湖北省孝感和襄阳两市居民乙肝疫苗接种情况及影响因素  

Vaccination coverage and associates of hepatitis B vaccine among adult residents in Xiangyang and Xiaogan city of Hubei province

作　　者：张蕃[1] 王雷[1] 徐阳欢 王丽华 吕斌[4] 刘娜[1] 曾琼 官旭华[1] ZHANG Fan;WANG Lei;XU Yang-huan(Department of Immune Prevention,Institute of Infectious Disease Prevention and Control,Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei Province 430079,China;不详)

机构地区：[1]湖北省疾病预防控制中心传染病防治研究所免疫预防部,武汉430079 [2]湖北省妇幼保健院 [3]襄阳市疾病预防控制中心 [4]孝感市疾病预防控制中心 [5]十堰市茅箭区疾控中心

出　　处：《中国公共卫生》2022年第7期866-869,共4页Chinese Journal of Public Health

基　　金：中国肝炎防治基金会-中国乙肝防控科研基金资助课题(YGFK20180050)。

摘　　要：目的了解湖北省襄阳市和孝感市15~59岁居民乙肝疫苗的接种情况、未种原因和影响因素,为制定成人乙肝防控策略提供依据。方法于2020年3—11月,采用多阶段随机抽样的方法在襄阳市和孝感市抽取15~59岁居民进行问卷调查,应用χ2检验和二元logistic回归分析数据。结果本次共收到有效问卷1398份,乙肝疫苗接种率为65.38%(914/1398),乙肝疫苗的全程接种率为37.7%(527/1398)。无乙肝疫苗接种史的484人中,308人(63.64%)愿意接种乙肝疫苗。最主要的未种原因是认为“自己身体很健康,不需要接种”。多因素分析结果显示,职业、受教育程度、月收入、周围有无乙肝患者是乙肝疫苗接种的影响因素。结论农民、低教育水平、高收入是影响乙肝疫苗接种的危险因素,周围有乙肝患者的居民更重视乙肝疫苗的接种。Objective To investigate the prevalence of hepatitis B(HB)vaccination,causes of without the vaccination and their influencing factors among 15-59 years old residents in Xiangyang and Xiaogan city of Hubei province,and to provide evidences for developing strategies on HB prevention and control in the population.Methods Using a self-designed questionnaire,we conducted a voluntary survey among 1398 permanent residents aged 15-59 years recruited with multistage random sampling in urban and rural regions of Xiangyang and Xiaogan city during March-November,2020.Chi-square test and binary logistic regression were used to analyze the data collected.Results Of all the participants,65.38%(914)reported having HB vaccination and 37.7%(527)reported full-does HB vaccination.Among the participants never having HB vaccination,308(63.64%)reported the willingness to have the vaccination;while,the main reason for being unwilling to have the vaccination was considering that the vaccination is unnecessary due to self-perceived good health.Multivariate logistic analysis indicated that occupation,education,monthly income,and whether with HB patients around were significant influential factors of HB vaccination.Conclusion For adult residents in Xiangyang and Xiaogan city,being a farmer,with lower education and having high income are risk factors for without HB vaccination and the residents with HB patients around could pay attention to HB vaccination.

关 键 词：成人 乙肝疫苗 接种率 影响因素 

分 类 号：R186[医药卫生—流行病学]