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[目的]了解历城区儿童计划免疫接种率现状及其影响因素。[方法]2007年11月15~27日,采用PPS抽样方法抽取历城区2000年1月至2007年11月15日出生的常住儿童1 762名进行“五苗”接种率调查,并采用非条件Lo-gistic回归分析其影响因素。[结果]调查12月龄以上儿童1 483名,卡介苗、乙肝疫苗、脊髓灰质炎疫苗、百白破混合制剂、麻疹疫苗合格接种率分别为99.60%、98.58%、98.65%、98.99%、98.31%,“五苗”全程合格接种率为95.41%;有15%的接种门诊单苗合格接种率未达到95%,5%的接种门诊“五苗”合格接种率未达85%。多因素非条件Logistic回归分析结果显示地区类型是影响“五苗”合格接种率的主要因素(OR=2.11,P=0.010)。[结论]济南市历城区儿童计划免疫基础疫苗接种率较高,但各接种门诊工作发展不平衡,应对工作簿弱门诊加强重点管理,完善城市社区预防保健网络组织建设。
[Objective] To understand the current status of children’s immunization coverage in Licheng District and its influencing factors. [Methods] From November 15 to November 27, 2007, 1 762 permanent residents born in Licheng District from January 2000 to November 15, 2007 were investigated by “PPS sampling method” to investigate the inoculation rate of “five seedlings” Conditions Lo-gistic regression analysis of its influencing factors. [Results] The eligible vaccination rates of 1 483 children aged 12 months and over, BCG vaccine, hepatitis B vaccine, poliomyelitis vaccine, baibai broken mixed vaccine and measles vaccine were 99.60%, 98.58%, 98.65%, 98.99% and 98.31% , “” Five seedlings “throughout the eligible vaccination rate was 95.41%; 15% of vaccination outpatient orders Miao qualified vaccination rate did not reach 95%, 5% of vaccination clinics ” five seedlings “qualified vaccination rate of less than 85%. Multivariate non-conditional logistic regression analysis showed that the regional type was the main factor influencing the qualified vaccination rate of ”five seedlings" (OR = 2.11, P = 0.010). [Conclusion] The coverage rate of basic immunization of children plan immunization in Li Cheng District of Ji’nan City is high, but the work of vaccination clinics is unbalanced. We should strengthen the key management in weak clinics of workbooks and improve the network construction of prevention and health care in urban communities.