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江苏省外来务工人员乙肝疫苗接种现况调查

Viral hepatitis B vaccination among migrant workers in Jiangsu province,a cross-sectional study

  • 摘要: 目的了解外来务工人员乙型肝炎(以下简称乙肝)疫苗接种率及影响因素、相关知识知晓率及态度,为重点人群的健康教育策略提供依据。方法对江苏省张家港、丹阳、泰兴3市部分生产企业、建筑工地、餐饮服务行业的外来务工人员进行乙肝疫苗接种情况以及知识态度问卷调查。结果 1 447名外来务工人员乙肝疫苗平均接种率为59.8%(95%CI=57.3%62.4%),不同年龄、婚姻状况、文化程度、居住情况及是否接受健康教育方面接种率差异均有统计学意义(均P<0.05);logistic回归分析表明,相关乙肝防病知识掌握(OR=5.573)、接受健康教育与否(OR=2.811)、文化程度(OR=2.002)及年龄(OR=0.486)对接种行为影响较大;乙肝知识总知晓率为68.5%,阻碍乙肝疫苗接种的原因有不知道接种地方(29.0%)、担心副作用(19.8%)及怀疑疫苗效果(17.7%)等;13.2%的人歧视乙肝患者/病毒携带者。结论外来务工人员作为乙肝疫苗接种重点人群,接种率及相关知识水平有待提高,应加强其预防接种及相关知识的健康教育。

     

    Abstract: Objective To examine vaccination rate of hepatitis B virus( HBV) vaccine and its related factors,knowledge rate,and attitude in migrant workers and to provide evidence for health education in the population. Methods A questionnaire survey on rate of vaccination,awareness and attitude towards HBV was conducted among 1 447 migrant workers aged more than 20 years from enterprises in Zhangjiagang,Danyang and Taixing city. Logistic regression was used in statistic analysis. Results The hepatitis B vaccination rate was 59. 8%( 95% confidence interval95% CI:57. 3%- 62. 4%). The vaccination rate was associated with age,marriage status,educational level,living condition,and whether with health education( P < 0. 05 for all). Logistic analyses showed that hepatitis B prevention knowledge( odds ratioOR= 5. 573),health education( OR = 2. 811),education level( OR = 0. 2002),and age( OR = 0. 486) were positively correlated with vaccination behavior. The general awareness rate of HBV infection among the worker was 68. 5%.Main reasons for without HBV vaccination were not knowing the institution for the vaccination( 29%),worrying about side-effect( 19. 8%),and suspecting the efficacy of the vaccine( 17. 7%). There were 13. 2% of the workers reporting the discrimination to hepatitis B patients / carriers. Conclusion Migrant workers are key population of HBV vaccination and health education on HBV vaccination should be improved to increase the vaccination rate in the population.

     

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