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王平贵, 安婧, 李慧, 王旭霞, 张宁静, 唐宇, 王小玲, 张晓曙. 甘肃省15岁儿童乙肝疫苗免疫现状调查[J]. 中国公共卫生, 2016, 32(7): 893-896. DOI: 10.11847/zgggws2016-32-07-04
引用本文: 王平贵, 安婧, 李慧, 王旭霞, 张宁静, 唐宇, 王小玲, 张晓曙. 甘肃省15岁儿童乙肝疫苗免疫现状调查[J]. 中国公共卫生, 2016, 32(7): 893-896. DOI: 10.11847/zgggws2016-32-07-04
WANG Ping-gui, AN Jing, LI Hui.et al, . Coverage rate of hepatitis B vaccine among children 1 to 14 years old in Gansu province[J]. Chinese Journal of Public Health, 2016, 32(7): 893-896. DOI: 10.11847/zgggws2016-32-07-04
Citation: WANG Ping-gui, AN Jing, LI Hui.et al, . Coverage rate of hepatitis B vaccine among children 1 to 14 years old in Gansu province[J]. Chinese Journal of Public Health, 2016, 32(7): 893-896. DOI: 10.11847/zgggws2016-32-07-04

甘肃省15岁儿童乙肝疫苗免疫现状调查

Coverage rate of hepatitis B vaccine among children 1 to 14 years old in Gansu province

  • 摘要: 目的 了解乙肝疫苗(HepB)纳入免疫规划12年后,甘肃省 < 15岁儿童Hep B接种情况,为制订乙肝预防控制策略提供参考。方法 2014年采用分层二阶段整群随机抽样方法首针,调查甘肃省1~14岁常住人口HepB接种情况以及基本情况。结果 在调查的1 592名1~14岁儿童中,HepB1首针接种率、HepB1首针及时接种率和HepB全程接种率分别为96.36%、88.57%和95.85%,接种率均随年龄减小而明显升高(P < 0.001)。不同性别、民族儿童HepB1接种率、HepB1及时接种率和HepB全程接种率均无明显差异(P > 0.05)。城市儿童HepB1接种率、HepB1及时接种率和HepB全程接种率均明显高于农村儿童(P < 0.001)。在调查的儿童中,住院分娩率为93.53%;其中57.29%的儿童出生在县级医院,分娩地点在市级以上医院、乡级医院、在家和不详的分别占17.96%、18.28%、4.33%和2.14%。市级以上医院出生儿童HepB1接种率和HepB1及时接种率最高,分别为99.30%和95.45%;在家分娩或出生地点不详儿童HepB1接种率和HepB1及时接种率最低,分别为83.50%和59.22%。不同地点出生儿童HepB1接种率(χ2=56.173,P < 0.001)和HepB1及时接种率(χ2=1.053,P < 0.001)差异均有统计学意义。结论 甘肃省HepB纳入免疫规划后<15岁儿童HepB全程接种率和首针及时接种率明显提高,并保持在较高水平。提高住院分娩率是提高儿童HepB1及时接种率的关键。

     

    Abstract: Objective To examine the coverage rate of hepatitis B vaccination (HepB) among children 1 to 14 years old in Gansu province 12 years after HepB was included into Expanded Programme on Immunisation (EPI), and to provide references for formulating hepatitis B control strategies. Methods With two-stage random cluster sampling, 1 952 children aged 1 to 14 years were recruited from 5 counties (districts) of Gansu province and surveyed with a questionnaire in 2014. Results Among the children surveyed, the proportions of with first dose of HepB (HepB1), timely HepB1, and full-course HepB inoculation were 96.36%, 88.57%, and 95.85%, respectively, and the proportions were reversely correlated with the age of the children (P < 0.001);there were no significant gender and ethnic group differences in the proportions (P > 0.05).However, the coverage rate of HepB1, timely HepB1, and full-course HepB inoculation were significantly higher in the urban children than in the rural (P < 0.001).The hospitalized delivery rate of the children surveyed was 93.53% and 57.29% of the children were born in county hospitals.The ratio of the children delivered at the city level or above hospitals, township hospitals, at home, and unknown place were 17.96%, 18.28%, 4.33%, and 2.14%, respectively.The coverage rate of HepB1 and timely HepB1 for the children born at city level or above hospitals were 99.30% and 95.45%, and the rate for the children born at home or unknown place was 83.50% and 59.22%.There were significant differences in the coverage rates of HepB1 and timely HepB1 among the children delivered at different places (P < 0.001). Conclusion The rate of full-course HepB and timely HepB1 inoculation increased obviously among the children under age of 15 years since the inclusion of HepB into EPI in Gansu province and maintained high relatively.Increasing the hospitalized delivery rate is a key measure to improve timely HepB1 inoculation rate among the children.

     

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