Lu Peng-Jun, Srivastav Anup, Santibanez Tammy A, Christopher Stringer M, Bostwick Michael, Dever Jill A, Stanley Kurtz Marshica, Williams Walter W
Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333, United States.
Leidos Inc., Atlanta, GA, United States.
Vaccine. 2017 Aug 3;35(34):4346-4354. doi: 10.1016/j.vaccine.2017.06.074. Epub 2017 Jul 1.
Since 2010, the Advisory Committee on Immunization Practices (ACIP) has recommended that all persons aged ≥6months receive annual influenza vaccination.
We analyzed data from the 2015 National Internet Flu Survey (NIFS), to assess knowledge and awareness of the influenza vaccination recommendation and early influenza vaccination coverage during the 2015-16 season among adults. Predictive marginals from a multivariable logistic regression model were used to identify factors independently associated with adults' knowledge and awareness of the vaccination recommendation and early vaccine uptake during the 2015-16 influenza season.
Among the 3301 respondents aged ≥18years, 19.6% indicated knowing that influenza vaccination is recommended for all persons aged ≥6months. Of respondents, 62.3% indicated awareness that there was a recommendation for influenza vaccination, but did not indicate correct knowledge of the recommended age group. Overall, 39.9% of adults aged ≥18years reported having an influenza vaccination. Age 65years and older, being female, having a college or higher education, not being in work force, having annual household income ≥$75,000, reporting having received an influenza vaccination early in the 2015-16 season, having children aged ≤17years in the household, and having high-risk conditions were independently associated with a higher correct knowledge of the influenza vaccination recommendation.
Approximately 1 in 5 had correct knowledge of the recommendation that all persons aged ≥6months should receive an influenza vaccination annually, with some socio-economic groups being even less aware. Clinic based education in combination with strategies known to increase uptake of recommended vaccines, such as patient reminder/recall systems and other healthcare system-based interventions are needed to improve vaccination, which could also improve awareness.
自2010年以来，免疫实践咨询委员会（ACIP）建议所有6个月及以上的人群每年接种流感疫苗。
我们分析了2015年全国互联网流感调查（NIFS）的数据，以评估2015 - 16年度流感季节期间成年人对流感疫苗接种建议的知晓情况和早期流感疫苗接种覆盖率。使用多变量逻辑回归模型的预测边际来确定与成年人对2015 - 16年度流感季节疫苗接种建议的知晓情况以及早期疫苗接种独立相关的因素。
在3301名18岁及以上的受访者中，19.6%表示知道所有6个月及以上的人群都建议接种流感疫苗。在受访者中，62.3%表示知晓有流感疫苗接种建议，但未表明对推荐年龄组有正确认知。总体而言，18岁及以上的成年人中有39.9%报告接种了流感疫苗。65岁及以上、女性、拥有大专或更高学历、未就业、家庭年收入≥75,000美元、报告在2015 - 16年度流感季节早期接种了流感疫苗、家中有17岁及以下儿童以及有高危状况与对流感疫苗接种建议有更高的正确认知独立相关。
约五分之一的人正确知晓所有6个月及以上人群应每年接种流感疫苗这一建议，一些社会经济群体的知晓率甚至更低。需要结合基于诊所的教育以及已知可提高推荐疫苗接种率的策略，如患者提醒/召回系统和其他基于医疗保健系统的干预措施来改善疫苗接种情况，这也有助于提高知晓率。
