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医疗工作者在维持欧洲麻疹、腮腺炎、风疹联合疫苗高接种率方面的作用:证据回顾。

Healthcare workers role in keeping MMR vaccination uptake high in Europe: a review of evidence.

机构信息

European Centre for Disease Prevention and Control, Stockholm, Sweden.

出版信息

Euro Surveill. 2012 Jun 28;17(26):20206.

PMID:22790533
Abstract

Measles is a highly contagious and potentially fatal disease. Europe is far from the 95% coverage rates necessary for elimination of the disease, although a safe and cost-effective vaccine is available. We reviewed the literature on studies carried out in European countries from January 1991 to September 2011 on knowledge, attitudes and practices of health professionals towards measles vaccination and on how health professionals have an impact on parental vaccination choices. Both quantitative and qualitative studies were considered: a total of 28 eligible articles were retrieved. Healthcare workers are considered by parents as a primary and trustworthy source of information on childhood vaccination. Gaps in knowledge and poor communication from healthcare workers are detrimental to high immunisation rates. Correct and transparent information for parents plays a key role in parental decisions on whether to have their children vaccinated. Healthcare workers' knowledge of and positive attitudes towards measles-mumps-rubella (MMR) vaccination are crucial to meeting the measles elimination goal. An effort should be made to overcome potential communication barriers and to strengthen vaccine education among healthcare professionals.

摘要

麻疹是一种高度传染性且可能致命的疾病。尽管有安全且具成本效益的疫苗,但欧洲远未达到消除该疾病所需的 95%覆盖率。我们回顾了 1991 年 1 月至 2011 年 9 月期间在欧洲国家进行的有关卫生专业人员对麻疹疫苗接种的知识、态度和实践,以及卫生专业人员如何影响父母疫苗接种选择的研究文献。考虑了定量和定性研究:共检索到 28 篇合格文章。父母认为医疗保健工作者是儿童疫苗接种的主要和值得信赖的信息来源。医疗保健工作者知识上的差距和沟通不畅不利于高免疫率。为父母提供正确和透明的信息对于他们是否决定让孩子接种疫苗起着关键作用。医疗保健工作者对麻疹、腮腺炎和风疹(MMR)疫苗的了解和积极态度对于实现消除麻疹的目标至关重要。应努力克服潜在的沟通障碍,并加强医疗保健专业人员的疫苗教育。

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Healthcare workers role in keeping MMR vaccination uptake high in Europe: a review of evidence.医疗工作者在维持欧洲麻疹、腮腺炎、风疹联合疫苗高接种率方面的作用:证据回顾。
Euro Surveill. 2012 Jun 28;17(26):20206.
2
Why do parents hesitate to vaccinate their children against measles, mumps and rubella?为什么父母在让孩子接种麻疹、腮腺炎和风疹疫苗时会犹豫不决?
Acta Paediatr. 2004 Sep;93(9):1232-7.
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Determinants of European parents' decision on the vaccination of their children against measles, mumps and rubella: A systematic review and meta-analysis.欧洲父母对其子女接种麻疹、腮腺炎和风疹疫苗决策的决定因素:一项系统评价和荟萃分析。
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[So dangerous are not measles, mumps and rubella...A qualitative survey of causes of MMR vaccination refusal in the county of Vejle].[麻疹、腮腺炎和风疹并非如此危险……对丹麦瓦埃勒郡拒绝接种麻腮风疫苗原因的定性调查]
Ugeskr Laeger. 2006 Aug 14;168(33):2670-4.
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[The active offering of measles, rubella and mumps vaccine in new mothers: the experience of health facilities in one of the Local Health Unit of Rome, Lazio, Italy].[向新妈妈主动提供麻疹、风疹和腮腺炎疫苗:意大利拉齐奥大区罗马市一个地方卫生单位的医疗机构经验]
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[Measles, mumps and rubella: vaccination rate and seroprevalence in 8th grade students of 8 different sites in Switzerland 1995/96].[麻疹、腮腺炎和风疹:1995/96年瑞士8个不同地点八年级学生的疫苗接种率和血清阳性率]
Praxis (Bern 1994). 1999 Jun 10;88(24):1069-77.
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