深圳市宝安区托幼机构人员甲型H1N1流感疫苗接种率及其影响因素  

Vaccination Coverage of Influenza A(H1N1) and the Influential Factors Among Child-care Staff in Bao'an District of Shenzhen City

作　　者：周海庄[1] 李苑[1] 刘开钳[1] 吴泰顺[1] 马智超[1] 

机构地区：[1]深圳市宝安区疾病预防控制中心,广东深圳518101

出　　处：《预防医学情报杂志》2012年第12期952-955,共4页Journal of Preventive Medicine Information

基　　金：深圳市科技和信息管理局2010年立项项目(编号:201007356);宝安区科学技术局立项项目(编号:20100649)

摘　　要：目的了解深圳市宝安区托幼机构人员甲型H1N1流行性感冒(甲流)疫苗接种率及其影响因素。方法随机抽取深圳市宝安区100家托幼机构530人作为面访匿名问卷调查对象。采用描述性分析、秩和检验、χ2检验和Logistic回归分析分别对疫苗接种率的影响因素进行单因素和多因素分析。结果深圳市宝安区托幼机构人员甲型H1N1流感疫苗接种率为39.96%,未接种的主要原因是怕出现疫苗不良副反应,占39.10%。性别为男性[男性:比值比(Odds Ratio,OR)=3.193,95%可信区间(Confidence Interval,CI)=1.285～7.936];工作岗位为保健医生和保育人员(保健医:OR=12.583,95%CI=2.825～56.082;保育员:OR=7.581,95%CI=1.881～30.554)、工作年限为11～15年(11～15年:OR=6.299,95%CI=1.169～33.945)和近3年接种过季节性流感疫苗(接种过:OR=8.856,95%CI=4.139～18.703;不清楚:OR=4.322,95%CI=1.588～11.766)对疫苗接种率有影响。结论深圳市宝安区托幼人员甲流疫苗接种率较高,应加强甲流疫苗有效性和安全性的宣传,特别要针对女性、教师、工作年限小于11年、大于15年和近3年无季节性流感疫苗接种史等人群。Objective To understand the vaccination coverage of influenza A（H1N1） and the its influential factors among child-care staff in Bao＇an district of Shenzhen.Methods A survey of random sampling was carried out for 530 health-care workers from 100 kindergartens with anonymous questionnaire.Descriptive statistical analysis,Rank sum test,χ 2 test and Logistic regression analysis were used for univariate analysis and multivariate analysis to evaluate influential factors of vaccine coverage.Results The vaccination coverage rate of influenza A（H1N1） in child-care staff in Bao＇an district of Shenzhen was 39.96%%,the main reason for un-inoculation was concerning about side effects.The multivariate analysis showed that the sex[male,odds ratio（OR）= 3.193,95% confidence interval（CI）=1.285-7.936],being sanitarian and nursery governess（sanitarian,OR=12.583,95%CI=2.825-56.082;nursery governess,OR=7.581,95%CI=1.881-30.554）,length of service（11-15,OR=6.299,95%CI=1.169-33.945） and with a seasonal influenza vaccination in the past three years（vaccinated,OR=8.856,95%CI=4.139-18.703;obscurity,OR=4.322,95%CI=1.588-11.766） were correlated with influenza A（H1N1） vaccination（P0.05）.Conclusion The child-care staff in Bao＇an had high vaccination coverage of influenza A（H1N1）.It is important to strengthen the propaganda of the effectiveness and security of influenza A（H1N1） vaccine,especially to women,being teacher,people who have length of service less than five years and without the history of seasonal influenza vaccination in the past three years.

关 键 词：托幼机构人员 甲型H1N1流感 疫苗接种率 影响因素 

分 类 号：R186[医药卫生—流行病学]