摘要
目的评价西安市参保职工接种流感疫苗的效果。方法选择西安东方集团有限公司为研究现场,对12109名参保职工采用随机整群抽样方法,抽取2829人进行问卷调查。采用历史性队列研究方法,对连续两个年份的接种组和对照组进行回顾性调查,重点调查人群呼吸系统疾病、心脑血管疾病及其他慢性病患病情况及医疗服务利用情况。结果流感疫苗接种对住院的保护率2004年为37.59%,2005年为8.76%。接种流感疫苗后3～7月接种组和对照组粗住院率差异最大,接种组小于对照组;2004年及2005年呼吸系统疾病住院率接种组较对照组分别低61.7%和54.6%。结论西安市参保职工接种流感疫苗具有较好的效果,流感疫苗接种后显著降低了因呼吸系统疾病导致的住院率;应提高重点人群的流感疫苗接种率。
Objective To assess the effect of annual vaccination against influenza for social health insurants. Methods Dongfang Company was chosen as the experiment site in which there were 12 109 employees totally and all of them joined the social health insurance program. Cluster random sampling method was used to get a sample containing 2 829 employees. Questionnaires were used in the survey. A retrospective cohort study was used to examine the vaccine group and control group in the successive two years. The focal point was to evaluate the inpatient rate of vaccine group and control group for respiratory system diseases, cardiovascular diseases and other chronic diseases. Health services＇ utilization was also evaluated. Results The protection rate to lower the inpatient rate in 2004 was 37.59%, in 2005 was 8.76%. In 3- 7 months after vaccination, the difference between the two groups was biggest. The inpatient rate of the vaccination group was lower than that of the control group. There was a reduction in the inpatient rate caused by respiratory disease in the two vaccination years. Conclusion The strategy to vaccinate the social health insurants against influenza in Xi＇an City gets better economic benefits. Vaccination decreases the inpatient rate of respiratory system diseases fundamentally. The vaccination rate for influenza should be increased in key crowd.
出处
《中国药业》
CAS
2008年第19期10-12,共3页
China Pharmaceuticals
关键词
社会医疗保险
流感疫苗
队列研究
social health insurance
influenza vaccination
cohort study
