流动儿童疫苗接种率低于常住儿童的原因及对策研究

Abstract: Objective To analyze the reasons for the lower vaccination rate of migrant children compared to resident children and propose countermeasures. Methods A retrospective analysis was conducted on 60 migrant children who received vaccinations at the Xuyi County Center for Disease Control and Prevention from February 2023 to June 2024. Basic information of all children was collected to identify the factors influencing the lower vaccination rate of migrant children compared to resident children. Logistic multivariate regression analysis was adopted, and specific countermeasures were proposed. Results Among the 60 migrant children vaccinated, the coverage rates of bacillus calmette-guérin, diphtheria, pertussis, tetanus vaccine, poliomyelitis, hepatitis B and measles containing vaccine were 90.00%, 88.33%, 90.00%, 91.67% and 90.00% respectively. After Logistic multivariate regression analysis, it was found that age, gender, household registration place, age of migration, parents’ education level, management mode, no entry system, residence time in the county, birth place, family monthly income, no vaccination certificate, access to vaccination information, distance from the nearest vaccination point, and guardian notification behavior showed statistically significant difference in their impact on vaccination coverage among migrant children (P＜0.05). Conclusion The reasons for the lower vaccination rate of migrant children compared to resident children include low parents’ educational levels, lack of dynamic management, not being included in the system management, place of birth of migrant children not being in local medical institutions, short residence time in the county, low monthly family income, long distance to the nearest vaccination point, and lack of formal information acquisition channels for vaccination. Therefore, targeted measures should be taken to improve the vaccination rate of migrant children.