2022年青海省农牧区3-17岁儿童水痘疫苗接种率和影响因素调查
Varicella vaccine coverage and factors influencing coverage among 3-17-year-old children in agricultural and pastoral areas of Qinghai province,2022
关炳菊 1朱海山 2张晓青 3郝增平 4仲学相 5刘慧慧 6王富珍 6阿克忠4
作者信息
- 1. 青海省疾病预防控制中心,青海西宁 810007;中国疾病预防控制中心中级现场流行病学培训项目,北京 100050
- 2. 民和县疾病预防控制中心,青海民和 810800
- 3. 湟源县疾病预防控制中心,青海湟源 812100
- 4. 青海省疾病预防控制中心,青海西宁 810007
- 5. 门源县疾病预防控制中心,青海门源 810399
- 6. 中国疾病预防控制中心,北京 100050
- 折叠
摘要
目的 了解青海省农牧区儿童水痘疫苗(Varicella vaccine,VarV)接种率及其影响因素.方法 采用分层整群抽样方法在青海省农牧区抽取幼儿园和中小学3-17岁儿童,对儿童监护人开展问卷调查,比较2021年10月实施查漏补种政策前后第1剂次和第2剂次VarV(VarV1和VarV2)接种率,分析VarV1接种率的影响因素.结果 实施查漏补种政策后调查儿童VarV1、VarV2接种率分别为79.06％(676/855)、43.79％(363/829),较实施前分别增加了34.38个、24.13个百分点.多因素Logistic回归分析显示,农区儿童VarV1接种率高于牧区儿童(OR=4.63,95％CI:2.91-7.39),儿童监护人水痘和VarV相关知识得分高(4-6分和7-10分)的儿童VarV1接种率高于得分低(0-3 分)的儿童(OR=8.61,95％CI:4.73-15.69;OR=2.86,95％CI:1.69-4.84).结论 实施查漏补种政策显著提高了调查地区儿童VarV接种率.需加强青海省特别是牧区儿童监护人水痘和VarV相关知识宣传,促进适龄儿童接种VarV.
Abstract
Objective To explore varicella vaccine coverage and factors influencing coverage among 3-17-year-old children in agricultural and pastoral areas of Qinghai province.Methods We used a stratified cluster sampling method to select children aged 3-17 years from kindergartens and primary/secondary schools in agricultural and pastoral areas of Qinghai for a questionnaire-based survey of their guardians.We compared coverage levels of one and two doses of VarV(VarV1 and VarV2)before and after a catch-up vaccination activity initiated in October 2021,and identified factors influencing VarV1 coverage.Results VarV1 and VarV2 coverage levels after the catch-up activity were 79.06％(676/855)and 43.79％(363/829),respectively,and increased by 34.38 and 24.13 percentage points compared with before the catch-up activity.Multivariate logistic regression showed that VarV1 coverage was higher in agricultural areas than in pastural areas(OR=4.63,95％CI:2.91-7.39),and higher among children whose guardians scored 4-6 or 7-10 points on knowledge about varicella and VarV than among children whose guardians scored 0-3 points(OR=8.61,95％CI:4.73-15.69;OR=2.86,95％CI:1.69-4.84).Conclusions The catch-up activity significantly increased VarV coverage among children in the surveyed areas.We should strengthen health education on knowledge about varicella and VarV among guardians of children in Qinghai,especially in pastoral areas,to promote VarV vaccination of age-eligible children.
关键词
水痘疫苗/接种率/影响因素/农牧区/儿童Key words
Varicella vaccine/Coverage/Influencing factor/Agricultural and pastoral areas/Children引用本文复制引用
出版年
2024
NETL
NSTL
万方数据