【摘要】 目的了解金华市开发区0~3岁组儿童家长对二类疫苗的"知-信-行"(知识、态度和行为),为改进二类疫苗接种工作策略提供依据。方法采用统一的调查问卷对目标监护人二类疫苗相关知识的掌握程度,二类疫苗的接种需求与利用,以及儿童二类疫苗的接种情况进行调查。结果共调查500人,回收有效问卷466份。二类疫苗可预防疾病知识调查流感疫苗知晓率最高为69.53%,五联苗(DPT、IPV、Hib)仅7.73%;79.18%儿童家长获取二类疫苗接种信息的途径是由医务人员告知,75.54%认为接种二类疫苗有必要,80.47%愿意给孩子接种二类疫苗,43.35%认为群众获得疫苗接种相关信息的渠道有限。7 264名儿童接种率调查结果显示,9种二类疫苗的接种率中,水痘疫苗接种率最高,为63.31%,7价肺炎最低,仅3.48%。流动儿童和本地儿童的23价肺炎疫苗、口服轮状疫苗、脊髓灰质炎灭活疫苗、A+C群脑膜炎球菌多糖结合疫苗和甲肝灭活疫苗的接种率差异有统计学意义(P<0.05)。结论开发区0~3岁儿童家长的二类疫苗"知-信-行"有限,可多渠道、多形式进行二类疫苗推广工作,改善儿童家长"知信行",提高二类疫苗接种率。更多还原

【Abstract】 Objective To understand KAP( Knowledge,Attitude and Practice) related to self-paid vaccination among parents of children aged 0-3 years in a development zone in Jinhua,and provide the basis for the improvement of self-paid vaccination strategies. Methods Investigation on parents’ knowledge mastering,the demand and utilization and a vaccination rate of self-paid vaccination were conducted with a uniform questionnaire. Results A total of 500 people were investigated and 466 questionnaires were returned. The cognition rate of influenza vaccine was 69. 53%,which is the highest in the investigation,and rate of pentaxim was only 7. 73%. 79. 18% of the parents obtained the vaccination knowledge by medical staffs’ informing. 75. 54% of parents thought self-paid vaccination was necessary,80. 47% was reluctant to have the self-paid vaccine given to children,and 43. 35% thought access to knowledge of vaccination was limited. The investigation on vaccination rate of 7264 children showed that the vaccination rate of varicella vaccine( 63. 31%) was the highest in 9vaccinations,while the rate of 7-valent pneumonia vaccine was the lowest( 3. 48%). There were statistically significant difference in the vaccination rate of 23-valent pneumonia vaccine,rotavirus vaccine,inactivated poliovirus vaccine,AC meningococcal polysaccharide conjugate vaccine and inactivated hepatitis A vaccine between floating children and local children( P < 0. 05). Conclusion The knowledge,attitude,and practice related to self-paid vaccination among parents of children aged 0-3 years in a development zone in Jinhua are limited. Promotion in multi-channels and multi-forms should be conducted to improve the parents’ " KAP" and the vaccination rate.更多还原