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目的:研究河源市流动儿童预防接种服务的实际状况,分析影响这一情况的相关因素。方法:2012年1月~2015年1月从河源市的流动人口聚集地选取6个调查点,在每个调查点,随机入户抽选60名流动儿童(年龄为1~5岁)进行调查,全面地掌握其基本信息(包括家庭经济状况、儿童家长职业及其文化程度、儿童未接种的具体原因等等),重点分析其疫苗接种情况。结果:341名流动儿童调查合格,但是与国家单苗接种率90%以上的要求比较,流动儿童的计划免疫疫苗的单苗接种率显著较低,疫苗全程接种率76.5%。影响流动儿童接种率的因素包括家庭子女数、家庭收入、地区分布、民族等。结论:河源市流动儿童免疫接种率普遍较低,要高度重视健康宣教工作,确保流动儿童免疫接种率有效提升。
Objective: To study the actual situation of vaccination services for migrant children in Heyuan City and to analyze the relevant factors that affect this situation. Methods: From January 2012 to January 2015, six survey sites were selected from the floating population centers in Heyuan City. At each survey site, 60 migrant children (aged 1 to 5 years) were randomly selected for investigation , Have a thorough grasp of their basic information (including family economic status, children’s parents’ occupation and their educational level, the specific reasons for children not being vaccinated, etc.) and focus on their vaccination situation. Results: A total of 341 migrant children were investigated. However, compared with the national immunization coverage of more than 90%, the single vaccine immunization rate for migrant children was significantly lower and the vaccination coverage rate was 76.5%. Factors affecting the vaccination rate of migrant children include the number of children in the family, family income, geographical distribution, ethnicity and so on. Conclusion: The immunization coverage rate of migrant children in Heyuan City is generally low, so it is necessary to attach great importance to health missionary work so as to ensure effective immunization coverage for migrant children.