Disease Prevention, Vancouver, British Columbia, Canada.
Infect Control Hosp Epidemiol. 2010 Oct;31(10):1017-24. doi: 10.1086/655465.
OBJECTIVE: To assess healthcare workers' attitudes and concerns regarding seasonal and pandemic influenza vaccines in order to improve vaccination campaign communications. DESIGN: Cross-sectional survey. SETTING: All 6 health authorities in British Columbia, Canada. METHODS: An anonymous, self-administered online survey was conducted from August 30 through September 30, 2009. Question topics included demographic characteristics, factors influencing acceptance of seasonal influenza vaccine, factors influencing intentions to accept pandemic H1N1 influenza vaccine, and knowledge and concerns regarding the effect of the influenza pandemic. PARTICIPANTS: All 96,217 British Columbia healthcare workers were eligible to participate. RESULTS: A volunteer sample of 4,046 healthcare workers returned the survey; 3,563 (88%) were women, 58% were under 50 years old (mean age + or - standard deviation, 45.3 + or - 10.9 years), 3,152 of 4,023 (79%) had 5 or more years of experience in their profession, 1,853 of 4,023 (46%) were nurses, and 2,833 (70%) had been vaccinated against seasonal influenza the previous year. Two thousand eight hundred (69%) respondents reported intending to receive the pandemic H1N1 vaccine. The most important predictor of this intention was having received the seasonal vaccine the previous year (odds ratio [OR], 6.25 [95% confidence interval {CI}, 5.39-7.26]). Worry about making loved ones ill was the only attitude associated with intention to receive the pandemic H1N1 vaccine (adjusted OR, 1.38 [95% CI, 1.27-1.50]). Concerns with vaccine safety (adjusted OR, 0.31 [95% CI, 0.25-0.39]) and belief "that H1N1 is not severe enough" (adjusted OR, 0.29 [95% CI, 0.26-0.32]) were independently associated with the intention to reject the pandemic H1N1 vaccine. CONCLUSIONS: Vaccination campaigns for pandemic H1N1 vaccine should use messages that emphasize the risk of illness among younger people and the opportunity to protect loved ones by getting the vaccine and should address concerns about the safety and effectiveness of the vaccine.
目的：评估医护人员对季节性流感疫苗和大流行性流感疫苗的态度和顾虑，以改进疫苗接种运动的宣传。 设计：横断面调查。 地点：加拿大不列颠哥伦比亚省的所有 6 个卫生当局。 方法：2009 年 8 月 30 日至 9 月 30 日期间，进行了一项匿名、自我管理的在线调查。问题主题包括人口统计学特征、影响季节性流感疫苗接种接受程度的因素、影响接种大流行性 H1N1 流感疫苗意愿的因素，以及对流感大流行影响的认识和关注。 参与者：所有 96217 名不列颠哥伦比亚省医护人员都有资格参加。 结果：4046 名医护人员自愿参加了调查；3563 名（88%）为女性，50 岁以下（平均年龄+或-标准差，45.3+或-10.9 岁），3152 名/4023 名（79%）在其专业领域有 5 年或更长时间的经验，1853 名/4023 名（46%）为护士，2833 名/4023 名（70%）在前一年接种了季节性流感疫苗。2800 名（69%）受访者报告打算接种大流行性 H1N1 疫苗。这种意图的最重要预测因素是前一年接种了季节性疫苗（优势比[OR]，6.25[95%置信区间{CI}，5.39-7.26]）。担心使亲人患病是唯一与接种大流行性 H1N1 疫苗意愿相关的态度（调整后的 OR，1.38[95%CI，1.27-1.50]）。对疫苗安全性的担忧（调整后的 OR，0.31[95%CI，0.25-0.39]）和认为“H1N1 不够严重”（调整后的 OR，0.29[95%CI，0.26-0.32]）与拒绝大流行性 H1N1 疫苗的意愿独立相关。 结论：大流行性 H1N1 疫苗接种运动应使用强调年轻人患病风险的信息，并通过接种疫苗为保护亲人提供机会，还应解决对疫苗安全性和有效性的担忧。
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