新生儿乙型肝炎疫苗首针及时接种的Logistic回归分析  

Logistic Regression Analysis on Coverage of Influences on Timely Birth Dose Hepatitis B Vaccine

作　　者：郑志刚[1] 黄林[1] 蒋玉艳[1] 杨仁聪[1] 何涛[1] 李艳[1] 刘素珍[1] 陈世毅[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530028

出　　处：《中国疫苗和免疫》2009年第1期49-51,共3页Chinese Journal of Vaccines and Immunization

基　　金：卫生部与联合国儿童基金会合作项目(YH601)

摘　　要：目的分析新生儿出生后24h内乙型肝炎疫苗(Hepatitis B Vaccine,HepB)首针(HepB1)及时接种的影响因素,为提高HepB1及时接种率提供依据。方法以调查地类型、住院分娩、监护人职业、文化程度、民族、是否知道接种疫苗、是否主动带孩子接种疫苗等指标建立Logistic回归方程,分析影响HepB1及时接种的因素。结果852名调查儿童中,HepB1及时接种234名,及时接种率27.46%。其中在县级及以上医院出生的儿童HepB1及时接种率54.05%,在乡级卫生院出生的儿童HepB1及时接种率46.86%,在家中出生的儿童HepB1及时接种率6.71%。多因素分析显示,住院分娩、儿童监护人的文化程度是影响HepB1及时接种的因素,调查地类型、监护人职业、民族、是否知道接种疫苗、是否主动带孩子接种疫苗等虽与HepB1及时接种有关联,但并不是影响因素。结论提高住院分娩率,加大素质教育的投入,是提高HepB1及时接种率的主要措施。Objective To find out HepB vaccine timely delivery factors influencing in newborns within 24 hours, provide a basic evidences for increasing the coverage of timely HepB vaccine. Methods We established multinomial Logistic regression equation to analysis the factors with the investigation landform, deliveroy rate at hospital, occupation and education of child caretakers, ethnic, whether the child caretakers know children need vaccination and if the child caretakers bring children for vaccination. Results 234 children received timely birth dose HepB among 852 children, timely coverage rate was 27.46 %. Compare with 6.71% of children delivery at home, timely coverage of children delivery at township clinic and county clinic hospitals are 46.86% and 54.05% respectively. Multinomial logistic regression analysis showed that delivery hospitals（X1） ,education of child caretakers（X2） were the main influencing factors to the timely birth dose HepB vaccination, the investigation landform, occupation of child caretakers, ethnic, whether the child caretakers know children need vaccination and if the child caretakers bring chil- dren for vaccination on their own have relevancy with the timely to the timely birth dose HepB vaccination. Conclusions The strategies such as increasing the rate of delivery at hospitals and putting more funding into publicity will facilitate increasing the coverage of timely birth dose HepB vaccination.

关 键 词：乙型肝炎疫苗 首针及时接种 回归分析 

分 类 号：R186[医药卫生—流行病学] R512.61[医药卫生—公共卫生与预防医学]