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
包黎明 1姬艳芳 2甄兴刚 3郑徽 1李明爽 1张肖肖 2张延炀 2尹遵栋1
作者信息
- 1. 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
- 2. 河南省疾病预防控制中心,河南郑州 450000
- 3. 河南省儿童医院,河南郑州 450018
- 折叠
摘要
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.
Abstract
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.
关键词
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Key words
Pneumococcal vaccine/Vaccination/Coverage/Influencing factor/Children at high risk for pneumococcal disease引用本文复制引用
出版年
2024
NETL
NSTL
万方数据