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预防医学  2018, Vol. 30 Issue (1): 50-54    DOI: 10.19485/j.cnki.issn2096-5087.2018.01.012
  论著 本期目录 | 过刊浏览 | 高级检索 |
杭州市医护人员接种麻疹疫苗的影响因素分析
刘艳, 许二萍, 张小平, 张学潮, 王骏, 许玉洋, 车鑫仁, 杜渐, 顾雯雯
杭州市疾病预防控制中心,浙江 杭州 310021
Influencing factors for measles vaccine immunization among health care workers in Hangzhou
LIU Yan, XU Er-ping, ZHANG Xiao-ping, ZHANG Xue-chao, WANG Jun, XU Yu-yang, CHE Xin-ren, DU Jian, GU Wen-wen
The Center for Disease Control and Prevention of Hangzhou City,Hangzhou,Zhejiang 310021,China
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摘要 目的 分析杭州市医护人员接种麻疹疫苗的影响因素,为提高医护人员麻疹疫苗接种率提供参考。方法 于2016年采用典型抽样法,选取杭州市省级、市级、县级综合医院各2家,传染病专科医院和儿童医院各1家,对麻疹感染低风险和高风险科室的医护人员开展麻疹疫苗相关问卷调查,采用多因素Logistic回归模型分析麻疹疫苗接种的影响因素。结果 共调查349名医护人员,141人自述曾接种过麻疹疫苗,接种率为40.40%;93.41%的调查对象认为医护人员有必要接种麻疹疫苗。Logistic回归分析结果显示,在麻疹感染低风险科室工作(OR=1.91,95%CI:1.20~3.04)是医护人员接种麻疹疫苗的阻碍因素,认为麻疹疫苗有效(OR=0.40,95%CI:0.21~0.78)、知晓国家或省卫计委关于建议医护人员接种麻疹疫苗相关通知(OR=0.50,95%CI:0.28~0.91)和所在医院近年来组织过麻疹疫苗接种(OR=0.35,95%CI:0.22~0.57)是医护人员接种麻疹疫苗的促进因素。结论 杭州市医护人员麻疹疫苗接种率较低,但接种意愿较高,加强麻疹疫苗接种建议和疫苗有效性的宣传,医院定期组织医护人员接种麻疹疫苗有利于提高接种率。
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刘艳
许二萍
张小平
张学潮
王骏
许玉洋
车鑫仁
杜渐
顾雯雯
关键词 医护人员麻疹疫苗预防接种    
AbstractObjective To determine factors influencing the immunization of measles vaccine(MV)among health care workers in Hangzhou,and to provide recommendations to promote their MV immunization. Methods In 2016,we used typical sampling method to select 2 general hospitals of 3 different levels,1 infectious diseases hospital and 1 children's hospital,and interviewed health care workers in high and low measles risk departments to investigate their MV immunization by using a structured questionnaire. Factors influencing their immunization were analyzed by logistic regression model. Results A total of 141 of 349 health care workers investigated had MV immunization history,and the MV immunization coverage rate was 40.40%. The logistic regression analysis showed that working in low measles risk department(OR=1.91,95%CI:1.20-3.04)was risk factors for MV immunization,and having confidence with the effectiveness of MV(OR=0.40,95%CI:0.21-0.78). Knowing the “measles vaccination suggestion”(OR=0.50,95%CI:0.28-0.91)and the hospital had organized measles vaccination for health care workers in recent years(OR=0.35,95%CI:0.22-0.57)were protective factors for MV immunization. Conclusions Health care workers in Hangzhou had low MV coverage but high willingness. We should enhance education activity of MV immunization and organize measles vaccination for health care worker at regular intervals by hospitals to increase the MV coverage.
Key wordsHealth care worker    Measles vaccine    Immunization    Influencing factor
收稿日期: 2017-07-28      修回日期: 2017-09-12      出版日期: 2018-01-04
中图分类号:  R186  
基金资助:浙江省预防医学会免疫规划软课题(2017YF04)
通信作者: 许二萍,E-mail:zjhzxuep@163.com   
作者简介: 刘艳,硕士,副主任医师,主要从事免疫规划工作
引用本文:   
刘艳, 许二萍, 张小平, 张学潮, 王骏, 许玉洋, 车鑫仁, 杜渐, 顾雯雯. 杭州市医护人员接种麻疹疫苗的影响因素分析[J]. 预防医学, 2018, 30(1): 50-54.
LIU Yan, XU Er-ping, ZHANG Xiao-ping, ZHANG Xue-chao, WANG Jun, XU Yu-yang, CHE Xin-ren, DU Jian, GU Wen-wen. Influencing factors for measles vaccine immunization among health care workers in Hangzhou. Preventive Medicine, 2018, 30(1): 50-54.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.01.012      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I1/50
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