农村儿童乙肝疫苗首针及时接种现状及影响因素

发布时间：2019-05-05 13:12

【摘要】：目的了解河北省农村儿童乙肝疫苗首针及时接种现状及其影响因素,为采取相应的干预措施提供参考依据。方法采用多阶段与概率比例规模抽样相结合方法对在河北省石家庄市和保定市抽取的4个县12个村的1 106名≤15岁儿童进行问卷调查,采用多水平logistic回归模型分析农村儿童乙肝疫苗首针及时接种的影响因素。结果河北省农村儿童乙肝疫苗接种率和乙肝疫苗首针及时接种率分别为98.4%和81.4%;1~3、4~6、7~9、10~12、13~15岁农村儿童乙肝疫苗接种率和乙肝疫苗首针及时接种率分别为98.4%和84.4%、97.3%和84.7%、98.5%和85.3%、98.1%和78.7%、100.0%和72.2%,不同年龄组农村儿童乙肝疫苗接种率差异无统计学意义(P0.05),乙肝疫苗首针及时接种率差异有统计学意义(χ2=17.993,P=0.001);多水平模型分析结果显示,年龄越小、出生在高级别医疗卫生服务机构、具有户籍和父母受教育程度较高的儿童首针及时接种较好。结论多水平模型适用于层次结构数据的儿童乙肝疫苗首针及时接种分析,确保儿童在医疗机构出生,重视无户籍新生儿及提高父母认知是提高农村儿童乙肝疫苗首针及时接种的重要举措。
[Abstract]:Objective to understand the current situation and influencing factors of the first vaccination of hepatitis B vaccine in rural children in Hebei province, and to provide reference for the corresponding intervention measures. Methods A questionnaire survey was conducted among 1 106 children under 15 years of age in 12 villages of 4 counties in Shijiazhuang City and Baoding City of Hebei Province by means of multi-stage and probability proportional scale sampling. Multi-level logistic regression model was used to analyze the influencing factors of the first injection of hepatitis B vaccine in rural children. Results the vaccination rate of hepatitis B vaccine and the first time vaccination rate of hepatitis B vaccine were 98.4% and 81.4% respectively in rural children of Hebei Province. 1, 3, 4, 6, 7, 12, 13, 15-year-old rural children were 98.4% and 84.4%, 97.3% and 84.7% respectively, 98.5% and 85.3%, 98.1% and 78.7% respectively. 100.0% and 72.2%, there was no significant difference in the vaccination rate of hepatitis B vaccine among rural children of different age groups (P0.05), and there was significant difference in the first time vaccination rate of hepatitis B vaccine (蠂 2 / 17.993, P < 0.001). The results of multi-level model analysis showed that the younger the children were, the better they were born in high-level medical and health service institutions, and the children with household registration and parents' higher education were better to be vaccinated in time for the first time. Conclusion the multi-level model is suitable for the analysis of the first injection of hepatitis B vaccine in children with hierarchical data to ensure that children are born in medical institutions. Paying attention to unregistered newborns and improving parents' cognition is an important measure to improve the first time vaccination of hepatitis B vaccine in rural children.
【作者单位】：天津中医药大学管理学院公共事业管理教研室;
【基金】：国家自然科学基金青年科学基金(71303171)
【分类号】：R186

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