.0% and 33.0%, respectively.
4. Experience with smallpox vaccination indicated that the older the child, the higher the frequency of the immunization received in infancy; the reverse was true for immunization with D.P.T. and B.C.G.
5. By the birth order of child, the proportions of children immunized with D.P.T., polio. vaccine and B.C.G. were high among the first-born children.
6. Practice of immunization among the last-born children also pararelled with advancing education of women as in the case of knowledge about immunization.
7. Among those children who were delivered at licensed facilities including hospital, clinic or midwife´s house, proportions of children immunized with D.P.T., polio. vaccine and B.C.G. were remarkably higher than among those home-delivered.
8. Status of immunization in infancy with the above four vaccines were found to be higher with the elevation of standard of living.
9. Among those children whose mothers knew the purposes of each vaccines, 63.2% had been immunized against smallpox, 57.7% against poliomyelitis, 61.1% with D.P.T. and 45.6% with B.C.G. Even without knowledge on the purpose of each vaccine, 3.8∼14.3% were found to have been immunized, respectively.
10. As to the place where these children were immunized, many (50.8%∼67.2%) had received immunization at hospitals or clinics and some(31.2%∼44.9%) at the health centers.
Many (46.2%∼59.1%) on lower standard of living had been immunized at health centers.
11. As many as 104 (21.4%) of 485 children were found not to have received immunization at all during infancy.
The major reasons for not receiving immunizations are classified as follows; "Child is too young." (34 including 21 of under 2 months of age.), "No specific reason or Negligence of mother"(23), "Unknowingly"(12), and "While waiting for the announcement by Ban-chief" (7)………etc.

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