[Vaccinal coverage at 2 years of age in a socially disadvantaged urban area].
OBJECTIVE
To assess vaccination coverage at two years of age among the children of the Old City District of Barcelona (Spain), a socially deprived urban area.


METHODS
Cross-sectional, based on a random sample of the children born in 1987.


METHODS
Community.


METHODS
A random sample of children born in 1987 from mothers resident in the district.


RESULTS
83.8% had a vaccination card. Vaccination coverage is 68.1% for measles, mumps and rubella and 65.5% with four doses of DTP and OVP. Of these children, 16.2% were not found in the computerized City Vaccination Program, based on births records, and these children have very low immunization levels: their vaccination cover is only 42.1% for measles, mumps and rubella and 28.9% with four doses of DTP and OPV.


CONCLUSIONS
These results confirm a lower immunization coverage in this area. Although artifactual explanations for this finding have to be ruled out, these results suggest that the health indicators in this district are influenced by a concentration of population with severe problems instead of reflecting a higher diffuse frequency of problems in the whole population.
Villalbí
J R
JR
Institut Municipal de la Salut, Barcelona.
Díez
E
E
Foz
M
M
Graugés
D
D
Rovira
G
G
Massip
M
M
D002675:Child, Preschool; D015331:Cohort Studies; D006801:Humans; D011204:Poverty Areas; D013030:Spain / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data; D014611:Vaccination / Q000706:statistics & numerical data
Cobertura vacunal a los dos años de edad en una zona urbana socialmente desfavorecida.