2015年江西省国家免疫规划疫苗接种率调查结果分析  

Vaccination rate of the National immunization program in Jiangxi,2015

作　　者：赵玉芹[1] 涂秋凤[1] 程慧健[1] 周炳华[1] 郭世成[1] 徐菲[1] 谭楚生[1] 吴静[1] 张洪荣[1] 郑敏[1] 赵红平[1] 伍凤云[1] 谭祥永[1] 

机构地区：[1]江西省疾病预防控制中心,江西南昌330029

出　　处：《现代预防医学》2016年第21期4009-4014,共6页Modern Preventive Medicine

摘　　要：目的了解江西省2008年实施扩大国家免疫规划后疫苗接种情况。方法采用分层按容量比例概率抽样方法,对全省11个设区市、21个县(市、区)、375个乡镇的2岁组和7岁组儿童进行接种情况调查。结果共调查8 780名儿童,其中2岁组和7岁组各4 390名,建证率100.0%,建卡率99.7%,卡证相符率84.4%;2岁组卡证相符率明显高于7岁组,不同年龄组城市地区的卡证相符率均高于农村。全省不同年龄组国家免疫规划疫苗接种率均>95.0%。2岁组除百白破、甲肝合格接种率低于90%以外,其余各疫苗合格接种率均高于90%;7岁组除卡介苗、乙肝、白破的合格接种率高于90%外,其余各疫苗合格接种率均低于90%。7岁组中,城市与农村地区的乙肝首针及时率有统计学差异。2岁组和7岁组麻疹首针及时率均较低(69.8%和66.9%),两组间有统计学差异。结论自实施扩大国家免疫规划后,全省国家免疫规划疫苗接种率、建证率、建卡率及乙肝首针及时接种率均较高,但仍存在合格接种率、卡证相符率、麻疹首针及时接种率较低的问题。Objective To understand the vaccination status after Expanded National Immunization Program （EPI） in Jiangxi province from 2008. Methods Using the proportional allocation stratification sampling to investigate the vaccination status of 2 -year age group and 7 - year age group in 375 villages, 21 counties, and 11 cities. Results 8780 children had been investigated,including 4390 in 2 - year age group and 4390 in 7 - year age group. The total of the immunization certificate rate, immunization card rate,and compatible card- certificate rate were 100.0% ,99.7% ,and 84.4% ,respectively. The compatible card - certificate rate in 2 - year age group was significantly higher than that in 7 - year age group. The compatible card - certificate rate in cities was significantly higher than that in counties in each age group. The immunization rates of EPI vaccines were all more than 95.0% in each age group in Jiangxi province. Except for the qualified inoculation rates of DPT and HepA were lower than 90% ,the qualified inoculation rates of other vaccines were higher than 90% in 2 - year age group. Except for the qualified inoculation rates of HepB,BCG and DT vaccine were higher than 90% , other vaccines were lower than 90% in 7 - year age group. The timely coverage of the first dose for HepB was significantly different between the rural and urban regions. The timely coverage of the first dose for MV was both relatively lower in 2 - year age group and 7 - year age group （69.8% and 66.9% ） ,and the rate between two groups was significantly different. Conclusion After EPI applied in Jiangxi province,the immunization rate,immunization certificate rate and immunization card rate of EPI vaccines, and the timely coverage of the first dose for HepB are all in high level. But the problems that the qualified inoculation rates, compatible card - certificate rate and the timely coverage of the first dose for MV are in low level still exist.

关 键 词：国家免疫规划 疫苗 接种率 

分 类 号：R186[医药卫生—流行病学]