Department of Internal Medicine, University of Manitoba, Winnipeg, Canada.
Vaccine. 2011 Oct 26;29(46):8357-63. doi: 10.1016/j.vaccine.2011.08.084. Epub 2011 Sep 6.
Many health care personnel (HCP) choose not to get vaccinated against influenza despite recommendations to do so. The pH1N1 epidemic gave a unique opportunity to evaluate the attitudes to influenza vaccination of a group of HCP who routinely choose not to get vaccinated, but accepted the pH1N1 vaccine.
HCP employed at a tertiary care hospital in Winnipeg, Canada who received the pH1N1 vaccine were invited to participate in an online survey asking about attitudes and experiences regarding seasonal and pH1N1 influenza and vaccination. Those eligible included primarily nurses, other clinical staff, and support staff, as few physicians work as employees.
Of the 684 respondents (29% return rate), 504 reported routinely getting vaccinated (RV) for seasonal influenza and 180 reported routinely not getting vaccinated (NRV). These two groups had different attitude towards the two strains of influenza, with markedly lower level of concern about seasonal influenza than pH1N1 for the NRV group. The contrast was especially notable regarding the NRV's view of the seriousness of the illness, their sense of exposure risk, and their confidence in the vaccine effectiveness (for all, seasonal<pH1N1, p<0.001). The most common motivators for getting vaccinated for both NRV and RV groups related to concerns about personal or family safety, while the choice to decline seasonal vaccination related primarily to lack concern about the illness and concerns about vaccine effectiveness and safety. Coworkers were influential in the decision to get the pH1N1 vaccine for the NRV group.
For HCP who do not routinely get the seasonal vaccination, perception of risk outweighing side effect concerns appeared to be a major influence in going ahead with the pH1N1 vaccine. Educational campaigns that focus on personal benefit, engage peer champions, and address concerns about the vaccine may improve influenza vaccine uptake among health care personnel.
尽管有接种流感疫苗的建议，但许多医护人员（HCP）选择不接种流感疫苗。pH1N1 疫情为评估一组常规选择不接种疫苗但接受 pH1N1 疫苗的 HCP 对流感疫苗接种的态度提供了独特的机会。
加拿大温尼伯一家三级保健医院雇用的 HCP 受邀参加一项在线调查，询问他们对季节性和 pH1N1 流感及疫苗接种的态度和经验。符合条件的人员主要包括护士、其他临床工作人员和支持人员，因为很少有医生作为雇员工作。
在 684 名应答者（29%的回复率）中，有 504 名报告常规接种季节性流感疫苗（RV），180 名报告常规不接种流感疫苗（NRV）。这两组对两种流感病毒株的态度不同，NRV 组对季节性流感的关注程度明显低于 pH1N1。NRV 对疾病严重程度、接触风险感知和对疫苗有效性的信心的看法尤其明显（所有，季节性<pH1N1，p<0.001）。NRV 和 RV 组接种疫苗的最常见动机与个人或家庭安全有关，而选择不接种季节性疫苗主要与对疾病的关注程度低以及对疫苗有效性和安全性的担忧有关。对于 NRV 组来说，同事的意见对决定接种 pH1N1 疫苗有影响。
对于常规不接种季节性疫苗的 HCP 来说，风险感知超过副作用担忧似乎是接种 pH1N1 疫苗的主要影响因素。重点关注个人受益、吸引同行拥护者并解决对疫苗的担忧的教育活动可能会提高卫生保健人员对流感疫苗的接种率。
