Acceptability of seasonal influenza vaccines among health care workers in Vietnam in 2017.
Acceptability of seasonal influenza vaccines among health care workers in Vietnam in 2017.
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2017 年越南医护人员对季节性流感疫苗的接受度。
DOI：
10.1016/j.vaccine.2019.12.047
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发表时间：
2020
期刊：
影响因子：
5.5
通讯作者：
McFarland,JeffreyW
中科院分区：
文献类型：
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作者：
Nguyen,ThoaThiMinh;Lafond,KathrynE;Nguyen,TungXuan;Tran,PhuDac;Nguyen,HangMinh;Ha,VanThiCam;Do,ThuThi;Ha,NgaThu;Seward,JaneF;McFarland,JeffreyW
越南的一个示范项目向越南4个省的医护人员（HCW）免费提供了11，000剂人用季节性流感疫苗。通过这个项目，我们进行了一项可接受性调查，以确定个人选择接种疫苗或不通知和改善未来的免疫活动的主要原因。MethodsWe进行了描述性横断面调查，从2017年5月至8月之间HCWs在13个选定的卫生设施。我们采用逻辑回归来确定人口统计学和职业因素与接受季节性流感疫苗的决定之间的关系。我们进行了事后成对比较的原因和反对接种疫苗，使用卡方和Fisher精确检验（细胞大小<5）。ResultsA共1,450 HCWs参与了调查，女性比例高于男性（74%比26%）。参与HCW的中位年龄为35岁（中位数范围25.8-44.2）。在受访者中，700名（48%）医护人员在2017年上半年接种了季节性流感疫苗。30岁以下和30-39岁的年轻医护人员比≥50岁的医护人员更不可能接种季节性流感疫苗（OR = 0.5; 95%CI 0.4-0.8和OR = 0.6; 95%CI 0.4-0.8）。护士和其他雇员比医生更有可能接种季节性流感疫苗（OR = 1.5; 95%CI 1.0-2.4和OR = 2.0; 95%CI 1.2-3.2）。接受疫苗接种的最常见的原因是害怕得到流感（66%）和不接种疫苗的最常见的原因是担心疫苗的副作用（23%）。在首次免费接种流感疫苗的背景下，为提高医务人员对疫苗的接受程度而采取的干预措施应包括针对疫苗安全性和有效性的风险沟通。
IntroductionA demonstration project in Vietnam provided 11,000 doses of human seasonal influenza vaccine free of charge to healthcare workers (HCWs) in 4 provinces of Vietnam. Through this project, we conducted an acceptability survey to identify the main reasons that individuals chose to be vaccinated or not to inform and improve future immunization activities.MethodsWe conducted a descriptive cross-sectional survey from May to August 2017 among HCWs at 13 selected health facilities. We employed logistic regression to determine the association between demographic and professional factors, and the decision to receive seasonal influenza vaccine. We performed post-hoc pairwise comparisons among reasons for and against vaccination using Chi square and Fisher’s exact tests (for cell sizes <5).ResultsA total of 1,450 HCWs participated in the survey, with a higher proportion of females than males (74% versus 26%). The median age of the participating HCWs was 35 years (median range 25.8–44.2). Among those surveyed, 700 (48%) HCWs were vaccinated against seasonal influenza during the first half of 2017. Younger HCWs under 30 and 30–39 years old were less likely to get vaccinated against seasonal influenza than HCWs ≥50 years old (OR = 0.5; 95%CI 0.4–0.8 and OR = 0.6; 95%CI 0.4–0.8 respectively). Nurses and other employees were more likely to get seasonal influenza vaccination than physicians (OR = 1.5; 95%CI 1.0–2.4 and OR = 2.0; 95%CI 1.2–3.2 respectively). The most common reason for accepting vaccination was fear of getting influenza (66%) and the most common reason for not getting vaccinated was concern about vaccine side effects (23%).ConclusionAcceptability of seasonal influenza vaccines in this setting varied among HCWs by age group and job category. Interventions to increase acceptance of vaccine among HCWs in this setting where influenza vaccine is being introduced free for the first time should include targeted risk communication on vaccine safety and efficacy.