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[目的]分析留守儿童、常住儿童扩大免疫规划疫苗接种现状及影响因素。[方法]2011年5月采用简单随机抽样法对兰山、河东、苍山、平邑、费县5县(区)儿童进行免疫接种率及其影响因素调查,共调查3～6岁留守儿童和1～2岁常住儿童各300名,接种记录按卫生部标准进行统计。[结果]调查600名儿童,留守儿童、常住儿童“五苗”全程免疫覆盖率分别为89.67%、98.67%;Logistic回归模型分析,儿童监护人和接种点距离是影响留守儿童接种及时性的因素,母亲文化程度和胎次是影响常住儿童接种及时性的因素。[结论]不同类型的儿童,影响其接种率及时性的因素不同,宜采取多种不同的宣传教育措施,使儿童家长认识到接种疫苗是保护儿童健康的有效手段。健康教育宣传与疫苗有效、安全接种同等重要。
[Objective] To analyze the status quo and influencing factors of immunization programs for left-behind children and resident children. [Methods] A simple random sampling method was used to investigate the immunization rate and influential factors of children in 5 counties (districts) in Lanshan, Hedong, Cangshan, Pingyi and Fei counties in May 2011. A total of three children 300 children aged 1 to 2 years old, vaccination records according to the Ministry of Health standards for statistics. [Results] Throughout the investigation of 600 children, left-behind children, resident children “five seedlings ” the entire immunization coverage rates were 89.67%, 98.67%; Logistic regression model analysis, child guardian and vaccination distance is affecting the timely delivery of left behind children Factors, mother’s education level and parity are the factors affecting the timely vaccination of resident children. [Conclusion] Different types of children affect the vaccination rate and timing of different factors, should take a wide range of publicity and education measures to enable parents of children recognized that vaccination is an effective means of protecting the health of children. Health education and vaccination effective vaccination, safe vaccination equally important.