Division of Infectious Diseases, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul 152-703, Korea.
Yonsei Med J. 2013 Mar 1;54(2):469-75. doi: 10.3349/ymj.2013.54.2.469.
Despite the ready availability of pneumococcal vaccine, vaccination rates are quite low in South Korea. This study was designed to assess perceptions and awareness about pneumococcal vaccines among subjects at risk and find strategies to increases vaccine coverage rates.
A cross sectional, community-based survey was conducted to assess perceptions about the pneumococcal vaccine at a local public health center. In a tertiary hospital, an outpatient- based pneumococcal vaccine campaign was carried out for the elderly and individuals with chronic co-morbidities from May to July of 2007.
Based on the survey, only 7.6% were ever informed about pneumococcal vaccination. The coverage rates of the pneumococcal vaccine before and after the hospital campaign showed an increased annual rate from 3.39% to 5.91%. The most common reason for vaccination was "doctor's advice" (53.3%). As for the reasons for not receiving vaccination, about 75% of high risk patients were not aware of the pneumococcal vaccine, which was the most important barrier to vaccination. Negative clinician's attitude was the second most common cause of non-vaccination.
Annual outpatient-based campaigns early in the influenza season may improve pneumococcal vaccine coverage rates. Doctor's advice was the most important encouraging factor for vaccination.
尽管肺炎球菌疫苗已经广泛应用，但在韩国，其接种率仍然较低。本研究旨在评估高危人群对肺炎球菌疫苗的认知和意识，并寻找提高疫苗接种率的策略。
在当地公共卫生中心，我们进行了一项横断面、基于社区的调查，以评估对肺炎球菌疫苗的认知。在一家三级医院，我们于 2007 年 5 月至 7 月为老年人和患有慢性合并症的个体开展了一项门诊为基础的肺炎球菌疫苗接种活动。
根据调查，只有 7.6%的人曾被告知肺炎球菌疫苗接种。医院活动前后肺炎球菌疫苗的接种率显示出每年接种率从 3.39%增加到 5.91%。接种的最常见原因是“医生建议”（53.3%）。至于未接种疫苗的原因，约 75%的高危患者不知道肺炎球菌疫苗，这是接种疫苗的最大障碍。临床医生的消极态度是未接种疫苗的第二大常见原因。
在流感季节早期开展的年度门诊接种活动可能会提高肺炎球菌疫苗的接种率。医生的建议是接种疫苗的最重要的鼓励因素。
