Naval Medical Research Center; Enteric Diseases Department; Silver Spring, MD USA.
George Washington University; School of Public Health and Health Services; Washington, DC USA.
Hum Vaccin Immunother. 2013 Dec;9(12):2613-7. doi: 10.4161/hv.25910. Epub 2013 Aug 5.
Though no avian influenza vaccine currently exists, development efforts have increased. Given recent reports of suboptimal vaccination rates among US military personnel, we sought to assess factors associated with a willingness to receive a hypothetical avian influenza vaccine. A self-administered questionnaire was completed by US military personnel during mid-deployment to Iraq, Afghanistan, and surrounding regions. Respondents were predominately male (86.2%), Army (72.1%), and enlisted (86.3%) with a mean age of 29.6 y. The majority (77.1%) agreed to receive an avian influenza vaccine if available. Exploratory factor analysis (EFA) identified two factors, vaccine importance and disease risk, that best described the individual perceptions and both were associated with an increased willingness to receive the hypothetical vaccine (OR: 8.2 and 1.6, respectively). Importantly, after controlling for these factors differences in the willingness to receive this hypothetical vaccine were observed across gender and branch of service. These results indicated that targeted education on vaccine safety and efficacy as well as disease risk may modify vaccination patterns in this population.
尽管目前尚无禽流感疫苗，但研发工作已经有所增加。鉴于最近有报道称美国军人的疫苗接种率不理想，我们试图评估与接受假设性禽流感疫苗意愿相关的因素。在向伊拉克、阿富汗和周边地区部署期间，美国军人自行填写了一份问卷。受访者主要为男性（86.2%）、陆军（72.1%）和 enlisted（86.3%），平均年龄为 29.6 岁。大多数人（77.1%）表示，如果有禽流感疫苗，他们愿意接种。探索性因素分析（EFA）确定了两个因素，疫苗重要性和疾病风险，这两个因素最好地描述了个人的看法，并且都与增加接受假设疫苗的意愿相关（OR：8.2 和 1.6）。重要的是，在控制了这些因素后，在性别和军种方面观察到了对接受这种假设疫苗的意愿的差异。这些结果表明，针对疫苗安全性和有效性以及疾病风险的有针对性的教育可能会改变这一人群的疫苗接种模式。
