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谢莘, 郑慧贞, 张吉凯, 邵晓萍. 广东省2011年儿童免疫规划疫苗接种情况调查[J]. 中国公共卫生, 2013, 29(3): 432-435. DOI: 10.11847/zgggws2013-29-03-42
引用本文: 谢莘, 郑慧贞, 张吉凯, 邵晓萍. 广东省2011年儿童免疫规划疫苗接种情况调查[J]. 中国公共卫生, 2013, 29(3): 432-435. DOI: 10.11847/zgggws2013-29-03-42
XIE Xin, ZHENG Hui-zhen, ZHANG Ji-kai.et al, . Innoculation rate of vaccines covered by Expanded Immunization Program in children of Guangdong province, 2011[J]. Chinese Journal of Public Health, 2013, 29(3): 432-435. DOI: 10.11847/zgggws2013-29-03-42
Citation: XIE Xin, ZHENG Hui-zhen, ZHANG Ji-kai.et al, . Innoculation rate of vaccines covered by Expanded Immunization Program in children of Guangdong province, 2011[J]. Chinese Journal of Public Health, 2013, 29(3): 432-435. DOI: 10.11847/zgggws2013-29-03-42

广东省2011年儿童免疫规划疫苗接种情况调查

Innoculation rate of vaccines covered by Expanded Immunization Program in children of Guangdong province, 2011

  • 摘要: 目的了解广东省实施扩大国家免疫规划后儿童免疫规划疫苗接种情况,为指导今后免疫规划工作和制定相应策略提供科学依据。方法于2011年5月采取分层整群随机抽样方法及按容量比例概率抽样方法抽取广东省21个市40个县区200个乡镇600个行政村共6 015名2008年1月1日-2009年12月31日出生的儿童进行免疫规划疫苗接种情况调查。结果广东省儿童卡介苗、脊灰疫苗、百白破疫苗、含麻疹成分疫苗、乙肝疫苗、乙脑疫苗、流脑疫苗、甲肝疫苗基础免疫合格接种率分别为99.37%、94.15%、92.59%、90.47%、85.29%、83.09%、70.62%、54.34%,乙肝疫苗首针及时率为88.45%,卡介苗、脊灰疫苗、百白破疫苗、含麻疹成分疫苗、乙肝疫苗和乙脑疫苗(简称"六苗")全程合格接种率为64.74%,百白破疫苗、含麻疹成分疫苗、乙脑疫苗加强免疫合格接种率分别为77.25%、80.80%、88.19%;不同年龄组不同户籍属性之间大部分免疫规划疫苗基础免疫合格接种率差异无统计学意义(P>0.05);经济水平好的地区儿童脊灰疫苗、百白破疫苗、含麻疹成分疫苗、乙肝疫苗、流脑疫苗、甲肝疫苗"六苗"基础免疫合格接种率均高于经济水平差的地区(P<0.05);疫苗不合格接种发生率在0.63%~45.66%,最高为甲肝疫苗,最低为卡介苗。结论广东省儿童卡介苗、脊灰疫苗、百白破疫苗、含麻疹成分疫苗等4苗基础免疫合格接种率保持在较高水平,经济水平差的地区基础免疫合格接种率较低,应加强薄弱地区的预防接种工作。

     

    Abstract: ObjectiveTo evaluate the vaccination status of children after implementation of Expanded Immunization Program in Guangdong province and to provide scientific basis for establishing effective strategies.MethodsStratified cluster sampling and probability proportion to size(PPS) procedure were adopted.A total of 6 015 children from 600 administrative villages in 40 counties or urban districts were selected for the survey.ResultsThe qualified innoculation rates for basic immunization of Bacillus Calmette Guerin(BCG),oral poliovirus vaccine(OPV),diphtheria toxoid-pertussis vaccine-tetanus toxoid(DPT),measles vaccine(MV),hepatitis B vaccine(HepB),Japanese encephalitis vaccine(JE),meningococcal polysaccharid vaccine(MPV),and hepatitis A vaccine(HepA) were 99.37%,94.15%,92.59%,90.47%,85.29%,83.09%,70.62%,and 54.34%,respectively.The rate of timely birth dose coverage of HepB was 88.45%.The overall qualified innoculation rate of the six-vaccines including BCG,OPV,DPT,MV,HepB,and JE was 64.74%.The qualified coverage rates on strengthened immunization of DPT,MV and JE were 77.25%,80.8%,and 88.19%,respectively.The qualified coverage rates on basic immunization between different age groups and different census register had no statistically significant difference(P>0.05).However,the qualified innoculation rates on basic immunization of OPV,DPT,MV,HepB,MPV,and HepA in developed areas were higher than those in underdeveloped areas,with statistically significant differences(P<0.05).The unqualified vaccination rates were 0.63 percent to 45.66 percent in Guangdong.The unqualified vaccination rates of HepA was the highest and that of BCG was the lowest.ConclusionThe qualified innoculation rate for basic immunization of BCG,OPV,DPT,MV in Guangdong province maintained at a high level.However,the rates in underdeveloped areas were relatively low.The quality of immunization management in underdeveloped areas should be strengthened.

     

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