山东省基于预防接种信息系统分年龄组儿童常规免疫接种率分析
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摘要
目的分析山东省分年龄组儿童国家免疫规划(NIP)疫苗常规免疫接种率。方法通过山东省预防接种信息系统收集适龄儿童NIP疫苗接种信息,采用描述流行病学方法分析疫苗接种率。结果收集山东省1岁、3岁、7岁儿童分别为186.21万名、145.38万名、126.23万名,所有NIP疫苗剂次接种率分别介于88.64%-99.79%、95.26%-99.70%、73.28%-99.46%之间;常规免疫全程接种率分别为87.52%、94.38%、73.60%,东、中、西部地区1岁组全程接种率分别为90.51%、86.39%、85.95%,3岁组全程接种率分别为96.51%、94.13%、93.14%,7岁组全程接种率分别为82.96%、77.93%、67.62%。结论山东省适龄儿童NIP疫苗常规免疫接种率总体较高,但大年龄儿童应接种疫苗剂次和西部地区接种率偏低。
Objective To evaluate childhood routine immunization coverage by age in Shandong province. Methods We collected immunization data of age-eligible children using the Shandong Immunization Information System for a descriptive analysis of immunization coverage. Results This study included 186.21, 145.38, and 126.23 ten-thousand children aged 1, 3, and 7 years, respectively; coverage levels of all NIP vaccines f or the three age groups ranged88.64%-99.79%, 95.26%-99.70%, and 73.28%-99.46%, respectively. Full-series coverage of all NIP vaccines for the three age groups was 87.52%, 94.38%, and 73.60%, respectively. Full-series coverage in eastern, central and western regions was 90.51%, 86.39%, and 85.95% for 1 year olds; 96.51%, 94.13%, and 93.14% for 3 year olds; and 82.96%, 77.93%, and67.62% for 7 year olds, respectively. Conclusions Overall routine coverage with NIP vaccines was high among ageeligible children in Shandong, while coverage among older children or in western regions was low.
Objective To evaluate childhood routine immunization coverage by age in Shandong province. Methods We collected immunization data of age-eligible children using the Shandong Immunization Information System for a descriptive analysis of immunization coverage. Results This study included 186.21, 145.38, and 126.23 ten-thousand children aged 1, 3, and 7 years, respectively; coverage levels of all NIP vaccines f or the three age groups ranged88.64%-99.79%, 95.26%-99.70%, and 73.28%-99.46%, respectively. Full-series coverage of all NIP vaccines for the three age groups was 87.52%, 94.38%, and 73.60%, respectively. Full-series coverage in eastern, central and western regions was 90.51%, 86.39%, and 85.95% for 1 year olds; 96.51%, 94.13%, and 93.14% for 3 year olds; and 82.96%, 77.93%, and67.62% for 7 year olds, respectively. Conclusions Overall routine coverage with NIP vaccines was high among ageeligible children in Shandong, while coverage among older children or in western regions was low.
引文
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[13]付思美,林琳,程涛,等.吉林省基于免疫规划信息管理系统的常规免疫接种率报告研究[J].中国疫苗和免疫, 2018,24(4):447-452.FU Simei, LIN Lin, CHENG Tao, et al. Routine immunizat ion coverage based on the Immunizat ion Program Information Management System in Jilin province[J]. Chinese Journal of Vaccines and Immunization, 2018,24(4):447-452.
[14]田鑫,周剑惠,林琳,等.吉林省免疫规划信息管理系统本地与流动儿童接种率比较[J].中国疫苗和免疫,2018, 24(5):579-583.TIAN Xin, ZHOU Jianhui, LIN Lin, et al. Vaccination coverage of local and migrant children based on the Immunization Program Information Management System in Jilin province[J]. Chinese Journal of Vaccines and Immunization, 2018, 24(5):579-583.
[15]国家卫生和计划生育委员会.国家免疫规划疫苗儿童免疫程序及说明(2016年版)[S]. 2016-12-06.Nat ional Heal th and Family Planning Commission.Immunization schedules and instructions for vaccines of the national immunization program(2016 version)[S].2016-12-06.
[16]张伟燕,张英洁,刘少楠,等.山东省1~5岁儿童第二类疫苗接种情况分析[J].现代预防医学, 2016, 43(10):1886-1889.ZHANG Wei yan, ZHANG Yingjie, LIU Shaonan, et al.Analysis of the current status of category II vaccination among children aged 1-5 in Shandong province[J]. Modern Preventive Medicine, 2016, 43(10):1886-1889.
[2]张玫,郑景山,曹雷.常规免疫接种率监测现状与质量评估方法[J].中国疫苗和免疫, 2015, 21(4):450-457.ZHANG Mei, ZHENG Jingshan, CAO Lei. Performance and methods of quality assessment of routine immunization coverage surveillance[J]. Chinese Journal of Vaccines and Immunization, 2015, 21(4):450-457.
