CAJ | 학술논문

目的：了解恩平市儿童麻疹疫苗首剂不及时接种的影响因素，为制定相应的控制措施提供依据。方法：采用整群抽样，收集恩平市儿童的麻疹疫苗首剂接种及其他相关资料。结果：恩平市儿童麻疹疫苗首剂接种率为92．03％，不及时接种率为36．20％，本地儿童和流动儿童、城市儿童和农村儿童、男女儿童之间的接种率和不及时接种率差异无统计学意义。多因素 Logistic 回归分析显示：每次接种疫苗预约（OR ＝0．415）、预防接种健康教育（OR ＝0．385）、监护人文化程度（OR ＝0．393）和监护人对接种知识的掌握情况（OR ＝0．472）是降低儿童麻疹疫苗首剂不及时接种率的主要因素；儿童生病延误接种（OR ＝2．376）和因鸡蛋过敏延误接种（OR ＝2．476）是提高儿童麻疹疫苗首剂不及时接种率的主要因素。结论：恩平市麻疹疫苗首剂不及时接种情况形势较严峻，相关部门应采取措施积极应对。
목적：료해은평시인동마진역묘수제불급시접충적영향인소，위제정상응적공제조시제공의거。방법：채용정군추양，수집은평시인동적마진역묘수제접충급기타상관자료。결과：은평시인동마진역묘수제접충솔위92．03％，불급시접충솔위36．20％，본지인동화류동인동、성시인동화농촌인동、남녀인동지간적접충솔화불급시접충솔차이무통계학의의。다인소 Logistic 회귀분석현시：매차접충역묘예약（OR ＝0．415）、예방접충건강교육（OR ＝0．385）、감호인문화정도（OR ＝0．393）화감호인대접충지식적장악정황（OR ＝0．472）시강저인동마진역묘수제불급시접충솔적주요인소；인동생병연오접충（OR ＝2．376）화인계단과민연오접충（OR ＝2．476）시제고인동마진역묘수제불급시접충솔적주요인소。결론：은평시마진역묘수제불급시접충정황형세교엄준，상관부문응채취조시적겁응대。
Objective To know the influence factors of untimely inoculation of measles vaccine among children of Enping, so as to provide scientific evidence for infectious diseases control. Method Cluster sampling was used and children from 2 towns of Enping were surveyed for their status of measles immunization and other information related to the immunization. Results The results indicated that the coverage rate of measles vaccine (MV) was 92.03%, and the untimely coverage rate was 36.20%. There were no statistical difference between local children and migrant children , urban children and rural children , as well as male children and female children. The results of multi-variate Logistic analysis suggested that the main factors that could decrease the untimely coverage rate of MV were inoculation appointment (OR = 0.415), vaccination health education (OR=0.385), guardians′ education (OR = 0.393) and guardians′ EPI knowledge (OR=0.472). The main factors that could increase the untimely coverage rate of MV were children′s suffering from diseases (OR=2.376) and egg allergy (OR=2.476). Conclusion Greater attention should be paid on measles immunization among children of Enping, which should be noticed and dealt with by proper authorities.