长沙市儿童家长购买预防接种异常反应补充保险的影响因素分析

Influencing factors of the purchase of supplementary insurance for adverse events following immunization by parents in Changsha

目的了解长沙市儿童家长购买预防接种异常反应补充保险情况及影响因素,为制定预防接种异常反应补偿策略提供依据。方法采用分层随机抽样方法,在长沙市预防接种门诊选择在长沙市居住6个月及以上,7岁以下儿童的家长为调查对象。采用自行设计的问卷收集基本情况、预防接种异常反应知晓情况及补充保险购买情况等资料。采用多因素Logistic回归模型分析儿童家长购买预防接种异常反应补充保险的影响因素。结果发放问卷720份,回收有效问卷712份,回收有效率为98.89%。儿童家长购买预防接种异常反应补充保险354人,购买率为49.72%。多因素Logistic回归分析结果显示,36~71岁(OR=0.325,95%CI:0.144~0.732)是儿童家长购买预防接种异常反应补充保险意愿的阻碍因素;知晓预防接种异常反应补充保险(OR=3.622,95%CI:2.218~5.913)、知晓补充保险补偿范围(OR=1.332,95%CI:1.164~1.524)和预防接种异常反应相关知识和态度得分越高(OR=1.137,95%CI:1.049~1.231)是儿童家长购买预防接种异常反应补充保险的促进因素。结论长沙市儿童家长预防接种异常反应补充保险购买率为49.72%,年龄、是否知晓预防接种异常反应补充保险、是否知晓补充保险补偿范围以及预防接种异常反应相关知识和态度得分是儿童家长购买预防接种异常反应补充保险的影响因素。

Objective To learn the status and influencing factors of the purchase of supplementary insurance for adverse events following immunization(AEFI)by parents in Changsha, so as to provide basis for the development of compensatory strategies.Methods Stratified random sampling method was used to select the parents who lived in Changsha for more than six months and had children under seven years old as subjects. A questionnaire survey was conducted to collect the information about demographic features, awareness of AEFI and the purchase of supplementary insurance. Logistic regression model was used to analyze the influencing factors for purchasing supplementary insurance.Results Among712 respondents( response rate, 94.93%), 354( 49.72%) purchased supplementary insurance. The results of multivariate logistic regression analysis showed that the parents aged 36-71 years(OR=0.325, 95%CI: 0.144-0.732) were less likely to purchase supplementary insurance;the parents who were aware of supplementary insurance( OR=3.622, 95%CI: 2.218-5.913)and compensation range(OR=1.332, 95%CI: 1.164-1.524), and who scored higher in the knowledge and attitude of AEFI( OR=1.137, 95%CI: 1.049-1.231) were more likely to purchase supplementary insurance.Conclusion About49.72% of the parents purchased of supplementary insurance. Age, awareness of supplementary insurance and compensation range,as well as knowledge and attitude of AEFI were associated with the purchase of supplementary insurance.