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目的了解广州市流动儿童计划免疫接种情况。方法对广州市13个区(市)的26个居委(村)1~4岁流动儿童进行计划免疫相关情况调查。结果231名流动儿童的建证率为99.6%,建卡率为91.3%。计划免疫四苗全程接种率为79.7%,乙肝疫苗接种率为85.3%,百白破加强免疫接种率为86.8%;五种疫苗超期接种占不合格接种总人数的71.8%。对相关情况进行多因素Logistic回归分析表明,分娩情况和免疫卡有无对接种合格率的影响有统计学意义(院内分娩者OR为3.41,有免疫卡者OR为4.23)。结论广州市流动儿童计划免疫接种合格率较低,应加强该人群尤其是院外分娩者及未建卡儿童的计划免疫的规范接种工作。
Objective To understand the planned immunization of migrant children in Guangzhou. Methods To investigate the immunization status of migrant children aged from 1 to 4 in 26 neighborhood committees (villages) in 13 districts (cities) in Guangzhou. Results 231 migrant children’s card rate was 99.6%, card rate was 91.3%. Planned immunization four seedlings throughout the vaccination rate was 79.7%, hepatitis B vaccination rate was 85.3%, diphtheria broken enhanced immunization rate was 86.8%; five vaccines overdose vaccination accounted for 71.8% of the total number of unqualified vaccination. Multivariate Logistic regression analysis showed that the effects of delivery and immunization card on the eligible rate of vaccination were statistically significant (OR of 3.41 in hospital delivery and OR of 4.23 in immunized card). Conclusions The passing rate of planned immunization of floating children in Guangzhou is relatively low. Regular vaccination of this population, especially out-of-hospital delivery and un-built-up children, should be strengthened.