宝鸡市流动儿童麻疹疫苗接种情况及影响因素分析

目的：了解宝鸡市流动儿童的麻疹疫苗接种情况并分析影响因素，为控制流动儿童中麻疹疫情提供科学依据和干预措施。方法采用规模大小成比例概率抽样法随机整群抽取宝鸡市4个中心市区、3个近郊区、2个地方县的1~7岁流动儿童共1134名，使用自行设计的问卷调查儿童麻疹疫苗的接种情况，利用多因素 Logistic 回归分析影响麻疹疫苗接种的相关因素。结果合格接种麻疹疫苗914人，合格接种率为80.60%。居住在中心市区(OR=7.13)、1岁年龄组(OR=0.01)、县级及以上医院出生(OR =6.24)、家庭人均月收入5000~6999元(OR=3.26)、监护人参加过体检(OR=2.90)、既往工作稳定(OR=3.23)、接种机构服务质量好(OR =5.55)的组别，其麻疹疫苗合格接种率均高于参照组；监护人为小学及以下文化程度的流动儿童(OR =0.03)，其麻疹疫苗合格接种率低于参照组。结论麻疹疫苗接种工作应该充分考虑地理位置、监护人文化程度、接种机构的服务质量等因素，有针对性地采取措施提高麻疹疫苗接种率，保护易感人群。

Analysis on the Rate of Measles Vaccination and Related Factors among Floating Chil-dren in Baoji City

Objectives To investigate the vaccination conditions of the floating children and analyze the influencing factors in Baoji city,to provide scientific evidence and intervention measures for controlling measles out-breaks.Methods 1 134 floating children aged 1 ~7 years old were selected from 4 center downtowns,3 faubourgs and 2 local counties by PPS(Probability Proportionate to size Sampling)random cluster sampling and were assessed situation of measles vaccine immunization and the associated factors in self-designed questionnaire were an-lyzed.Results 914 floating children were inoculate measles vaccined,qualified coverage rate was 80.6%.For chil-dren from groups with factors of living in the central cities(OR =7.13),1 year old age group(OR =0.01 ),born at hospitals with the county level and above(OR=6.24),monthly income of 5 000~6 999 per capita(OR =3.26),ac-companied people had a history of physical examination(OR=2.90),once stability working(OR=3.23),good quali-ty of vaccination agency services(OR=5.55),the coverage rate was higher than that of control group.For children with accompanied people with primary school education level and lower(OR=0.03),the floating children had a low-er qualified coverage rate than control group.Conclusions Qualified measles vaccination rate was low in floating children.The vaccination work should fully consider many influencing factors,such as location,education,quality of vaccination agency services and adequate measures should be taken to increase measles vaccination coverage and pro-tect susceptible populations.