摘要
目的 了解河南省流动人口的计划免疫状况。方法 在河南省 17个市地 ,分别按照不同地理位置及聚集特点将流动人口分为 4类 ,每地随机抽取各类地区 ,采取逐户调查方法 ,分别调查2 141名流动儿童的免疫接种情况。结果 河南省流动人口计划免疫各种疫苗接种率均低于 6 0 0 % ,四苗全程接种率仅为 32 0 % ,远低于当地儿童的免疫接种水平。 4类地区中以大型农贸市场、建筑工地等地的流动儿童免疫接种率最低 ,为 2 0 8%。不同工作类型中以流动商贩子女的免疫接种率最低 ,为 2 5 1%。说明流动儿童的免疫接种问题 ,已成为制约我省计划免疫工作深入开展的关键。而居住、工作不固定、流动性大是造成流动人口免疫接种工作难以很好开展的主要原因。群众对计划免疫工作不理解、缺乏主动性以及部分地区计划免疫服务存在漏洞也是当前流动人口计划免疫工作中存在的重要问题。结论 要进一步加大计划免疫的宣传力度 ,改进计划免疫服务方式 ,加强流动人口的计划免疫管理。
Objective To understand the immunization status in children of f loating population in Henan Province. Methods Floating people was divided into four types based on their geographical distribution and characteristics of settl ement and randomly sampled from each type in 17 cities and prefectures of Henan Province. Immunization status was investigated in 2 141 children from floating population by household visits. Results Immunization coverage in children of f loating population was less than 60% and coverage of complete immunization with four kinds of vaccine was only 32%, far lower than that in local children. Cove rage for children in large-size bazaars and construction sites and from peddler s′ families was the lowest, 20 8% and 25 1%, respectively, which indicated th at immunization for children in floating population had restricted the in-depth development of Expanded Program on Immunization (EPI) in Henan Province. The mai n reasons for that were floating population had no stable residence and job. The key problems in immunization for floating population at present were their unaw areness of EPI, lack of initiative and certain defects in EPI service existed in some areas. Conclusion It is necessary to strengthen publicity for immuniza tion, to improve the mode of EPI service and to enhance the management in immuni zation for floating population.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2000年第5期287-289,共3页
Chinese Journal of Preventive Medicine
