Factors influencing uptake of influenza A (H1N1) vaccine amongst healthcare workers in a regional pediatric centre: Lessons for improving vaccination rates
Factors influencing uptake of influenza A (H1N1) vaccine amongst healthcare workers in a regional pediatric centre: Lessons for improving vaccination rates
复制标题
DOI：
10.1016/j.vaccine.2011.04.032
复制
发表时间：
2012-01-05
期刊：
影响因子：
5.5
通讯作者：
Patel, Neil
中科院分区：
文献类型：
--
作者：
Chen, Suet Ching;Hawkins, Gillian;Patel, Neil
背景：自 2009 年 10 月起，建议英国所有一线医护人员 (HCW) 接种甲型 H1N1 流感疫苗，以保护个人及其患者免受感染。了解影响医护人员疫苗接种的因素可能会改善当前和未来几年的疫苗接种计划。目的：评估一家大型儿科医院一线医护人员对甲型 H1N1 流感疫苗的接种情况以及影响疫苗接种的因素。方法：在苏格兰地区儿科医院进行的横断面问卷调查，包括重症监护和 ECMO 服务。向医院高危科室的所有一线医护人员分发了一页匿名问卷。结果：完成了 260 份问卷，估计覆盖了所有员工的 52%。疫苗接种率为 49.6%，医生中的疫苗接种率显着较高（OR 2.4，95% CI 1.3-4.5，P=0.005）。接种疫苗的最常见原因是接触 H1N1 流感的高风险 (88%) 和保护患者的责任 (71%)。对疫苗副作用的不确定性（47%）、对疫苗安全性的担忧（33%）以及太忙而无法去疫苗诊所（22%）是不接种疫苗的最常见原因。接种疫苗的原因因工作人员分组和部门而异。如果提供疫苗，36% 的未接种疫苗的工作人员会接受疫苗。结论：通过提高医护人员的知识和态度以及获得疫苗的机会，可以提高疫苗的接种率。未来的疫苗接种计划应包括有针对性的教育和疫苗接种，在工作人员方便的情况下，在自己的部门进行。 (C) 2011 年，爱思唯尔有限公司出版。
Background: Influenza A (H1N1) vaccination has been recommended for all frontline healthcare workers (HCWs) in the UK since October 2009, to protect individuals and their patients from infection. Understanding the factors influencing vaccine uptake by HCW may improve future vaccination programmes in current and subsequent years.Aims: To assess the uptake of influenza A (H1N1) vaccine, and factors affecting vaccine uptake, in frontline healthcare workers in a large pediatric hospital.Method: A cross-sectional questionnaire survey conducted in a regional Pediatric Hospital in Scotland incorporating intensive care and ECMO services. One page, anonymised questionnaires were distributed to all frontline HCW in high risk departments of the hospital.Results: 260 questionnaires were completed, capturing an estimated 52% of all staff. Vaccination rate was 49.6%, and was significantly higher amongst doctors (OR 2.4, 95% CI 1.3-4.5, P=0.005). Commonest reasons for vaccine uptake were high risk of contact with H1N1 (88%) and responsibility to protect patients (71%). Uncertainty about vaccine side-effects (47%), concern about vaccine safety (33%) and being too busy to attend the vaccine clinic (22%) were the commonest reasons for non-vaccination. Reasons for vaccination varied between staff grouping and department. 36% of non-vaccinated staff would accept the vaccine if offered.Conclusions: Vaccine uptake may be increased by addressing HCW knowledge and attitudes and access to vaccine. Future vaccination programmes should include targeted education and vaccine delivery, at the convenience of staff, and in their own department. (C) 2011 Published by Elsevier Ltd.