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甲型H1N1流感大流行两年后加拿大魁北克省的季节性流感疫苗接种情况

Seasonal influenza vaccination uptake in Quebec, Canada, 2 years after the influenza A(H1N1) pandemic.

作者信息

Dubé Eve, Gagnon Dominique, Kiely Marilou, Defay Fannie, Guay Maryse, Boulianne Nicole, Sauvageau Chantal, Landry Monique, Turmel Bruno, Markowski France, Hudon Nathalie

机构信息

Institut national de santé publique du Québec, Québec City, Québec, Canada; Centre de recherche du CHU de Québec, Québec City, Québec, Canada.

Institut national de santé publique du Québec, Québec City, Québec, Canada.

出版信息

Am J Infect Control. 2014 May;42(5):e55-9. doi: 10.1016/j.ajic.2014.01.006.

Abstract

BACKGROUND

A decrease in seasonal influenza vaccine uptake was observed after the influenza A(H1N1) pandemic in 2009. The goal of our study was to assess seasonal influenza vaccine uptake in 2011-2012, 2 years after the influenza A(H1N1) pandemic mass immunization campaign and to identify the main reasons for having or not having received the vaccine.

METHODS

A telephone survey using random-digit dialing methodology was conducted. Case-weights were assigned to adjust for disproportionate sampling and for nonresponse bias. Descriptive statistics were generated for all variables.

RESULTS

Seasonal influenza vaccine uptake was 57% among adults aged ≥60 years, 35% among adults with chronic medical conditions, and 44% among health care workers. The main reasons given for having been vaccinated were to be protected from influenza and a high perceived susceptibility to influenza, whereas low perceived susceptibility to influenza and low perceived severity of influenza were the main reasons for not having been vaccinated.

CONCLUSIONS

An increase in seasonal influenza vaccine uptake was observed 2 years after the influenza A(H1N1) pandemic. However, vaccine coverage is still below the target level of 80%. More efforts are needed to develop effective strategies to increase seasonal influenza vaccine uptake.

摘要

背景

2009年甲型H1N1流感大流行后,季节性流感疫苗接种率有所下降。我们研究的目的是评估在甲型H1N1流感大流行大规模免疫接种活动2年后的2011 - 2012年季节性流感疫苗接种情况,并确定接种或未接种疫苗的主要原因。

方法

采用随机数字拨号方法进行电话调查。分配病例权重以调整不均衡抽样和无应答偏倚。对所有变量进行描述性统计。

结果

≥60岁成年人的季节性流感疫苗接种率为57%,患有慢性疾病的成年人接种率为35%,医护人员接种率为44%。接种疫苗的主要原因是预防流感以及认为自己感染流感的易感性高,而认为自己感染流感的易感性低和认为流感严重性低是未接种疫苗的主要原因。

结论

甲型H1N1流感大流行2年后,季节性流感疫苗接种率有所上升。然而,疫苗接种覆盖率仍低于80%的目标水平。需要做出更多努力来制定有效的策略以提高季节性流感疫苗接种率。

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