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预防医学  2019, Vol. 31 Issue (1): 46-50    DOI: 10.19485/j.cnki.issn2096-5087.2019.01.011
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西城区3岁以下儿童EV71疫苗接种影响因素分析
孙景, 李依恬, 初艳慧
北京市西城区疾病预防控制中心传染病与地方病预防控制科,北京 100120
Influencing factors for enterovirus 71 vaccination among children aged below 3 years in Xicheng District
SUN Jing-yi, LI Yi-tian, CHU Yan-hui
Department of Infectious Disease and Endemic Disease Control and Prevention,Xicheng Center for Disease Control and Prevention,Beijing 100120,China
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摘要 目的 了解北京市西城区3岁以下儿童EV71疫苗接种情况及影响因素。方法 于2017年5—9月对西城区预防接种门诊接种的6~35月龄儿童家长进行问卷调查,内容包括基本人口学特征、手足口病和EV71疫苗知识知晓情况、知识获取途径及对EV71疫苗价格的接受程度等,采用Logistic回归模型分析EV71疫苗接种的影响因素。结果 共回收问卷1 885份,有效问卷1 850份,问卷有效率为98.14%。儿童EV71疫苗接种率为27.03%,儿童家长的手足口病和EV71疫苗相关知识总体知晓率为55.95%。Logistic回归分析结果显示,家庭年收入≥5万元(OR5万元~=2.665, 95%CI:1.535~4.628;OR10万元~=4.732,95%CI:2.830~7.914;OR20万元~=3.576,95%CI:2.084~6.135)、能接受疫苗价格≥100元(OR100元~=9.487,95%CI:6.873~13.096;OR200元~= 5.940,95%CI:3.465~10.183;OR300~500元=2.415, 95%CI:1.183~4.933)、获取EV71疫苗知识的途径≥2种(OR=3.062,95%CI:2.306~4.065)、不在意EV71疫苗是否按第一类疫苗管理(OR=1.650,95%CI:1.156~2.356)的家长更倾向于为子女接种EV71疫苗;住在平房和筒子楼(OR=0.589,95%CI:0.386~0.899)、职业为医务人员(OR=0.240, 95%CI:0.118~0.487)、外省户籍(OR=0.587,95%CI:0.399~0.863)、有>1名子女(OR=0.338,95%CI:0.236~0.483)的家长不倾向于为子女接种EV71疫苗。结论 北京市西城区3岁以下儿童EV71疫苗接种率及家长的手足口病和EV71疫苗知识知晓率仍需提高,家长的户籍、职业、家庭儿童数、家庭年收入、居住环境、EV71疫苗知识获取途径、能接受的EV71疫苗管理方式和疫苗价格是EV71疫苗接种的影响因素。
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孙景
李依恬
初艳慧
关键词 EV71疫苗预防接种手足口病影响因素    
AbstractObjective To understand the situation of inoculation and influencing factors of children in the Xicheng District of Beijing after the enterovirus 71(EV71)vaccine was marketed .Methods A questionnaire survey was conducted among the parents of children aged 6 to 35 months in the vaccination clinics in Xicheng District from May to September 2017. Demographic characteristics,awareness of hand-foot-mouth disease and EV71 vaccine,the access to these knowledge,acceptance of the vaccine price and advice on the management were collected. The influencing factors for EV71 vaccination were analyzed by multivariate logistic regression .Results There were 1 850 out of 1 885 parents investigated,with the effective rate of 98.14%. The EV71 vaccination rate of children aged 6 to 35 months was 27.03%. The awareness rate of hand-foot-mouth disease and EV71 vaccine in parents was 55.95%. The results of logistic regression analysis showed that the parents with the annual household income of 50 000 yuan and above (OR50 000 yuan- =2.665,95%CI:1.535-4.628;OR100 000 yuan-=4.732,95%CI:2.830-7.914;OR200 000 yuan-=3.576,95%CI:2.084-6.135),with acceptance of 100 yuan and above in the price of the vaccine (OR100 yuan-= 9.487,95%CI:6.873-13.096;OR200 yuan-=5.940,95%CI:3.465-10.183;OR300-500 yuan-=2.415,95%CI:1.183-4.933),with more than two sources of the information for EV71 vaccine (OR=3.062,95%CI:2.306-4.065),without the care about the management of the EV71 vaccine(OR=1.650,95%CI:1.156-2.356)were more likely to have their children vaccinated;while the parents who lived in bungalows and cabinets (OR=0.589,95%CI:0.386-0.899),who were medical staff(OR=0.240,95%CI:0.118-0.487),who were not residents of Beijing(OR=0.587,95%CI:0.399-0.863),who had more than one children (OR=0.338,95%CI:0.236-0.483) were less likely to have their children vaccinated .Conclusion The parents of children aged below three years in Xicheng District of Beijing should improve their awareness of hand-foot-mouth disease and EV71 vaccine. The vaccination rate of EV71 were mainly related to the registration,occupation,number of children, household income,the access to the information about vaccine,acceptance of the vaccine price and advice on the management in parents.
