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2010 年西班牙阿利坎特基本社区工作者对大流行性 A(H1N1) 流感疫苗接种的可接受性、感知严重性和信息来源。

Acceptability of pandemic A(H1N1) influenza vaccination by Essential Community Workers in 2010 Alicante (Spain), perceived seriousness and sources of information.

机构信息

Cátedra de Vacunología "Balmis" UA-CSISP, Universidad de Alicante, Centro Superior de Investigación en Salud Pública, Valencia, Spain.

出版信息

Prev Med. 2013 Nov;57(5):725-8. doi: 10.1016/j.ypmed.2013.08.008. Epub 2013 Aug 20.

DOI:10.1016/j.ypmed.2013.08.008
PMID:23973756
Abstract

OBJECTIVE

Describe acceptability of pandemic A(H1N1) influenza vaccination by Essential Community Workers (ECWs) from Alicante province (Spain) in January 2010. Evaluate the correlation with attitudes, beliefs, professional advice and information broadcasted by media.

METHOD

In this cross-sectional study, face-to-face interviews were conducted with 742 ECWs to assess their attitudes towards vaccination against the pandemic influenza strain. A multivariable regression model was made to adjust the Odds Ratios (ORs).

RESULTS

Some ECWs reported having been vaccinated with seasonal vaccine, 21.5% (95%IC 18.6-24.9); only 15.4% (95%IC 12.8-18.4) with the pandemic one. ECWs vaccinated regularly against seasonal flu (OR 5.1; 95%IC 2.9-9.1), those who considered pandemic influenza as a severe or more serious disease than seasonal flu (OR 3.8; 95%IC 2.1-6.7) and those who never had doubts about vaccine safety (OR 3.7; 95%IC2.1-6.7) had a better acceptance of pandemic vaccine. Finally, 78.7% (95%IC 75.1-81.4) had doubts about pandemic vaccine's effectiveness.

CONCLUSION

The vast amount of information provided by the media did not seem to be decisive to prevent doubts or to improve the acceptability of the vaccine in ECWs. Professional advice should be the focus of interest in future influenza vaccination campaigns. These results should be taken into account by health authorities.

摘要

目的

描述 2010 年 1 月西班牙阿利坎特省(Alicante province)基本社区工作者(ECWs)对接种大流行性 A(H1N1)流感疫苗的可接受性。评估其与态度、信念、专业建议和媒体传播信息的相关性。

方法

在这项横断面研究中,对 742 名 ECWs 进行了面对面访谈,以评估他们对大流行流感株疫苗接种的态度。建立了多变量回归模型来调整优势比(OR)。

结果

一些 ECWs 报告已接种季节性疫苗,占 21.5%(95%CI 18.6-24.9);只有 15.4%(95%CI 12.8-18.4)接种了大流行疫苗。定期接种季节性流感疫苗的 ECWs(OR 5.1;95%CI 2.9-9.1)、认为大流行性流感比季节性流感更严重或更严重的 ECWs(OR 3.8;95%CI 2.1-6.7)和从未对疫苗安全性有过怀疑的 ECWs(OR 3.7;95%CI 2.1-6.7)对接种大流行疫苗的接受程度更高。最后,78.7%(95%CI 75.1-81.4)对大流行疫苗的有效性表示怀疑。

结论

媒体提供的大量信息似乎并没有对消除疑虑或提高 ECWs 对接种疫苗的可接受性产生决定性影响。专业建议应成为未来流感疫苗接种活动的关注焦点。这些结果应引起卫生当局的重视。

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