【摘要】 目的　了解影响成人疫苗接种率的有关社会经济影响因素。方法　选择广西河池市 2个城镇 ,对 5～ 6 0岁登记在册居民按有对照的组群随机抽样原则进行伤寒Vi疫苗和A群流脑疫苗的大规模接种 ;比较接种者的人口学和社会经济特征与接种率的关系。结果　应接种对象 1180 71人 ,实际接种 92 4 76人 ,接种率为 78 32 % ,其中伤寒Vi疫苗 76 87% ;流脑疫苗 79 6 9%。城市接种率为 77 2 9% ,农村接种率为 80 5 8% ;5～ 9岁接种率最高 ,为89 6 5 % ;2 0～ 2 9岁组最低 ,仅为 6 9 0 7% ;男女接种率分别为 79 0 7%和 82 11% ;高收入住户人群接种率最高达到90 %左右 ;18～ 6 0岁人群中 ,按受教育程度分析以“小学毕业”人群接种率最高 ,为 78 34% ;按居住单元分析 ,学生的人群接种率最高 ,达 92 0 1% ,私营业主和退休人群接种率最低 ,分别为 6 9 71%和 6 8 82 % ;居住未满 1年者的人群接种率最低 ,为 6 2 5 % ,居住 1～ 2年者接种率最高 ,为 84 4 7%。结论　受教育程度、经济收入、居住年限以及城乡差别对接种率并无直接影响 ;流动性大、老年人是影响疫苗接种率的主要因素。更多还原

【Abstract】 Objective To study the socio-economic factors influencing adult vaccination coverage.Methods A vaccination campaign of cluster randomized controlled trial targeting population aged 5-60 years was conducted in two towns,Hechi city,Guangxi to compare vaccinee′s demographic and socio-economic characters and vaccination coverage.Results 92,476 people of the total target population of 118、071 were vaccinated;Vaccination coverage reached 78 32%,typhoid Vi vaccine coverage reached 76 87% and meningococcal A vaccine coverage reached 79 69%.The urban and rural vaccination coverage was 77 29% and 80 58% respectively.By age group,the highest coverage of age group was 5-9 years old which reached 89 65% and the lowest coverage of age group was 20-29 years old at 69 07%;coverage between male and female was 79 07% and 82 11% respectively;the coverage of the household of high income was highest,which reached 90%;according to education level,poupulation aged 18-60 years,“finished primary school”reached the highest coverage with 78 34%;according to the occupation of the head of household,were “students”reached 92 01% and lowest coverage were “Owner of business premise”and the “retired”reached 69 71% and 68 82%;according to “the years living in study area”,the highest coverage group were “1-2 years living in study area”which reached 84 47% and lowest coverage group were “living in study area less than 1 year”which reached 62 5%.Conclusion Vaccination coverage was not affected by education level,household income,the residential time and location;the main factors influencing coverage were migration,elderly population.更多还原