北京市某高校教职工适龄子女2010年全国麻疹减毒活疫苗补充免疫活动接种率影响因素研究  

A Study of Influential Factors of Immunization Coverage for Supplementary Immunization Activity of Measles Attenuated Live Vaccine among Children of Staff in a University of Beijing,2010

作　　者：陈彬莉[1] 肖索未[1] 胡晓江[1] 萨支红 彭向东[1] 

机构地区：[1]北京师范大学社会发展与公共政策学院,北京100875

出　　处：《中国疫苗和免疫》2015年第5期564-568,共5页Chinese Journal of Vaccines and Immunization

基　　金：国家自然科学基金(项目号:71373027):预防接种异常反应:风险的社会扩大和社会管理;北师大自主科研基金(项目号:105520GK):流动儿童家长与高教育水平家长对儿童强化免疫决策的影响因素及对比研究

摘　　要：目的分析北京市某高校教职工适龄子女在2010年9月全国麻疹减毒活疫苗（Measles Attenuated Live Vaccine,MV）补充免疫活动（Supplementary Immunization Activity,SIA）中的接种率影响因素。方法基于国内外相关研究自编问卷,对北京市2010年某高校所有家中有MV SIA适龄儿童（即2010年9月儿童年龄为8个月到14周岁之间）的教职工进行调查,并对数据进行描述分析和多元逻辑回归分析。结果在563名适龄儿童的有效样本中,MV SIA接种率为54.5%。在家的儿童与在幼儿园的儿童相比不接受MV SIA的可能性更大（OR=2.14,95%CI：1.23~3.72）。常规免疫差与常规免疫好的儿童相比不接受MV SIA的可能性较大（OR=4.65,95%CI：1.49~14.48）。预防接种的有效性（OR=3.35,95%CI：1.24~9.06）、接种服务的可靠性（OR=2.02,95%CI：1.16~3.53）的信任度较低者,其子女不接受MV SIA的可能性更大。向专业人士（OR=2.67,95%CI：1.52~4.69）、非官方网络（OR=2.35,95%CI：1.35~4.11）寻求预防接种信息者,其子女不接受MV SIA的可能性更大。结论北京某高校教职工适龄子女2010年MV SIA的接种率远低于全市目标人群的平均接种率。信任因素、组织因素以及民间网络信息等直接影响到其子女是否接种。Objective This study aims to analyze the influential factors of immunization coverage for the2010 supplementary immunization activity（ SIA） of measles attenuated live vaccine（ MV） among children of staff in a university of Beijing. Methods By literature review,the research team designed a survey questionnaire and conducted survey research among parents who worked in a university. Descriptive data and logistic regression models were presented. Results Among a sample of 563 children aged8 months to 14 years,54. 5% received MV during the SIA. Children who stayed at home（ vs at kindergarten）（ OR = 2. 14,95% CI： 1. 23- 3. 72）,who received poor（ vs good） routine vaccination（ OR =2. 14,95% CI： 1. 23- 3. 72）,whose parents had a low（ vs high） level of trust on the effectiveness of vaccination（ OR = 3. 35,95% CI： 1. 24- 9. 06） or on the reliability of immunization service（ OR =2. 02,95% CI： 1. 16- 3. 53）,and whose parents sought information from professional people（ vs others）（ OR = 2. 67,95% CI： 1. 52- 4. 69） and from non-official websites（ vs others）（ OR = 2. 35,95% CI： 1. 35- 4. 11）,were less likely to be vaccinated during the SIA. Conclusion The SIA coverage among children lived in the university was lower than the average level among whole target children in Beijing. Such factors as trust,services,and non-official network information may influence the decision of immunization by parents.

关 键 词：麻疹 补充免疫 接种率 

分 类 号：R186[医药卫生—流行病学] R511.1[医药卫生—公共卫生与预防医学]