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[西班牙埃尔切市卫生部成年人群中与甲型H1N1流感大流行疫苗接种意愿相关的因素]

[Factors associated with willingness to be vaccinated against pandemic flu A/H1N1 in the adult population of the Health Department of Elche (Spain)].

作者信息

Tuells J, Caballero P, Nolasco A, Montagud E

机构信息

Cátedra de Vacunología «Balmis» UA-CSISP, Universidadde Alicante, Centro Superior de Investigación enSalud Pública, Valencia.

出版信息

An Sist Sanit Navar. 2012 May-Aug;35(2):251-60. doi: 10.4321/s1137-66272012000200007.

DOI:10.4321/s1137-66272012000200007
PMID:22948426
Abstract

BACKGROUND

To assess, in the general population, the information sources, attitudes and willingness to be vaccinated against pandemic influenza A/H1N1 in 2009.

METHODS

We carried out a cross sectional study between 25th November and 30th December 2009, through face to face interviews with a random sample (826) of adults resident in the Health Department of Elche (Spain).

RESULTS

Respondents reported that television (57%) and the family doctor (47.9%) were their main sources of information about vaccinations. Eighty-two point two percent had a good opinion of vaccinations, 30.5% perceived A/H1N1 to be more severe than seasonal flu, with a higher rate among older and less educated people. Twenty-five point four percent of respondents were concerned about contracting it, especially among the less educated. Forty-two point one percent expressed their willingness to be vaccinated against seasonal flu. Eighteen point four percent intended to be vaccinated against A/H1N1. The bias towards vaccination increases with age and in the case of A/H1N1 decreases among more educated people. The family doctor was the main source of information when people wanted to be immunized against seasonal flu (OR = 1.43) and A/H1N1 (OR = 2.47).

CONCLUSIONS

Low acceptance of the pandemic vaccination and low perceived severity of influenza A/H1N1. Previous vaccination experience with seasonal flu creates a predisposition to immunization against A/H1N1. Although the media were the leading source of information during this period, the family doctor's influence on their decision to be vaccinated was significant.

摘要

背景

评估普通人群中关于2009年甲型H1N1流感大流行疫苗接种的信息来源、态度及意愿。

方法

2009年11月25日至12月30日,我们通过对西班牙埃尔切市卫生部门辖区内的成年居民进行随机抽样(826人)并进行面对面访谈,开展了一项横断面研究。

结果

受访者表示,电视(57%)和家庭医生(47.9%)是他们获取疫苗接种信息的主要来源。82.2%的人对疫苗接种持积极态度,30.5%的人认为甲型H1N1流感比季节性流感更严重,老年人和受教育程度较低者中这一比例更高。25.4%的受访者担心感染甲型H1N1流感,受教育程度较低者中尤为如此。42.1%的受访者表示愿意接种季节性流感疫苗。18.4%的受访者打算接种甲型H1N1流感疫苗。接种疫苗的倾向随年龄增长而增加,而对于甲型H1N1流感,在受教育程度较高的人群中这一倾向有所降低。当人们想要接种季节性流感疫苗(比值比=1.43)和甲型H1N1流感疫苗(比值比=2.47)时,家庭医生是主要的信息来源。

结论

甲型H1N1流感大流行疫苗的接受度较低,对甲型H1N1流感严重程度的认知也较低。既往季节性流感疫苗接种经历会使人倾向于接种甲型H1N1流感疫苗。尽管在此期间媒体是主要信息来源,但家庭医生对他们的疫苗接种决定影响显著。

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