J Korean Med Sci.  2011 Jun;26(6):711-719. 10.3346/jkms.2011.26.6.711.

Estimation of Nationwide Vaccination Coverage and Comparison of Interview and Telephone Survey Methodology for Estimating Vaccination Status

Affiliations
  • 1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. suepark@snu.ac.kr
  • 2National Cancer Control Institute, National Cancer Center, Goyang, Korea.
  • 3Division of VPD Control and NIP, Korea Centers for Disease Control & Prevention, Cheongwon, Korea.
  • 4Cancer Research Institute, Seoul National University, Seoul, Korea.
  • 5Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea.
  • 6Department of Preventive Medicine, College of Medicine, Konyang University, Daejeon, Korea.
  • 7Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
  • 8Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
  • 9Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea.

Abstract

This study compared interview and telephone surveys to select the better method for regularly estimating nationwide vaccination coverage rates in Korea. Interview surveys using multi-stage cluster sampling and telephone surveys using stratified random sampling were conducted. Nationwide coverage rates were estimated in subjects with vaccination cards in the interview survey. The interview survey relative to the telephone survey showed a higher response rate, lower missing rate, higher validity and a less difference in vaccination coverage rates between card owners and non-owners. Primary vaccination coverage rate was greater than 90% except for the fourth dose of DTaP (diphtheria/tetanus/pertussis), the third dose of polio, and the third dose of Japanese B encephalitis (JBE). The DTaP4: Polio3: MMR1 fully vaccination rate was 62.0% and BCG1:HepB3:DTaP4:Polio3:MMR1 was 59.5%. For age-appropriate vaccination, the coverage rate was 50%-80%. We concluded that the interview survey was better than the telephone survey. These results can be applied to countries with incomplete registry and decreasing rates of landline telephone coverage due to increased cell phone usage and countries. Among mandatory vaccines, efforts to increase vaccination rate for the fourth dose of DTaP, the third dose of polio, JBE and regular vaccinations at recommended periods should be conducted in Korea.

Keyword

Health Surveys; Interview; Telephone; Vaccination

MeSH Terms

Adult
Child, Preschool
Data Collection
Female
Health Care Surveys
Humans
Infant
Interviews as Topic
Male
Mothers
Vaccination/*statistics & numerical data

Figure

  • Fig. 1 Comparison of the vaccination coverage rate between vaccination card owners and non-owners in the interview survey. BCG, Bacille Calmette-Guérin vaccine; HepB, Hepatitis B vaccine; DTaP, Diphtheria-Tetanus-Pertussis vaccine; MMR, Measles-Mumps-Rubella vaccine; Var, Varicella vaccine; JBE, Japanese B encephalitis vaccine.

  • Fig. 2 Comparison of the vaccination coverage rate between vaccination card owners and non-owners in the telephone survey. BCG, Bacille Calmette-Guérin vaccine; HepB, Hepatitis B vaccine; DTaP, Diphtheria-Tetanus-Pertussis vaccine; MMR, Measles-Mumps-Rubella vaccine; Var, Varicella vaccine; JBE, Japanese B encephalitis vaccine.


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