2016年天津市儿童预防接种信息管理系统脱漏儿童现况调查  

Cross-sectional investigation on missing children in Children Immunization Information Management System of Tianjin in 2016

作　　者：陈伟[1] 丁亚兴[1] 骆晓艳[1] CHEN Wei;DING Ya-xing;LUO Xiao-yan(Immunization Planning Department, Tianjin Center for Disease Control and Prevention, Tianjin, 300011, China)

机构地区：[1]天津市疾病预防控制中心免疫规划科,天津300011

出　　处：《职业与健康》2018年第7期979-981,985,共4页Occupation and Health

基　　金：中华预防医学会疫苗与免疫青年人才托举项目科研课题(Q2017A1215)

摘　　要：目的掌握天津市儿童预防接种信息管理系统(CIIMS)脱漏儿童现状,为系统数据的深度利用打下基础。方法采用整群分层抽样的方法,对天津市18个地区的72个街/乡分4次共计调查14 400名1~6岁儿童的CIIMS管理情况,对数据结果进行统计分析。结果全年共发现脱漏儿童221人,脱漏率为1.53%;发现脱漏儿童最多的是东丽区为37人(4.63%),最低的是和平区为0人,不同地区的儿童脱漏率差异有统计学意义(P<0.05);第二季度发现的脱漏儿童最多71人(1.97%),第3季度最少41人(1.14%),不同季度的儿童脱漏率差异有统计学意义(P<0.05);1岁组儿童脱漏率最低(0.71%),6岁组儿童脱漏率最高(2.33%),不同年龄的儿童脱漏率差异有统计学意义(P<0.05);外来流动儿童脱漏率(2.30%)高于本地儿童(1.24%),不同户籍儿童脱漏率差异有统计学意义(P<0.05);脱漏主要原因为本地儿童脱管144人(65.16%),其次是外来儿童漏管59人(20.67%)。221名脱漏儿童中有63名存在各种程度的疫苗漏种,漏种率为28.51%;在漏种疫苗中百白破漏种人数最多17人(7.69%),甲型肝炎漏种人数最少8人(3.62%)。结论天津市CIIMS目标人群覆盖率较好,脱漏儿童分布受到地区、时间、年龄段、户籍等多种因素的影响,脱漏儿童疫苗漏种较为严重,未来应提高对这一人群的关注程度,制定有效措施尽量减少儿童脱漏数量,保障CIIMS的数据质量,提高系统利用程度。[Objective]To analyze the situation of missing children in Children Immunization Information Management System（CIIMS） of Tianjin,lay the foundation for the deep use of system data.[Methods]Cluster stratified sampling was used to get the subjects from 72 townships/sub-districts in 18 areas of Tianjin. After four times of sampling,totally 14 400 children aged 1-6 years old were enrolled from CIIMS. And the data were statistically analyzed. [Results]221 children were missing in the year with the missing rate of 1.53%. The highest missing number was 37（4.63%） in Dongli District, and no missing child was found in Heping District. There was a statistically significant difference in the missing rate among different areas（P〈0.05）. The highest and lowest missing number was 71（1.97%） in the second quarter and 41（1.14%） in the third quarter respectively, and the difference in the missing rate was statistically significant among four quarters（P〈0.05）. The missing rate in 1 year-old age group was the lowest（0.71%） and that in 6 year-old age group was the highest（2.33%）, and the difference in the missing rate was statistically significant among different age groups（P〈0.05）. The missing rate in floating children（2.30%） was higher than that in local children（1.24%）, and the difference in the missing rate was statistically significant among children with different household register（P〈0.05）. The main missing causes were lost of 144 local children（65.16%） and missing of 59 floating children（20.67%）. Among 221 missing children,63 missed immunization of various vaccines, and the missing rate for vaccine was28.51%. In missing vaccines, the missing number of DPT was the highest（17 children, 7.69%） and that of hepatitis A vaccine was the lowest（8 children, 3.62%）.[Conclusion]There is a good coverage for targeted population in CIIMS of Tianjin, and the missing children distribution is affected by area, time, age and household register. The missing immunization is se

关 键 词：预防接种信息管理系统 脱漏儿童 现况调查 

分 类 号：R19[医药卫生—卫生事业管理]