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[中国青海省西宁市2016 - 2017年流感季节医院临床工作人员的流感疫苗接种情况及其影响因素]

[Influenza vaccination and its influencing factors among clinical staff of the hospitals in 2016-2017 season, Xining, Qinghai province, China].

作者信息

Yang J S, Zhang L J, Feng L Z, Zhao J H, Ma Y Y, Xu L L

机构信息

Department of Public Health, Qinghai Provincial Center for Disease Control and Prevention, Xining 810010, China.

Department of Field Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Aug 10;39(8):1066-1070. doi: 10.3760/cma.j.issn.0254-6450.2018.08.010.

DOI:10.3760/cma.j.issn.0254-6450.2018.08.010
PMID:30180429
Abstract

To investigate the influenza vaccination and its influencing factors among the clinical staff in Xining, Qinghai province, in the 2016-2017 influenza season, and to explore the promoting strategies to encourage the target population for influenza vaccination. Four sample hospitals were randomly selected from the total 11 tertiary hospitals in Xining city. Clinical staff that worked in the four hospitals and agreed to participate were recruited for investigation via a self-administered questionnaire. During the 2016-2017 influenza season, the coverage rate of influenza vaccines among the clinical staff was 5.14% (95: 4.80%-5.49%). Multivariate logistic regression showed that knowing the priority of vaccination, the frequency of vaccination, effect of vaccination, and possessing higher professional qualifications were major influencing factors for influenza vaccination. The intention on recommendation of seasonal influenza vaccine was higher in vaccinated group than that in the unvaccinated group ((2)=99.57, <0.001). The lower coverage rate was primarily associated with the lack of knowledge about influenza vaccine among the clinical staff of the hospital. Tailored information should be provided to the clinical staff through effective methods to improve vaccination and the recommendation of influenza vaccine.

摘要

为调查青海省西宁市临床工作人员在2016 - 2017流感季节的流感疫苗接种情况及其影响因素,并探索促进目标人群接种流感疫苗的策略。从西宁市11家三级医院中随机抽取4家作为样本医院。通过自填式问卷对在这4家医院工作且同意参与调查的临床工作人员进行调查。在2016 - 2017流感季节,临床工作人员中流感疫苗的接种率为5.14%(95%CI:4.80% - 5.49%)。多因素logistic回归分析显示,知晓接种优先级、接种频次、接种效果以及拥有较高专业资质是影响流感疫苗接种的主要因素。接种组对季节性流感疫苗的推荐意愿高于未接种组(χ² = 99.57,P < 0.001)。接种率较低主要与医院临床工作人员对流感疫苗知识缺乏有关。应通过有效方法为临床工作人员提供针对性信息,以提高流感疫苗接种率及推荐率。

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