| 1 999例0～2岁儿童BCG接种情况及影响因素分析 |
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| 引用本文： | 熊月侨,刘民,闫红梅,马建,张晓晗.1 999例0～2岁儿童BCG接种情况及影响因素分析[J].中华疾病控制杂志,2018,22(6):635-639. |
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| 作者姓名： | 熊月侨 刘民 闫红梅 马建 张晓晗 |
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| 作者单位： | 1. 北京大学医学部公共卫生学院流行病与卫生统计学系, 北京 100191; |
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| 摘 要： | 目的 了解北京市常营社区0-2岁儿童卡介苗（bacillus calmette-guerin vaccine，BCG）接种情况，分析影响接种率的因素，为提高BCG的接种率和及时接种率提供参考。方法 收集母亲孕期管理在常营社区卫生服务中心、分娩日期为2015年1月1日～2016年12月31年、北京分娩、且在北京预防接种BCG的儿童相关接种资料及母亲围产保健资料，计算研究对象BCG接种率和及时率，使用Logistic回归分析影响接种率和及时接种率的因素。结果 北京市常营社区0～2岁儿童BCG接种率为98.8%，及时接种率为86.84%。2016年出生、早产、低出生体重、剖宫产是影响BCG接种率的危险因素；早产、低出生体重、产时有并发症以及剖宫产是影响BCG及时接种率的危险因素。结论 北京市常营社区0～2岁儿童卡介苗接种率和及时接种率仍然有提升空间，加强妇女孕期保健、减少妊娠并发症及不良妊娠结局可以提高儿童BCG的接种率和及时接种率。
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| 关 键 词： | 卡介苗 预防接种 接种率 流行病学因素 |
| 收稿时间： | 2017-10-31 |
Factors influencing BCG vaccine coverage among 1 999 children under two years of age |
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| Affiliation: | 1. Department of Epidemiology and Health Statistics, School of Public Health, Peking University, Beijing 100191, China;2. Beijing Chaoyang District Changying Community Health Service Center, Beijing 100024, China |
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| Abstract: | Objective To investigate the vaccination coverage for Bacillus Calmette-Guerin(BCG) and its influencing factors among children aged 0-2 years old in Changying community of Beijing City, in order to provide reference and basis for improving the rate and the timeliness of BCG vaccination. Methods Prenatal data of mothers who were admitted to Changying community health service center and gave born between Jan. 2015 and Dec. 2016 in Beijing were collected, and BCG vaccination of the children was record. The Logistic regression analysis was carried out to determine factors influencing BCG vaccination rate and timely rate. Results The BCG vaccination rate of the children aged 0-2 years old in Changying was 98.8%, the timely vaccination rate was 86.84%. Born in 2016, preterm birth, low birth weight, cesarean delivery were risk factors that affect the vaccination rate of BCG. Preterm birth, low birth weight, perinatal complications, cesarean delivery were risk factors that affect the timely rate of BCG vaccination. Conclusions The rate and the timely rate of BCG vaccination about the children aged 0-2 years old in Changying community of Beijing City need to be improved. in these ways that Reinforcing the management of pregnant women and decreasing the perinatal complications can increase the vaccination coverage and the timeliness for BCG. |
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