Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model

Mumps is a vaccine-preventable disease caused by the mumps virus, but the incidence of mumps has increased among the children who were vaccinated with one-dose measles-mumps-rubella (MMR) in recent years. In this study, we analyzed the influence of different doses of mumps-containing vaccine (MuCV)...

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Main Authors: Zhiying Yin, Canjie Zheng, Quanjun Fang, Xiaoying Gong, Guoping Cao, Junji Li, Ziling Xiang, Wei Song
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2021/5990417
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author Zhiying Yin
Canjie Zheng
Quanjun Fang
Xiaoying Gong
Guoping Cao
Junji Li
Ziling Xiang
Wei Song
author_facet Zhiying Yin
Canjie Zheng
Quanjun Fang
Xiaoying Gong
Guoping Cao
Junji Li
Ziling Xiang
Wei Song
author_sort Zhiying Yin
collection DOAJ
description Mumps is a vaccine-preventable disease caused by the mumps virus, but the incidence of mumps has increased among the children who were vaccinated with one-dose measles-mumps-rubella (MMR) in recent years. In this study, we analyzed the influence of different doses of mumps-containing vaccine (MuCV) against mumps using Cox-proportional hazard model. We collected 909 mumps cases of children who were born from 2006 to 2010 and vaccinated with different doses of MuCV in Quzhou during 2006-2018, which were all clinically diagnosed. Kaplan-Meier survival methods and Cox-proportional hazard model were used to estimate the hazard probabilities. Kaplan–Meier curves showed that the cumulative hazard of male and female has no difference; lower hazards were detected among those who were vaccinated with two-dose MuCV, born in 2006, and infected after supplementary immunization activities (SIA). Cox-proportional hazard regression suggested that onset after SIA, born in 2006, and vaccinated with two-dose MuCV were protective factors against infection even after adjusting for potential confounding effects. Our study showed that it was necessary to revise the diagnostic criteria of mumps and identify RT-PCR as the standard for mumps diagnosis in China. We suggested that routine immunization schedule should introduce two doses of MMR and prevaccination screening should be performed before booster immunization in vaccinated populations.
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institution Kabale University
issn 2314-7156
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Journal of Immunology Research
spelling doaj-art-6a9d8c09baec4578bd0ea2ae1bd526ff2025-08-20T03:33:41ZengWileyJournal of Immunology Research2314-71562021-01-01202110.1155/2021/5990417Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard ModelZhiying Yin0Canjie Zheng1Quanjun Fang2Xiaoying Gong3Guoping Cao4Junji Li5Ziling Xiang6Wei Song7Quzhou Center for Disease Control and PreventionQuzhou Center for Disease Control and PreventionQuzhou Center for Disease Control and PreventionQuzhou Center for Disease Control and PreventionQuzhou Center for Disease Control and PreventionQuzhou Center for Disease Control and PreventionQuzhou Center for Disease Control and PreventionQuzhou Women & Children’s HospitalMumps is a vaccine-preventable disease caused by the mumps virus, but the incidence of mumps has increased among the children who were vaccinated with one-dose measles-mumps-rubella (MMR) in recent years. In this study, we analyzed the influence of different doses of mumps-containing vaccine (MuCV) against mumps using Cox-proportional hazard model. We collected 909 mumps cases of children who were born from 2006 to 2010 and vaccinated with different doses of MuCV in Quzhou during 2006-2018, which were all clinically diagnosed. Kaplan-Meier survival methods and Cox-proportional hazard model were used to estimate the hazard probabilities. Kaplan–Meier curves showed that the cumulative hazard of male and female has no difference; lower hazards were detected among those who were vaccinated with two-dose MuCV, born in 2006, and infected after supplementary immunization activities (SIA). Cox-proportional hazard regression suggested that onset after SIA, born in 2006, and vaccinated with two-dose MuCV were protective factors against infection even after adjusting for potential confounding effects. Our study showed that it was necessary to revise the diagnostic criteria of mumps and identify RT-PCR as the standard for mumps diagnosis in China. We suggested that routine immunization schedule should introduce two doses of MMR and prevaccination screening should be performed before booster immunization in vaccinated populations.http://dx.doi.org/10.1155/2021/5990417
spellingShingle Zhiying Yin
Canjie Zheng
Quanjun Fang
Xiaoying Gong
Guoping Cao
Junji Li
Ziling Xiang
Wei Song
Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model
Journal of Immunology Research
title Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model
title_full Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model
title_fullStr Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model
title_full_unstemmed Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model
title_short Introduction of Two-Dose Mumps-Containing Vaccine into Routine Immunization Schedule in Quzhou, China, Using Cox-Proportional Hazard Model
title_sort introduction of two dose mumps containing vaccine into routine immunization schedule in quzhou china using cox proportional hazard model
url http://dx.doi.org/10.1155/2021/5990417
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