2008年滕州市婴儿麻疹发病影响因素的非条件Logistic分析

Study of Relative Factors on Infant Measles Cases by Unconditioned-Logistic Analysis in Tengzhou in 2008

[目的]探讨滕州市婴儿麻疹的流行特征及危险因素，为制定消除麻疹策略提供依据。[方法]对滕州市2008年1～5月疫情上报的所有70例婴儿麻疹病人（包括疑似病人）进行调查分析。对其中无麻疹疫苗接种史的65例和非麻疹婴儿166人进行影响麻疹发病因素的病例对照调查，采用非条件Logistic回归模型进行影响因素的单因素和多因素分析。[结果]多因素非条件Logistic回归分析结果，婴儿就诊史、流动人口、母亲麻疹疫苗接种史是影响麻疹发病的危险因素．OR值分别为18．224、8．106和0．123。[结论]有就诊史、流动人口为婴儿麻疹发病的危险因素，母亲有麻疹疫苗接种史为保护因素。

[Objective]To understand the epidemiological characteristics and the risk factors of measles in infants in Tengzhou,provide evidence for the elimination of the measles. [Methods]The data of the 70 Infant Measles Cases（including suspect patients） reported by epidemic report system in Tengzhou during January-May in 2008 were investigated and analyzed. A case-control study was adopted to collect the contributing factors in 65 patients with no vaccination record and 166 controls. Univariate and multivariate conditional logistic analysis were conducted. [Results] Multivariate analysis confirmed that history of visiting hospital, floating population and mothers with measles immunization history were significantly related to the measles cases, and their OR were 18. 224,8. 106 and 0. 123 respectively. [Conclusion] The results showed that the history of visiting hospital, floating population were high-risk factors of the infant measles cases and measles immunization history in mothers was protective factor.