0～3岁儿童二类疫苗接种情况及影响因素

发布时间：2019-07-17 06:46

【摘要】：目的分析儿童二类疫苗接种现状和影响接种的因素。方法采用整群随机抽样,在东、中、西部3省(江苏、湖北和甘肃)抽取0~3岁儿童2 160人,分析儿童二类疫苗接种情况,并对相关因素进行多元logistic回归分析。结果 49.61%的调查儿童至少接种了1种二类疫苗;在控制儿童年龄因素后,多因素分析表明,与低收入组相比,中低收入组(OR=1.750,95%CI=1.182~2.590)和中等收入组(OR=2.184,95%CI=1.430~3.335)接种概率更高;二类疫苗接种地域差异明显,湖北省(OR=39.231,95%CI=27.201~56.584)和江苏省(OR=10.872,95%CI=7.662~15.428)接种概率远高于甘肃省,城市接种明显高于农村(OR=2.294,95%CI=1.602~3.284);家长体检行为与子女二类疫苗接种也有较强的相关性(OR=1.375,95%CI=1.066~1.773)。结论中国不同地区二类疫苗接种情况差异明显,经济状况仍是自费疫苗接种的重要阻碍因素。
[Abstract]:Objective to analyze the present situation of second class vaccination in children and the factors affecting vaccination. Methods A total of 2160 children aged 0 to 3 years were selected from eastern, middle and western provinces (Jiangsu, Hubei and Gansu) by cluster random sampling. The second type vaccination of children was analyzed, and the related factors were analyzed by multiple logistic regression analysis. Results 49.61% of the surveyed children were vaccinated with at least one type II vaccine. After controlling the age factor of the children, multivariate analysis showed that the vaccination probability of the low and middle income group (OR=1.750,95%CI=1.182~2.590) and the middle income group (OR=2.184,95%CI=1.430~3.335) was higher than that of the low income group. The probability of vaccination in Hubei Province (OR=39.231,95%CI=27.201~56.584) and Jiangsu Province (OR=10.872,95%CI=7.662~15.428) was much higher than that in Gansu Province, and that in urban areas was significantly higher than that in rural areas (OR=2.294,95%CI=1.602~3.284). There was also a strong correlation between parents' physical examination behavior and children's second type vaccination (OR=1.375,95%CI=1.066~1.773). Conclusion there are significant differences in type II vaccination in different regions of China, and the economic situation is still an important hindrance to self-financing vaccination.
【作者单位】：山东大学卫生管理与政策研究中心;北京大学中国卫生发展研究中心;
【分类号】：R186

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