杭州市0～6岁儿童第二类疫苗接种情况调查

Immunization of category B vaccine and its influencing factors among children aged 0 to 6 in Hangzhou

目的了解杭州市0~6岁儿童第二类疫苗接种情况及影响因素。方法于2017年1—2月采用分层随机抽样方法,抽取685名杭州市0~6岁儿童家长/监护人为调查对象进行第二类疫苗接种情况问卷调查,采用Logistic回归模型分析第二类疫苗接种的影响因素。结果实际调查670人,其中467名儿童接种过≥1种第二类疫苗,占69.70%;调查的5种第二类疫苗的接种率均在30%以下。Logistic回归分析结果显示,户籍所在地为城市(OR=1.54,95%CI:1.14~2.38)、能区分第一类和第二类疫苗(OR=2.05,95%CI:1.26~3.33)、对第二类疫苗接种持支持态度(OR=2.46,95%CI:1.43~4.23)、第二类疫苗可承受价格高(OR=3.15,95%CI:2.07~4.80)的家长,其更倾向于为子女接种第二类疫苗。结论杭州市0~6岁儿童第二类疫苗接种情况不理想,家长对接种第二类疫苗的态度是影响儿童接种第二类疫苗的重要因素。

Objective To explore the immunization of category B vaccine and its influencing factors among children aged 0 to 6 in Hangzhou City. Method We carried out an investigation with 685 parents of children aged 0 to 6 from January to February in2017 by using stratified random sampling method. Statistical method was used to analyze the knowledge,behaviors and attitudes towards category B vaccine,and logistic regression was applied to explore the determinant factors of category B vaccine behavior.Results 670 parents were under actual survey, 467 children have been vaccinated at least one kind of category B, which accounts for 69.70% and the rates of five main types of vaccine were lower than 30%. Logistic regression showed that people of citizen（OR=1.54, 95% CI： 1.14-2.38）, able to distinguish category A or B vaccine（OR=2.05, 95% CI： 1.26-3.33）,positive attitude towards category B vaccine（OR=2.46,95%CI：1.43-4.23）,and higher affordable price（OR=3.15,95%CI：2.07-4.80） were determinant factors of category B vaccine behavior. Conclusion The rate of category B vaccine behavior of children aged 0 to 6 is on a moderate level. The cognition and attitude of children＇s parents on category A vaccine and category B vaccine have effect on the immunization status of category B vaccine among children aged 0 to 6 in Hangzhou.