Fear of injections in young adults: Prevalence and associations

Fear of injections in young adults: Prevalence and associations
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DOI:
10.4269/ajtmh.2003.68.341
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发表时间:
2003-03-01
影响因子:
3.3
通讯作者:
Potasman, I
Potasman, I
中科院分区:
医学4区
文献类型:
--
作者:
Nir, Y;Paz, A;Potasman, I

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对注射的恐惧可能会干扰疫苗的接受。对400名旅行者到旅行健康诊所就诊的恐惧因素的频率、关联性和诱因进行了评估。这一人群的中位年龄为25岁,其中7%是医务人员,2.8%是常规注射器(胰岛素)。85名旅行者(21.7%;95%的可信区间,17.3-25.6%)表示他们害怕注射,8.2%的人表示恐惧过度强烈。多变量分析显示,观看其他人接种疫苗、害怕疼痛、针头大小和晕厥病史与注射恐惧症高度独立地相关。该模型的敏感度为79.5%,特异度为78.0%,判别准确率为78.3%。注射恐惧症和过去糟糕的疫苗接种经历与晕厥显著相关。另一方面,感知到的同理心是一个重要的保护因素。对注射的恐惧在这一队列中很常见,并且与过去接种疫苗后晕倒高度相关。
Fear of injections may interfere with receipt of vaccines. The frequency, associations, and precipitators of fear-provoking factors of 400 travelers visiting a travel health clinic were evaluated. The median age of this group was 25, 7% were medical staff members, and 2.8% were regular injectors (insulin). Eighty-five (21.7%; 95% confidence interval, 17.3-25.6%) of the travelers indicated that they were afraid of injections, and in 8.2%, the fear was unreasonably intense. Multivariate analysis revealed that watching other people being vaccinated, fear of pain, needle size, and a history of fainting were highly and independently associated with injection phobia. The sensitivity, specificity, and discrimination accuracy of this model were 79.5%, 78.0%, and 78.3%, respectively. Injection phobia and a bad past vaccination experience were significantly associated with fainting. Perceived empathy, on the other hand, was a significant protective factor. Fear of injections was common in this cohort and was highly associated with past fainting after vaccination.