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北京市2009—2015年出生女童HPV疫苗首剂及全程接种情况:基于儿童预防接种信息系统数据分析

Influencing factors of the first-dose and full-course vaccination for HPV among girls born in Beijing from 2009 to 2015: an analysis based on the Beijing Immunization Information System

  • 摘要:
    目的 了解北京市2009—2015年出生女童人乳头瘤病毒(HPV)疫苗首剂和全程接种情况及其影响因素,为制定青少年女性HPV疫苗免疫策略提供科学依据。
    方法 收集北京市儿童预防接种信息管理系统中出生日期为2009年1月1日—2015年12月31日在册管理的691 632名女童HPV疫苗接种的相关数据,分析其HPV疫苗首剂和全程接种现状及其影响因素。
    结果 北京市691 632名2009—2015年出生女童接种HPV疫苗首剂接种者27 011人,HPV疫苗首剂接种率为3.91%;HPV疫苗全程接种者12 534人,HPV疫苗全程接种率为1.81%。多因素非条件logistic回归分析结果显示,北京市2010—2011年出生和HPV疫苗项目覆盖地区女童HPV疫苗首剂接种率较高,2012—2015年出生、户籍为外地和不详、居住在近郊和远郊地区女童HPV疫苗首剂接种率较低;HPV疫苗项目覆盖地区女童HPV疫苗全程接种率较高,2011—2015年出生、户籍不详和居住在远郊地区北京市女童HPV疫苗全程接种率较低。
    结论 北京市2009—2015年出生女孩HPV疫苗的首剂和全程接种率均较低,尤其是2012—2015年出生、居住在远郊和HPV疫苗项目未覆盖地区的女童。

     

    Abstract:
    Objective To understand the current status and influencing factors of the first-dose and full-course vaccination for human papillomavirus (HPV) among girls born in Beijing from 2009 to 2015, thus providing evidence for formulating HPV vaccination strategies for girls.
    Methods Data related to HPV vaccination for 691 632 girls born between January 1, 2009 and December 31, 2015 and registered in the Beijing Immunization Information System were collected. The current status and influencing factors of the first-dose and full-course vaccination for HPV were analyzed.
    Results Among the 691 632 girls born in Beijing from 2009 to 2015, 27 011 girls received the first dose of HPV vaccine, with the first-dose vaccination rate of 3.91%; 12 534 girls received the full course of HPV vaccines, with the full-course vaccination rate of 1.81%. Multivariate unconditional logistic regression analysis results showed that girls born in Beijing between 2010 and 2011, as well as those in areas covered by the HPV vaccination program, had higher first-dose vaccination rates for HPV. In contrast, girls born in Beijing between 2012 and 2015, those with non-local or unknown household registration, and those living in suburban and outer suburban areas had lower first-dose vaccination rates. Among the girls born in Beijing, those residing in areas covered by the HPV vaccination program had a high full-course vaccination rate, while those born between 2011 and 2015, those with unknown household registration, and those living in outer suburban areas had lower full-course vaccination rates.
    Conclusions The girls born in Beijing between 2009 and 2015 had lower first-dose and full-course vaccination rates for HPV, especially those born between 2012 and 2015, living in outer suburban areas, and in areas not covered by the HPV vaccination program.

     

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