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杨进, 曾竣, 张杰, 司国爱, 梁贵臣, 梁大斌, 廖和壮, 李翠云, 黄焕新, 董柏青, 杨宏徽, RLeon Ochial, CarolinaDanovaro, AliMohammad, CamiloJ Acosta. 影响大规模疫苗接种的社会经济因素分析[J]. 中国公共卫生, 2004, 20(8): 900-902.
引用本文: 杨进, 曾竣, 张杰, 司国爱, 梁贵臣, 梁大斌, 廖和壮, 李翠云, 黄焕新, 董柏青, 杨宏徽, RLeon Ochial, CarolinaDanovaro, AliMohammad, CamiloJ Acosta. 影响大规模疫苗接种的社会经济因素分析[J]. 中国公共卫生, 2004, 20(8): 900-902.
YANG Jin, ZENG Jun, ZHANG Jie, . Analysis on coverage of vaccination campaign and its socio-economic influential factors[J]. Chinese Journal of Public Health, 2004, 20(8): 900-902.
Citation: YANG Jin, ZENG Jun, ZHANG Jie, . Analysis on coverage of vaccination campaign and its socio-economic influential factors[J]. Chinese Journal of Public Health, 2004, 20(8): 900-902.

影响大规模疫苗接种的社会经济因素分析

Analysis on coverage of vaccination campaign and its socio-economic influential factors

  • 摘要:
      目的   了解影响成人疫苗接种率的有关社会经济影响因素。
      方法   选择广西河池市2个城镇, 对5~60岁登记在册居民按有对照的组群随机抽样原则进行伤寒Vi疫苗和A群流脑疫苗的大规模接种; 比较接种者的人口学和社会经济特征与接种率的关系。
      结果   应接种对象118 071人, 实际接种92 476人, 接种率为78.32%, 其中伤寒Vi疫苗76.87%;流脑疫苗79.69%。城市接种率为77.29%, 农村接种率为80.58%;5~9岁接种率最高, 为89.65%;20~29岁组最低, 仅为69.07%;男女接种率分别为79.07%和82.11%;高收入住户人群接种率最高达到90%左右; 18~60岁人群中, 按受教育程度分析以"小学毕业"人群接种率最高, 为78.34%;按居住单元分析, 学生的人群接种率最高, 达92.01%, 私营业主和退休人群接种率最低, 分别为69.71%和68.82%;居住未满1年者的人群接种率最低, 为62.5%, 居住1~2年者接种率最高, 为84.47%。
      结论   受教育程度、经济收入、居住年限以及城乡差别对接种率并无直接影响; 流动性大、老年人是影响疫苗接种率的主要因素。

     

    Abstract:
      Objective   To study the socio-economic factors influencing adult vaccination coverage.
      Methods   A vaccination campaign of cluster randomized controlled trial targeting population aged 5-60 years was conducted in two towns, Hechi city, Guangxi to compare vaccinee's demographic and socio-economic characters and vaccination coverage.
      Results   92, 476 people of the total target population of 118 071 were vaccinated; Vaccination coverage reached 78.32%, typhoid Vi vaccine coverage reached 76.87% and meningococcal A vaccine coverage reached 79.69%.The urban and rural vaccination coverage was 77.29% and 80.58% respectively.By age group, the highest coverage of age group was 5-9 years old which reached 89.65% and the lowest coverage of age group was 20-29 years old at 69.07%;coverage between male and female was 79.07% and 82.11% respectively; the coverage of the household of high income was highest, which reached 90%;according to education level, poupulation aged 18-60 years, finished primary school reached the highest coverage with 78.34%;according to the occupation of the head of household, were students reached 92.01% and lowest cover age were Owner of business premise and the retired reached 69.71% and 68.82%;according to the years living in study area, the highest coverage group were 1-2 years living in study area which reached 84.47% and lowest coverage group were living in study area less than 1 year which reached 62.5%.
      Conclusion   Vaccination coverage was not affected by education level, household income, the residential time and location; the main factors influencing coverage were migration, elderly population.

     

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