朱珠英, 郑琼琼. 温州市龙湾区扩大国家免疫规划疫苗接种率调查[J]. 上海预防医学, 2019, 31(7): 568-573. DOI: 10.19428/j.cnki.sjpm.2019.18678
引用本文: 朱珠英, 郑琼琼. 温州市龙湾区扩大国家免疫规划疫苗接种率调查[J]. 上海预防医学, 2019, 31(7): 568-573. DOI: 10.19428/j.cnki.sjpm.2019.18678
ZHU Zhu-ying, ZHENG Qiong-qiong. National immunization program vaccination rates surveyed in Longwan District of Wenzhou City[J]. Shanghai Journal of Preventive Medicine, 2019, 31(7): 568-573. DOI: 10.19428/j.cnki.sjpm.2019.18678
Citation: ZHU Zhu-ying, ZHENG Qiong-qiong. National immunization program vaccination rates surveyed in Longwan District of Wenzhou City[J]. Shanghai Journal of Preventive Medicine, 2019, 31(7): 568-573. DOI: 10.19428/j.cnki.sjpm.2019.18678

温州市龙湾区扩大国家免疫规划疫苗接种率调查

National immunization program vaccination rates surveyed in Longwan District of Wenzhou City

  • 摘要:
    目的了解温州市龙湾区扩大国家免疫规划(NIP)疫苗接种率水平及其影响因素。
    方法采用按容量比例概率抽样法(PPS)随机抽取龙湾区30个村(居委)的1 ~ 7岁儿童1 510名,对儿童扩大NIP疫苗的接种情况进行现场问卷调查。
    结果儿童建卡率为99.63%,建证率为99.63%,扩大NIP疫苗基础免疫(初种)接种率:1剂卡介苗(BCG)为97.09%,3剂乙型肝炎疫苗(HepB1-3)为93.91%,HepB首针及时(HepB1t)接种率为90.66%,3剂脊髓灰质炎疫苗(PV1-3)为95.10%,3剂白喉-破伤风-百日咳联合疫苗(DTP1-3)为90.73%,含麻疹成分疫苗初种(MCV1)为92.38%,MCV1及时(MCV1t)接种率为66.84%,首剂流行性乙型脑炎疫苗(JEV1)为62.58%,2剂脑膜炎球菌多糖疫苗(MPV-A1-2)为77.57%,甲型肝炎疫苗(HepA)为61.69%,五苗全程接种率为82.58%,七苗(五苗、JEV1、MPV-A1)全程接种率为53.97%。加强免疫(复种)接种率:MCV2为82.23%,DTP4为71.80%,JEV2为69.99%,首剂A群C群脑膜炎球菌多糖疫苗(MPV-AC1)为64.22%,MPV-AC2为22.22%,白喉-破伤风联合疫苗(DT)为44.44%。不合格接种率为14.08%,主要原因为超期接种(63.62%)和未接种(31.20%)。
    结论龙湾区五苗(BCG、PV1-3、DTP1-3、MCV1、HepB1-3)的单苗接种率维持在较高水平,但加强免疫(复种)和新增加的扩大NIP疫苗(JEV、MPV和HepA)接种率相对较低,户籍儿童的接种率高于非户籍儿童。应加强部门协作,结合入托入学儿童预防接种证查验,开展常态化查漏补种,提高疫苗的接种率和及时率。

     

    Abstract:
    ObjectiveTo assess coverage of national immunization program (NIP) vaccination among children in Longwan District of Wenzhou City.
    MethodsProbability Proportionate to Size (PPS) Sampling method was used in the survey.The vaccination information and related data were collected from 1 510 children in Longwan District.
    ResultsThe percentage of children with immunization cards was 99.63%.The coverage rate for Bacilli Calmette-Guerin vaccine (BCG) was 97.09%, for the third dose of Hepatitis B vaccine (HepB1-3) 93.91%, for the first dose of HepB in timely 90.66%, for the third dose of diphtheria, tetanus and pertussis combined vaccine (DTP1-3)90.73%, the third dose of poliomyelitis attenuated live vaccine (PV1-3) 95.10%, the first dose of measles-containing vaccine (MCV1) 92.38%, MCV1 in timely 66.84%, the first-dose Japanese encephalitis vaccine (JEV1) 62.58%, for the 2-dose group A meningococcal vaccine (MPV-A1-2) 77.57% and for the first-dose hepatitis A vaccine (HepA) 61.69%.Coverage of the full-series for 5 vaccines (BCG, HepB1-3, PV1-3, DTP1-3, MCV1) was 82.58% and for 7 vaccines was 53.97%.Coverage rates for the second dose of MCV (MCV2), the fourth dose of DPT(DPT4), the second dose of JEV(JEV2), the first dose of MPV-AC, the second dose of MPV-AC and DT were 82.23%, 71.80%, 69.99%, 64.22%, 22.22%, 44.44%, respectlvely.The Coverage rates for unqualified vaccination was 14.08%.The main reason was overdue vaccination (63.62%) and unvaccination (31.20%).
    ConclusionCoverage rate for the BCG, PV1-3, DTP1-3, MCV1, HepB1-3 vaccines maintained a high level among children in Longwan District, but was lower in booster-dose vaccines and new vaccines integrated into NIP.And the vaccination rate is higher in children with household registration than in those without.In this regard, multi-sectoral collaboration should be strengthened.For children enrolled in school, combined with checking vaccination certificate, corresponding measures as re-vaccination should be taken to improve the immunization coverage rates and timely rates.

     

/

返回文章
返回