浙江省某山区县留守儿童与非留守儿童监护人预防接种知信行调查

目的 了解浙江省某经济欠发达山区县留守与非留守儿童监护人预防接种的知识、态度和行为现况,为改善欠发达地区预防接种现状提供参考信息。方法 采用多阶段分层整群随机抽样,在该山区县随机抽取4个乡镇,共计12个行政村,通过问卷调查当地0~6周岁留守儿童与非留守儿童监护人对预防接种的知识、态度和行为。结果 调查共完成有效问卷416份,其中留守儿童家庭97户,非留守儿童家庭319户。71.13%留守儿童的监护人是(外)祖父母,55.67%留守儿童监护人的文化水平为小学及以下。17.18%留守儿童监护不了解预防接种的作用(P=0.002),81.44%留守儿童监护人不知道接种单位咨询电话(P<0.001)。55.67%留守儿童和60.82%非留守儿童监护人认为选择替代苗的主要影响因素是接种反应。11.36%留守儿童到达接种地点时长大于30分钟(P=0.016)。儿童监护人获得预防接种知识主要途径为接种单位,占32.70%。结论 浙江省山区留守儿童监护人对预防接种方面的知识掌握和行为情况亟待提高,尤其应针对文化程度偏低的留守儿童监护人群制定相应的干预策略。

Knowledge,attitude and practice of vaccination among the guardians of left-behind children in underdeveloped areas,Zhejiang Province

Objective To understand the knowledge,attitude and practice of vaccination among guardians of left-behind and non-left-behind children in the underdeveloped areas in Zhejiang province,and to provide a reference to improve the vaccination status in these areas. Methods Multi-stage stratified cluster random sampling method was used to select 12 administrative villages in the mountain counties in Zhejiang province.Face-to-face interviews were conducted to investigate the knowledge,attitude,and practice of vaccination among guardians of left-behind and non-left-behind children under 6 years old. Results A total of 416 valid questionnaires were collected,including 97 left-behind guardians and 319 non-left behind guardians.Approximately 71.13% of the guardians of left-behind children were grandparents,and about 55.67% of them had an education level of primary school and below.About 17.18% of the guardians of left-behind children did not understand the benefits of vaccination(P=0.002),and 81.44% of them did not know the consulting phone number of the vaccination clinic(P<0.001).About 55.67% of left-behind children and 60.82% of non-left-behind children′s guardians thought that the main factor associated with alternative seedlings selection was the vaccination response.About 11.36% of left-behind children spent longer than 30 minutes to get the vaccination clinic(P=0.016).The main way for children′s guardians to obtain vaccination knowledge was from the vaccination clinic(32.70%). Conclusion The knowledge and behavior of vaccination in the guardians of left-behind children need to be improved.Special intervention strategies should be taken to guardians with low education level.