| 曹曼,赵金红,张娟,余文周,尹遵栋,曹雷,叶家楷,吴静,曹玺强,舒溢辰,王海涛,王向林,刘远立,冯子健.儿童家长预防接种后留观时间及其相关因素分析[J].中华流行病学杂志,2021,42(6):1080-1085 |
| 儿童家长预防接种后留观时间及其相关因素分析 |
| Analysis of the time for observation and related factors at clinics after vaccination among children's parents |
| 收稿日期:2020-10-10 出版日期:2021-06-29 |
| DOI：10.3760/cma.j.cn112338-20201010-01222 |
| 中文关键词: 疫苗接种 留观时间 相关因素 儿童家长 |
| 英文关键词: Vaccination Time for observation Related factors Children parents |
| 基金项目: |
| 作者 | 单位 | E-mail | | 曹曼 | 中国医学科学院/北京协和医学院卫生健康管理政策学院, 北京 100730 | | | 赵金红 | 中国医学科学院/北京协和医学院卫生健康管理政策学院, 北京 100730 | | | 张娟 | 中国医学科学院/北京协和医学院群医学及公共卫生学院, 北京 100730 | | | 余文周 | 中国疾病预防控制中心免疫规划中心, 北京 100050 | | | 尹遵栋 | 中国疾病预防控制中心免疫规划中心, 北京 100050 | | | 曹雷 | 中国疾病预防控制中心免疫规划中心, 北京 100050 | | | 叶家楷 | 中国疾病预防控制中心免疫规划中心, 北京 100050 | | | 吴静 | 中国疾病预防控制中心免疫规划中心, 北京 100050 | | | 曹玺强 | 北京协和医学院培训中心, 北京 100730 | | | 舒溢辰 | 北京协和医学院培训中心, 北京 100730 | | | 王海涛 | 北京协和医学院培训中心, 北京 100730 | | | 王向林 | 中国医学科学院/北京协和医学院卫生健康管理政策学院, 北京 100730 | | | 刘远立 | 中国医学科学院/北京协和医学院卫生健康管理政策学院, 北京 100730 | yliu@pumc.edu.cn | | 冯子健 | 中国疾病预防控制中心免疫规划中心, 北京 100050 | fengzj@chinacdc.cn |
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| 中文摘要: |
| 目的 分析儿童家长预防接种后留观时间及其相关因素。方法 2019年12月至2020年1月，选取我国6个省份（山东省、广东省、河南省、四川省、内蒙古自治区和辽宁省）12个县（区）34个预防接种门诊，采用分阶段抽样方法招募预防接种0~3岁儿童家长，开展问卷调查。采用多因素logistic回归模型分析儿童家长预防接种后留观时间的相关因素。采用SAS 9.4软件进行统计学分析。结果 共招募0~3岁儿童家长3 292名，符合标准的研究对象为3 178名。儿童家长预防接种后正确留观时间≥30 min的比例为87.85%（2 792/3 178）。多因素logistic回归分析结果显示，影响儿童家长预防接种后留观时间的主要因素分别为预防接种工作人员正确告知家长留观时间≥30 min（OR=31.622，95%CI：19.847~50.384）、家长职业为医护人员（OR=2.779，95%CI：1.505~5.133）、参加预防接种宣传教育活动（OR=1.986，95%CI：1.438~2.743）、家长年龄≥35岁（OR=1.900，95%CI：1.215~2.971）、胎次为第1胎（OR=1.663，95%CI：1.282~2.156）、家庭人均年收入为8 000~元（OR=1.646，95%CI：1.168~2.319）、儿童年龄为0~12月龄（OR=1.646，95%CI：1.203~2.252）和13~24月龄（OR=1.506，95%CI：1.064~2.133）、信任预防接种工作人员的预防接种建议（OR=1.481，95%CI：1.067~2.055）。结论 儿童家长预防接种后正确留观时间≥30 min的比例较高。预防接种工作人员正确告知家长留观时间的影响最大。 |
| 英文摘要: |
| Objective To understand the time for observation and related factors in the clinics after vaccination among children's parents. Methods From December 2019 to January 2020, parents of children aged 0-3 years were recruited by multiple-stage sampling from 34 vaccination clinics in 12 districts and counties in 6 provinces (Shandong, Guangdong, Henan, Sichuan, Inner Mongolia, and Liaoning). A questionnaire survey on the time of observation after vaccination was conducted. A multivariate logistic regression model was used to analyze the related factors of parental observation time after vaccination. Results A total of 3 292 parents of 0-3 year's old children were selected, and 3 178 parents were finally included in the analysis. 87.85%(2 792/3 178) of the parents reported that the observation time after vaccination at clinics was ≥ 30 minutes. Multivariate logistic regression analysis showed that, after adjusting for the regions, the main factors affecting the observation time at clinics after vaccination among parents appeared as observation time informed by physicians at the clinic appeared ≥ 30 minutes (OR=31.622, 95%CI:19.847-50.384), parents were medical personnel (OR=2.779, 95%CI:1.505-5.133), parents being volunteers working on vaccination-related publicity and education activities (OR=1.986, 95%CI:1.438-2.743), parents aged 35 years old or above (OR=1.900, 95%CI:1.215-2.971), being parents of the first child (OR=1.663, 95%CI:1.282-2.156), per capita annual income of the family as 8 000-Yuan (OR=1.646, 95%CI:1.168-2.319), children aged 0-12 months old (OR=1.646, 95%CI:1.203-2.252) or 13-24 months old (OR=1.506, 95%CI:1.064-2.133), obedient to physicians' advice at the clinic (OR=1.481, 95%CI:1.067-2.055). Conclusions The proportions of parents observed for ≥ 30 minutes at the clinics of vaccination were high. When the information was from the physicians at the vaccination clinic, the observation time was the most critical factor for parents to observe at clinics as required. |
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