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波兰公众对传染病相关风险的认知:埃博拉和流感及其对疫苗接种态度的影响。

Public Perception of the Risks Associated with Infectious Diseases in Poland: Ebola and Influenza and Their Impact on the Attitude to Vaccination.

作者信息

Kuchar Ernest, Ludwikowska Kamila, Marciniak Dominik, Szenborn Leszek, Nitsch-Osuch Aneta

机构信息

Department of Pediatrics with Clinical Assessment Unit, Second Medical Faculty, Medical University of Warsaw, 63A Zwirki & Wigury Street, 02-091, Warsaw, Poland.

Department of Pediatric Infectious Diseases, Medical University of Wroclaw, 2A Chalubinskiego Street, 50-368, Wroclaw, Poland.

出版信息

Adv Exp Med Biol. 2017;980:27-36. doi: 10.1007/5584_2016_207.

Abstract

While the Ebola outbreak in 2014 was strongly highlighted in mainstream media and perceived as a threat to public health in Poland, influenza was regarded as a triviality and the vaccination coverage was low. In the present study, by analyzing feedback from an on-line questionnaire (from November 2014 to January 2015) we assessed the knowledge concerning Ebola and influenza together with attitudes to immunization of 544 respondents (45% medical staff). The findings were that 92.6% of respondents declared readiness to vaccination before traveling to endemic regions if a vaccine against Ebola would have existed, but adverse reactions, high costs, and low effectiveness would adversely affect that decision. While 84.2% of respondents declared awareness of influenza attributing significantly to the cause of death, only 65.4% considered influenza as an actual danger for people in Poland and 46.7% thought that Poland was not an endemic region for influenza. Nearly 23% declared that they were already vaccinated against influenza. The majority of respondents (67.5%) were not going to be vaccinated. We conclude that awareness of risk related to infectious diseases is an important determinant when deciding whether to vaccinate. However, negative information about the vaccine has some bearing on the decision to get vaccinated.

摘要

2014年埃博拉疫情在主流媒体上得到了强烈关注,在波兰被视为对公众健康的威胁,而流感却被认为无关紧要,疫苗接种覆盖率很低。在本研究中,通过分析一份在线调查问卷(2014年11月至2015年1月)的反馈,我们评估了544名受访者(45%为医务人员)对埃博拉和流感的了解情况以及他们的免疫态度。结果发现,如果有埃博拉疫苗,92.6%的受访者表示在前往疫区之前愿意接种,但不良反应、高成本和低效性会对这一决定产生不利影响。虽然84.2%的受访者表示知晓流感是导致死亡的重要原因,但只有65.4%的人认为流感对波兰人构成实际危险,46.7%的人认为波兰不是流感疫区。近23%的人表示他们已经接种了流感疫苗。大多数受访者(67.5%)不打算接种。我们得出结论,在决定是否接种疫苗时,对传染病相关风险的认知是一个重要的决定因素。然而,关于疫苗的负面信息对是否接种疫苗的决定有一定影响。

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