南京市儿童家长预防接种异常反应补充保险投保相关影响因素分析  

Investigation on the Influencing Factors of Parents Buy Supplementary Insurance for Children to Prevent the Adverse Events Following Immunization in Nanjing City

作　　者：徐鹭[1] 洪镭[1] 陈敏[1] 马谧 孙金宁 梁亚琼[1] XU Lu;HONG Lei;CHEN Min;MA Mi;SUN Jinning;LIANG Yaqiong(Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210003,Jiangsu Province,China)

机构地区：[1]南京市疾病预防控制中心,南京210003

出　　处：《预防医学情报杂志》2021年第2期222-227,共6页Journal of Preventive Medicine Information

基　　金：南京市医学科技发展项目(项目编号:YKK16298)。

摘　　要：目的了解南京市儿童家长投保预防接种异常反应补充保险相关影响因素。方法2019-06/08采用分层随机抽样方法,随机抽取投保和未投保预防接种补充保险的儿童家长开展问卷调查。采用SPSS 20.0软件χ2检验进行单因素分析,Logistic回归进行多因素分析。结果共调查2393人,其中男性儿童1217名(50.9%),女性儿童1176名(49.1%);儿童平均年龄(4.96±3.28)月龄;投保和未投保预防接种补充保险的儿童分别为1268名(53%)、1125名(47%)。Logistic回归分析结果显示,小于6月龄儿童(OR=1.927,95%CI:1.529~2.428)、独生子女(OR=1.599,95%CI:1.529~2.428)、已购买其他商业保险(OR=2.045,95%CI:1.627~2.571)、高家庭收入(OR=1.586,95%CI:1.053~2.388)、补充保险知识及格者(OR=1.845,95%CI:1.480~2.301)、补充保险态度(OR=15.808,95%CI:12.038~20.759)和行为正向者(OR=1.773,95%CI:1.435~2.192)的投保比例较高。结论积极开展各种形式有针对性的宣传,提高儿童家长的KAP,对提高投保率有积极的作用。Objective To investigate the influencing factors of parents buy supplementary insurance for children to prevent adverse events after vaccination in Nanjing.Methods From June to August in 2019,about 1,200 parents of insured and uninsured for their children were randomly selected respectively to conduct a questionnaire survey.chi-squared test was used for single factor analysis,and Logistic regression for multi-factor analysis by SPSS 20.0 software.Results Total 2393 children were included,1217 of them were boys(50.9%),girls for 1176(49.1%);the average age for children were(4.96±3.28)/months,insured or uninsured children were 1268(53%)and 1125(47%),respectively.Logistic regression analysis showed that coverage of supplementary insurance was higher in those individuals:children who were under 6 months of age(OR=1.927,95%CI:1.529~2.428),the single child in the family(OR=1.599,95%CI:1.529~2.428),purchased other commercial insurance(OR=2.045,95%CI:1.627~2.571),high family income(OR=1.586,95%CI:1.053~2.388),parents with passing knowledge(OR=1.845,95%CI:1.480~2.301),positive attitude(OR=15.808,95%CI:12.038~20.759)and behavior toward the supplementary insurance(OR=1.773,95%CI:1.435~2.192).Conclusion We should strengthen education and propaganda by varied methods to improve the KAP of children’s parents and increase the insurance rate.

关 键 词：预防接种 疑似预防接种异常反应 补充保险 

分 类 号：R186[医药卫生—流行病学]