长沙市天心区育龄期妇女麻疹抗体水平及影响因素分析.docVIP

精品论文 参考文献 长沙市天心区育龄期妇女麻疹抗体水平及影响因素分析 付蕾蕾 刘浩 　　长沙市疾控中心 湖南长沙 410001 　　【摘 要】 目的 了解天心区育龄期妇女麻疹抗体水平及其影响因素，旨在为今后育龄期妇女麻疹防控提供指导。方法 单纯随机抽样的方法随机抽取400名在社区卫生服务中心和妇幼保健院体检的育龄期妇女，填写问卷后静脉抽血，使用SPSS18.0进行统计分析。结果 育龄期妇女麻疹抗体GMC为736.43plusmn;4.56mIU/ml。本地人口的麻疹抗体GMC（822.45plusmn;4.66mIU/ml）高于流动人口（664.34plusmn;4.48mIU/ml）（t=4.98，P=0.04）。而调查妇女麻疹抗体总阳性率为88.75%，且本地人口麻疹抗体阳性率（91.38%）高于流动人口的麻疹抗体阳性率（81.82%）（ =7.30，P=0.00）。logistic回归显示：接种疫苗（OR=2.321，95%CI：1.201～4.602）、感染过麻疹（OR=3.201，95%CI：1.031～6.332）、知晓如何预防麻疹（OR=1.142，95%CI：1.147～2.301）和人口类型（OR=0.272，95%CI：0.074～0.788）是育龄期妇女麻疹抗体阳性率的影响因素。 。结论 育龄期妇女的疫苗接种史、知晓麻疹预防知识、麻疹感染史和人口类型会影响其自身麻疹抗体阳性率。 　　【关键词】麻疹，育龄期妇女，抗体水平，阳性率，影响因素 　　 　　Analysis Of Measles Determinant and Antibody Level and Influential Factors Of Pregnant Woman In Tianxin District，Changsha City 　　Abstract： Objective To study measles antibody level and the relevant factors influencing the measles antibody level in Tianxin disrict，this paper will be able to provide recommendations and theoretical basis for the prevention and control of measles in the future. Methods 400 pregnant women from health service institutions of the community in Tianxin district were recruited by simple random sampling. Questionnaire investigation and extraction of venous blood were needed.SPSS18.0 was used to analyze the data. Result Of pregnant women，GMC of measles antibody was 736.43 plusmn; 4.56 mIU/ml. GMC of Measles antibody from the local population （822.45 plusmn;4.66 mIU/ml）was higher than that from the floating population （664.34plusmn; 4.48 mIU/ml）（t = 4.98，P =0.04）. The positive rate of measles antibody was 88.75%，and the positive rate of measles antibody from the local population （91.38%）higher than that from the floating population （81.82%）（ = 7.30，P =0.00）. Logistic regression showed that the vaccine （OR=2.321，95%CI：1.201～4.602），measles infection （OR=3.201，95%CI：1.031～6.332），knowing how to prevent measles （OR=1.142，95%CI：1.147～2.301）and types of population （OR=0.272，95%CI：0.074～0.788）were the influence facto