浙江省温州市瓯海区麻疹疫苗免疫接种状况及其影响因素调查分析

Measles vaccination status and related factors among infants in Ouhai district in Wenzhou city,Zhejiang province

目的了解浙江省温州市瓯海区本地和外来儿童麻疹疫苗(MV,包括含麻疹成分疫苗)接种率和及时接种率,分析未接种和不及时接种原因,为制定消除麻疹免疫策略提供科学依据。方法采用分阶段整群抽样方法,调查2007年4月1日至2010年3月31日出生的本地和外来儿童各225名。结果本地儿童MV初免接种率、初免合格接种率、初免及时接种率和复免接种率分别为99.56%、97.33%、76.44%和99.33%;外地儿童MV初免接种率、初免合格接种率、初免及时接种率和复免接种率分别为97.33%、91.56%、63.56%和90.58%。未接种和不及时接种MV以"孩子患病未去接种和孩子患病医生不予接种"等为主,占67.51%。结论温州市瓯海区在实施MV常规免疫的基础上,近几年以外来儿童为重点的MV查漏补种和强化免疫工作取得了明显效果。为进一步提高MV接种率和及时接种率,还需加强外来儿童免疫规划管理和预防接种知识普及宣传。

Objective To understand the vaccination rate and timely vaccination rate of measles containing vaccine（MV） immunization among local and migrant infants and the related factors of missing vaccination or non-timely vaccination,and provide scientific evidence to develop strategy of eliminating measles.Methods The multistage cluster sampling survey was conducted among 225 local children and 225 migrant children who were born between 1 April 2007 and 31 March 2010.Results The first dose vaccination rates of MV were 99.56% and 97.33%,the qualified vaccination rates were 97.33% and 91.56%,the timely vaccination rates were 76.44% and 63.56% and the second dose vaccination rates of MV were 99.33% and 90.58% respectively in local children and migrant children.Among the children who missed vaccination or received non timely vaccination,67.51% were due to illness.Conclusion The activities of providing the second immunization opportunity and supplementary immunization of MV in migrant children had made great achievement in Ouhai n recent years,but the management of MV vaccination and health education about vaccination should be strengthened to improve the vaccination rate and timely vaccination rate of MV.