Department of Infectious Diseases and Infection Prevention, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Department of Infectious Diseases and Infection Prevention, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; National Centre for Infections in Cancer, National Health and Medical Research Council Centre for Research Excellence, The Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
Vaccine. 2018 Mar 27;36(14):1804-1807. doi: 10.1016/j.vaccine.2018.02.098. Epub 2018 Mar 2.
Healthcare workers (HCWs) at an Australian cancer centre were evaluated using a voluntary declination form program to determine factors contributing to declination of annual influenza vaccination. Overall, 1835/2041 HCWs (89.9%) completed a consent or declination form; 1783 were vaccinated and 52 declined. Staff roles with minimal patient contact were significantly associated with lower vaccine uptake (adjusted odds ratio 0.48, 95% confidence interval 0.23-0.99). Reasons for vaccine refusal included personal choice (41%), previous side-effect/s (23.1%), and medical reasons (23.1%). Of these, a large proportion may not be amenable to intervention, and this must be considered in setting threshold targets for future campaigns.
澳大利亚一家癌症中心的医护人员（HCWs）使用自愿拒绝表方案进行了评估，以确定导致年度流感疫苗接种率下降的因素。总体而言，2041 名 HCWs 中有 1835 名（89.9%）完成了同意或拒绝表；1783 人接种了疫苗，52 人拒绝接种。与患者接触最少的员工角色与较低的疫苗接种率显著相关（调整后的优势比 0.48，95%置信区间 0.23-0.99）。拒绝接种疫苗的原因包括个人选择（41%）、先前的副作用/（23.1%）和医疗原因（23.1%）。其中，很大一部分可能无法通过干预解决，在为未来的疫苗接种活动设定阈值目标时必须考虑到这一点。
