Ma Y Y, Zhang L J, Shi Y, Ma B Z, Wang W J, Cao H L, Zhao J H, Zhang H Y, Yang J S, Li Y H, Feng H X, Peng Z B, Feng L Z, Xu L L
Business Administration Department, Qinghai Provincial Center for Disease Control and Prevention, Xining 810007, China.
China Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing102206, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Oct 6;53(10):1018-1021. doi: 10.3760/cma.j.issn.0253-9624.2019.10.012.
To evaluate the current status and related factors of influenza vaccination among health care workers (HCWs) in tertiary hospitals of Xining city after the implementation of the free influenza vaccination policy. In August 2018, the cluster sampling method was used to select four medical institutions in Xining that had previously conducted investigations and interventions. All HCWs(excluding logistic staff) in each medical institution were included in the study. A total of 3 260 valid respondents were included. Questionnaires were used to collect the demographic characteristics, influenza and influenza vaccination awareness, implementation of free policy in the influenza epidemic season from 2017 to 2018, influenza vaccination status, awareness of influenza vaccination schedule and free policy. The multivariate logistic regression model was used to analyze related factors of influenza vaccination. The age of respondents was (31.41±5.00) years. The influenza vaccination rate was 6.80% (226/3 260) in 2017-2018 influenza epidemic season. After controlling for related factors, the awareness of the influenza vaccination schedule (17.05, 95: 5.86-49.59), vaccination frequency (8.22, 95: 2.98-22.61) and the free policy (3.15, 95: 1.49-6.67) had higher vaccination rate. The influenza vaccination rate of HCWs in tertiary hospitals of Xining city was low. Increasing the awareness of the vaccination schedule, frequency and free policy may promote the influenza vaccination rate of HCWs.
评估西宁市三级医院实施免费流感疫苗接种政策后医护人员流感疫苗接种的现状及相关因素。2018年8月，采用整群抽样方法选取西宁市4家之前进行过调查和干预的医疗机构。每家医疗机构的所有医护人员（不包括后勤人员）均纳入研究。共纳入3260名有效受访者。采用问卷调查收集人口学特征、流感及流感疫苗接种知晓情况、2017 - 2018年流感流行季节免费政策实施情况、流感疫苗接种状况、流感疫苗接种程序知晓情况及免费政策知晓情况。采用多因素logistic回归模型分析流感疫苗接种的相关因素。受访者年龄为（31.41±5.00）岁。2017 - 2018年流感流行季节流感疫苗接种率为6.80%（226/3260）。在控制相关因素后，流感疫苗接种程序知晓情况（17.05，95%CI：5.86 - 49.59）、接种频率（8.22，95%CI：2.98 - 22.61）及免费政策知晓情况（3.15，95%CI：1.49 - 6.67）的接种率较高。西宁市三级医院医护人员流感疫苗接种率较低。提高接种程序、频率及免费政策知晓情况可能会促进医护人员的流感疫苗接种率。
