北京市朝阳区儿童家长第二类疫苗接种意愿及影响因素研究
[Abstract]:Objective: 1. to understand the cognition and willingness of parents of Chaoyang District children in Beijing city to second types of vaccines.2. explore and analyze the influence factors of second types of vaccine inoculation in Chaoyang District children of Beijing city..3. understand the attitude of parents and medical staff to the second types of vaccine before and after the occurrence of the "Shandong vaccine event",.4. for the scientific inoculation of second types of vaccines, One step is to provide scientific basis for improving the population of second types of vaccinations. Methods: in this study, a cross-sectional survey was used in the health care department of 43 community health service centers in Chaoyang District in 10~12 months of 2015 and 4~6 months of 2016. 9 inoculation units were selected according to the principle of simple random sampling, and the parents of 726 children were asked to do a questionnaire. The survey included the basic situation of children, the cognition of the vaccine, the factors affecting the inoculation and the situation of children's inoculation, and randomly selected 118 appointed doctors of the health care department of 15 community health hospitals in Chaoyang District and the medical and nursing staff to carry out a self-filled questionnaire survey on the cognition and recommendation of the second types of vaccines. The same sampling method was used to investigate 232 children's parents and 212 medical and nursing staff. The questionnaire information was recorded by Epidata system. After data cleaning and export, descriptive analysis, chi square test and Logistic regression were used to make statistical analysis. Results: 1.2016 years compared with 2015, second types of parents in Chaoyang District, Beijing The willingness to vaccinal and the recommended initiative of the vaccination outpatient doctors to second types of vaccines showed a significant decline in the results of the.2015 year survey, which showed 77.8%, suggesting that most parents were willing to take second types of vaccines at their own expense; in 2016 the results of the survey showed that second types of vaccines were recognized as parents of parents of 55.6%.2. children: more than 70% families The long known vaccine was divided into two categories, and the concept of second types of vaccines was known. In 2015, the mother was the main group to determine the second type of vaccination. In 2016, the population was changed. "Father", "parents and colleagues and friends" were increased, and 12% of the population chose not to be vaccinated; and the safety of 2015 and 2016 was always the influence of vaccine selection. The main factor; in the way of acquiring vaccine related knowledge, in 2015, first mainly through the media (radio, television, network), and in 2016, it was transformed into a health care practitioner to understand the vaccination related knowledge of.3. parents: 77.69% of parents in 2015, and 55.6% of parents in 2016 were willing to pay their own expenses. The factors affecting the inoculation of second types of vaccines for children of.4. Chaoyang District children are: in 2015, one factor analysis showed that the factors affecting the parents' willingness to vaccinate class second were: "the relationship between the children and the children, the time of living, the nation, the father, the mother's literacy, the monthly income of the family, and the convenience of the home to the inoculation point." On the way, the time spent, the waiting time, the service time of the inoculation point,.2016, single factor analysis showed that the factors affecting the willingness of parents to inoculate second types of vaccines were only "whether home to the inoculation point is convenient". Conclusion: 1.2016 years compared with 2015, Chaoyang District children's parents' vaccination intention of second types of vaccines and the second categories of doctors in Chaoyang District The recommended enthusiasm for the vaccine has changed, and the "Shandong vaccine event" may lead to changes. Considering the negative impact of the incident on the second types of vaccination, measures should be taken to eliminate the negative effects of the incident. The ways in which the parents of.2. children understand the vaccine related knowledge have changed significantly in 2016, from the media through the media. Through the introduction of medical workers, the credibility of medical workers increases the educational level of.3. children and parents, can accept the waiting time, whether the service time is suitable, and the income is an important factor affecting the second types of vaccination.
【学位授予单位】:中国疾病预防控制中心
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R186
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