Did the pandemic have an impact on influenza vaccination attitude? a survey among health care workers
Did the pandemic have an impact on influenza vaccination attitude? a survey among health care workers
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DOI：
10.1186/1471-2334-11-87
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发表时间：
2011-04-07
影响因子：
3.7
通讯作者：
Ulusoy, Sercan
中科院分区：
文献类型：
--
作者：
Arda, Bilgin;Durusoy, Raika;Ulusoy, Sercan
背景：众所周知，医护人员 (HCW) 对流感疫苗接种的态度是消极的。土耳其甲型H1N1流感疫情于2009年中旬开始流行，并于10月至11月达到高峰。全国疫苗接种运动于2009年11月2日开始。尽管卫生部和非政府组织做出了不懈努力，但媒体和政界人士的态度大多持负面态度。本研究的目的是评估医护人员的疫苗接种态度在大流行期间是否有所改善，并评估相关因素。方法：这项横断面调查是在爱琴海地区最大的大学医院——土耳其进行的。在疫苗接种计划开始之前，对 807 名医护人员（样本覆盖率 91.3%）进行了一份包含 12 个结构化问题的自填问卷。一周后，利用免疫记录追踪了他们的最终疫苗接种状况。使用方差分析、t 检验、卡方检验和逻辑回归分析影响疫苗接种率的因素。结果：在 807 名参与者中，363 名（45.3%）是医生，293 名（36.6%）是护士。 2008-2009 年季节，共有 153 人（19.0%）接种了季节性流感疫苗。对于甲型H1N1流感疫苗接种，愿意接种疫苗的人为143人（17.7%），不愿意接种的人为357人（44.2%）。疫苗接种前一周犹豫不决的医护人员人数为 307 人（38.0%）。只有 53 人（11.1%）表示会给孩子接种疫苗。可能的副作用（78%，n = 519）和上市前缺乏全面的现场评估（77%，n = 508）是不愿意或犹豫的最常见原因。 在可追踪疫苗接种情况的 749 名工作人员中，228 名（30.4%）实际接种了 H1N1 疫苗。一些“决定”的工作人员在一周后改变了主意。只有 82 名 (60%) 愿意接种疫苗的人、108 名犹豫不决的人 (37%) 以及 38 名 (12%) 不愿意接种的人。犹豫不决的医护人员明显更年轻 (p = 0.017)。在外科部门工作的女性、护士和医护人员更有可能拒绝接种疫苗（p < 0.05）。医生、医疗部门工作的医护人员以及之前接种过季节性流感疫苗的医护人员更有可能接受疫苗接种（p < 0.05）。年龄小于 50 岁且在上一季节接种过疫苗是对大流行性流感疫苗接种态度的重要预测因素。结论：与上一流感季节相比，疫苗接种率大幅上升。然而，疫苗接种率可能会更高，因为一周内犹豫是否接种疫苗的人急剧增加（只有 60% 愿意接种的人以及少数犹豫不决的人最终接种了疫苗）。我们推测这可能与当时的负面媒体有关。
Background: Health care workers' (HCWs) influenza vaccination attitude is known to be negative. The H1N1 epidemic had started in mid 2009 and made a peak in October-November in Turkey. A national vaccination campaign began on November 2(nd), 2009. Despite the diligent efforts of the Ministry of Health and NGOs, the attitudes of the media and politicians were mostly negative. The aim of this study was to evaluate whether HCWs' vaccination attitudes improved during the pandemic and to assess the related factors.Methods: This cross-sectional survey was carried out at the largest university hospital of the Aegean Region-Turkey. A self-administered questionnaire with 12 structured questions was applied to 807 HCWs (sample coverage 91.3%) before the onset of the vaccination programme. Their final vaccination status was tracked one week afterwards, using immunization records. Factors influencing vaccination rates were analyzed using ANOVA, t-test, chi-square test and logistic regression.Results: Among 807 participants, 363 (45.3%) were doctors and 293 (36.6%) nurses. A total of 153 (19.0%) had been vaccinated against seasonal influenza in the 2008-2009 season. Regarding H1N1 vaccination, 143 (17.7%) were willing to be vaccinated vs. 357 (44.2%) unwilling. The number of indecisive HCWs was 307 (38.0%) one week prior to vaccination. Only 53 (11.1%) stated that they would vaccinate their children. Possible side effects (78%, n = 519) and lack of comprehensive field evaluation before marketing (77%, n = 508) were the most common reasons underlying unwillingness or hesitation.Among the 749 staff whose vaccination status could be tracked, 228 (30.4%) actually received the H1N1 vaccine. Some of the 'decided' staff members had changed their mind one week later. Only 82 (60%) of those willing, 108 (37%) of those indecisive and 38 (12%) of those unwilling were vaccinated.Indecisive HCWs were significantly younger (p = 0.017). Females, nurses, and HCWs working in surgical departments were more likely to reject vaccination (p < 0.05). Doctors, HCWs working in medical departments, and HCWs previously vaccinated against seasonal influenza were more likely to accept vaccination (p < 0.05). Being younger than 50 and having been vaccinated in the previous season were important predictors of attitude towards pandemic influenza vaccination.Conclusions: Vaccination rates increased substantially in comparison to the previous influenza season. However, vaccination rates could have been even higher since hesitation to be vaccinated increased dramatically within one week (only 60% of those willing and the minority of those indecisive were finally vaccinated). We speculate that this may be connected with negative media at the time.