山东非法经营疫苗系列案对深圳市儿童家长预防接种态度和行为的影响Impact of the Shandong Illegal Vaccine Selling Event on parents' immunization attitudes and behaviors in Shenzhen city
周倩,刘卫民,陈霖祥,林喜乐,唐松源,吴友维
摘要(Abstract):
目的了解山东非法经营疫苗系列案对深圳市儿童家长预防接种态度和接种行为的影响,分析儿童家长接种犹豫的影响因素。方法 2016年4月在深圳市罗湖区和龙岗区75家预防接种门诊,采用单纯随机抽样方法抽取1 284名≤2岁儿童的家长进行预防接种态度和接种行为调查,采用Logistic回归模型分析接种犹豫的影响因素。结果案件报道后32.4%的家长出现接种犹豫。Logistic回归分析显示,女童(OR=1.32,95%CI:1.01-1.72)、没有使用预防接种手机应用程序(OR=4.39,95%CI:3.21-6.01)、认为案件对孩子有影响(OR=3.43,95%CI:2.28-5.16)、认为预防接种门诊使用的疫苗不安全(OR=8.26,95%CI:1.79-4.73)的家长更易产生接种犹豫。全市2016年乙型肝炎疫苗第3剂、无细胞百白破联合疫苗第1剂和第2剂接种率比2015年分别下降了5.23、5.67、5.78个百分点;2016年轮状病毒疫苗、b型流感嗜血杆菌疫苗、水痘减毒活疫苗接种剂次数比2015年分别下降了20.49%、40.60%、28.26%。结论儿童家长对山东非法经营疫苗系列案的认知差,产生接种犹豫,儿童疫苗接种率下降;需采取有效措施预防和减少案件的影响。
关键词(KeyWords): 山东非法经营疫苗系列案;接种犹豫;态度;行为
基金项目(Foundation): 深圳市卫生计生系统科研立项(201602007)
作者(Author): 周倩,刘卫民,陈霖祥,林喜乐,唐松源,吴友维
DOI: 10.19914/j.cjvi.2018.02.022
参考文献(References):
- [1]DUBE,LABERGE C,GUAY M,et al.Vaccine hesitancy[J].Human Vaccines and Immunotherapeutics,2013,9(8):1763-1773.
- [2]DUBE,VIVION M,MACDONALD NE.Vaccine hesitancy,vaccine refusal and the anti-vaccine movement:influence,impact and implications[J].Expert Review of Vaccines,2015,14(1):99-117.
- [3]王步果,吕宏伟,陈武.疫苗接种事件对产科新生儿接种影响的调查分析[J].疾病预防控制通报,2014,29(5):77-78.WANG Buguo,LV Hongwei,CHEN Wu.Investigation and analysis of the influence of vaccination event on obstetrical neonatal inoculation[J].Bulletin of Disease Control and Prevention,2014,29(5):77-78.
- [4]唐昕莹,周东明.“山东疫苗事件”评析[J].中国科学:生命科学,2016,46(6):779-781.TANG Xinying,ZHOU Dongming.The rational analysis of“Shandong Vaccine Incident”[J].Scientia Sinica(vitae),2016,46(6):779-781.
- [5]孙丽萍.自媒体平台上突发事件信息传播问题研究—以“山东问题疫苗事件”为例[J].佳木斯职业学院学报,2016,(7):466-467.SUN Liping,Research on information dissemination of unexpected events on the We media platform-“Shandong Issue Vaccine Event”as an example[J].Journal of Jiamusi Vocational Institute,2016,(7):466-467.
- [6]MACDONALD NE.Vaccine hesitancy:definition,scope and determinants[J].Vaccine,2015,33(34):4161-4164.
- [7]潘金仁,周洋,邓璇,等.2013年媒体报道的乙型肝炎疫苗事件一年后影响调查[J].中国疫苗和免疫,2016,22(2):214-220.PAN Jinren,ZHOU Yang,DENG Xuan,et al.Influence of the hepatitis B vaccine event reported by the media in 2013 one year later[J].Chinese Journal of Vaccines and Immunization,2016,22(2):214-220.
