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1、免疫規(guī)劃疫苗接種影響因素logistic回歸分析四川省南江縣疾病預(yù)防控制中心四川南江636600摘要:目的:運用邏輯斯蒂(logistic)回歸分析模型分析影響兒童免疫規(guī)劃疫苗接種的因素。方法:選取南江縣2012年?2014年0歲組兒童各210名免疫規(guī)劃疫苗接種率抽樣調(diào)查結(jié)果作為研究對象,并采用logistic回歸分析其不合格接種及未接種疫苗的原因,得出影響兒童免疫規(guī)劃接種的主要因素。結(jié)果:近三年來南江縣適齡兒童免疫規(guī)劃疫苗接種合格率分別為(見附表1):BCG99.02%、99.52%、100%,HepB90.95%、92.86%、93.81%,
2、OPV95.71%、97.62%、99.05%,DPT95.24%、97.62%、98.57%,MW/MR95.24%、96.67%、98.1%。疫苗不合格接種和未接種主要原因為(各種疫苗有一針次不合格或未種者均為不合格或未種):初始接種提前、間隔不足、超期接種、卡證不符,流動兒童(外出務(wù)工生育后入學(xué)時才返回)、怕接種反應(yīng)、兒童患病未去接種或醫(yī)生不予接種、對禁忌癥理解錯誤。多因素logistic回歸分析結(jié)果顯示,疾病控制機構(gòu)、預(yù)防接種單位、家庭因素、社會環(huán)境是兒童免疫規(guī)劃疫苗接種的主要影響因素。結(jié)論:進(jìn)一步強化疾控機的指導(dǎo)及培訓(xùn)能力、提高免疫規(guī)劃
3、接種人員業(yè)務(wù)水平和責(zé)任意識,及早建成全國兒童預(yù)防接種信息化共享平臺、加強流動人員管理,改善接種單位和社會氛圍、提高接種人員待遇,廣泛開展健康教育、提高兒童監(jiān)護(hù)人法律及責(zé)任意識等是提高兒童免疫規(guī)劃合格接種率的有效手段。關(guān)鍵詞:邏輯斯蒂;疾控機構(gòu);免疫規(guī)劃;健康教育;影響因素Abstract:Objective:Logistic(logistic)regressionmodeltoanalyzethefactorsaffectingEPIvaccination.Methods:Nanjiang2012?2014eachgroupofchildrena
4、ged0210EPIvaccinationratesamplingsurveyforthestudy,andtheuseoflogisticregressionanalysisofthefailureofvaccinatedandunvaccinatedreason,cometoaffectchildhoodimmunizationplanningamajorfactorvaccination.Results:ThepastthreeyearsNanjiangvaccine-agechildrenwerevaccinatedpassrate(se
5、eTable1):BCG99.02%,99.52%,100%,HepB90.95%,92.86%,93.81%,OPV95.71%,97.62%,99.05%,DPT95.24%,97.62%,98.57%,MW/MR95.24%,96.67%,98.1%.Vaccinatedandunvaccinatedvaccinefailedmainlydueto(avarietyofonedoseofvaccinehavefailedorwhoareunqualifiedorseedspecies):Theinitialvaccinationinadva
6、nce,insufficientspace,extendedvaccinationcertificatedoesnotmatchthecard,migrantchildren(outafterbirthwhenworkersreturntoschool),fearvaccinationreactions,sickchildrendidnotgotothedoctorvaccinatedornotvaccinatedforcontraindicationsmisunderstanding.Multivariatelogisticregression
7、analysisshowedthatthediseasecontrolagency,vaccinationunits,familyfactors,socialenvironmentarethemainfactorsEPIvaccination.Conclusion:TheabilitytofurtherstrengthenCDCmachineguidanceandtrainingtoimprovethelevelofbusinessEPIvaccinatorsandsenseofresponsibility,anearlycompletionof
8、theNationalChildren、Vaccinationinformationsharingplatformtoenhanceth