家长面对面健康教育对儿童疫苗接种影响的Meta分析  

The Meta-analysis of the effects on vaccination of children through the face-to-face health education targeting parents

作　　者：吴雪[1] 龚杰 Wu Xue;Gong Jie(Anji Center for Disease Control and Prevention,Huzhou 313301,China;Medical Information and Health Policy Research Center,Hangzhou Medical College,Hangzhou 310013,China)

机构地区：[1]安吉县疾病预防控制中心,湖州313301 [2]杭州医学院医学情报与卫生政策研究中心,杭州310013

出　　处：《国际流行病学传染病学杂志》2023年第3期189-194,共6页International Journal of Epidemiology and Infectious Disease

摘　　要：目的评价家长面对面健康教育对≤6岁儿童疫苗接种的影响效果。方法检索美国国家医学图书馆数据库、考克兰协作网图书馆、中国生物医学文献数据库、中国期刊全文数据库、万方全文数据库,将有关评价家长面对面健康教育对≤6岁儿童疫苗接种影响效果的随机对照研究纳入本次分析。对文献报道的各项干预结局指标进行合并,求其效应合并值及95%CI。对疫苗接种率指标合并计算组间的RR值及95%CI;对预防接种知晓程度、态度、接种意愿等指标合并计算组间的标准化均数差(SMD)及95%CI。使用RevMan 5.1进行Meta分析。结果研究共纳入8篇文献,其中6篇为随机对照研究,2篇为群组随机对照研究。干预组儿童疫苗接种率与对照组相比的RR为1.20(95%CI:1.04~1.37);家长预防接种知晓率与对照组相比的SMD为0.17(95%CI:0.02~0.33);家长对疫苗接种持积极态度比与对照组相比的SMD为0.55(95%CI:0.24~0.85)。结论开展家长面对面健康教育可以提高≤6岁儿童疫苗接种率、家长的疫苗接种知晓率及接种意愿。Objective To assess the effects on vaccination of children under 6 years through the face-to-face health education for parents.Methods Searching National Center for Biotechnology Information,Cochrane Library,China Biology Medicine disc,China National Knowledge Infrastructure and Wanfang Database,random control studies for assessing the effects on vaccination of children under 6 years through the face-to-face health education for parents were included.The indicators of these studies were pooled to calculate the overall effect and 95%confidence interval(CI).The pooled relative risk(RR)with 95%CI of vaccination status was calculated between the intervention and control groups.The pooled standard mean difference(SMD)with 95%CI of knowledge,attitude and intention for vaccination was calculated between the intervention and control groups.Meta-analysis was conducted by RevMan5.1 software.Results A total of 8 studies were included,among which 6 were random control studies and 2 were cluster random control studies.The vaccination rate of children in the intervention group was 1.20 times higher than that in the control group(RR=1.20,95%CI:1.04-1.37).The rate of knowledge on vaccination in the intervention group was 17%higher than that in the control group(SMD=0.17,95%CI:0.02-0.33).The intension rate for vaccination in the intervention group was 55%higher than that in the control group(SMD=0.55,95%CI:0.24-0.85).Conclusions Face-to-face health education targeting parents can improve the vaccination coverage among children under 6 years,parents'knowledge,and their intention for vaccination.

关 键 词：疫苗接种覆盖率 面对面 健康教育 预防接种 META分析 

分 类 号：R186[医药卫生—流行病学] R193[医药卫生—公共卫生与预防医学]