Riccò M, Razio B, Panato C, Poletti L, Signorelli C
Occupational Health and Safety Unit, Department of Prevention, Provincial Agency for Health Services of the Autonomous Province of Trento, Italy.
First cycle degree in Environment and Workplace Prevention Techniques, University of Trento, Italy.
Ann Ig. 2017 Jul-Aug;29(4):239-255. doi: 10.7416/ai.2017.2156.
Agricultural Workers are both more exposed to tetanus and at higher risk to be inadequately immunized than other usual recipients of the same vaccine.
Our cross-sectional questionnaire-based study aimed to evaluate tetanus vaccination status, knowledge, attitudes and practices in Agricultural Workers in North-Eastern Italy.
Bivariate and multivariate logistic regression analyses were used to identify, from individual and work-related characteristics, factors significantly associated with appropriate vaccination status.
Among 707 participants, 58.4% had an up-to-date immunization status. In 33.1%, last booster was performed by an Emergency Department. The main reason for inadequate immunization was having forgotten the recommended periodic booster (146/707; 20.7%). Attitude towards tetanus vaccination was somehow favourable in 79.5% of participants, and 72.7% correctly identified tetanus vaccination as mandatory for Agricultural Workers. A lower degree of false beliefs and better knowledge of official recommendations were significant predictors of vaccine propensity. The main predictor for an appropriate vaccination status was interaction with a healthcare provider, in general (adjusted Odds Ratio, adjOR 2.516 95%CI 1.707-3.710), and specifically regarding vaccine counseling, (adjOR 6.275 3.184-12.367 and adjOR 9.739 95%CI 3.933-24.111 for general practitioners and occupational physicians, respectively).
Our study enlightens the key role of healthcare providers in recalling and promoting vaccination policies, as well in increasing the general awareness of Agricultural Workers regarding vaccines and official recommendations.
与同一种疫苗的其他普通接种者相比，农业工人不仅破伤风暴露风险更高，而且免疫接种不足的风险也更高。
我们基于问卷调查的横断面研究旨在评估意大利东北部农业工人的破伤风疫苗接种状况、知识、态度和行为。
采用双变量和多变量逻辑回归分析，从个人和工作相关特征中确定与适当疫苗接种状况显著相关的因素。
在707名参与者中，58.4%的人免疫接种状况最新。33.1%的人最后一次加强接种是在急诊科进行的。免疫接种不足的主要原因是忘记了推荐的定期加强接种（146/707；20.7%）。79.5%的参与者对破伤风疫苗接种的态度较为积极，72.7%的参与者正确认识到农业工人必须接种破伤风疫苗。较低程度的错误观念和对官方建议的更好了解是疫苗接种倾向的重要预测因素。适当疫苗接种状况的主要预测因素是与医疗服务提供者的互动，一般而言（调整后的优势比，adjOR 2.516，95%置信区间1.707 - 3.710），特别是关于疫苗咨询方面（全科医生的adjOR为6.275，3.184 - 12.367；职业医生的adjOR为9.739，95%置信区间3.933 - 24.111）。
我们的研究揭示了医疗服务提供者在提醒和推广疫苗接种政策方面的关键作用，以及在提高农业工人对疫苗和官方建议的总体认识方面的关键作用。
