摘要
目的通过天津市郊县居民风险态度对乙型肝炎(乙肝)疫苗接种行为影响因素的调查,探寻健康教育改善路径。方法问卷调查宁河县和静海县6个村的1 031名16～60岁成人,采用PearsonX^2检验和非条件二分类Logistic回归分析方法研究风险态度对乙肝疫苗接种行为的影响。结果 Logistic回归分析显示,对其他变量进行控制后,调查对象的风险态度对其乙肝疫苗接种行为具有一定影响,年龄越小(OR=0. 94,95%CI:0. 93～0. 96,P <0. 001)、未婚(OR=8. 24,95%CI:2. 89～23. 60,P <0. 001)、自感健康较差(OR=1. 78,95%CI:1. 53～3. 49,P=0. 008)、正式工作者(OR=7. 18,95%CI:2. 29～22. 54,P=0. 001)、有医保(OR=8. 46,95%CI:2. 31～30. 86,P=0. 001)、风险规避(OR=1. 65,95%CI:1. 06～2. 57,P=0. 026)和风险中立者(OR=1. 50,95%CI:1. 03～2. 17,P=0. 032)更易选择接种乙肝疫苗。结论针对风险规避者和风险中立者,加强对乙肝疾病特征和疾病经济负担方面的健康教育,针对风险寻求者,可从乙肝流行趋势和传播途径等方面加强,使其对感染乙肝的概率有更科学的认识。
Objective To explore the influence of risk attitude to hepatitis B vaccination behavior of residents in suburban areas,and provide evidence for improvement of health education. Methods A total of 1 031 adults aged 16-60 years old were selected from 6 villages in Ninghe county and Jinghai county. A questionnaire was used to investigate them. Results Logistic regression analysis showed that respondents’ hepatitis B vaccination behavior was affected by their risk attitude when controlling other factors. The younger( OR = 0. 94,95% CI: 0. 93-0. 96,P < 0. 001),unmarried( OR = 8. 24,95%CI: 2. 89-23. 60,P < 0. 001),low self-rated health( OR = 1. 78,95% CI: 1. 53-3. 49,P =0. 008),the formal sector workers( OR = 7. 18,95% CI: 2. 29-22. 54,P = 0. 001),covered by health insurance( OR = 8. 46,95% CI: 2. 31-30. 86,P = 0. 001),risk aversion( OR = 1. 65,95% CI: 1. 06-2. 57,P = 0. 026) and risk neutral( OR = 1. 50,95% CI: 1. 03-2. 17,P = 0. 032) were more likely to choose hepatitis B vaccination. Conclusions For the risk aversion and risk neutral,health education on disease symptoms and disease economic burden should be enhanced;for the risk seeking,more knowledge on prevalence trend and transmission route need to be improved.
作者
刘彩
李莹
王晓方
张淼
LIU Cai;LI Ying;WANG Xiao-fang;ZHANG Miao(Faculty of Heahh Services and Management,School of Management,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Faculty of Management Science and Engineering,Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2019年第1期45-49,共5页
Chinese Journal of Disease Control & Prevention
基金
国家自然科学基金(71303171)~~
关键词
风险态度
乙肝疫苗
接种行为
郊县
Risk attitude
Hepatitis B vaccine
Vaccination behavior
Suburban areas
