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中国浙江省适龄儿童脊髓灰质炎疫苗 1-3 剂次和含麻疹成分疫苗接种率及其影响因素:基于社区的横断面研究。

Age-appropriate vaccination coverage and its determinants for the polio containing vaccine 1-3 and measles-containing vaccine doses in Zhejiang province, China: A community-based cross-sectional study.

机构信息

Institute of Immunization and Prevention, Zhejiang Center for Disease Control and Prevention , Hangzhou, China.

出版信息

Hum Vaccin Immunother. 2020 Sep 1;16(9):2257-2264. doi: 10.1080/21645515.2020.1718439. Epub 2020 Feb 12.

Abstract

: This study aimed to evaluate the age-appropriate coverage and its associated risk factors for the primary vaccination of Polio containing vaccine (PCV) and measles-containing vaccine (MCV) through the secondary use of the 2018 Zhejiang provincial coverage survey among children aged 12-23 months. : Data were collected through structured pre-tested Chinese version questionnaire by face-to-face interview among 770 mothers whose children aged 12-23 months. Age-appropriate vaccination coverage was measured using Chinese vaccination schedule recommendation. Bivariate and multivariate logistic regression models were adopted to identify determinants of the age-inappropriate vaccination. : The age-appropriate vaccination coverage of PCV1, PCV2, PCV3, and MCV was 88.8%, 80.8%, 73.6%, and 75.7%, respectively. The risk factors associated with the age-inappropriate vaccination of PCV 1-3 dose and MCV included child's gender, birthplace, living area, maternal education level, immigration status, monthly household income, participation of the pregnant women's seminar, antenatal care follow-up, knowledge on vaccination. : The proportions of age-appropriate vaccination coverage were low compared with the up-to-date coverage. Modifiable factors were associated with age-inappropriate vaccinations. Vaccination interventions should consider identified modifiable factors to improve age-appropriate vaccination coverage.

摘要

本研究旨在通过对 2018 年浙江省儿童 12-23 个月疫苗接种覆盖率调查的二次利用,评估含脊灰疫苗(PCV)和含麻疹疫苗(MCV)的基础免疫的适龄接种率及其相关危险因素。

通过面对面访谈 770 名年龄在 12-23 个月的儿童母亲,使用结构化的预先测试的中文版本问卷收集数据。使用中国疫苗接种时间表建议来衡量适龄接种率。采用单变量和多变量逻辑回归模型来确定年龄不适宜接种的决定因素。

PCV1、PCV2、PCV3 和 MCV 的适龄接种率分别为 88.8%、80.8%、73.6%和 75.7%。与 PCV1-3 剂量和 MCV 年龄不适宜接种相关的危险因素包括儿童的性别、出生地、居住区域、母亲的教育水平、移民身份、月家庭收入、孕妇研讨会的参与、产前保健随访、对疫苗接种的了解程度。

与最新接种率相比,适龄接种率的比例较低。可改变的因素与年龄不适宜的疫苗接种有关。疫苗接种干预措施应考虑到已确定的可改变因素,以提高适龄接种率。

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