Laboratorios de Biológicos y Reactivos de México S.A. de C.V. (BIRMEX), México, D.F., Mexico.
Arch Med Res. 2011 Nov;42(8):652-7. doi: 10.1016/j.arcmed.2011.12.006. Epub 2012 Jan 4.
We undertook this study to review attitudes, beliefs and practices of healthcare workers (HCW) toward pandemic influenza A vaccine (H1N1) 2009 reported in the literature. Relevant papers published from 2009-2011 reporting attitudes, beliefs and practices of HCW towards pandemic influenza vaccine were identified. Variables such as age, gender, profession, work place area, and previous vaccination uptake were analyzed. In this study, 30 articles regarding attitudes and beliefs toward pandemic influenza vaccination, vaccine uptake and intention to accept vaccine were analyzed. Most studies were cross-sectional in design. Vaccination intention and uptake varies among different countries, 13.5-89.0% and 7.5-63.0%, respectively. Most common reasons for rejection were fear of adverse events, doubt regarding efficacy, not feeling as belonging to a high-risk group and believing that influenza is not a serious illness. Physicians show more favorable attitudes compared to nurses. The main predictor of vaccine uptake was having received previous influenza vaccination. Pandemic influenza uptake was low in most countries. The main reason among HCW for rejection was concern regarding side effects. It is necessary to establish educational programs to provided reliable information and raise awareness of HCW about vaccine use so that they can act as vaccine promoters among the general population.
我们进行这项研究，以回顾文献中报道的医护人员（HCW）对 2009 年甲型 H1N1 大流行流感疫苗的态度、信念和实践。确定了 2009 年至 2011 年期间发表的报告 HCW 对大流行流感疫苗的态度、信念和实践的相关论文。分析了年龄、性别、职业、工作场所区域和以往疫苗接种率等变量。在这项研究中，分析了 30 篇关于大流行流感疫苗接种、疫苗接种率和接受疫苗意愿的态度和信念的文章。大多数研究采用横断面设计。疫苗接种意愿和接种率在不同国家之间存在差异，分别为 13.5-89.0%和 7.5-63.0%。拒绝接种的最常见原因是担心不良反应、怀疑疫苗效果、不认为自己属于高风险人群以及认为流感不是一种严重疾病。医生的态度比护士更有利。疫苗接种率的主要预测因素是之前接种过流感疫苗。大多数国家的大流行流感疫苗接种率较低。HCW 拒绝接种的主要原因是对副作用的担忧。有必要建立教育计划，为 HCW 提供有关疫苗使用的可靠信息，提高他们的认识，以便他们能够在普通人群中充当疫苗推广者。
