北京市朝阳区65岁以上老年人肺炎球菌疫苗接种意愿及影响因素  

Willingness to receive pneumococcal vaccination and factors influencing willingness among people over 65 years old in Chaoyang district of Beijing city

作　　者：白云骅[1] 马伟 吕敏[3] 吴疆[3] 陈秋萍 霍敬磊 马建 李丽[1] 杨立清[1] 张彦利[1] 芦强[1] 张军楠[1] 张政[1] 李淑萍[1] Bai Yunhua;Ma Wei;Lu Min;Wu Jiang;Chen Qiuping;Huo Jinglei;Ma Jian;Li Li;Yang Liqing;Zhang Yanli;Lu Qiang;Zhang Junnan;Zhang Zheng;Li Shuping(Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China;Yayuncun Community Health Service Center of Chaoyang District,Beijing 100101,China;Beijing Municipal Center for Disease Control and Prevention,Beijing 100013,China;Liulitun Community Health Service Center of Chaoyang District,BeOing 100026,China;Xiang-heyuan Community Health Service Center of Chaoyang District,BeOing 100028,China;Changying Community Health Service Center of Chaoyang District,Beijing 100024,China)

机构地区：[1]北京市朝阳区疾病预防控制中心,北京100021 [2]朝阳区亚运村社区卫生服务中心,北京100101 [3]北京市疾病预防控制中心,北京100013 [4]朝阳区六里屯社区卫生服务中心,北京100026 [5]朝阳区香河园社区卫生服务中心,北京100028 [6]朝阳区常营社区卫生服务中心,北京100024

出　　处：《中国疫苗和免疫》2018年第4期462-466,共5页Chinese Journal of Vaccines and Immunization

摘　　要：目的了解北京市朝阳区老年人肺炎球菌疫苗接种意愿及影响因素。方法通过随机抽样方法,选取北京市朝阳区4个社区≥65岁常住老年人进行肺炎球菌疫苗接种意愿问卷调查,采用Logistic回归分析接种意愿的影响因素。结果在1 007名调查对象中,875名（86.9%）表示愿意接种肺炎球菌疫苗,290名（28.8%）曾接种过肺炎球菌疫苗。Logistic回归分析显示,患2种及2种以上慢性病（OR=0.28,95%CI：0.12-0.69）、曾经接种过免费流感疫苗（OR=6.62,95%CI：4.06-10.80）、曾经接种过肺炎球菌疫苗（OR=0.09,95%CI：0.03-0.23）、医生建议接种（OR=14.17,95%CI：8.66-23.19）的人群肺炎球菌疫苗接种意愿较高。结论北京市朝阳区老年人肺炎球菌疫苗接种意愿高,而接种率低。需加强相关知识和政策宣传,提高老年人肺炎球菌疫苗的接种率。Objective To determine the willingness of elderly people in Chaoyang district of Beijing to receive pneumococcal vaccination and to determine factors influencing their willingness. Methods A random sampling strategy was used to select people over 65 years of age from 4 communities of Chaoyang district for a survey of their willingness to receive pneumococcal vaccine. Factors influencing willingness were determined with logistic regression analysis. Results Among a total of 1 007 respondents,875（ 86. 9%） would like to receive pneumococcal vaccine,and 290（ 28. 8%） had received pneumococcal vaccine. Logistic regression analysis showed that people who had two or more chronic diseases（ OR = 0. 28,95% CI： 0. 12-0. 69）,who previously received free influenza vaccine（ OR = 6. 62,95%CI： 4. 06-10. 80）,who previously recieved pneumococcal vaccine（ OR = 0. 09,95% CI： 0. 03-0. 23）,or who had been recommended by a doctor for pneumococcal vaccination（ OR = 14. 17,95% CI：8. 66-23. 19）,had a higher willingness to be vaccinated. Conclusions Willingness to receive pneumococcal vaccination was high among the elderly in Chaoyang district,although vaccination coverage was low. We should strengthen public education about pneumococcal vaccine and vaccination policies to increase pneumococcal vaccination coverage among the elderly.

关 键 词：肺炎球菌疫苗 老年人 接种意愿 

分 类 号：R186[医药卫生—流行病学]