杭州市医护人员接种麻疹疫苗的影响因素分析  

Influencing factors for measles vaccine immunization among health care workers in Hangzhou

作　　者：刘艳[1] 许二萍[1] 张小平[1] 张学潮[1] 王骏[1] 许玉洋[1] 车鑫仁[1] 杜渐[1] 顾雯雯[1] LIU Yan;XU Er-ping;ZHANG Xiao-ping;ZHANG Xue-chao;WANG Jun;XU Yu-yang;CHE Xin-ren;DU Jian;GU Wen-wen(The Center for Disease Control and Prevention of Hangzhou City,Hangzhou,Zhejiang 310021,China)

机构地区：[1]杭州市疾病预防控制中心,浙江杭州310021

出　　处：《预防医学》2018年第1期50-54,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省预防医学会免疫规划软课题(2017YF04)

摘　　要：目的分析杭州市医护人员接种麻疹疫苗的影响因素,为提高医护人员麻疹疫苗接种率提供参考。方法于2016年采用典型抽样法,选取杭州市省级、市级、县级综合医院各2家,传染病专科医院和儿童医院各1家,对麻疹感染低风险和高风险科室的医护人员开展麻疹疫苗相关问卷调查,采用多因素Logistic回归模型分析麻疹疫苗接种的影响因素。结果共调查349名医护人员,141人自述曾接种过麻疹疫苗,接种率为40.40%;93.41%的调查对象认为医护人员有必要接种麻疹疫苗。Logistic回归分析结果显示,在麻疹感染低风险科室工作(OR=1.91,95%CI:1.20~3.04)是医护人员接种麻疹疫苗的阻碍因素,认为麻疹疫苗有效(OR=0.40,95%CI:0.21~0.78)、知晓国家或省卫计委关于建议医护人员接种麻疹疫苗相关通知(OR=0.50,95%CI:0.28~0.91)和所在医院近年来组织过麻疹疫苗接种(OR=0.35,95%CI:0.22~0.57)是医护人员接种麻疹疫苗的促进因素。结论杭州市医护人员麻疹疫苗接种率较低,但接种意愿较高,加强麻疹疫苗接种建议和疫苗有效性的宣传,医院定期组织医护人员接种麻疹疫苗有利于提高接种率。Objective To determine factors influencing the immunization of measles vaccine(MV)among health care workers in Hangzhou,and to provide recommendations to promote their MV immunization.Methods In2016,we used typical sampling method to select2general hospitals of3different levels,1infectious diseases hospital and1children's hospital,and interviewed health care workers in high and low measles risk departments to investigate their MV immunization by using a structured questionnaire.Factors influencing their immunization were analyzed by logistic regression model.Results A total of141of349health care workers investigated had MV immunization history,and the MV immunization coverage rate was40.40%.The logistic regression analysis showed that working in low measles risk department(OR=1.91,95%CI:1.20-3.04)was risk factors for MV immunization,and having confidence with the effectiveness of MV(OR=0.40,95%CI:0.21-0.78).Knowing the“measles vaccination suggestion”(OR=0.50,95%CI:0.28-0.91)and the hospital had organized measles vaccination for health care workers in recent years(OR=0.35,95%CI:0.22-0.57)were protective factors for MV immunization.Conclusions Health care workers in Hangzhou had low MV coverage but high willingness.We should enhance education activity of MV immunization and organize measles vaccination for health care worker at regular intervals by hospitals to increase the MV coverage.

关 键 词：医护人员 麻疹疫苗 预防接种 

分 类 号：R186[医药卫生—流行病学]