首页|流动儿童预防接种率影响多因素Logistic回归分析及幼儿园卫生协管干预效果研究

流动儿童预防接种率影响多因素Logistic回归分析及幼儿园卫生协管干预效果研究

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目的 探讨流动儿童预防接种率影响多因素Logistic回归分析及幼儿园卫生协管干预效果。方法 选择2021年3月—2023年2月流动儿童预防接种者16837例为研究对象,根据儿童是否漏种或逾期未种分为接种组(n=16515例)与未接种组(n=322例)。查阅两组资料,对可能的影响因素进行单因素和多因素Logistic回归分析。对于未接种组流动儿童随机分为对照组和观察组,每组161例,对照组采用常规方法干预,观察组联合幼儿园卫生协管干预,两组均完成4周干预,比较两组干预效果。结果 16837例流动儿童中,未接种儿童322例,占1。91%。单因素及多因素Logistic回归结果表明,孩子是否生病、免疫力低下、儿童患病医生不予接种、接种时无疫苗、外区外段或外地打针未录入是流动儿童预防接种率的独立影响因素(P<0。05);观察组干预4周后疫苗接种率、遵医嘱接种、接种方法知晓率、接种注意事项知晓率高于对照组(P<0。05)。结论 流动儿童预防接种率受到影响因素较多,且不同因素能相互作用及影响,加强流动儿童幼儿园卫生协管干预能提高预防接种率和知晓率,值得推广应用。
Multivariate Logistic Regression Analysis on Effect of Vaccination Rates of Migrant Children And Intervention Effect Research of Kindergarten Health Co-management
Objective To explore effect of multiple logistic regression analysis on vaccination rate of migrant children and intervention effect of kindergarten health management.Methods The paper chose 16837 mobile children treated with vaccination from March 2021 to February 2023 as study subjects,and divided them into vaccination group(n=16515 cases)and non vaccination group(n=322 cases)based on missed or overdue vaccination.Based on data review of two groups,univariate and multivariate logistic regression analysis was carried out for possible influencing factors.Nnon vaccinated mobile children were divided into control group and observation group randomly,with 161 cases in each group.Control group was treated with routine intervention,while observation group with kindergarten health management intervention on the basis of control group.After 4-week intervention,intervention effect between two groups was compared.Results Out of 16837 migrant children with vaccination,322 were not vaccinated,accounting for 1.91%.Result of univariate and multivariate logistic regression showed independent influencing factor of vaccination rate for migrant children included illness of children,low immunity,no vaccination after being ill,vaccination being not available,vaccination outside the area or district,not being recorded(P<0.05).After 4 weeks of intervention,vaccination rate,adherence to medical advice,vaccination methods,and awareness of vaccination precautions in observation group were higher than control group(P<0.05).Conclusion There are many influencing factors for vaccination rate of migrant children,different factors can interact and affect each other.Strengthening kindergartens health cooperation and intervention of migrant children can improve vaccination rate and awareness rate,which is worthy of promotion and application.

Migrant childrenVaccinationInfluencing factorsKindergartenHealth comanagement interventionIntervention effect

黄清仪

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广州市花都区天贵社区卫生服务中心 防保科,广东 广州 510800

流动儿童 预防接种 影响因素 儿童幼儿园 卫生协管干预 干预效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
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