甘肃省1～59岁人群乙型肝炎疫苗接种率调查分析

Survey of hepatitis B vaccination coverage in population aged 1～59 years in Gansu Province

目的了解甘肃省1～59岁人群乙型肝炎疫苗(HepB)接种情况,为乙肝预防控制策略提供依据。方法采用多阶段随机抽样方法确定1～59岁调查对象,对抽样人群HepB接种情况进行调查。结果甘肃省1～59岁人群HepB接种率为48.18%,其中1～4岁儿童为89.37%,10～14岁儿童为55.40%,15～59岁人群仅为10.99%,HepB接种率呈现随年龄年龄增加而降低;托幼儿童接种率高于散居儿童,农民最低,医务人员接种率为46.15%;不同职业人群HepB接种率差异具有统计学意义。1～14岁儿童HepB首针及时接种率为46.79%,2岁儿童最高为72.81%;HepB首针及时接种率随年龄增长而降低。结论乙肝疫苗纳入计划免疫后出生的儿童乙肝疫苗接种率高,15岁以上人群接种率低,要加速我国控制乙肝步伐,必须提高重点和高危人群乙肝疫苗接种率。

Objective To master hepatitis B vaccination coverage in people aged 1-59 years in Gansu Province and provide the reference for controlling hepatitis B in the future.Methods Hepatitis B vaccination coverage survey in population aged 1~59 years were conducted with multi-stage random sampling method in 2006.Results Hepatitis B vaccination coverage in population aged 1~59 years was 48.18%,being 89.37% in children aged 1～4 years,55.40% in adolescents aged 10～14 years and 10.99% in those aged 15～59 years in Gansu showing that Hepatitis B vaccination coverage reduced with age increasing.The vaccination coverage in farmers and medical workers was low（50%） Hepatitis B vaccination coverage was significantly different among different occupational groups.The hepatitis B vaccine coverage of the first dose afte birth in children aged 1~14 was 46.79%,72,81% in 2-year old children.Conclusion Hepatitis B vaccination coverage in children enhanced significantly after hepatitis B vaccine was introduced in EPI and enhancement of hepatitis B vaccine coverage is the key measure to control the spread of hepatitis B in this province..