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      Coverage and influencing factors of vaccination of hepatitis B vaccine among rural residents in Beijing

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          Abstract

          Objective To analyze hepatitis B vaccination prevalence and its influencing factors among rural residents in Beijing and to provide evidences for promoting hepatitis B vaccine (HBV) vaccination and policy-making for hepatitis B prevention and control.

          Methods We conducted a household survey among 2 556 residents aged 16 years and above randomly selected in 3 villages in a district of Beijing from January 2011 to April 2012. A structured questionnaire with closed questions was used in the survey. Analysis of variance (ANOVA) and multivariate binary logistic regression were used to analyze the data collected.

          Results The mean age was 39.8 years for the 2 006 respondents (1 004 [50.05%] males and 1 002 [49.95%] females) with valid information; the HBV vaccination rate was 29.86% and the rate was 30.38% and 29.34% for the male and female respondents. The results of multivariate regression analysis indicated that the HBV vaccination rate was correlated positively with annual household income per capita and the level of knowledge about hepatitis B but inversely the increment of age and the time required for reaching a nearest medical institution among the respondents ( P < 0.01 for all). The occupational groups with the vaccination rate in a descendant order were students, high to from student, jobholder, individual industrialists and businessman, temporary workers, and farmers ( P < 0.01).

          Conclusion Among rural residents in Beijing, the vaccination rate of hepatitis B vaccine is relatively low in temporary worker and farmers and elder age, low income, knowledge about hepatitis B are major hindering factors for having the vaccination and the accessibility of health service also affect the vaccination rate.

          Abstract

          【摘 要】 目的 分析北京市农村居民乙肝疫苗接种状况及影响因素,为提高农村居民乙肝疫苗接种率和乙肝防控政策的制定提供参考依据。 方法 本研究数据采集于 2011 年 1 月 — 2012 年 4 月,应用随机抽样的方法和结构式访谈问卷调查的方式在北京大兴区 3 个自然村进行入户调查 ≥ 16 岁成年人,并采用方差分析、二元 logistic 回归模型进行统计分析。 结果 本研究共调查 2 006 人,总接种率 29.86 %。其中男性 1 004 人(50.05 %),接种率 30.38 %,女性 1 002 人(49.95 %),接种率 29.34 %;平均年龄 39.8 岁。多因素分析中,结合回归系数和 OR值分析可得,随着年龄的下降、家庭人均年收入的增加、乙肝认知水平的增加,乙肝疫苗的接种概率逐渐上升( P < 0.01)。职业分组中,接种率由高到低依次是学生、固定工作者、个体工商业者、打工者、农民( P < 0.01)。到达最近的医疗机构花费的时间越短,乙肝疫苗接种概率越高( P < 0.01)。 结论 高年龄、低收入、认知水平低都是阻碍乙肝疫苗接种的重要因素,农民和打工者群体接种率最低,医疗服务的可及性也会影响乙肝疫苗接种率。

          Author and article information

          Journal
          CPH
          Chinese Journal of Public Health
          Chinese Journal of Public Health (China )
          1001-0580
          01 August 2019
          09 June 2019
          : 35
          : 8
          : 1055-1058
          Affiliations
          [1] 1School of Health Policy and Management of Nanjing Medical University, Nanjing 211166, China
          Author notes
          *Corresponding author: Wang Jian, E-mail: wangjiannan@ 123456sdu.edu.cn
          Article
          zgggws1109979
          10.11847/zgggws1109979
          b7bcd60a-7177-4bd0-943a-a5cf4a0c29b7
          © 2019 China Public Health Editorial Department

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          History

          Medicine,Nutrition & Dietetics,Occupational & Environmental medicine,Health & Social care,Infectious disease & Microbiology,Public health
          influencing factor,rural residents,vaccination rate,hepatitis b vaccine

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