- [8]曹珊.传统媒体与网络新媒体对突发公共事件报道的框架分析—以2016年山东疫苗事件为例[J].新媒体研究,2016,2(20):3-4.CAO Shan.Framework analysis of traditional and new online media on public incidents:a case study of the 2016 Shandong vaccine incident[J].New Media Research,2016,2(20):3-4.
- [9]熊敏.新媒体时代突发公共卫生事件的危机传播分析—以“山东疫苗事件”为例[J].东南传播,2016,(12):110-112.XIONG Min.An analysis of crisis transmission of public health emergency in the new media era—a case study of“Shandong vaccine incident”[J].Southeast Communication,2016,(12):110-112.
- [10]陈伟,高志刚,李永成,等.山东2016年非法经营疫苗案件对天津市儿童家长预防接种态度及行为影响调查[J].中国公共卫生,2016,32(7):881-884.CHEN Wei,GAO Zhigang,LI Yongcheng,et al.Influence of media report of illegal vaccine sales in Shandong province on attitude and behavior of parents about vaccination of their children in Tianjin city:a quick survey in 2016[J].China Journal of Public Health,2016,32(7):881-884.
- [11]路明霞,王燕,从克,等.2016年非法经营疫苗系列案对河南省儿童家长预防接种信任程度的影响调查[J].中国疫苗和免疫,2016,22(6):688-692.LU Mingxia,WANG Yan,CONG Ke,et al.Parental confidence on immunization in Henan province after the 2016 illegal vaccine selling event[J].Chinese Journal of Vaccines and Immunization,2016,22(6):688-692.
- [12]世界卫生组织:过期疫苗几乎不会引发毒性反应[EB/OL].中国日报,2016-03-22.http://cnews.chinadaily.com.cn/2016-03/22/content_24026573.htm.WHO:outdated vaccines rarely cause toxic reactions[EB/OL].China Daily,2016-03-22.http://cnews.chinadaily.com.cn/2016-03/22/content_24026573.htm.
- [13]陆瑾,牟文,周文瑜,等.非法经营疫苗系列案对上海市黄浦区儿童家长的疫苗信任度和接种行为变化调查[J].中国疫苗和免疫,2016,22(6):693-696.LU Jin,MU Wen,ZHOU Wenyu,et al.Parents'trust in vaccines and changes in vaccination behavior in Huangpu district of Shanghai city after the illegal vaccine selling event[J].Chinese Journal of Vaccines and Immunization,2016,22(6):693-696.
- [14]张永强,董志兵,吉文博,等.公众对“疑似乙肝疫苗致死事件”知晓情况及对调查结果信任度的调查分析[J].中国初级卫生保健,2014,28(11):92-94.ZHANG Yongqiang,DONG Zhibing,JI Wenbo et al.Investigation and analysis on the status of public awareness of“suspected hepatitis B vaccine deaths”and trust of the survey result[J].Chinese Primary Health Care,2014,28(11):92-94.
- [15]陈保林,王培生,刘霞,等.山东疫苗事件对乌鲁木齐市部分疫苗接种的影响分析[J].医学动物防制,2017,33(5):578-579.CHEN Baolin,WANG Peisheng,LIU Xia,et al.Analysis of the impact of Shandong vaccine events on the partial vaccination in Urumqi city[J].Journal of Medical Pest Control,2017,33(5):578-579.
- [16]罗玉娥,李金泽,李宁,等.非法经营疫苗系列案对湖北省预防接种的影响分析[J].中国疫苗和免疫,2016,22(4):420-423.LUO Yu'e,LI Jinze,LI Ning,et al.Influence of the illegal vaccine trade event on the immunization program in Hubei province[J].Chinese Journal of Vaccines and Immunization,2016,22(4):420-423.
- [17]SALMON DA,DUDLEY MZ,GLANZ JM,et al.Vaccine hesitancy:causes,consequences,and a call to action[J].Vaccine,2015,33(Suppl 4):D66-71.
- [18]张瑞华,赵大仁,何思长,等.从自媒体视角反思山东疫苗事件[J].中华灾害救援医学,2016,4(8):422-424.ZHANG Ruihua,ZHAO Daren,HE Sichang,et al.Reflection on Shandong Vaccine Events from the perspective of the selfmedia[J].Chinese Journal of Disaster Medicine,2016,4(8):422-424.