Seasonal influenza vaccination predicts pandemic H1N1 vaccination uptake among healthcare workers in three countries
Seasonal influenza vaccination predicts pandemic H1N1 vaccination uptake among healthcare workers in three countries
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DOI：
10.1016/j.vaccine.2011.07.079
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发表时间：
2011-10-06
期刊：
影响因子：
5.5
通讯作者：
Chan, Paul K. S.
中科院分区：
文献类型：
--
作者：
Chor, Josette S. Y.;Pada, Surinder K.;Chan, Paul K. S.
这项研究的目的是确定在不同国家接受大流行性流感疫苗接种的共同障碍和促进者。本研究采用标准化、匿名、自填式问卷调查方法，记录受试者的人口学和职业行为、既往经历和对流感风险和严重程度的认知、感染控制做法、甲流疫苗接种情况、甲流疫苗接种的接受度、选择甲流疫苗的原因和对强制接种的意见。招聘了香港(香港)、新加坡(SG)和英国莱斯特(UK)的医院医生、护士和专职医护人员。共发放问卷6318份(香港：5743份，新加坡：300份，英国：275份)，回应率分别为27.1%(香港)、94.7%(新加坡)和94.5%(英国)。2009年甲型H1N1流感单价疫苗接种率分别为13.5%(香港)、36.2%(新加坡)和41.3%(英国)。与所有地点的疫苗接受度相关的单一共同因素是2009年接种了季节性流感疫苗。在英国和香港，对副作用的过高估计降低了疫苗接种的接受度；对副作用的恐惧是所有地点的一个重大障碍。在香港，与患者接触较多的医护人员更不愿接受疫苗接种。在英国和香港，接种疫苗的司机担心感染，并听从卫生当局的建议。只有一小部分受访者同意强制接种大流行性流感疫苗(香港：25%，英国：42%)，新加坡除外，75.3%的受访者同意。几乎没有受访者(
The aim of this study was to identify the common barriers and facilitators for acceptance of pandemic influenza vaccination across different countries. This study utilized a standardized, anonymous, self-completed questionnaire-based survey recording the demographics and professional practice, previous experience and perceived risk and severity of influenza, infection control practices, information of H1N1 vaccination, acceptance of the H1N1 vaccination and reasons of their choices and opinions on mandatory vaccination. Hospital-based doctors, nurses and allied healthcare workers in Hong Kong (HK), Singapore (SG) and Leicester, United Kingdom (UK) were recruited. A total of 6318 (HK: 5743, SG: 300, UK: 275) questionnaires were distributed, with response rates of 27.1% (HK), 94.7% (SG) and 94.5% (UK). The uptake rates for monovalent 2009 pandemic H1N1 vaccine were 13.5% (HK), 36.2% (SG) and 41.3% (UK). The single common factor associated with vaccine acceptance across all sites was having seasonal influenza vaccination in 2009. In UK and HK, overestimation of side effect reduced vaccination acceptance; and fear of side effect was a significant barrier in all sites. In HK, healthcare workers with more patient contact were more reluctant to accept vaccination. Drivers for vaccination in UK and HK were concern about catching the infection and following advice from health authority. Only a small proportion of respondents agreed with mandatory pandemic influenza vaccination (HK: 25% and UK: 42%), except in Singapore where 75.3% were in agreement. Few respondents (