三级医院医护人员对强制性疫苗接种和疫苗可预防疾病疫苗接种覆盖率的态度。
Attitudes towards mandatory vaccination and vaccination coverage against vaccine-preventable diseases among health-care workers in tertiary-care hospitals.
机构信息
Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention, 3-5 Agrafon Street, Athens, Greece.
出版信息
J Infect. 2012 Mar;64(3):319-24. doi: 10.1016/j.jinf.2011.12.004. Epub 2011 Dec 14.
OBJECTIVE
To assess the attitudes about mandatory vaccination and vaccination coverage against vaccine-preventable diseases among health-care workers (HCWs) working in tertiary-care hospitals in Greece.
METHODS
A questionnaire was distributed to HCWs working in four tertiary-care hospitals.
RESULTS
In total, 505 HCWs participated in the survey. Self-reported completed vaccination rates were 18.8% against measles, 18.8% against mumps, 22.2% against rubella, 1.9% against varicella, 3.6% against hepatitis A, 56.5% against hepatitis B, and 35.7% against tetanus-diphtheria. Younger age groups had higher completed vaccination rates against measles, mumps, rubella, varicella, and hepatitis B compared with older HCWs (p-value < 0.001). Self-reported susceptibility rates were 12.7% for measles, 18.9% for mumps, 15.8% for rubella, 15.2% for varicella, 89.9% for hepatitis A, 34.2% for hepatitis B, and 64.3% for tetanus-diphtheria. Sixty three percent of 451 HCWs who answered this question supported mandatory vaccinations for HCWs, with significant differences per target disease. Physicians more frequently supported a mandatory vaccination policy compared to nurses and other professions (72.1% versus 61.9% and 54.2%, respectively; p-value = 0.028).
CONCLUSIONS
Approximately two thirds of HCWs working in tertiary-care hospitals in Greece support mandatory vaccinations for HCWs, however suboptimal vaccination rates against vaccine-preventable diseases were recorded.
目的
评估希腊四家三级保健医院内医护人员（HCWs）对接种疫苗的强制性和疫苗可预防疾病的疫苗接种覆盖率的态度。
方法
向四家三级保健医院内的 HCWs 分发问卷。
结果
共有 505 名 HCWs 参与了这项调查。自我报告的完全疫苗接种率为麻疹 18.8%、腮腺炎 18.8%、风疹 22.2%、水痘 1.9%、甲型肝炎 3.6%、乙型肝炎 56.5%和破伤风白喉 35.7%。与年长 HCWs 相比，年龄较小的 HCWs 对麻疹、腮腺炎、风疹、水痘和乙型肝炎的完全疫苗接种率更高（p 值均<0.001）。自我报告的易感性率为麻疹 12.7%、腮腺炎 18.9%、风疹 15.8%、水痘 15.2%、甲型肝炎 89.9%、乙型肝炎 34.2%和破伤风白喉 64.3%。451 名回答此问题的 HCWs 中有 63%支持对 HCWs 进行强制性疫苗接种，对不同目标疾病的支持率有显著差异。与护士和其他专业人员相比，医生更频繁地支持强制性疫苗接种政策（分别为 72.1%、61.9%和 54.2%；p 值=0.028）。
结论
希腊四家三级保健医院内约三分之二的 HCWs 支持对 HCWs 进行强制性疫苗接种，但疫苗可预防疾病的疫苗接种率仍不理想。
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