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王怀, 张卫, 吴疆, 韩莉莉, 林长缨, 高培, 邢玉兰, 贺雄, 庞星火, 李辉. 北京市成人乙型肝炎疫苗免疫接种现况调查[J]. 中国公共卫生, 2010, 26(5): 612-614. DOI: 10.11847/zgggws2010-26-05-59
引用本文: 王怀, 张卫, 吴疆, 韩莉莉, 林长缨, 高培, 邢玉兰, 贺雄, 庞星火, 李辉. 北京市成人乙型肝炎疫苗免疫接种现况调查[J]. 中国公共卫生, 2010, 26(5): 612-614. DOI: 10.11847/zgggws2010-26-05-59
WANG Huai, ZHANG Wei, WU Jiang, . Hepatitis B vaccination rate in adults of Beijing: a cross-sectional study[J]. Chinese Journal of Public Health, 2010, 26(5): 612-614. DOI: 10.11847/zgggws2010-26-05-59
Citation: WANG Huai, ZHANG Wei, WU Jiang, . Hepatitis B vaccination rate in adults of Beijing: a cross-sectional study[J]. Chinese Journal of Public Health, 2010, 26(5): 612-614. DOI: 10.11847/zgggws2010-26-05-59

北京市成人乙型肝炎疫苗免疫接种现况调查

Hepatitis B vaccination rate in adults of Beijing: a cross-sectional study

  • 摘要: 目的 分析北京市成人乙型肝炎疫苗接种现况及影响接种的原因,为制定乙型肝炎预防策略提供依据。方法 在北京市按照多阶段整群随机抽样方法调查18岁~人群,对乙肝疫苗接种情况以及主要影响因素进行问卷调查。结果 北京市成人乙肝疫苗平均接种率为8.4%(95%CI=7.6%~9.2%),接种者全程免疫率为84.2%(95CI=83.7%~84.7%)。不同性别、年龄、职业、受教育水平、收入水平以及城乡间接种率差异均有统计学意义(P<0.05)。接种率随年龄增加呈下降趋势,随受教育水平、收入水平的增加而呈上升趋势。高危人群中,医务人员乙肝疫苗接种率为44.0%;而乙肝病毒携带者或乙肝病人的生活密切接触者接种率仅有15.1%。北京市成人未接种乙肝疫苗的原因以不知道有疫苗和接种地点居首位。结论 北京市推行的乙肝疫苗接种效果明显,乙肝患者生活密切接触者人群应列为乙肝疫苗接种重点人群。

     

    Abstract: Objective To explore hepatitis B vaccination rate in Beijing adult population aged over 18 years and factors affecting the vaccination rate for hepatitis B control and prevention.Methods A multistage randomized cluster sampling was carried out in Beijing adult population aged over 18 years.A sample of 4449 adults was recruited and the hepatitis B immunization history and risk factors for all subjects were investigated with a questionnaire.Results The hepatitis B vaccination rate was 8.4%(95% confidence intervalCI=7.6%-9.2%) and the complete vaccination rate was 84.2% (95%CI=96.7%-84.7%).The vaccination rate was different between males and females,rural and urban inhabitants,age groups,occupation,education levels and income leve ls(P<0.05).With the increase of age,the vaccination rate decreased(P<0.05).The vaccination rate of the medical personnel was 44.0% and the close contact population was only 15.1%.The main reason for the non-vaccinated population was "Donot know the place of vaccination".Conclusion The effect of hepatitis B vaccination policy in medical personnel is obvious.More attention should be paid to the closecontact population of hepatitis B patients.Meantime,hepatitis B vaccination policy in high risk adultpopulation should be intensified.

     

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