深圳市宝安区流动儿童接种麻疹疫苗的影响因素研究

Affecting factors of immunization coverage rate of measles for floating children living in Baoan District,Shenzhen City

目的了解深圳市宝安区流动儿童接种麻疹疫苗的影响因素。方法在麻疹疫苗查漏补种专项活动中,选择全区6个街道分别选择4个流动人口较多的预防接种门诊,在其服务范围内对﹤4岁的流动儿童家长/监护人进行问卷调查,内容包括流动儿童及家长的基本情况等,采用logistic回归进行影响因素分析。结果共调查895名流动儿童,回收有效问卷883份,共发现193名麻疹疫苗未种儿童。多因素logistic回归分析发现,儿童年龄(OR=3.53,95%CI:2.96~4.21)、获得接种信息主要途径为医生通知(OR=0.40,95%CI:0.16~0.99)、近2年内在宝安累计居住时间(OR=2.02,95%CI:1.21~3.37)是麻疹疫苗接种的影响因素。结论深圳市宝安区儿童流动性大,只有通过多部门配合,才能提高麻疹疫苗接种率。

Objective To know affecting factors of immunization coverage rate of measles for floating children living in Baoan District, Shenzhen City. Methods In measles supplemental immunization activity, we selected floating children below 4 years old from 6 street in Baoan District by using a questionnaire. Affecting factors of immunization coverage rate of measles were analyzed using logistic regression. Results A total of 883 valid questionnaires were analyzed. The logistic regression analysis showed that the residence time in Baoan District（OR=2.02, 95%CI：1.21~3.37）、accepted vaccination message from vaccinators（OR=0.40, 95%CI：0.16~0.99）、age of children（OR=3.53, 95%CI：2.96~4.21） were affecting factors. Conclusion There is a large number of floating population in Baoan District, multi-sectoral coordination are needed to improve measles vaccination rates.