Wang Yuan-yuan, Wang Yan, Zhang Jing-xu, Kang Chu-yun, Duan Ping
Division of Maternal and Child Health, Peking University School of Public Health, Beijing 100083, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2007 Apr 18;39(2):136-9.
To evaluate the status of mothers' knowledge, attitudes and practices (KAP) and its related factors and provide evidences for further effective implementation on childhood immunization in Guizhou Province.
This study was a cross-sectional study, in which 591 mothers of children under 2 years were surveyed with structured questionnaires in six selected counties of Qiandongnan Canton.
Mothers' knowledge, attitudes and practices on childhood immunization were at a low level and influenced by educational background, county's economical level, mother's age, household size and ethnic groups. The childhood immunization was also at a low level. Among the 290 youngest children in a household survey, the coverage rate of all five vaccines (including HBV, BCG, OPV, DTP and measles vaccine) was 35.2%, and 12.3% of the surveyed children had never been immunized since birth. The main source of knowledge on immunization was interpersonal communication.
Considering mothers' poor KAP status and low education level, health education on immunization should be implemented though interpersonal communication via assistant media, and educating emphases should be laid on some special-characteristics targets.
评估贵州省母亲关于儿童免疫接种的知识、态度和行为(KAP)现状及其相关因素,为进一步有效实施儿童免疫接种提供依据。
本研究为横断面研究,在黔东南州6个县采用结构化问卷对591名2岁以下儿童的母亲进行调查。
母亲对儿童免疫接种的知识、态度和行为处于较低水平,受教育程度、县经济水平、母亲年龄、家庭规模和民族等因素影响。儿童免疫接种水平也较低。在家庭调查的290名最小儿童中,五种疫苗(包括乙肝疫苗、卡介苗、脊灰疫苗、百白破疫苗和麻疹疫苗)的全程接种率为35.2%,12.3%的受调查儿童自出生后从未接种过疫苗。免疫接种知识的主要来源是人际交流。
鉴于母亲KAP状况较差且教育水平较低,应通过辅助媒体进行人际交流开展免疫接种健康教育,并针对一些特殊目标人群重点开展教育。