摘要
目的了解老年人23价肺炎球菌多糖疫苗(23-valent pneumococcal polysaccharide vaccine,PPV23)、乙型肝炎疫苗(Hepatitis B vaccine,HepB)和流感疫苗(Influenza vaccine,InfV)接种的影响因素。方法采用便利抽样方法在苏州市太仓市5个乡镇选取2023年参与社区健康体检的≥60岁老年人开展问卷调查,分析PPV23、HepB和InfV接种比例及其影响因素。结果在4390例调查对象中,PPV23、HepB和InfV接种比例分别为25.35%、5.88%、1.48%。多因素Logistic回归分析显示,70~79岁和≥80岁、有心脑血管疾病者PPV23接种比例高[OR(95%CI):5.94(4.97~7.09)、5.59(4.37~7.17),1.80(1.14~2.84)];70~79岁和≥80岁HepB接种比例低而初中和高中及以上文化程度、有高血压、有糖尿病者接种比例高[OR(95%CI):0.04(0.02~0.09)、0.03(0.004~0.20),3.47(2.40~5.00)、4.30(2.79~6.63),2.45(1.86~3.22),1.47(1.02~2.12)];高中及以上文化程度者InfV接种比例高而有糖尿病者接种比例低[OR(95%CI):3.56(1.82~6.95),0.24(0.06~0.99)]。结论调查地区≥60岁老年人PPV23、HepB和InfV接种水平总体较低,且受年龄、文化程度和慢性病患病状态的影响。需加强老年人疫苗接种相关知识健康教育。
Objective To identify factors influencing vaccination with 23-valent pneumococcal polysaccharide vaccine(PPV23),hepatitis B vaccine(HepB),and influenza vaccine(InfV)among elderly people.Methods We selected a convenience sample of≥60-year-olds who participated in a community health examination program in 2023 in any of five townships of Taicang city,Suzhou for a questionnaire-based survey.We analyzed levels of PPV23,HepB,and Inf V vaccination and factors influencing vaccination.Results Among 4390 subjects,25.35%,5.88%,and 1.48%were vaccinated with PPV23,HepB,and Inf V,respectively.Multivariate logistic regression analysis showed that PPV23vaccination was highest among 70-79-and≥80-year-olds,and individuals with cardiovascular or cerebrovascular disease[OR(95%CI):5.94(4.97 to 7.09),5.59(4.37 to 7.17),and 1.80(1.14 to 2.84)];HepB vaccination was lowest among 70-79-and≥80-year-olds and was highest for individuals with middle school and high school or above education,hypertension,or diabetes[OR(95%CI):0.04(0.02 to 0.09),0.03(0.004 to 0.20),3.47(2.40 to 5.00),4.30(2.79 to 6.63),2.45(1.86 to 3.22),and 1.47(1.02 to 2.12)];InfV vaccination was highest for individuals with high school or above education but was lowest for individuals with diabetes[OR(95%CI):3.56(1.82 to 6.95)and 0.24(0.06 to 0.99)].Conclusions PPV23,HepB and InfV vaccination levels were generally low among≥60-year-olds in the surveyed area,and were influenced by age,education,and chronic disease status.We should strengthen health education on vaccination for the elderly.
作者
刘娜
沈嘉
高金玲
栾琳
屠忆夏
王华庆
Liu Na;Shen Jia;Gao Jinling;Luan Lin;Tu Yixia;Wang Huaqing(National Immunization Program,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Suzhou Center for Disease Control and Prevention,Suzhou 215100,Jiangsu,China;Taichang Center for Disease Control and Prevention,Suzhou 215400,Jiangsu,China)
出处
《中国疫苗和免疫》
北大核心
2025年第2期148-152,共5页
Chinese Journal of Vaccines and Immunization
基金
中国肝炎防治基金会中国乙肝防控科研基金课题(YGFK20210114、YGFK20220080)
苏州姑苏卫生人才科研项目(GSWS2023065)。
关键词
肺炎球菌疫苗
乙型肝炎疫苗
流感疫苗
疫苗接种
影响因素
慢性病
老年人
Pneumococcal vaccine
Hepatitis B vaccine
Influenza vaccine
Vaccination
Influencing factor
Chronic disease
Elderly people
作者简介
通信作者:王华庆,Email:wanghq@chinacdc.cn第一作者:刘娜,Email:Suzhouliun@163.com。
