【作者】 郭汝宁； 汤洪伟； 康敏； 罗会明； 郑慧贞；

【Author】 GUO Ru-ning TANG Hong-wei KANG Ming LUO Hui-ming Zheng Hui-zhen.Institute of Epidemic Disease Prevention and Control,Center for Disease Control and Prevention of Guangdong Province,Guangzhou 510300,China

【机构】 广东省疾病预防控制中心流行病防治研究所；

【摘要】 背景季节性流感流行时可在全世界广泛传播造成严重的发病和死亡,是长期世界性卫生问题。广东省是流感的活跃省份,为了解社区居民流感样病例的发生和疫苗接种情况,为流感防控健康教育提供科学数据。方法采用计算机辅助电话调查系统开展人口学为基础的社区居民流感样病例发病率和疫苗接种率调查,结果分四个季度共调查广州市居民1462户4794人, 流感样病例发病以低年龄组人群为主,第二季度为全年发病高峰(发病率为7.65%)。居民流感疫苗接种主要集中在30岁以下年龄组,接种的主要原因是"单位组织"(52%),不接种的主要原因是"身体好不需要接种"(41%)和"不知道要接种"(33%)。采用直接标化法估计2006 年广州市居民流感样病例发病率为22.9%,流感疫苗接种率为5.6%。结论电话调查是了解社区居民流感样病例发病率的一种简便可行的调查方式。4～6月是流感样病例活动的高峰时期, 低年龄组尤其是10岁以下年龄组仍是流感样病例发病高发人群。广州市民接种意识普遍偏低, 流感疫苗接种宣传教育有待进一步加强和落实。更多还原

【Abstract】 Background Seasonal influenza epidemics oftenbring severe morbidity and mortality to the whole world,which constitutes a lasting global health problem. Influenza activity in Guangdong is frequent.To understand the morbidity of Influenza-like Illness （ILI） and influenza vaccinat-ion instance of Guangzhou residents, thus providing scientific basis for health promotion and prevention and control.Methods Computer Assisted Telephone Interviewing System （CATI） was adopted to institute a population-based ILI incidence and influenza vaccination instance survey in community residents.Results Four seasons altogether 1462 Guangzhou families （4794 persons） were investigated.Lower age group was the main target of seasonal influenza,and epidemic peak occurred in the 2^nd season with the highest incidence of 7.65%.Vaccinated population was maily under 30 years of age.‘Inoculated under corporation/organization’（52%） was the primary reason for vaccination,whereas‘No necessary for inoculation’and ‘Know nothing about inoculation’,respectively occupying 41% and 33%,were the primary reason for no-vaccination.Using direct standardization method,ILI incidence of Guangzhou resident in 2006 was estimated to be 22.9% and influenza vaccination rate 7.24%.Conclusion:Telephone survey is a convenient and feasible investigation method to understand ILI morbidity of community residents.Influenza epidemic peak occurs through April to June.Lower age group especially children under 10 years of age is still the target population of ILI onset.Vaccination awareness of Guangzhou residents is generally low,and promotion and dissemination for influenza vaccination education needs to be reinforced and fulfilled.更多还原