内城区患有持续性哮喘的成年人接种流感疫苗的依从性决定因素。
Determinants of adherence to influenza vaccination among inner-city adults with persistent asthma.
作者信息
Lyn-Cook Richard, Halm Ethan A, Wisnivesky Juan P
机构信息
Department of Medicine, Montefiore Medical Center, Bronx, New York, NY, USA.
出版信息
Prim Care Respir J. 2007 Aug;16(4):229-35. doi: 10.3132/pcrj.2007.00056.
AIMS
Despite guideline recommendation, influenza vaccination rates among asthmatic patients remain low. The objective of this study was to identify health beliefs associated with vaccination adherence in asthmatic patients.
METHODS
We surveyed 167 adults with persistent asthma undergoing follow-up at a hospital-based clinic. Vaccination beliefs questions were based on the Health Belief Model. Patients who reported receiving influenza immunisation most or every year were considered adherent to vaccination.
RESULTS
Overall, 71% of patients were adherent to influenza vaccination. In multivariate analyses, doctor or nurse recommendation (odds ratio [OR]: 14.71, 95% CI 5.40-40.05), the belief that the vaccine protects against influenza (OR: 7.21, 95% CI 2.25-23.10), and the belief that the vaccine could cause a cold (OR: 0.46, 95% CI 0.19-1.13) were independent predictors of adherence.
CONCLUSIONS
Vaccination beliefs and physician recommendation were associated with influenza vaccination adherence among inner-city asthmatics. Future interventions should target these potentially modifiable factors.
目的
尽管有指南推荐，但哮喘患者的流感疫苗接种率仍然很低。本研究的目的是确定与哮喘患者疫苗接种依从性相关的健康信念。
方法
我们对一家医院门诊正在接受随访的167名持续性哮喘成年患者进行了调查。疫苗接种信念问题基于健康信念模型。报告大多数年份或每年都接受流感免疫接种的患者被视为疫苗接种依从者。
结果
总体而言，71%的患者坚持接种流感疫苗。在多变量分析中，医生或护士的建议（比值比[OR]：14.71，95%置信区间5.40 - 40.05）、认为疫苗可预防流感的信念（OR：7.21，95%置信区间2.25 - 23.10）以及认为疫苗可能导致感冒的信念（OR：0.46，95%置信区间0.19 - 1.13）是依从性的独立预测因素。
结论
疫苗接种信念和医生建议与市中心哮喘患者的流感疫苗接种依从性相关。未来的干预措施应针对这些可能可改变的因素。
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