浙江省居民预防接种异常反应补偿保险参保意愿及其影响因素  

Willingness to participate in compensation insurance for adverse events following immunization and its influencing factors among residents in Zhejiang province

作　　者：沈灵智[1] 潘雪娇[1] 梁辉[1] 陈福星 汪颖[1] 陈雅萍[1] 胡昱[1] 吕华坤[1] SHEN Ling-zhi;PAN Xue-jiao;LIANG Hui(Institute of Immunization Planning,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang Province 310051,China)

机构地区：[1]浙江省疾病预防控制中心免疫规划所,杭州310051

出　　处：《中国公共卫生》2023年第2期233-238,共6页Chinese Journal of Public Health

基　　金：浙江省医药卫生科技计划(2020KY091)。

摘　　要：目的了解浙江省居民对预防接种异常反应补偿保险的参保意愿和影响因素。方法于2020年10—12月,采用多阶段随机抽样的方法选取浙江省1530名居民进行线上问卷调查,了解浙江省居民预防接种异常反应补偿保险参保意愿,并分析其影响因素。结果共收集有效调查问卷1528份。分别有81.22%、58.25%、56.02%的居民愿意参加预防接种异常反应基础保险、补充保险1(除了获得基础保险补偿金额外,还可额外再获得的补偿)和补充保险2(接种疫苗后发生其他原因引起的偶合症、疫苗接种后无保护效果等情形所获得的补偿)。多因素logistic回归分析结果显示,文化程度越高(OR=1.74,95%CI:1.51~2.01)、本人或其亲朋曾发生过预防接种异常反应(OR=1.60,95%CI:1.14~2.27)、知晓现行预防接种异常反应补偿政策(OR=1.56,95%CI:1.07~2.28)的居民较其他居民更愿意参加基础保险;文化程度越高(OR=1.50,95%CI:1.33~1.70)、知晓预防接种异常反应(OR=1.31,95%CI:1.06~1.64)、知晓现行预防接种异常反应补偿政策(OR=1.79,95%CI:1.36~2.36)的居民较其他居民更愿意参加补充保险1;文化程度越高(OR=1.42,95%CI:1.26~1.60)、知晓预防接种异常反应(OR=1.28,95%CI:1.03~1.59)、知晓现行预防接种异常反应补偿政策(OR=1.90,95%CI:1.45~2.50)的居民较其他居民更愿意参加补充保险2。结论浙江省居民参加基础保险意愿较高,参加补充保险意愿较低,需进一步加强预防接种异常反应知识及补偿政策的宣传。Objective To examine the status and influencing factors of willing to participate in compensation insurance for adverse events following immunization(AEFI)among community residents in Zhejiang province.Methods An online questionnaire survey was conducted among 1530 urban/rural community residents covered by vaccination services of 22immunization clinics selected with multistage random sampling in 11 prefectures/cities of Zhejiang province during OctoberDecember 2020.Results Of the 1528 participants with valid responses,81.22%,58.25%,and 56.02%reported the willingness to participate in the basic insurance,supplementary insurance schemeⅠ(compensation additional to the basic insurance),and supplementary insurance schemeⅡ(compensation for incidental symptoms caused by other reasons after vaccination and for ineffective vaccination)for AEFI,respectively.Multivariate logistic regression analysis showed that the participants with following characteristics were more likely to have the willingness to participate the AEFI compensation insurance:with higher education(odds ratio[OR]=1.74,95%confidence interval[CI]:1.51-2.01 for basic insurance;OR=1.50,95%CI:1.33-1.70 for supplementary insurance schemeⅠ;and OR=1.42,95%CI:1.26-1.60 for supplementary insurance schemeⅡ),having personal experience of AEFI or with a relative/friend ever having experienced AEFI(OR=1.60,95%CI:1.14-2.27 for basic insurance),and being aware of current compensation policy for AEFI(OR=1.56,95%CI:1.07-2.28 for basic insurance;OR=1.19,95%CI:1.36-2.36 for supplementary insurance schemeⅠ;OR=1.90,95%CI:1.45-2.50 for supplementary insurance schemeⅡ);the results also revealed that being aware of knowledge about AEFI was a promotive factor for the willingness to participated in the supplementary insurance(OR=1.31,95%CI:1.06-1.64 for the schemeⅠand OR=1.28,95%CI:1.03-1.59 for the schemeⅡ).Conclusion The willingness to participate in basic compensation insurance for AEFI is relatively high but that to participate in supplementary insurance is low

关 键 词：预防接种异常反应 补偿 保险 意愿 影响因素 

分 类 号：R186[医药卫生—流行病学]