摘要
目的了解北京市西城区3岁以下儿童EV71疫苗接种情况及影响因素。方法于2017年5—9月对西城区预防接种门诊接种的6-35月龄儿童家长进行问卷调查,内容包括基本人口学特征、手足口病和EV71疫苗知识知晓情况、知识获取途径及对EV71疫苗价格的接受程度等,采用Logistic回归模型分析EV71疫苗接种的影响因素。结果共回收问卷1885份,有效问卷1850份,问卷有效率为98.14%。儿童EV71疫苗接种率为27.03%,儿童家长的手足口病和EV71疫苗相关知识总体知晓率为55.95%。Logistic回归分析结果显示,家庭年收入≥5万元(OR5万元~=2.665,95%CI:1.535-4.628;OR10万元~=4.732,95%CI:2.830-7.914;OR20万元~=3.576,95%CI:2.084-6.135)、能接受疫苗价格≥100元(OR100元~=9.487,95%CI:6.873-13.096;OR200元~=5.940,95%CI:3.465-10.183;OR300~500元=2.415,95%CI:1.183-4.933)、获取EV71疫苗知识的途径≥2种(OR=3.062,95%CI:2.306-4.065)、不在意EV71疫苗是否按第一类疫苗管理(OR=1.650,95%CI:1.156-2.356)的家长更倾向于为子女接种EV71疫苗;住在平房和筒子楼(OR=0.589,95%CI:0.386-0.899)、职业为医务人员(OR=0.240,95%CI:0.118-0.487)、外省户籍(OR=0.587,95%CI:0.399-0.863)、有>1名子女(OR=0.338,95%CI:0.236-0.483)的家长不倾向于为子女接种EV71疫苗。结论北京市西城区3岁以下儿童EV71疫苗接种率及家长的手足口病和EV71疫苗知识知晓率仍需提高,家长的户籍、职业、家庭儿童数、家庭年收入、居住环境、EV71疫苗知识获取途径、能接受的EV71疫苗管理方式和疫苗价格是EV71疫苗接种的影响因素。
Objective To understand the situation of inoculation and influencing factors of children in the Xicheng District of Beijing after the enterovirus71(EV71)vaccine was marketed.Methods A questionnaire survey was conducted among the parents of children aged6to35months in the vaccination clinics in Xicheng District from May to September2017.Demographic characteristics,awareness of hand-foot-mouth disease and EV71vaccine,the access to these knowledge,acceptance of the vaccine price and advice on the management were collected.The influencing factors for EV71vaccination were analyzed by multivariate logistic regression.Results There were1850out of1885parents investigated,with the effective rate of98.14%.The EV71vaccination rate of children aged6to35months was27.03%.The awareness rate of hand-foot-mouth disease and EV71vaccine in parents was55.95%.The results of logistic regression analysis showed that the parents with the annual household income of50000yuan and above(OR50000yuan-=2.665,95%CI:1.535-4.628;OR100000yuan-=4.732,95%CI:2.830-7.914;OR200000yuan-=3.576,95%CI:2.084-6.135),with acceptance of100yuan and above in the price of the vaccine(OR100yuan-=9.487,95%CI:6.873-13.096;OR200yuan-=5.940,95%CI:3.465-10.183;OR300-500yuan-=2.415,95%CI:1.183-4.933),with more than two sources of the information for EV71vaccine(OR=3.062,95%CI:2.306-4.065),without the care about the management of the EV71vaccine(OR=1.650,95%CI:1.156-2.356)were more likely to have their children vaccinated;while the parents who lived in bungalows and cabinets(OR=0.589,95%CI:0.386-0.899),who were medical staff(OR=0.240,95%CI:0.118-0.487),who were not residents of Beijing(OR=0.587,95%CI:0.399-0.863),who had more than one children(OR=0.338,95%CI:0.236-0.483)were less likely to have their children vaccinated.Conclusion The parents of children aged below three years in Xicheng District of Beijing should improve their awareness of hand-foot-mouth disease and EV71vaccine.The vaccination rate of EV71were mainly related to the registration,occupation,number of chi
作者
孙景
李依恬
初艳慧
SUN Jing-yi;LI Yi-tian;CHU Yan-hui(Department of Infectious Disease and Endemic Disease Control and Prevention,Xicheng Center for DiseaseControl and Prevention,Beijing 100120,China)
出处
《预防医学》
2019年第1期46-50,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
北京市西城区优秀人才培养资助项目(20160050)
关键词
EV71疫苗
预防接种
手足口病
影响因素
Enterovirus 71 vaccine
Vaccination
Hand-foot-mouth disease
Influencing factors
