河北省正定县农村居民对菌痢疫苗接受性及影响因素研究

发布时间：2018-05-30 22:28

本文选题：菌痢疫苗 + 接受性　；参考：《复旦大学》2005年博士论文

【摘要】：目的: (1)了解监测目标人群中菌痢发病及分布情况;(2)了解研究目标人群对菌痢防治的认知、态度和行为,对菌痢的病因、严重性及易感性的认识,以及当地卫生服务的利用状况;(3)了解研究目标人群对未来菌痢疫苗接种计划的接受性和可行性,着重分析社会、文化和行为因素的影响;(4)比较开放式访谈定性研究与封闭式访谈定量研究结果一致性:(5)比较亚洲三个研究地区研究结果情况;(6)探索保护动机理论对影响菌痢疫苗接种社会、文化和行为因素的适合性;(7)提出我国农村地区将来实施菌痢疫苗接种工作的策略和政策性建议。方法: (1)建立菌痢发病监测系统;(2)调查方法:采用深入访谈的定性调查方法和采用入户问卷定量调查方法,对居民的菌痢的认知和菌痢疫苗的接受性等进行调查;(3)分析方法:在定性研究中对收集的资料采用类属分析法进行分析;在定量研究中采用单因素与多因素分析方法,分析居民对菌痢认知和菌痢疫苗的接受性及影响因素。主要结论: (1)保护动机理论在解释人们对菌痢疫苗接受性的问题上是适用的,但需要增加调节因素作用;(2)当地居民对菌痢疫苗的接受性较好,意愿接受率达90%以上,尤其对儿童的疫苗接受性高;(3)居民对于菌痢病因、严重性认知程度有待于提高,影响了居民对菌痢疫苗的接受性;(4)居民对疫苗的特点如效果、有效期、副作用和价格等较为关心,影响了居民对菌痢疫苗的接受性;(5)当地健全的三级医疗预防保健系统以及居民对当地计划免疫接种工作的信任,为今后菌痢疫苗的推广提供了有力的保证;(6)选择合适有效的宣传途径和传播方式,针对菌痢的病因、严重性、防治知识和菌痢疫苗的特点开展健康教育,可提高居民对菌痢防治的认知,促进菌痢疫苗的推广。政策建议: (1)应合理制定菌痢疫苗的推广策略和补偿机制;(2)确定重点的接种对象;(3)针对目标人群采取有效方式,加强宣传教育;(4)进一步加强基层卫生防疫网络建设和管理;(5)改善政策环境,提高领导对菌痢疫苗接种的重视程度。
[Abstract]:Objective: (1) to understand the incidence and distribution of bacillary dysentery in the target population. (2) to understand the cognition, attitude and behavior of the target population on the prevention and treatment of bacillary dysentery, and to understand the etiology, severity and susceptibility of bacillary dysentery. And the utilization of local health services.) to understand the acceptability and feasibility of the future vaccine plan for bacillary dysentery among the target population, and to analyze the society in particular. Comparing the results of qualitative and closed interview qualitative studies with those of closed interviews. Comparing the results of three research regions in Asia. 6) exploring the impact of protective motivation theory on the society of bacillary dysentery vaccination. The suitability of culture and behavioral factors (7) the strategies and policy suggestions for the future implementation of bacillary dysentery vaccination in rural areas of China were put forward. Methods: 1) to establish a disease surveillance system for bacillary dysentery. The methods of investigation were as follows: the qualitative investigation method of in-depth interview and the quantitative investigation method of household questionnaire were used. Investigation on the cognition of bacterial dysentery and the acceptability of bacillary dysentery vaccine. Methods: in the qualitative study, the collected data were analyzed by the generic analysis method; in the quantitative study, the single-factor and multi-factor analysis methods were used. The cognition of bacillary dysentery and the acceptance of bacillary dysentery vaccine were analyzed. Main conclusions: (1) the theory of protective motivation is applicable in explaining the acceptability of bacillary dysentery vaccine, but it needs to increase the effect of regulating factors. (2) the acceptance rate of local residents to bacillary dysentery vaccine is better, and the willing acceptance rate is more than 90%. Especially for children, vaccine acceptability is high. (3) residents' awareness of the cause of bacterial dysentery and the severity of dysentery need to be improved, which has affected the residents' acceptance of the vaccine.) the residents' characteristics of the vaccine, such as the effect and validity period, More concern about side effects and prices affected residents' acceptance of the vaccine against dysentery (5) the local health care system for tertiary health care, and residents' trust in the local planned immunization work. It provides a powerful guarantee for the future promotion of bacillary dysentery vaccine. It also provides a suitable and effective way of propaganda and transmission, and carries out health education according to the etiology, severity, knowledge of prevention and treatment and the characteristics of bacillary dysentery vaccine, according to the etiology and severity of bacillary dysentery. It can improve the residents' awareness of the prevention and treatment of bacillary dysentery and promote the spread of bacillary dysentery vaccine. Policy recommendations: (1) the promotion strategy and compensation mechanism of bacillary dysentery vaccine should be reasonably formulated. (2) the key inoculation target should be determined: (3) to take effective measures to target the target population, to strengthen publicity and education and to further strengthen the construction and management of the basic level health and epidemic prevention network and to improve the policy environment, 4) to strengthen the construction and management of the basic level health and epidemic prevention network and to improve the policy environment. The leaders should pay more attention to the vaccination of bacillary dysentery.
【学位授予单位】：复旦大学
【学位级别】：博士
【学位授予年份】：2005
【分类号】：R186

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