摘要
目的 了解衢州市留守儿童水痘疫苗(varicella zoster virus, VarV)接种现状并应用保护动机理论探索其影响因素,为下一步巩固水痘疫苗接种提出参考。方法 于2022年9—12月,通过简单随机抽样方式选取衢州市下辖的6个县区共628名留守儿童,对其看护人进行问卷调查,收集社会学特征和保护动机理论因素,采用Logistic回归分析衢州市留守儿童接种行为的影响因素。结果 628名留守儿童中已接种水痘疫苗的占69.59%,其中已完成2剂次的占74.83%;尚未接种的占30.41%,其中未来有接种意向的占10.99%。多因素Logistic回归分析显示,亲属关系、家庭年收入、家庭孩子数、外部奖励和自我效能对留守儿童水痘接种率有影响(OR=0.43~3.40,P值均<0.05);其中外部奖励因子与接种概率呈正相关(OR=1.14);自我效能因子与接种概率呈负相关(OR=0.95)。结论 在健康教育和学校宣传中,通过提高留守儿童看护人的外部奖励和自我效能的保护动机因素水平,能促进看护人产生保护动机,提高水痘疫苗接种率。
Objective To understand vaccination coverage and the influencing factors of varicella vaccine(VarV)among left-behind children in Quzhou,which based on protective motivation theory(PMT),so as to provide reference to consolidate VarV vaccination in the next step.Methods From September to December in 2022,simple random sampling was used to select 628 left-behind children in six counties of Quzhou City.A questionnaire survey on their caregivers was conducted to collect data relating to sociological characteristics and PMT factors,and the influencing factors of VarV were tested by Logistic regression.Results A total of 628 left-behind children participated in the study.The VarV rate was 69.59%,and 74.83%had received a second dose of VarV.The unvaccinated rate was 30.41%,and caregivers willingness to vaccinate children with VarV was only 10.99%.Logistic regression analysis showed that family relationships,annual household income,number of children in the family,extrinsic rewards and self-efficacy were the influencing factors of VarV among left-behind children(OR=0.43-3.40,P<0.05).The external reward factor was positively correlated with the vaccination probability(OR=1.14),and the self-efficacy factor was negatively correlated with the vaccination probability(OR=0.95).Conclusion In the context of health education and school promotion,attention should be paid to factors relating to extrinsic rewards and self-efficacy as a means of increasing motivation to seek vaccine protection and improve the use of VarV.
作者
郑灿杰
徐文杰
龚晓英
方泉均
尹志英
ZHENG Canjie;XU Wenjie;GONG Xiaoying;FANG Quanjun;YIN Zhiying(Immune Planning Department,Quzhou Center for Disease Prevention and Control,Quzhou(324000),Zhejiang Province,China)
出处
《中国学校卫生》
CAS
北大核心
2023年第7期1068-1071,共4页
Chinese Journal of School Health
基金
长三角免疫规划领军人才研究项目(CSJP022)
衢州市科技局指导性项目(2022068)。
关键词
水痘疫苗
接种
回归分析
儿童
Chickenpox vaccine
Vaccination
Regression analysis
Child
