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佐治亚州农村地区中学和高中教师对 2009 年大流行性 H1N1 流感疫苗的接受情况的相关因素。

Correlates of 2009 pandemic H1N1 influenza vaccine acceptance among middle and high school teachers in rural Georgia.

机构信息

Emory University, 1462 Clifton Road, Atlanta, GA 30322, USA.

出版信息

J Sch Health. 2011 Jun;81(6):297-303. doi: 10.1111/j.1746-1561.2011.00594.x.

DOI:10.1111/j.1746-1561.2011.00594.x
PMID:21592124
Abstract

BACKGROUND

Teachers play an essential role in the school community, and H1N1 vaccination of teachers is critical to protect not only themselves but also adolescents they come in contact within the classroom through herd immunity. School-aged children have a greater risk of developing H1N1 disease than seasonal influenza. The goal of this study was to assess the relationship between attitudes toward H1N1 vaccination and vaccine acceptance among middle and high school teachers in rural Georgia.

METHODS

Participants were recruited from 2 counties participating in a school-based influenza vaccination intervention in rural Georgia. Data were collected from surveys distributed to middle and high school teachers in participating counties in September 2009 prior to implementing the interventions to increase vaccination against seasonal influenza. Multivariate logistic regression was used to assess the association between teachers' attitudes toward H1N1 vaccination and H1N1 vaccine acceptance, controlling for demographic variables.

RESULTS

Among participants, 52.9% indicated that they would get the H1N1 vaccine. In multivariate analyses, H1N1 vaccine acceptance was associated with male gender (odds ratio[OR] = 3.67, p = .016), fear of contracting H1N1 (OR = 3.18, p = .025), and receipt of a seasonal influenza vaccine in the past year (OR = 3.07, p = .031). H1N1 vaccine acceptance was not significantly associated with age, race, perceived severity of H1N1, belief that the H1N1 vaccine would cause illness, or talking about H1N1 with friends.

CONCLUSIONS

Teachers may play a pivotal role in school-based H1N1 vaccinations. Understanding and addressing teachers' attitudes toward H1N1 vaccination may assist in future immunization efforts.

摘要

背景

教师在学校社区中扮演着至关重要的角色,接种 H1N1 疫苗对保护教师自身以及他们在课堂上接触到的青少年至关重要,这可以通过群体免疫实现。与季节性流感相比,学龄儿童患 H1N1 疾病的风险更高。本研究的目的是评估佐治亚州农村地区中学和高中教师对 H1N1 疫苗接种的态度与疫苗接种接受度之间的关系。

方法

参与者是从佐治亚州农村地区参与学校流感疫苗接种干预的 2 个县招募的。在 2009 年 9 月实施季节性流感疫苗接种干预措施之前,从参与县的中学和高中教师那里收集了调查数据,这些数据旨在增加针对季节性流感的疫苗接种。采用多变量逻辑回归来评估教师对 H1N1 疫苗接种的态度与 H1N1 疫苗接种接受度之间的关联,同时控制人口统计学变量。

结果

在参与者中,有 52.9%表示他们将接种 H1N1 疫苗。在多变量分析中,H1N1 疫苗接种接受度与男性性别相关(优势比[OR] = 3.67,p =.016),对感染 H1N1 的恐惧(OR = 3.18,p =.025),以及过去一年接种季节性流感疫苗(OR = 3.07,p =.031)。H1N1 疫苗接种接受度与年龄、种族、对 H1N1 严重程度的感知、对 H1N1 疫苗会导致疾病的信念,或与朋友谈论 H1N1 之间没有显著相关性。

结论

教师可能在学校 H1N1 疫苗接种中发挥关键作用。了解和解决教师对 H1N1 疫苗接种的态度可能有助于未来的免疫接种工作。

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