广州市部分地区儿童计划免疫状况及影响因素分析

An Analysis of the Situation of Children's Elementary Planning Immunity and Its Influential Factors in Some Regions of Guangzhou City

目的了解广州市部分地区本地及流动儿童的计划免疫状况及其影响因素。方法采用典型抽样在广州市流动人口较多的两个区进行调查,并采集静脉血集中检测脊髓灰质炎和麻疹抗体滴度。结果共调查281名儿童,建证率为84.0%。流动儿童的建证率低于本地儿童;流动儿童基础5种疫苗的接种率低于本地儿童。除脊髓灰质炎(脊灰)Ⅱ型抗体本地和流动儿童的滴度没有差异外,其他均是本地儿童的抗体滴度高于流动儿童。多因素分析表明性别、父亲职业和月生活费用对5种疫苗的接种率有影响。结论广州市流动儿童计划免疫状况形势严峻,应采取多种措施进行应对。

Objective To find out the situation of elementary planning immunity （EPI） of local and floating children and its influential factors in some regions of Guangzhou city. Methods Children in 2 districts with more floating people were surveyed with typical sampling and venous blood was collected to examine the antibody of Poliomyelitis and measles. Results Totally 281 children were surveyed and the rate of establishing immunization certificates was 84. 0% , of which the local children＇s was higher than the floating children＇s. The immunization coverage rate of basic 5 courses was higher in local children than in floating ones. Except Poliomyelitis Ⅱ antibody, the titer values of antibodies were higher in local children than in floating children. Multi- factor analysis showed that gender, father＇s occupation and living expense influenced the immunization coverage rate. Conclusion EPI situation of floating children in Guangzhou city was serious, more kinds of measures should be taken to treat in.