Behavioral change with influenza vaccination: Factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel
Behavioral change with influenza vaccination: Factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel
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DOI：
10.1016/j.vaccine.2011.08.084
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发表时间：
2011-10-26
期刊：
影响因子：
5.5
通讯作者：
McLean, Daria
中科院分区：
文献类型：
--
作者：
Kraut, Allen;Graff, Lesley;McLean, Daria
背景：许多卫生保健人员（HCP）选择不接种流感疫苗，尽管建议这样做。pH1N1的流行提供了一个独特的机会，以评估一组HCP谁经常选择不接种疫苗，但接受了pH1N1 vaccine.Methods的流感疫苗接种的态度：HCP受雇于三级保健医院在温尼伯，加拿大谁收到了pH1N1疫苗被邀请参加一个在线调查，询问有关季节性和pH1N1流感和疫苗接种的态度和经验。这些合格的主要包括护士，其他临床工作人员和支持人员，作为少数医生的工作employees.Results：684名受访者（29%的回报率），504例行接种疫苗（RV）的季节性流感和180例行不接种疫苗（NRV）。这两组对两种流感病毒株的态度不同，NRV组对季节性流感的关注程度明显低于pH1N1组。在NRV对疾病严重性的看法、他们对暴露风险的感觉以及他们对疫苗有效性的信心方面，这种对比尤其明显（对于所有人来说，季节性< pH1N1，p < 0.001）。NRV和RV群体接种疫苗的最常见动机与对个人或家庭安全的担忧有关，而选择拒绝季节性疫苗接种主要与缺乏对疾病的关注以及对疫苗有效性和安全性的担忧有关。同事是有影响力的决定，以获得pH1N1疫苗的NRV group.Conclusion：对于HCP谁不定期得到季节性疫苗接种，感知的风险超过副作用的关注似乎是一个重大的影响，在继续与pH1N1疫苗。注重个人利益的教育活动，让同行冠军参与，并解决对疫苗的担忧，可能会提高卫生保健人员的流感疫苗接种率。(C)2011爱思唯尔有限公司版权所有。
Background: Many health care personnel (HCP) choose not to get vaccinated against influenza despite recommendations to do so. The pH1N1 epidemic gave a unique opportunity to evaluate the attitudes to influenza vaccination of a group of HCP who routinely choose not to get vaccinated, but accepted the pH1N1 vaccine.Methods: HCP employed at a tertiary care hospital in Winnipeg, Canada who received the pH1N1 vaccine were invited to participate in an online survey asking about attitudes and experiences regarding seasonal and pH1N1 influenza and vaccination. Those eligible included primarily nurses, other clinical staff, and support staff, as few physicians work as employees.Results: Of the 684 respondents (29% return rate), 504 reported routinely getting vaccinated (RV) for seasonal influenza and 180 reported routinely not getting vaccinated (NRV). These two groups had different attitude towards the two strains of influenza, with markedly lower level of concern about seasonal influenza than pH1N1 for the NRV group. The contrast was especially notable regarding the NRV's view of the seriousness of the illness, their sense of exposure risk, and their confidence in the vaccine effectiveness (for all, seasonal < pH1N1, p < 0.001). The most common motivators for getting vaccinated for both NRV and RV groups related to concerns about personal or family safety, while the choice to decline seasonal vaccination related primarily to lack concern about the illness and concerns about vaccine effectiveness and safety. Coworkers were influential in the decision to get the pH1N1 vaccine for the NRV group.Conclusion: For HCP who do not routinely get the seasonal vaccination, perception of risk outweighing side effect concerns appeared to be a major influence in going ahead with the pH1N1 vaccine. Educational campaigns that focus on personal benefit, engage peer champions, and address concerns about the vaccine may improve influenza vaccine uptake among health care personnel. (C) 2011 Elsevier Ltd. All rights reserved.