Barriers to seasonal influenza vaccine uptake among health care workers in long-term care facilities: A cross-sectional analysis
Barriers to seasonal influenza vaccine uptake among health care workers in long-term care facilities: A cross-sectional analysis
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DOI：
10.1111/bjhp.12419
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发表时间：
2020-04-22
影响因子：
7.9
通讯作者：
Byrne, Molly
中科院分区：
文献类型：
--
作者：
Kenny, Eanna;McNamara, Aine;Byrne, Molly
目的许多公共卫生当局建议对医护人员（HCW）接种流感疫苗。尽管有这些建议，但疫苗接种率很低，特别是在长期护理工作者中。目前的研究旨在使用理论域框架，以确定与流感疫苗摄取之间HCWs在长期护理facility.DesignThe研究采用了横断面调查design.MethodsHCWs（n = 372）在21个长期护理设施在西部的爱尔兰完成了一份纸质问卷，评估了社会-与HCW流感疫苗摄取相关的人口统计学和心理社会学决定因素。结果研究结果表明，使用理论领域框架的逻辑回归表明，对医务人员是否接种流感疫苗进行分类。接种疫苗的重要预测因素是过去的疫苗接种（OR = 16.16，95%CI = 5.52-47.34），目标（OR = 3.15，95%CI = 1.63-6.06），意向（OR = 2.42，95%CI = 1.23-4.77），社会影响（OR = 0.39，95%CI = 0.18-0.84），和强化（OR = 0.46，95%CI = 0.21-0.98）。结论本研究确定了影响接种HCW疫苗的主要心理因素。针对理论领域、目标、意图、社会影响和强化的干预措施可能会提高长期护理设施中HCW的疫苗接种率。长期护理机构中的卫生保健工作者季节性流感疫苗接种情况不理想。许多社会人口，心理和组织的障碍，接种疫苗已被确定。然而，很少有研究探讨了在长期护理环境中的卫生保健工作者在行为改变理论框架内接种疫苗的障碍。这是第一项将理论领域框架应用于疫苗接种行为的研究。卫生保健工作者的疫苗接种与以前接受过疫苗以及目标、意图、社会影响和强化领域相关。研究结果表明，针对这些领域的干预措施可能会增加长期护理机构中卫生保健工作者的疫苗接种。可能的干预措施包括疫苗接种行动规划和促进疫苗接种作为一种积极的行为，而不是一种职业责任。
ObjectivesThe vaccination of health care workers (HCWs) against influenza is recommended by numerous public health authorities. Despite these recommendations, the rate of vaccine uptake is poor, particularly among those working in long-term care. The current study aimed to use the theoretical domains framework to identify the barriers associated with influenza vaccine uptake among HCWs in long-term care facilities.DesignThe study employed a cross-sectional survey design.MethodsHCWs (n = 372) at 21 long-term care facilities in the west of Ireland completed a paper-based questionnaire, which assessed the socio-demographic and psychosocial determinants associated with HCW influenza vaccine uptake.ResultsFindings indicated that a logistic regression using the theoretical domains framework demonstrated a strong ability to correctly classify whether or not HCWs received the influenza vaccine. Significant predictors of receiving the vaccine were past vaccination (OR = 16.16, 95% CI = 5.52-47.34), Goals (OR = 3.15, 95% CI = 1.63-6.06), Intentions (OR = 2.42, 95% CI = 1.23-4.77), Social influences (OR = 0.39, 95% CI = 0.18-0.84), and Reinforcement (OR = 0.46, 95% CI = 0.21-0.98).ConclusionsThis research identified the key psychological determinants associated with HCW vaccine uptake. Interventions that target the theoretical domains, Goals, Intentions, Social influences, and Reinforcement, may enhance vaccine uptake among HCW in long-term care facilities.Statement of contributionWhat is already known on this subject?Seasonal influenza vaccine uptake among health care workers in long-term care settings is suboptimal. Many socio-demographic, psychosocial, and organizational barriers to vaccination have been identified. However, few studies have explored the barriers to vaccination among health care workers in long-term care settings within a behaviour change theory framework.What does this study add?This is the first study to apply the theoretical domains framework to vaccination behaviour.Health care worker vaccine uptake was associated with having previously received the vaccine and the domains Goals, Intentions, Social influences, and Reinforcement.The findings suggest that interventions that target these domains may increase vaccine uptake among health care workers in long-term care facilities. Possible interventions could include vaccination action planning and promoting vaccination as a positive act rather than a professional responsibility.