北京市丰台区某社区卫生服务中心适龄儿童含麻疹成分疫苗初免及时率影响因素分析  

Analysis of influencing factors on the timely coverage of first dose for measles-containing vaccine among children in a community health service center in Fengtai district,Beijing

作　　者：焦亚男 齐有胜 邢芳 姜龙训 罗惠元 JIAO Ya-nan;QI You-sheng;XING Fang;JIANG Long-xun;LUO Hui-yuan(Fengtai District Heyi Community Health Service Center,Beijing 100076,China)

机构地区：[1]北京市丰台区和义社区卫生服务中心,100076

出　　处：《首都公共卫生》2023年第3期137-141,共5页Capital Journal of Public Health

摘　　要：目的探讨北京市丰台区某社区卫生服务中心适龄儿童含麻疹成分疫苗(MCV)初免及时率情况以及可能的影响因素。方法对北京市丰台区某社区卫生服务中心保健科2018年1月1日-2021年12月31日的北京市儿童预防接种管理系统数据进行回顾性分析,计算适龄儿童首剂MCV及时接种率并进行影响因素的多因素分析。结果调取4686名儿童的信息。判定为首剂MCV“及时接种”的3825名,MCV初免及时率为81.63%。logistic多因素分析结果显示,与外地户籍适龄儿童相比,本地户籍适龄儿童MCV初免及时率更高(OR=3.500,95%CI:1.173~10.443,P=0.024)。与父亲是小学及以下教育程度的适龄儿童相比,父亲教育程度为初中及高中/中专/职高(OR=5.280,95%CI:3.651~7.635,P<0.001)或者大专及以上(OR=3.086,95%CI:1.057~9.003,P=0.039)的适龄儿童MCV初免及时率更高。与母亲是小学及以下教育程度的适龄儿童相比,母亲教育程度为初中及高中/中专/职高(OR=6.599,95%CI:1.269~34.308,P=0.024)或者大专及以上(OR=7.729,95%CI:2.989~19.982,P<0.001)的适龄儿童MCV初免及时率更高。与父亲有工作的适龄儿童相比,父亲无业或待业的适龄儿童MCV初免及时率更高(OR=8.653,95%CI:4.378~17.103,P<0.001)。与母亲有工作的适龄儿童相比,母亲无业或待业的适龄儿童MCV初免及时率更高(OR=38.628,95%CI:18.088~82.492,P<0.001)。与住址距离疫苗接种点>5 km的适龄儿童相比,住址距离疫苗接种点≤5 km的适龄儿童MCV初免及时率更高(OR=27.412,95%CI:8.528~88.108,P<0.001)。与不接种自费疫苗的适龄儿童相比,接种自费疫苗的适龄儿童MCV初免及时率更高(OR=9.468,95%CI:3.362~26.667,P<0.001)。与不使用短信或微信等信息化的疫苗预约方法的适龄儿童相比,使用短信或微信等信息化的疫苗预约方法的适龄儿童MCV初免及时率更高(OR=7.996,95%CI:2.952~21.659,P<0.001)。结论北京市丰台区某社区卫生服务中心的适龄儿童MVC接种Objective To analysis the timely coverage of first dose for measles-containing vaccine(MCV)among children in a community health service center in Fengtai district,Beijing and to explore its influencing factors.Methods A retrospective analysis was conducted,and the data was collected from the Beijing Children’s Vaccination Management System of a community health service center in Fengtai district,Beijing from 1 January 2018 to 31 December 2021.Multivariate analysis was used to analysis the timely coverage of the first dose for MCV among children.Results The vaccination information of 4686 children were retrieved,with a timely coverage of first dose for MCV of 81.63%(3825/4686).The result of the logistic multivariate analysis showed:compared with the children without Beijing Hukou,the children with Beijing Hukou had a higher timely coverage of first dose for MCV(OR=3.500,95%CI:1.173-10.443,P=0.024);compared with the children with a father’s education level of primary school or below,the children with a father’s education level of junior high school or senior high school/technical secondary school/vocational high school(OR=5.280,95%CI:3.651-7.635,P<0.001)and children with a father’s education level of junior college or above(OR=3.086,95%CI:1.057-9.003,P=0.039)had a higher timely coverage,respectively;compared with the children with a mother’s education level of primary education or below,the children with a mother’s education level of junior high school or senior high school/technical secondary school/vocational high school(OR=6.599,95%CI:1.269-34.308,P=0.024)and children with a mother’s education level of junior college or above(OR=7.729,95%CI:2.989-19.982,P<0.001)had a higher timely coverage,respectively;compared with the children whose fathers were employed,the children whose fathers were unemployed or waiting for employment had a higher timely coverage(OR=8.653,95%CI:4.378-17.103,P<0.001);compared with the children whose mothers were employed,the children whose mothers were unemployed or waiting fo

关 键 词：麻疹 疫苗 及时率 免疫水平 流动儿童 

分 类 号：R186[医药卫生—流行病学]