高安市2009-2013年HFRS疫苗接种情况及影响因素分析

A study on status and influencing factors of HFRS vaccinationin Gao'an City from 2009 to 2013

目的探究江西省高安市2009-2013年肾综合征出血热（hemorrhagic fever with renal syndrome,HFRS）疫苗接种情况及影响因素。方法采取多阶段抽样方法抽取200例高安市16-60岁常住人口进行HFRS疫苗接种情况及影响因素的问卷调查,利用非参数检验和Ordinal回归筛选疫苗接种影响因素。结果 HFRS疫苗总接种率为72.50%（145/200）,全程接种率为56.00%（112/200）;单因素分析表明不同职业、文化程度、是否知晓HFRS、2009年以前是否接种过HFRS疫苗以及是否知晓HFRS疫苗普种工作对接种针次的影响具有统计学意义（均有P〈0.05）,Ordinal回归显示家务待业者高针次接种率是农民的0.336倍（OR=0.336,95%CI：0.132-0.851）,初中文化程度者高针次接种率是高中及以上者的2.916倍（OR=2.916,95%CI：1.031-8.245）,不关注自身健康程度者疫苗高针次接种率是非常关注者的0.084倍（OR=0.084,95%CI：0.016-0.453）,不知晓HFRS疫苗普种工作人群的高针次接种率是知晓人群的0.084倍（OR=0.084,95%CI：0.035-0.205）。结论江西省高安市HFRS疫苗接种率达到国家要求标准,但全程接种率不高,接种影响因素有职业、文化程度、关注自身健康程度和是否知晓疫苗普种工作。

Objective To explore status and influencing factors of HFRS（ hemorrhagic fever with renal syndrome）vaccine inoculation in Gao＇an of Jiangxi Province from 2009 to 2013. Methods 200 permanent residents aged from 16 to60 years were selected randomly by multi-stage sampling method. Then the questionnaire survey on status and influencing factors of HFRS vaccine inoculation was conducted by face to face. Non-parametric test and ordinal regression test were conducted to analyze the factors affecting HFRS vaccine inoculation. Results The total and whole course inoculation rates were 72. 50%（ 145 /200） and 56. 00%（ 112 /200）,respectively. Univariate analysis showed that there was significant difference in occupation,education,HFRS awareness,history of HFRS vaccine inoculation before 2009 and awareness of widespread vaccination program（ all P〈0. 05）. Ordinal regression results showed that the high inoculation frequency in unemployees was 0. 336 times for peasants（ OR = 0. 336,95% CI： 0. 132-0. 851）; the high inoculation frequency of persons with junior high school education was 2. 916 times than high school education or above（ OR = 2. 916,95% CI： 1. 031-8. 245）; the high inoculation frequency of persons who did not care their own health was 0. 084 times than those cared a lot（ OR = 0. 084,95% CI： 0. 016-0. 453） and of those who were not aware of widespread vaccination program was 0. 084 times than those who were（ OR = 0. 084,95% CI： 0. 035-0. 205）. Conclusions The inoculation rate of HFRS vaccine in Gao＇an city has achieved the national standard,but the whole course inoculation rate is not high. Occupation,education,health awareness and awareness of widespread vaccination program are the factors which affect the high inoculation frequency of HFRS vaccine.