Status of hepatitis B vaccination in newborns in Tiandong county of Baise city, Guangxi province
摘要: 目的了解百色市田东县新生儿病毒性乙型肝炎（乙肝）疫苗（HepB）接种情况，分析影响接种率的相关因素以及探讨提高新生儿HepB接种率的策略。 方法采用分层随机抽样的方法,在百色市田东县随机选取3个乡（镇）［组成:县城周边、二级公路旁、偏远乡镇各1个］及其所辖的自然村2005-2007年出生的本地户口270名新生儿HepB接种情况进行统计分析。 结果270名新生儿中，HepB首针及时接种率、全程及时接种率、全程接种率分别为45.6%、34.8%、41.1%；住院分娩的新生儿HepB首针及时接种率、全程及时接种率、全程接种率明显高于在家分娩的新生儿（I/Isup2/sup= 74.86、74.48、94.84，IP/I﹤0.01）；新生儿家长乙肝防治知识知晓率为40.7%。结论百色市田东县新生儿HepB接种率偏低，提高住院分娩率、普及乙肝知识有助于提高新生儿HepB接种率。Abstract: ObjectiveTo determine the situation of hepatitis B (HepB) vaccination in newborns in Tiandong county of Baise city and the factors that affected the rate of vaccination in attempt to provide the strategy for raising the vaccination rate of HepB. MethodsThe study on the HepB vaccination was carried out on 270 local newborns. All candidates were born between 2005 and 2007 and selected by stratified random sampling from 3 towns, together with the villages under jurisdiction of them, in Tiandong county of Baise city, including 1 town besides the county, 1 town besides highway and 1 remote town. ResultsFor HepB, the first dose timely vaccination rate, the whole course timely vaccination rate and whole course vaccination rate in the newborns investigated were 45.6%, 34.8% and 41.1%, respectively, with the hospital delivery newborns having significantly higher scores in all the three rates listed above than the home delivery newborns doing. (I/Isup2/sup=74.86, 74.48 and 94.84, respectively, IP/I﹤0.01). Of the parents of newborns, 40.7% were identified to have the knowledge for prevention and management of HepB. ConclusionThe rate of HepB vaccination in newborns was comparatively low in Tiandong county of Baise city, which may be improved by raising the hospital delivery rate and popularizing the knowledge of HepB.
［1］The Ministry of Health announced crowd of the national epidemiological findings of serum hepatitis B hepatitis. B vaccination in China has made remarkable achievements ［EB/OL］. Http：//www.moh.gov.cn/publicfiles/business/htmlfiles/wsb/pxwfb/200804/33253.htm.(in Chinese)
［2］Zhao LF, Tao JP, Zhou LW, et al. Analysis on inoculation situation of hepatitis B vaccine in Guyuan city of Ningxia province［J］. <I>Ningxia Medical Journal，</I>2007，23（3）：267-268.
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