江西省乙型肝炎疫苗接种率及影响因素分析  

An Analysis on Hepatitis B Vaccine Immunization Coverage Rate and Its Affecting Factors in Jiangxi Province

作　　者：王东海 涂秋凤 何伟 邹秋平 

机构地区：[1]江西省卫生防疫站,南昌330029

出　　处：《中国计划免疫》2001年第4期210-212,共3页Chinese Journal of Vaccines and Immunization

摘　　要：为了今后更好地开展新生儿乙型肝炎 (乙肝 )疫苗的接种工作 ,江西省于 1999年 8月进行了乙肝疫苗接种情况和影响因素调查。调查采用按容量比例概率分层随机抽样法。调查地区分为 4层 :城市为 1层 ,农村按人均收入分为 3层。随机抽取 1997年 1月 1日～ 12月 3 1日出生的儿童共 84 2人为对象 ,同时调查儿童家长 /监护人 ,以及 119名乡村医生。结果表明 :全省新生儿乙肝疫苗的合格接种率为 5 0 71% ,及时接种率为 2 6 60 % ;城市分别为77 62 %和 5 1 4 3 % ,农村为 4 1 77%和 18 3 5 % ;农村 1、2、3层分别为 5 6 87%和 2 5 71% ,3 9 81%和 19 0 5 % ,2 8 4 3 %和 10 4 3 % ,随人均收入下降而降低。影响新生儿乙肝疫苗接种的重要因素有 :当地的经济水平 ,儿童家长/监护人对乙肝和乙肝疫苗的认识程度 ,儿童的出生场所 ,免疫接种人员对乙肝疫苗的认识及接种技术的把握程度 ,乙肝疫苗的接种形式等。In order to carry out hepatitis B(HB)vaccination more efficiently in the newborns in future,we made a survey in Aug 1999 to find out the factors affecting HB vaccination The PPS sampling method was adopted Four kinds of areas investigated included cities,rural areas of high,medium and lower economic levels 842 children born in Jan 1,1997～Dec 31,1997 were randomly chosen,and their parents or guardians and 119 village doctors were also inquired of The results showed that,in the province,the qualified vaccination rate of HB vaccine in newborns was 50 71% and the timely vaccination rate was 26 60% In cities and three rural areas of different economic levels,the qualified HB vaccination rates in newborns were 77 62%,56 87%,39 81%,28 43% respectively,the timely vaccination rates were 51 43%,25 71%,19 05% and 10 43% respectively,it decreased with the average per capita income The important factors that affecting HB vaccination rate of newborns are parents'knowledge abouot HB vaccination,the birth place(home or hospital)of the newborns,the vaccination technique handled by the medical workers,and the form of vaccination(at an appointed site or deliver vaccine to the doorstep by village doctors) The economic level is also an important factor to be considered

关 键 词：乙型肝炎疫苗 接种率 影响因素 

分 类 号：R186[医药卫生—流行病学] R512.62[医药卫生—公共卫生与预防医学]