首页|2023年河南省某医院≤5岁肺炎球菌性疾病高风险儿童肺炎球菌疫苗接种率和影响因素调查

2023年河南省某医院≤5岁肺炎球菌性疾病高风险儿童肺炎球菌疫苗接种率和影响因素调查

Pneumococcal vaccine coverage and factors influencing coverage among ≤5-year-old children at high risk for pneumococcal disease in a hospital in Henan province in 2023

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目的 分析肺炎球菌性疾病(Pneumococcal disease,PD)高风险儿童肺炎球菌疫苗接种率和影响因素.方法 采用便利抽样方法选择河南省某医院2023年9-10月就诊的≤5岁PD高风险儿童开展问卷调查,分析肺炎球菌疫苗接种率和影响因素.结果 调查儿童至少1剂次肺炎球菌疫苗接种率为37.44%(82/219),13价肺炎球菌多糖结合疫苗全程接种率为12.79%(28/219),其中<2岁、2-5岁分别为3.41%(3/88)、19.08%(25/131).多因素Logistic回归分析显示,非本地、非呼吸系统疾病、家长未关注/了解过自费疫苗的儿童至少1剂次肺炎球菌疫苗接种率低[OR(95%CI):0.52(0.29-0.96)、0.51(0.26-1.00)、0.34(0.16-0.76)],家庭人均收入高的儿童接种率高[OR(95%CI):2.47(1.28-4.77)].结论 PD高风险儿童肺炎球菌疫苗接种率偏低;需采取针对性措施提高PD高风险儿童肺炎球菌疫苗接种率.
Objective To analyze coverage of pneumococcal vaccine and factors influencing coverage among children at high risk for pneumococcal disease(PD).Methods We used a convenience sampling method to select children≤5 years of age at high risk for PD who visited a hospital of Henan province in September-October 2023.We conducted a questionnaire-based survey to determine coverage of pneumococcal vaccine and factors influencing coverage.Results Coverage with at least 1 dose of pneumococcal vaccine was 37.44%(82/219).Full-series 13-valent pneumococcal polysaccharide conjugate vaccine coverage was 12.79%(28/219),and was 3.41%(3/88)among<2-year-olds and 19.08%(25/131)among 2-5-year-olds.Logistic regression analysis showed that coverage with at least 1 dose of pneumococcal vaccine was low among subjects who were non-local residents,who had non-respiratory illnesses,and whose parents did not know about self-paid vaccines[OR(95%CI):0.52(0.29-0.96),0.51(0.26-1.00),0.34(0.16-0.76)].Coverage was high among subjects with a high average family income[OR(95%CI):2.47(1.28-4.77)].Conclusions Pneumococcal vaccine coverage was low among children at high risk for PD.We should take relevant countermeasures to improve pneumococcal vaccination of children at high risk for PD.

Pneumococcal vaccineVaccinationCoverageInfluencing factorChildren at high risk for pneumococcal disease

包黎明、姬艳芳、甄兴刚、郑徽、李明爽、张肖肖、张延炀、尹遵栋

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传染病溯源预警与智能决策全国重点实验室,中国疾病预防控制中心,北京 102206

中国疾病预防控制中心免疫规划中心,北京 100050

河南省疾病预防控制中心,河南郑州 450000

河南省儿童医院,河南郑州 450018

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肺炎球菌疫苗 预防接种 接种率 影响因素 肺炎球菌性疾病高风险儿童

2024

中国疫苗和免疫
中国疾病预防控制中心

中国疫苗和免疫

CSTPCD北大核心
影响因子:2.311
ISSN:1006-916X
年,卷(期):2024.30(1)
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