Key wordsEnterovirus 71 vaccine    Vaccination    Hand-foot-mouth disease    Influencing factors
收稿日期: 2018-08-22      出版日期: 2019-01-03
ZTFLH:  R186  
基金资助:北京市西城区优秀人才培养资助项目(20160050)
通信作者: 孙景,E-mail:cd28@sina.com   
作者简介: 孙景,本科,副主任医师,主要从事传染病预防与控制工作
引用本文:   
孙景, 李依恬, 初艳慧. 西城区3岁以下儿童EV71疫苗接种影响因素分析[J]. 预防医学, 2019, 31(1): 46-50.
SUN Jing-yi, LI Yi-tian, CHU Yan-hui. Influencing factors for enterovirus 71 vaccination among children aged below 3 years in Xicheng District. Preventive Medicine, 2019, 31(1): 46-50.
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[1] 陕西省手足口病临床救治专家委员会.陕西省肠道病毒71型(EV71)感染重症手足口病病例临床诊断与治疗专家共识(2014年修订版)[J].中国儿童保健杂志,2015,13(4):442-445.
[2] 任启静,郭卫东,海岩,等.肠道病毒EV71型研究概述[J/CD]. 中华临床医师杂志(电子版),2016,10(7):272-273.
[3] 中国生物工程杂志编辑部. 我国自主研制的肠道病毒EV71灭活疫苗获批上市[J].中国生物工程杂志,2015,35(12):116.
[4] 孙景,李依恬,初艳慧,等.北京市西城区儿童家长对EV71疫苗认知和接种意愿调查[J].中国健康教育,2018,34(9):820-823.
[5] 高志英,乔学农.2017年北京市西城区什刹海社区卫生服务中心接种门诊肠道病毒EV71型疫苗接种率及其影响因素分析[J].实用预防医学,2018,25(5):600-603.
[6] 陈晓艳,高晓凤,刘烨,等.患儿家长手足口病知晓率调查[J].职业与健康,2014,30(7):942-944.
[7] 李红霞,张文增,陈东妮,等.北京市顺义区5岁以下婴幼儿家长手足口病认知情况与EV71疫苗接种意愿调查[J].公共卫生与预防医学,2016,27(5):25-28.
[8] 陈磊,赵娜,郑广勇.象山县居民EV71疫苗的接种意愿及影响因素调查[J].预防医学,2017,29(9):926-929.
[9] 姜璎慈,王思源,李颖.上海长宁区0~6岁儿童家长对EV71疫苗接种态度及影响因素分析[J].中国健康教育,2018,34(3):246-249,287.
[10] 崔亚辉,窦广伟.许昌市魏都区3岁以下儿童家长手足口病认知及健康教育需求调查[J].河南预防医学杂志,2017,28(1):41-45.
[11] 唐田,杨团团,王忠战,等.北京市丰台区3岁以下儿童家长对手足口病的知晓情况和EV71疫苗的接种意愿[J].职业与健康,2017,33(13):1780-1783,1788.
[12] 杨芬,梁文佳,孙立梅,等.广东省EV71疫苗接种水平与手足口病流行分析[J/OL]. 中国公共卫生,2018:1-3[2018- 10-19]. http://kns.cnki.net/kcms/detail/21.1234.R.20180831.1213. 028.html.
[13] 李晶晶,曾玫.医务人员疫苗接种的现况及影响因素[J].中国疫苗和免疫,2016,22(5):598-600,560.
[14] 丁克琴,易波,陈奕,等.宁波市儿童家长EV71疫苗接种认知、态度及影响因素[J].预防医学,2017,29(8):850-854.
[15] 党露希,王灿,鲍武波,等.中国儿童手足口病重复感染状况的Meta分析[J].中国学校卫生,2018,39(3):411-414.
[16] 杨波,王军,郭钜旋,等.肠道病毒71型灭活疫苗上市后接种影响因素配对病例对照研究[J].中国疫苗和免疫,2017,23(3):306-311.
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