Vaccination perception and coverage among healthcare students in France in 2019.
Vaccination perception and coverage among healthcare students in France in 2019.
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DOI：
10.1186/s12909-020-02426-5
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发表时间：
2020-12-14
影响因子：
3.6
通讯作者：
Fournier A
中科院分区：
文献类型：
--
作者：
Baldolli A;Michon J;Verdon R;Fournier A
医护人员对疫苗的犹豫不决一直在增加，特别是在法国，因为他们是疫苗接种计划的基石。更多地了解保健专业学生(HCS)的疫苗知识、态度和信念是必要的，以便提供充分的疫苗接种教育，使他们能够更好地在未来的职业生涯中推广疫苗接种。本研究的目的是评估疫苗接种认知(VP)(对疫苗的益处和风险的认知)及其对强制和推荐疫苗接种覆盖率(VC)的影响。一份标准化的匿名自我报告电子问卷于2019年3月18日至2019年4月8日期间前瞻性地发送给法国诺曼底大学的HCS(医学、护理、药房、助产、理疗和健康科学一年级学生)。用接种犹豫、疫苗安全性和接种效益/风险平衡等问题对VP进行评价。全球疫苗接种(GVC)被定义为根据法国国家法律于2018年强制和/或建议的疫苗接种时间表接种疫苗。542名社区卫生服务机构参加了本次调查。强制接种(白喉、脊髓灰质炎、破伤风93.5%、乙肝88.6%)和大多数推荐接种(麻疹95%、百日咳88.2%)的Vc较高。除健康科学专业一年级学生接种疫苗较少(25.6%)外，全球风险(40.4%)在不同健康科学专业学生之间无统计学差异。关于VP，97.8%的HCS认为疫苗有效。当评估疫苗安全性和疫苗犹豫程度时(0-10分，0分：不安全或不犹豫，10分：完全安全和对疫苗非常犹豫)，91%的受访者表示疫苗安全性为≥7，80%的受访者表示疫苗犹豫程度为<； 3。80.6%的HCS推荐接种所有疫苗，但只有52%的人同意强制接种流感疫苗。在多变量分析中，与医科学生相比，保健科一年级学生的GVC较低(OR95%CI = 2[1.2-3.3]，p = 0.004)。HCS认为疫苗是有效和安全的。尽管人们对疫苗的看法很好，但只有不到一半的初级卫生保健机构接种了良好的疫苗。网上版载有补充材料，可在10.1186/s12909020-02426-5查阅。
Vaccine hesitancy in healthcare workers has been increasing especially in France while they are the cornerstone of vaccination programs. Greater understanding of healthcare students (HCS) vaccine knowledge, attitudes and beliefs is necessary to provide an adequate vaccination education to better equip them to promote vaccination in their future careers. The aim of this study was to assess vaccination perception (VP) (perception of benefits and risks of vaccines) and its impact on vaccination coverage (VC) for mandatory and recommended vaccines among HCS. A standardized, anonymous self-reporting electronic questionnaire was prospectively sent to HCS (medicine, nursing, pharmacy, midwifery, physiotherapy students and 1st year of health sciences students) of Normandy University in France between 18/03/2019 and 8/04/2019. VP was evaluated with questions regarding vaccination hesitancy, safety of vaccine and the benefit/risk balance of vaccination. Global VC (GVC) was defined as being vaccinated according to the mandatory and/or recommended vaccination schedule by national French law in 2018. 542 HCS took part in this survey. VC was high for mandatory (diphtheriae, poliomyelitis, tetanus 93.5%, hepatitis B virus 88.6%) and even most of recommended vaccinations (measles 95%, pertussis 88.2%). Global VC (40.4%) was not statistically different between HCS except for 1st year health sciences students who were less vaccinated (25.6%). Regarding VP, 97.8% of HCS thought that vaccine are effective. When vaccine safety and level of vaccine hesitancy were assessed (on a 0–10 scale, 0: not safe or not hesitant and 10: completely safe and strongly hesitant for vaccine), 91% of respondents stated that vaccine safety is ≥7 and in 80% the vaccine hesitancy was < 3. There was no difference among student categories. 80.6% of HCS recommended all vaccines but only 52% agreed that flu vaccination should be mandatory for HCS. In the multivariate analysis, being a 1st year health care sciences student was associated with a lower GVC (OR 95% CI = 2 [1.2–3.3], p = 0.004) than being a medical student. HCS perceived vaccine as effective and secure. Despite the good perception of vaccines, less than half HCS are well vaccinated. The online version contains supplementary material available at 10.1186/s12909-020-02426-5.
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作者：
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