Study on Status and Willingness towards Hepatitis B Vaccination among Migrant Workers in Chongqing, China: A Cross-Sectional Study
Study on Status and Willingness towards Hepatitis B Vaccination among Migrant Workers in Chongqing, China: A Cross-Sectional Study
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中国重庆市农民工乙肝疫苗接种现状及意愿研究：横断面研究
DOI：
10.3390/ijerph16204046
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发表时间：
2019-10
影响因子：
--
通讯作者：
Lei Xun
中科院分区：
文献类型：
--
作者：
Xiang Hui;Tang Xiaojun;Xiao Meng;Gan Lin;Chu Kun;Li Shan;Tian Yu;Lei Xun
背景：进城务工人员由于工作地区和家乡之间的频繁转移，可能成为乙肝疫苗跨区域传播的桥梁人群，他们被纳入国家乙肝疫苗接种计划的可能性较小。本研究旨在了解外来务工人员乙肝疫苗接种现状及未接种人群的接种意愿。方法：采用两阶段整群抽样的方法，于2018年7月至12月采用不记名访谈的方式进行横断面调查。采用二元Logistic回归模型对影响接种状况和接种意愿的因素进行分析。结果：共调查1574人，其中773人(49.11%)表示接种过乙肝疫苗。只有285人(35.58%)的未接种对象愿意接种。Logistic回归分析显示，年龄越小、文化程度越高、安全套使用次数越少、乙肝知识得分越高、对乙肝病毒感染的风险知晓率越高，接种乙肝疫苗的风险越高。受教育程度较高的受访者和饮酒者、乙肝知识得分较高、对乙肝病毒感染风险感知较高的受访者更愿意接种疫苗。结论：重庆市外来务工人员乙肝疫苗接种率较低，仅有一小部分未接种的外来务工人员有接种意愿。需要卫生干预和政策来提高农民工对乙肝的知识和认知，特别是对年龄较大、受教育程度较低、乙肝知识较差、较少使用避孕套和不饮酒的人。同伴教育以及传统媒体和新媒体的结合将是向移徙工人传播与乙肝有关的知识的有效途径。
Background: Rural-to-urban migrant workers may serve as a bridge population for the cross-regional spread of hepatitis B vaccination (HBV) due to frequent shifts between their work areas and homelands, and they are less likely to be covered by the national hepatitis B (HB) immunization program. This study aimed to investigate the current inoculation status of HB vaccine among migrant workers and the willingness to be vaccinated among non-vaccinated ones. Methods: We conducted a cross-sectional survey using anonymous interviews with migrant workers selected by two-stage cluster sampling from July to December 2018. Binary logistic regression models were adopted to detect influencing factors associated with HB inoculation status and vaccination willingness. Results: 1574 respondents were recruited in the surveys, and 773 (49.11%) respondents reported that they had been inoculated with HB vaccine. Only 285 (35.58%) non-vaccinated respondents were willing to be inoculated. Logistic regression indicated that younger age, higher education level, less wearing of condoms, higher knowledge scores of HB, and higher risk perception of HBV infection were positively associated with inoculation of HB vaccine. Respondents who were more highly educated, and drinkers, with higher knowledge scores of HB and with higher risk perception of HBV infection were more willing to be vaccinated. Conclusions: the HB vaccination rate of migrant workers in Chongqing was relatively low and only a small section of non-vaccinated migrant workers had vaccination willingness. Health interventions and policies are needed to improve knowledge and cognition of HB among migrant workers, particularly for those who are older, less educated, poor in HB knowledge, less likely to wear condoms, and non-drinkers. Peer education, as well as the combination of traditional and new media, would be accessible and effective ways to disseminate HB related knowledge for migrant workers.
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DOI：
10.3390/ijerph15122915
发表时间：
2018-12-01
影响因子：
--
作者：
Hu, Yu;Chen, Yaping;Liang, Hui
通讯作者：
Liang, Hui
DOI：
--
发表时间：
2012
期刊：
Chinese Journal of Disease Control and Prevention
影响因子：
--
作者：
Zhu Qi-li
通讯作者：
Zhu Qi-li
影响因子：
--
作者：
Bhattarai M;Baniya JB;Aryal N;Shrestha B;Rauniyar R;Adhikari A;Koirala P;Oli PK;Pandit RD;Stein DA;Gupta BP
通讯作者：
Gupta BP
影响因子：
3.7
作者：
Rajamoorthy, Yogambigai;Radam, Alias;Harapan, Harapan
通讯作者：
Harapan, Harapan
影响因子：
4.8
作者：
Jian Du;Yuyang Xu;Jun Wang;Shijun Liu;Yan Liu;Xiaoping Zhang;Erping Xu
通讯作者：
Jian Du;Yuyang Xu;Jun Wang;Shijun Liu;Yan Liu;Xiaoping Zhang;Erping Xu