Influenza Vaccination and Intention to Receive the Pandemic H1N1 Influenza Vaccine among Healthcare Workers of British Columbia, Canada: A Cross-Sectional Study
Influenza Vaccination and Intention to Receive the Pandemic H1N1 Influenza Vaccine among Healthcare Workers of British Columbia, Canada: A Cross-Sectional Study
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DOI：
10.1086/655465
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发表时间：
2010-10-01
影响因子：
4.5
通讯作者：
Donovan, Tara
中科院分区：
文献类型：
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作者：
Kaboli, Fariba;Astrakianakis, George;Donovan, Tara
OBJECTIVE.评估医护人员对季节性和大流行性流感疫苗的态度和关注，以改善疫苗接种运动的传播。横断面调查。设置。加拿大不列颠哥伦比亚省所有6个卫生当局。2009年8月30日至9月30日进行了一项匿名的自我管理在线调查。问题主题包括人口统计学特征、影响季节性流感疫苗接受的因素、影响接受大流行性H1N1流感疫苗意向的因素以及对流感大流行影响的认识和担忧。所有96,217名不列颠哥伦比亚省的医疗工作者都有资格参加。4，046名医护人员的志愿者样本返回了调查; 3，563人（88%）为女性，58%年龄在50岁以下（平均年龄+/-标准差，45.3 +/- 10.9岁），4，023人中有3，152人（79%）在其职业中有5年或5年以上的经验，4，853人，023人（46%）是护士，2，833人（70%）在前一年接种了季节性流感疫苗。2800名（69%）受访者表示打算接种大流行性H1N1疫苗。这种意图的最重要的预测因素是前一年接受过季节性疫苗（比值比[OR]，6.25 [95%置信区间{CI}，5.39 - 7.26]）。担心亲人生病是唯一与接种H1N1流感疫苗的意愿相关的态度（调整后OR，1.38 [95%CI，1.27-1.50]）。对疫苗安全性的担忧（调整后的OR，0.31 [95%CI，0.25-0.39]）和“H1N1不够严重”的信念（调整后的OR，0.29 [95%CI，0.26-0.32]）与拒绝大流行性H1N1疫苗的意图独立相关。大流行性H1N1疫苗的接种运动应使用强调年轻人患病风险和通过接种疫苗保护亲人的机会的信息，并应解决对疫苗安全性和有效性的担忧。
OBJECTIVE. To assess healthcare workers' attitudes and concerns regarding seasonal and pandemic influenza vaccines in order to improve vaccination campaign communications.DESIGN. Cross-sectional survey.SETTING. All 6 health authorities in British Columbia, Canada.METHODS. An anonymous, self-administered online survey was conducted from August 30 through September 30, 2009. Question topics included demographic characteristics, factors influencing acceptance of seasonal influenza vaccine, factors influencing intentions to accept pandemic H1N1 influenza vaccine, and knowledge and concerns regarding the effect of the influenza pandemic.PARTICIPANTS. All 96,217 British Columbia healthcare workers were eligible to participate.RESULTS. A volunteer sample of 4,046 healthcare workers returned the survey; 3,563 (88%) were women, 58% were under 50 years old (mean age +/- standard deviation, 45.3 +/- 10.9 years), 3,152 of 4,023 (79%) had 5 or more years of experience in their profession, 1,853 of 4,023 (46%) were nurses, and 2,833 (70%) had been vaccinated against seasonal influenza the previous year. Two thousand eight hundred (69%) respondents reported intending to receive the pandemic H1N1 vaccine. The most important predictor of this intention was having received the seasonal vaccine the previous year (odds ratio [OR], 6.25 [95% confidence interval {CI}, 5.39 7.26]). Worry about making loved ones ill was the only attitude associated with intention to receive the pandemic H1N1 vaccine (adjusted OR, 1.38 [95% CI, 1.27-1.50]). Concerns with vaccine safety (adjusted OR, 0.31 [95% CI, 0.25-0.39]) and belief "that H1N1 is not severe enough" (adjusted OR, 0.29 [95% CI, 0.26-0.32]) were independently associated with the intention to reject the pandemic H1N1 vaccine.CONCLUSIONS. Vaccination campaigns for pandemic H1N1 vaccine should use messages that emphasize the risk of illness among younger people and the opportunity to protect loved ones by getting the vaccine and should address concerns about the safety and effectiveness of the vaccine.