法国教学医院医护人员对季节性和大流行甲型(H1N1)2009 流感疫苗的接受情况。
Acceptance of seasonal and pandemic a (H1N1) 2009 influenza vaccination by healthcare workers in a french teaching hospital.
机构信息
Department of Public Health, CHU Angers, 4 rue Larrey, 49933 Angers Cedex 09, France.
出版信息
Vaccine. 2011 Jun 6;29(25):4190-4. doi: 10.1016/j.vaccine.2011.03.107. Epub 2011 Apr 15.
INTRODUCTION
The aim of this study was to highlight the perceived risks, behavioural changes and the rate of acceptance of seasonal and pandemic (H1N1) 2009 influenza vaccines by healthcare workers (HCWs) in a French Teaching Hospital.
METHODS
We sampled HCWs from the Angers French Teaching Hospital (France) using a cross-sectional intercept design during phase 5A of the 2009 French National Plan for the Prevention and Control of 'Pandemic Influenza'. From November 2009 to February 2010, HCWs were approached in the workplace to undertake the survey. The primary endpoint assessed immunization coverage among HCWs who had contact with at-risk-patients.
RESULTS
Of the 532 HCWs who answered the questionnaire, 119 (22.4%) had received a seasonal vaccine and 194 (36.5%) the H1N1 pandemic vaccine. Coverage rate was significantly higher among physicians (45% for the seasonal vaccine, 61% for the H1N1 vaccine). The main reasons given for acceptance of the seasonal vaccine were "protection of the patient" and "self-protection", whereas the main arguments against were "low risk of being infected" and "doubts about vaccine safety". For the H1N1 vaccine, reasons for vaccination were to "protect the patient" and "protect the family". The main arguments against were "fear of side effects" and "doubts about vaccine safety".
CONCLUSION
This study emphasizes the lack of perception by HCWs of the importance of being immunized against seasonal and pandemic A (H1N1) 2009 Influenza. In the future, particular efforts are needed, during vaccination campaigns, to provide more information to HCWs regarding development process and safety of such vaccines.
简介
本研究旨在强调在法国教学医院中,医护人员(HCWs)对季节性和大流行性(H1N1)2009 流感疫苗的感知风险、行为变化和接受率。
方法
我们采用 2009 年法国国家预防和控制“大流行性流感”计划的第 5A 阶段的横断面拦截设计,从法国昂热教学医院抽取 HCWs 作为样本。2009 年 11 月至 2010 年 2 月,在工作场所接触 HCWs 以进行调查。主要终点评估接触高危患者的 HCWs 的免疫覆盖率。
结果
在回答问卷的 532 名 HCWs 中,有 119 名(22.4%)接种了季节性疫苗,有 194 名(36.5%)接种了 H1N1 大流行疫苗。医生的覆盖率明显更高(季节性疫苗 45%,H1N1 疫苗 61%)。接受季节性疫苗的主要原因是“保护患者”和“自我保护”,而反对的主要理由是“感染风险低”和“对疫苗安全性的怀疑”。对于 H1N1 疫苗,接种疫苗的原因是“保护患者”和“保护家人”。反对的主要理由是“对副作用的恐惧”和“对疫苗安全性的怀疑”。
结论
本研究强调 HCWs 对季节性和大流行性 A(H1N1)2009 流感疫苗接种重要性的认识不足。在未来,在疫苗接种活动中,需要特别努力向 HCWs 提供更多有关此类疫苗的开发过程和安全性的信息。