Réanimation Médicale et des Maladies Infectieuses, Hôpital Bichat-Claude-Bernard Hôpitaux Universitaires Paris Nord-Val de Seine, Assistance Publique-Hôpitaux de Paris, Paris, France.
PLoS One. 2012;7(7):e38646. doi: 10.1371/journal.pone.0038646. Epub 2012 Jul 27.
Influenza-vaccination rates among healthcare workers (HCW) remain low worldwide, even during the 2009 A(H1N1) pandemic. In France, this vaccination is free but administered on a voluntary basis. We investigated the factors influencing HCW influenza vaccination.
In June-July 2010, HCW from wards of five French hospitals completed a cross-sectional survey. A multifaceted campaign aimed at improving vaccination coverage in this hospital group was conducted before and during the 2009 pandemic. Using an anonymous self-administered questionnaire, we assessed the relationships between seasonal (SIV) and pandemic (PIV) influenza vaccinations, and sociodemographic and professional characteristics, previous and current vaccination statuses, and 33 statements investigating 10 sociocognitive domains. The sociocognitive domains describing HCWs' SIV and PIV profiles were analyzed using the classification-and-regression-tree method.
Of the HCWs responding to our survey, 1480 were paramedical and 401 were medical with 2009 vaccination rates of 30% and 58% for SIV and 21% and 71% for PIV, respectively (p<0.0001 for both SIV and PIV vaccinations). Older age, prior SIV, working in emergency departments or intensive care units, being a medical HCW and the hospital they worked in were associated with both vaccinations; while work shift was associated only with PIV. Sociocognitive domains associated with both vaccinations were self-perception of benefits and health motivation for all HCW. For medical HCW, being a role model was an additional domain associated with SIV and PIV.
Both vaccination rates remained low. Vaccination mainly depended on self-determined factors and for medical HCW, being a role model.
全球范围内医护人员（HCW）的流感疫苗接种率仍然很低，即使在 2009 年甲型 H1N1 大流行期间也是如此。在法国，这种疫苗接种是免费的，但需要自愿接种。我们调查了影响 HCW 流感疫苗接种的因素。
2010 年 6-7 月，来自法国五家医院病房的 HCW 完成了一项横断面调查。在 2009 年大流行之前和期间，针对该医院组开展了一项旨在提高疫苗接种覆盖率的多方面活动。使用匿名自我管理问卷，我们评估了季节性（SIV）和大流行（PIV）流感疫苗接种与社会人口统计学和职业特征、既往和当前疫苗接种状况以及 33 项调查 10 个社会认知领域之间的关系。使用分类和回归树方法分析描述 HCW 季节性和大流行疫苗接种情况的社会认知领域。
在回应我们调查的 HCW 中，有 1480 名是辅助医务人员，401 名是医务人员，他们的 2009 年 SIV 和 PIV 疫苗接种率分别为 30%和 58%（均<0.0001）。年龄较大、既往 SIV、在急诊科或重症监护病房工作、作为医务人员和工作的医院与这两种疫苗接种均相关；而工作班次仅与 PIV 相关。与这两种疫苗接种均相关的社会认知领域是所有 HCW 的自我感知益处和健康动机。对于医务人员，成为榜样是与 SIV 和 PIV 相关的另一个领域。
两种疫苗接种率仍然很低。接种疫苗主要取决于自我决定因素，对于医务人员而言，成为榜样是一个额外的因素。
