文章摘要
葛楠,朱鸣雷,曲璇,王燕妮,刘晓红.北京市社区老年人流感疫苗接种状况与效果及其影响因素[J].中国临床保健杂志,2018,21(3):296-301.
北京市社区老年人流感疫苗接种状况与效果及其影响因素
Influencing factors,effect and inoculation status of influenza vaccine in the community-dwelling elderly in Beijing
投稿时间:2018-01-17  
DOI:10.3969/J.issn.1672-6790.2018.03.003
中文关键词: 流感疫苗  大规模疫苗接种  发病率  影响因素分析  老年人  
英文关键词: Influenza vaccines  Mass vaccination  Incidence  Root cause analysis  Aged 〖FL
基金项目:北京市科学技术委员会资助项目(Z171100001017251)
作者单位E-mail
葛楠 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730 genan32@163.com 
朱鸣雷 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730  
曲璇 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730  
王燕妮 青松康复护理机构  
刘晓红 中国医学科学院 北京协和医学院 北京协和医院老年医学科,北京 100730 xhliu41@medmail.com.cn 
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中文摘要:
      目的 了解老年人群流感疫苗接种率、接种疫苗后对1年内全因急诊就诊率和全因住院率的影响,以及接种率的影响因素。方法 调查了北京香河园社区60岁及以上老年人,对比研究3年内每年接种流感疫苗人群(疫苗接种组)与从未接种流感疫苗接种人群的相关事件(对照组)。结果 1043例受调查社区老年人年龄(75±7)岁;男性476例,女性567例。3年内流感疫苗连续接种者304例,占29.1%。疫苗接种组与对照组比较,过去1年内全因急诊就诊率分别为4.3%和12.0%(P=0.001),全因住院率分别为10.9%和 21.9%(P<0.001)。生活自理情况差(χ2=23.317,P<0.001)、独居(χ2=8.790,P=0.003)和月收入水平较低(χ2=11.363,P=0.003)影响流感疫苗接种率。结论 社区老年人规律性接种流感疫苗,可以有效地减少住院率和急诊就诊率,应该加强普及教育,提高流感疫苗接种率。
英文摘要:
      Objective To understand the inoculation rate of influenza vaccine in the community-dwelling elderly,its impact on all-cause emergency visits and hospitalization within one year after vaccination,and influencing factors of vaccination.Methods Elderly aged 60 years and over from Xiang He Yuan Community of Beijing were collected.Those who were vaccinated annually in the past three years (vaccinated group) and were not vaccinated (control group) were compared.Results The average age of 1043 elderly was(75±7) years,including 476 males and 567 females.Three hundred and four elderly were inoculated influenza vaccine annually in the past three years,the inoculation rate was 29.1%.All-cause emergency rate of vaccinated group and control group was 4.3%,12.0% respectively(P=0.001).All-cause hospitalization rate of vaccinated group and control group was 10.9%,21.9% respectively(P<0.001).Disability (χ2=23.317,P<0.001),live alone (χ2=8.790,P=0.003) and low income(χ2=11.363,P=0.003) were influencing factors of vaccination.Conclusion Regular influenza vaccination for the community-dwelling elderly can reduce emergency and hospitalization.There is an imperative need to improve the vaccination rate for elderly.
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