为了解南昌市西湖区 0～ 6岁流动儿童的分布、计划免疫工作状况及其影响因素 ,于 2 0 0 2年 11月在全区随机抽取 4 72名流动儿童与 4 72名常住儿童进行调查。结果显示 :流动儿童的建卡、建证率 ,卡介苗、口服脊髓灰质炎疫苗、百白破联合疫苗、麻疹疫苗接种率和四苗全程免疫覆盖率 ,均非常显著地低于常住儿童的相应指标 ( χ2 分别为 14 0 8、15 0 0、18 83、12 6 1、11 79、13 71、13 4 7,P均 <0 0 0 5 ) ;散居流动儿童的四苗全程免疫覆盖率非常显著地高于聚集地流动儿童 ( χ2 =13 0 0 ,P <0 0 0 5 ) ;户籍在本市的各县流动儿童 ,其四苗全程免疫覆盖率非常显著地高于户籍在外省的流动儿童 ( χ2 =14 0 0 ,P <0 0 0 5 )。流动儿童未接种的主要原因是 :不知道要接种占 6 1 0 8%。提示城市计划免疫工作应重视流动儿童 ,加大对流动人群的计划免疫宣传力度 ,提高其对计划免疫的知晓率 ,尤其是对流动人群聚集地和户籍在外省流动儿童的计划免疫管理 To understand the distribution of migrant children aged 0 ~ 6 in Xihu District, Nanchang, and to plan the status of immunization and its influencing factors, 4 72 floating children and 4 72 resident children were randomly selected for investigation in November 2002 in the region . The results showed that the rate of establishing card, building card rate, BCG vaccine, oral polio vaccine, diphtheria combination vaccination, measles vaccination rate and full immunization coverage of migrant children were all significantly lower than those of resident children (χ2 = 14 0 8,15 0 0,18 83,12 6 1,11 79,13 71,13 4 7 respectively, P <0.05). The immunization coverage rates of the four vaccines for diaspora were very significant (Χ2 = 13 0 0, P <0 0 05). The migrant children in all counties in this Municipality had significantly higher immunization coverage rate than the migrant children (χ2 = 14 0 0, P <0 0 0 5). The main reason for the non-vaccination of migrant children is that they did not know that vaccination accounted for 61 0%. Prompted the city planning immunization work should attach importance to migrant children, increase the campaign of publicity on the planned immunization efforts to enhance their awareness of planned immunization, especially for migrant population and migrant children living in other provinces of the program immunization management