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北京市老年人家庭结构对其免费接种流感疫苗的影响
作者:方任飞 吕敏 吴疆 庞星火 邓瑛 谢铮
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摘要:

目的  分析北京市免费流感疫苗政策下家庭结构对60岁以上老年人流感疫苗接种率的影响。方法  采用横断面调查,通过多阶段分层随机抽样,于2013年7–8月在北京市抽取1 717名老年人进行问卷调查,回收有效问卷1 637份。调查其社会人口学特征和流感疫苗接种情况。采用χ2检验比较不同特征老年人疫苗接种率差异。采用多因素二分类非条件logistic回归模型分析影响老年人疫苗接种的因素。结果  2013年北京市老年人免费流感疫苗接种率为38.8%(634/1 637)。不同家庭结构老年人疫苗接种率差异具有统计学意义(χ2=11.57,P=0.009),其中独居老年人的接种率较高,为47.5%(58/122),和子女及配偶同住的老年人接种率较低,为34.6%(175/506),仅和配偶居住、仅和子女居住以及其他家庭结构老年人的接种率分别为41.5%(322/778)、34.7%(69/201)和33.3%(10/30)。调整了性别、收入和文化程度后,与独居老年人相比,仅和配偶居住、仅和子女居住、和配偶及子女居住老年人接种疫苗的OR(95%CI)值分别为0.90(0.60~1.33)、0.59(0.37~0.96)、0.63(0.42~ 0.96)。结论  北京市老年人免费流感疫苗接种率较低;独居老年人的免费流感疫苗接种率高于非独居老年人。

关键词:流感疫苗;老年人;家庭特征;健康行为

Abstract:

Objective  To investigate the differences in free influenza vaccination rate among different family structures of the elderly population in Beijing under the free vaccination policy.Methods  A cross sectional study was conducted by a multi-stage cluster sampling from July to August in 2013. A total of 1 717 individuals were selected to answer a self-designed questionnaire of demographic characteristics and basic information about receiving free influenza vaccination and 1 637 of which were valid. The chi-square test for dichotomous variables was calculated to examine the relationship between vaccine status and family characteristics. Predictor variables were selected as variables for non-conditional logistic regression model to determine potential independent predictors of vaccine uptake.Results  The free influenza vaccination rate in elderly population was 38.8% (634/1 637) in 2013. The rate in the old people who lived alone was the highest which was 47.5% (58/122). The rate in the old people who lived with children and spouse was 34.6% (175/506). There was a significant difference in coverage rate among different family structures (χ2=11.57, P=0.009). The rate in the old people who lived with spouse only, lived with children only and other types were 41.5% (322/778) , 34.7% (69/201), and 33.3% (10/30), respectively. In a multi-factor model, there was a significant difference in vaccination rate among different family structures after other confounding factors were controlled. The odds ratios (95% CI) of the people living with spouse only, people living with children only and people living with spouse and children were 0.90 (0.60-1.33) , 0.59 (0.37-0.96) , and 0.63 (0.42-0.96), respectively.Conclusion  The vaccination rate in the old people living alone was low. The health education should be conducted not only in the elderly people but also in their family members.

Key words: Influenza vaccine;Aged;Family characteristics;Health behavior

发表日期:2015/12

引用本文:

图/表:

  • 10.3760/cma.j.issn.0253-9624.2015.12.002.T001:表1 北京市不同特征60岁以上老年人免费流感疫苗接种情况比较(n=1 637)

    10.3760/cma.j.issn.0253-9624.2015.12.002.T001:表1 北京市不同特征60岁以上老年人免费流感疫苗接种情况比较(n=1 637)

  • 10.3760/cma.j.issn.0253-9624.2015.12.002.T002:表2 影响北京市60岁以上老年人免费接种流感疫苗的多因素logistic回归模型分析(n=1 637)

    10.3760/cma.j.issn.0253-9624.2015.12.002.T002:表2 影响北京市60岁以上老年人免费接种流感疫苗的多因素logistic回归模型分析(n=1 637)

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