[3]张伟燕,刘少楠,曾振,等.山东省基于预防接种信息系统的1~7岁儿童疫苗接种率评价[J].现代预防医学, 2015,42(20):3693-3697+3729.ZHANG Weiyan, LIU Shaonan, ZENG Zhen, et al.Evaluation on immunization coverage rate of children f rom one to seven years old based on immunization inf ormation system in Shandong province[J]. Modern Preventive Medicine, 2015, 42(20):3693-3697+3729.
[4]张伟燕,刘少楠,徐爱强,等.山东省预防接种信息系统数据质量评价[J].现代预防医学, 2018, 45(6):1122-1126.ZHANG Weiya n, LIU Shaona n, XU Aiqiang, et al.Evaluation on data quality of immunization information system in Shandong province[J]. Modern Preventive Medicine, 2018, 45(6):1122-1126.
[5] SMITH PJ, BATTAGLIA MP, HUGGINS VJ, et al.Overview of the sampling design and statistical methods used in the national immunization survey[J]. Am J Prev Med, 2001, 20(4):17-24.
[6] LOPALCO PL, CARRILLO SANTISTEVE P. Actual immunization coverage throughout Europe:are existing data sufficient[J]. Clin Microbiol Infect, 2014, 20(5):7-11.
[7] AMIRTHALINGAM G, WHITE J, RAMSAY M. Measuring childhood vaccine coverage in England:the role of child health information systems[J]. Euro Surveill, 2012, 17(16):1-6.
[8]国家卫生和计划生育委员会.预防接种工作规范(2016年版)[S]. 2016-12-06.Nat ional Heal th and Family Planning Commission.Standard operational procedures for immunization(2016)[S]. 2016-12-06.
[9]崔健,曹雷,郑景山,等.中国2015年国家免疫规划疫苗报告接种率分析[J].中国疫苗和免疫, 2017, 23(6):601-607.CUI Jian, CAO Lei, ZHENG Jingshan, et al. Reported coverage of vaccines in the National Immunizat ion Program of China, 2015[J]. Chinese Journal of Vaccines and Immunization, 2017, 23(6):601-607.
[10]王丽娜,张富斌,张振国,等. 2012年河北省常规免疫接种率监测结果分析[J].职业与健康, 2015, 31(6):774-778.WANG Lina, ZHANG Fubin, ZHANG Zhenguo, et al.Investigation on the coverage rate of routine immunization in Hebei province in 2012[J]. Occup and Health, 2015,31(6):774-778.
[11]唐宁,张大勇,朱青,等. 2010~2012年贵州省常规免疫接种率监测结果评价[J].预防医学情报杂志, 2014, 30(8):618-621.TANG Ning, ZHANG Dayong, ZHU Qing, et al.Surveillance results of routine immunization in Guizhou,2010-2012[J]. Journal of Preventive Medicine Information,2014, 30(8):618-621.
[12]周勇,曹雷,张海荣,等.中国常规免疫接种率监测系统报告数据质量改善的研究[J].中国疫苗和免疫, 2018, 24(4):442-446.ZHOU Yong, CAO Lei, ZHANG Hairong, et al. Quality improvement of the Routine Immunization Coverage Monitoring System in China[J]. Chinese Journal of Vaccines and Immunization, 2018, 24(4):442-446.
[13]付思美,林琳,程涛,等.吉林省基于免疫规划信息管理系统的常规免疫接种率报告研究[J].中国疫苗和免疫, 2018,24(4):447-452.FU Simei, LIN Lin, CHENG Tao, et al. Routine immunizat ion coverage based on the Immunizat ion Program Information Management System in Jilin province[J]. Chinese Journal of Vaccines and Immunization, 2018,24(4):447-452.
[14]田鑫,周剑惠,林琳,等.吉林省免疫规划信息管理系统本地与流动儿童接种率比较[J].中国疫苗和免疫,2018, 24(5):579-583.TIAN Xin, ZHOU Jianhui, LIN Lin, et al. Vaccination coverage of local and migrant children based on the Immunization Program Information Management System in Jilin province[J]. Chinese Journal of Vaccines and Immunization, 2018, 24(5):579-583.
[15]国家卫生和计划生育委员会.国家免疫规划疫苗儿童免疫程序及说明(2016年版)[S]. 2016-12-06.Nat ional Heal th and Family Planning Commission.Immunization schedules and instructions for vaccines of the national immunization program(2016 version)[S].2016-12-06.
[16]张伟燕,张英洁,刘少楠,等.山东省1~5岁儿童第二类疫苗接种情况分析[J].现代预防医学, 2016, 43(10):1886-1889.ZHANG Wei yan, ZHANG Yingjie, LIU Shaonan, et al.Analysis of the current status of category II vaccination among children aged 1-5 in Shandong province[J]. Modern Preventive Medicine, 2016, 43(10):1886-1889.