非法经营疫苗系列案对上海市黄浦区儿童家长的疫苗信任度和接种行为变化调查  

Parents' Trust in Vaccines and Changes in Vaccination Behavior in Huangpu District of Shanghai City after the Illegal Vaccine Selling Event

作　　者：陆瑾[1] 牟文[1] 周文瑜[1] 姜铭波[1] 王婧[1] LU Jin MU Wen ZHOU Wen-yu et al(Huangpu District Center for Disease Control and Prevention, Shanghai 200023, Chin)

机构地区：[1]上海市黄浦区疾病预防控制中心,上海200023

出　　处：《中国疫苗和免疫》2016年第6期693-696,共4页Chinese Journal of Vaccines and Immunization

基　　金：黄浦区科学技术委员会和黄浦区卫生和计划生育委员会;EV71疫苗知晓率;意愿接种及疫苗信任度调查

摘　　要：目的评估2016年3月非法经营疫苗系列案发生后上海市黄浦区儿童家长对疫苗的信任度和接种行为变化。方法于2016年4~6月通过上海市免疫规划信息系统,采用分层随机抽样方法在上海市黄浦区10家社区医院随机抽取2 100名家长,进行疫苗信任度和接种行为影响的匿名电话问卷调查。结果本次调查共回收有效问卷1 997份,有效应答率为95.10%。非法经营疫苗系列案前后,家长对第一类疫苗的信任度分别为99.75%、97.80%（χ^2=31.43,P〈0.001）;对第二类疫苗的信任度分别为98.80%、65.00%（χ^2=769.48,P〈0.001）;认为第二类疫苗安全的比例分别为56.69%、38.76%（χ^2=141.45,P〈0.001）。案件发生后家长对第二类疫苗会为儿童按时接种、暂不接种、不接种、犹豫不定的比例分别为61.84%、11.62%、2.75%、23.79%。Logistic回归分析显示,家长文化程度越高、儿童年龄越小,家长对疫苗的信任度越低。2016年4~6月黄浦区第二类疫苗总接种剂次数较去年同期下降12.86%。结论非法经营疫苗系列案导致儿童家长对疫苗的信任度下降,对第二类疫苗不愿意接种或接种犹豫。需及时对儿童家长进行健康教育,以提高疫苗信任度和疫苗接种率。Objective To evaluate parents＇ trust in vaccines and changes in their vaccination behavior in Huangpu,Shanghai after the illegal vaccine selling event in March,2016. Methods We used a stratified random sampling method and the Shanghai Immunization Program Information System to choose 2 100 parents from 10 communities in Huangpu to conduct an anonymous questionnaire survey by telephone between April and July,2016. Results A total of 1 997（ 95. 10%） valid questionnaires were obtained.The respective rates of parents＇ trust on Category I vaccines before and after the event were 99. 75% and97. 80%（ χ^2= 31. 43,P〈0. 001）; the respective rates of parents＇ trust on Category II vaccines were98. 80% and 65. 00%（ χ^2= 769. 48,P〈0. 001）; and the respective rates of belief that Category II vaccines were safe were 56. 69% and 38. 76%（ χ^2= 141. 45,P〈0. 001）. After the event,parents who were willing to have their children timely,temporarily not,not,and hesitantly vaccinate with Category II vaccines accounted for 61. 84%,11. 62%,2. 75%,and 23. 79%,respectively. Logistic regression analysis showed that the higher parents＇ education or the younger their children,the lower parents＇ trust in vaccines. The number of doses of Category II vaccines administered from April to July,2016 was12. 86% less than from April to July,2015. Conclusions The illegal vaccine selling event reduced parents＇ trust in vaccines,and some parents refused or hesitated to use Category II vaccines for their children. Health education should be conducted in a timely manner among parents to increase vaccine trust and immunization coverage.

关 键 词：非法经营疫苗系列案 信任度 行为 

分 类 号：R186[医药卫生—流行病学]