Bonaccorsi G, Lorini C, Porchia B R, Niccolai G, Martino G, Giannarelli L, Santomauro F
Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze, Italy.
Ann Ig. 2013 May-Jun;25(3):181-9. doi: 10.7416/ai.2013.1920.
It is well demonstrated that influenza vaccination coverage among health care workers and health professions students continues to be low, despite WHO and CDCs strongly recommend flu shot for these categories. Aim of this work is to investigate among students the flu risk perception (both seasonal and 2009 H1N1), knowledge and attitudes towards vaccination and the main factors of acceptance or refusal of the vaccination.
The study population includes 662 health professions students from the University of Florence. Survey was conducted from October 2010 to March 2011 by an anonymous questionnaire consisting of multiple-choice questions. Statistical analysis was performed in SPSS 19 and the dichotomous variables were analysed using chi2 test and Fisher's exact test.
The proportion of students vaccinated against seasonal flu was 10.3% in 2007, 12.1% in 2008, 12.6% in 2009. A lower percentage (9.6%) has received the H1N1v vaccine. In 2009, the majority of the vaccinated students chose to get immunized in order to protect themselves (84.8% for seasonal flu and 71% for H1N1) and other people (over 77% both for seasonal and H1N1). The most common reason to refuse vaccination was to perceive a low disease risk (62.5% for seasonal and 61.9% for H1N1).
Our findings suggest the need to promote a better and accessible offer and to extend flu shot to students during vaccination campaign, in order to increase the primary prevention through vaccination among future's health care workers.
尽管世界卫生组织(WHO)和美国疾病控制与预防中心(CDC)强烈建议医护人员和卫生专业学生接种流感疫苗,但事实证明这些人群的流感疫苗接种率仍然很低。这项工作的目的是调查学生对流感风险的认知(包括季节性流感和2009年甲型H1N1流感)、对疫苗接种的知识和态度,以及接受或拒绝接种疫苗的主要因素。
研究人群包括佛罗伦萨大学的662名卫生专业学生。2010年10月至2011年3月期间,通过一份由多项选择题组成的匿名问卷进行了调查。在SPSS 19中进行了统计分析,并使用卡方检验和费舍尔精确检验对二分变量进行了分析。
2007年接种季节性流感疫苗的学生比例为10.3%,2008年为12.1%,2009年为12.6%。接种甲型H1N1流感疫苗的比例较低(9.6%)。2009年,大多数接种疫苗的学生选择接种是为了保护自己(季节性流感为84.8%,甲型H1N1流感为71%)和他人(季节性流感和甲型H1N1流感均超过77%)。拒绝接种疫苗最常见的原因是认为疾病风险低(季节性流感为62.5%,甲型H1N1流感为61.9%)。
我们的研究结果表明,有必要在疫苗接种活动期间推广更好且更易获得的疫苗接种服务,并将流感疫苗接种范围扩大到学生,以便通过接种疫苗加强对未来医护人员的一级预防。