Kelly David A, Macey David J, Mak Donna B
a School of Medicine; University of Notre Dame Australia; Fremantle and Intern; Royal Perth Hospital; Perth, WA Australia.
Hum Vaccin Immunother. 2014;10(7):1930-4. doi: 10.4161/hv.29071.
Despite national and international recommendations, annual influenza vaccination uptake among health care providers (HCPs) remains sub-optimal. This study investigated the uptake, enablers, and barriers to annual influenza vaccination in medicine, nursing, and physiotherapy students at the University of Notre Dame Australia, Fremantle, using an online survey and semi-structured interviews. In 2013, uptake rate of influenza vaccination was 36.3% (95% CI = 31.8-40.8%). Employment as a HCP (OR 1.6, 95% CI 1.1-2.5), being a medical student (OR 2.5, 95% CI 1.2-5.1) and eligibility for government-funded vaccine (OR 7.1, 95% CI 2.7-18.6) were independently associated with increased uptake. Awareness, cost, and convenience were identified as key barriers to vaccination with interview data suggesting that raising awareness of the benefits of influenza vaccination, along with improving student HCPs' access to affordable, convenient vaccination are likely to improve uptake. Responsibility to increase uptake should be shared between universities and student HCPs.
尽管有国家和国际层面的建议，但医疗保健人员（HCPs）的年度流感疫苗接种率仍不理想。本研究通过在线调查和半结构化访谈，对澳大利亚圣母大学弗里曼特尔分校医学、护理和物理治疗专业学生的年度流感疫苗接种情况、促进因素和障碍进行了调查。2013年，流感疫苗接种率为36.3%（95%置信区间=31.8 - 40.8%）。作为医疗保健人员就业（比值比1.6，95%置信区间1.1 - 2.5）、是医学生（比值比2.5，95%置信区间1.2 - 5.1）以及有资格接种政府资助疫苗（比值比7.1，95%置信区间2.7 - 18.6）与接种率增加独立相关。访谈数据表明，意识、成本和便利性被确定为疫苗接种的关键障碍，提高对流感疫苗接种益处的认识，以及改善学生医疗保健人员获得负担得起、方便的疫苗接种的机会，可能会提高接种率。提高接种率的责任应由大学和学生医疗保健人员共同承担。
