提高中国高危人群的季节性流感疫苗接种率：社区医护人员能发挥作用吗？
Increasing seasonal influenza vaccination among high risk groups in China: Do community healthcare workers have a role to play?
作者信息
Song Ying, Zhang Tao, Chen Liling, Yi Bo, Hao Xiaoning, Zhou Suizan, Zhang Ran, Greene Carolyn
机构信息
Centers for Disease Control and Prevention, Atlanta, GA, USA.
School of Public Health, Fudan University, Shanghai, China.
出版信息
Vaccine. 2017 Jul 24;35(33):4060-4063. doi: 10.1016/j.vaccine.2017.06.054. Epub 2017 Jun 28.
BACKGROUND
Seasonal influenza vaccine uptake in China is low. This study aims to assess the role of community healthcare workers (HCWs) in increasing vaccination among high risk groups in China.
METHODS
We analyzed data from four knowledge, attitude and practice (KAP) studies on seasonal influenza vaccination in China targeting guardians of young children, pregnant women, adults aged ≥60years, and HCWs from 2012 to 2014.
RESULTS
Thirty-one percent of pregnant women and 78% adults aged ≥60years reported willingness to follow HCWs' recommendations for influenza vaccination. Guardians were more likely to vaccinate their children if they received HCWs' recommendations (35% vs. 17%, p<0.001). Community HCWs were more likely to recommend seasonal influenza vaccination than hospital HCWs (58% vs. 28%, p<0.001).
CONCLUSION
Study results suggest the value of incorporating community HCWs' recommendation for seasonal influenza vaccination into existing primary public health programs to increase vaccination coverage among high risk groups in China.
背景
中国季节性流感疫苗的接种率较低。本研究旨在评估社区医护人员在中国高危人群中提高疫苗接种率方面的作用。
方法
我们分析了2012年至2014年在中国针对幼儿监护人、孕妇、60岁及以上成年人以及医护人员开展的四项关于季节性流感疫苗接种的知识、态度和行为（KAP）研究的数据。
结果
31%的孕妇和78%的60岁及以上成年人表示愿意听从医护人员关于流感疫苗接种的建议。如果监护人收到医护人员的建议，他们更有可能为孩子接种疫苗（35%对17%，p<0.001）。社区医护人员比医院医护人员更有可能推荐季节性流感疫苗接种（58%对28%，p<0.001）。
结论
研究结果表明，将社区医护人员关于季节性流感疫苗接种的建议纳入现有的基层公共卫生项目，对于提高中国高危人群的疫苗接种覆盖率具有重要意义。
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