Factors influencing seasonal influenza vaccination uptake among health care workers in an adult tertiary care hospital in Singapore: A cross-sectional survey
Factors influencing seasonal influenza vaccination uptake among health care workers in an adult tertiary care hospital in Singapore: A cross-sectional survey
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DOI：
10.1016/j.ajic.2018.08.011
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发表时间：
2019-02-01
影响因子：
4.9
通讯作者：
Ho, Hanley J.
中科院分区：
文献类型：
--
作者：
Kyaw, Win Mar;Chow, Angela;Ho, Hanley J.
背景资料：本研究旨在评估影响季节性流感疫苗接种的因素之间不同的卫生保健专业groups.Methods：单中心，横断面调查，采用标准化的匿名，自填式问卷，以评估知识，态度和摄取季节性流感疫苗接种。然后评估各自的卫生保健组和疫苗接种acceptance.Results之间的关联：总共有3,873名卫生保健工作者完成了问卷。其中，7%是行政人员，17%是专职医疗人员，7%是辅助人员，11%是医务人员，58%是护理人员。2015年南半球流感季节的总体疫苗接种率为82%。在多变量logistic回归模型中，在控制性别和慢性疾病的存在后，接受流感疫苗接种的相关因素是年龄、本科或更高的教育水平、对移动的团队提供的疫苗接种的偏好、每周接触1-50名患者以及对流感的潜在严重性和疫苗安全性的信念（P <0.05）。相反，与接受疫苗接种呈负相关的因素包括医务人员或联合卫生工作人员，与16岁以下的家庭成员生活在一起，害怕不良反应，以及不相信疫苗接种的有效性（P < .05）。结论：尽管新加坡的疫苗覆盖率一直很高，我们的研究结果为制定策略提供了指导，以进一步提高不同群体医护人员的疫苗覆盖率。(C)2018感染控制和流行病学专业人员协会，Inc.爱思唯尔公司出版All rights reserved.
Background: This study aimed to evaluate the factors influencing seasonal influenza vaccination uptake among different health care professional groups.Methods: A single-center, cross-sectional survey using a standardized anonymous, self-administered questionnaire to assess knowledge, attitudes, and uptake of seasonal influenza vaccination was used. Associations between respective health care groups and vaccination acceptance were then assessed.Results: In total, 3,873 health care workers completed the questionnaire. Of these, 7% were administrative staff, 17% were allied health staff, 7% were ancillary staff, 11% were medical staff, and 58% were nursing staff. The overall vaccination rate for the Southern Hemisphere 2015 influenza season was 82%. In a multivariate logistic regression model, after controlling for gender and presence of chronic disease, associated factors for accepting influenza vaccination were age, education level of bachelor degree or higher, preference for vaccination provided by mobile teams, having 1-50 patient contacts per week, and belief in the potential severity of influenza and vaccine safety (P < .05). In contrast, factors negatively associated with vaccination acceptance included being a medical staff member or allied health staff member, living with family members under the age of 16, fear of adverse reactions, and disbelief in vaccination effectiveness (P < .05).Conclusions: Although vaccine coverage in Singapore has been high, our findings provide guidance for the development of strategies to further improve vaccine coverage among different groups of health care workers. (C) 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.