青浦区户籍慢性病管理患者流感疫苗接种状况调查  

Investigation on influenza vaccination status of household registration chronic disease management patients in Qingpu district

作　　者：叶开友 王玉恒[2] 王思源 王森[1] 仲文江 杨惠芬[1] 王淑雯 吴周理 程旻娜[2] 徐瑞芳[1] 赵锦江[1] 王娜 Ye Kaiyou;Wang Yuheng;Wang Siyuan;Wang Sen;Zhong Wenjiang;Yang Huifen;Wang Shuwen;Wu Zhouli;Cheng Minna;Xu Ruifang;Zhao Jinjiang;Wang Na(Qingpu Center for Disease Control and Prevention,Shanghai 201799,China;Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China;Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]上海市青浦区疾病预防控制中心,201799 [2]上海市疾病预防控制中心,200336 [3]复旦大学公共卫生学院流行病学教研室,上海200032

出　　处：《中华微生物学和免疫学杂志》2021年第7期555-559,共5页Chinese Journal of Microbiology and Immunology

摘　　要：目的分析上海市青浦区社区慢性病管理患者流感疫苗接种情况及不同特征人群接种特点,为提升社区慢性病患者流感疫苗接种率提供科学依据。方法通过上海市慢性病管理信息系统、免疫规划信息系统和医联平台数据比对,精确筛选青浦区在管慢性病患者89453人作为研究对象。对疫苗接种覆盖率按性别、年龄组、城乡分布、职业、慢性病类型和数量计算,比较不同亚组的疫苗接种覆盖率,用于分析影响疫苗接种覆盖率的影响因素。结果89453名慢性病患者主要为60岁及以上(71.93%),高血压患者占87.12%,糖尿病患者占28.67%,慢性阻塞性肺病患者占8.71%,同时患有3种慢性病的占1.83%。2016年冬季至2017年春季流感季节的流感疫苗接种覆盖率较低,仅为0.32%。流感疫苗接种覆盖率女性(0.37%)高于男性(0.27%),女性患者流感疫苗接种率是男性患者的1.41倍(95%CI:1.16,1.72)。70~79岁组老年人的流感疫苗接种覆盖率最高(0.74%),70~79岁的患者流感疫苗接种率是60~69岁患者的1.74倍(95%CI:1.39,2.19);政府部门和事业单位人员的接种覆盖率最高(1.14%),是退休人员的12.58倍(95%CI:4.52,34.99)。慢性阻塞性肺病患者流感疫苗接种率是无慢性阻塞性肺病患者的2.50倍(95%CI:1.66,3.77)。结论上海市青浦区慢性病管理患者流感疫苗接种率低,性别、职业、年龄和所患慢性病种类是影响因素,应将慢性病管理患者纳入流感疫苗优先接种对象,加强对未退休农林等职业慢性病患者,尤其是男性患者的疫苗接种干预,提升流感疫苗接种覆盖率。Objective To analyze the influenza vaccination status of chronic disease management patients in Qingpu district of Shanghai and the vaccination characteristics of different characteristic populations,so as to provide scientific basis for improving the influenza vaccination rate of chronic disease patients in the community.Methods By comparing the data of Shanghai chronic disease management information system,immunization planning information system and medical association platform,89453 subjects who met the inclusion and exclusion criteria in Qingpu district were selected as the research objects.The vaccination coverage rate of the study subjects was calculated according to gender,age group,urban and rural distribution,occupation,chronic disease type and quantity,and the vaccination coverage rate of different subgroups was compared to analyze the influencing factors of vaccination coverage rate.Results Most of the 89453 patients with chronic diseases were 60 years old and above(71.93%).Patients with hypertension,diabetes,chronic obstructive pulmoriary disease(COPD)and three chronic diseases accounted for 87.12%,28.67%,8.71%and 1.83%,respectively.Influenza vaccination coverage in the 2016/2017 flu season was low,at 0.32%.Influenza vaccination coverage rate of women(0.37%)was higher than that of men(0.27%),which was 1.41 times respectively(95%CI:1.16,1.72)that of men patients.The coverage rate of influenza vaccination for the 70-79 year-old group was the highest(0.74%),which was 1.74 times respectively(95%CI:1.39,2.19)that of 60-69 year-old patients.The vaccination coverage rate of government departments and institutions was the highest(1.14%),which was 12.58 times respectively(95%CI:4.52,34.99)that of retirees.The vaccination rate of COPD patients(3.68%)was 2.50 times(95%CI:1.66,3.77)higher than that of patients without COPD.Conclusions Influenza vaccination rate for chronic disease management patients in Qingpu district of Shanghai is low.Gender,occupation,age and types of chronic diseases are the influencing fac

关 键 词：流感疫苗 慢性病管理 社区人群 影响因素 

分 类 号：R186[医药卫生—流行病学]