The 2009 pandemic H1N1 influenza vaccination in France: who accepted to receive the vaccine and why?
The 2009 pandemic H1N1 influenza vaccination in France: who accepted to receive the vaccine and why?
复制标题
DOI：
10.1371/currents.rrn1188
复制
发表时间：
2010-10-19
期刊：
影响因子：
--
通讯作者：
Setbon, Michel
中科院分区：
文献类型：
--
作者：
Raude, Jocelyn;Caille-Brillet, Anne-Laure;Setbon, Michel
简介：以前的研究调查了2009年（H1N1）流感疫苗接受的决定因素，主要集中在目标群体，如医护人员。尽管流感疫苗被推荐给所有人，但在欧盟，很少有研究对自我报告的原因以及预测性的社会人口统计学和健康因素进行了研究，以确定大流行性流感疫苗在普通人群中的接受程度。在2009年12月成人中出现的疫情高峰期间，法国进行了一项全国性电话调查（≥ 16岁），使用比例随机数字拨号。结果：访谈完成了1003个人，其中275（27.4%）要么在过去几周内接受大流行性流感疫苗或打算在未来几周内接种疫苗。在男性、教育程度较高和较富裕的人群以及有过流感疫苗接种经历的人群中，大流行疫苗的接受率明显较高。接受疫苗的自我报告原因的模式可以大致分为3组，涉及（1）威胁的心理表征-特别是与疾病的严重性和个人脆弱性相关的信念，（2）对疫苗的有效性和安全性的看法，以及（3）对疫苗倡导者的信任/不信任。这项全国性研究表明，法国成年人接受大流行性流感疫苗的社会和认知决定因素与以前接受季节性流感疫苗的研究所确定的因素相对相似。
INTRODUCTION: Previous studies investigating determinants of 2009 (H1N1) pandemic influenza vaccine acceptance have focused on target groups such as healthcare workers. Few studies in the European Union have examined the self-reported reasons as well as predictive socio-demographic and health factors for pandemic influenza vaccine acceptance in the general population, even though influenza vaccine was recommended for all people.METHODS: A nationwide telephone survey was conducted in France during the peak of the outbreak that occurred in December 2009 in adults (≥ 16 years), using a proportional random-digit dialing.RESULTS: Interviews were completed by 1003 individuals, of whom 275 (27.4%) either had received pandemic influenza vaccine during the last weeks or intended to get vaccinated in the next weeks. Acceptance rates of pandemic vaccine were significantly higher among men, more educated and wealthier people, as well as persons who had a prior experience of influenza vaccination. The patterns of self-reported reasons for vaccine acceptance could be broadly divided into 3 groups related to (1) the mental representation of the threat - in particular the beliefs associated with the severity and personal vulnerability to the illness, (2) the perception of efficacy and safety of the vaccine, and (3) trust/distrust toward those advocating the vaccine.CONCLUSIONS: This national study indicates that social and cognitive determinants of pandemic influenza vaccine acceptance among French adults were relatively similar to those identified by previous studies of acceptance of seasonal influenza vaccine.