Medical Affairs, GSK , Melbourne, Australia.
Medical Affairs, GSK , Singapore, Singapore.
Hum Vaccin Immunother. 2021 Feb 1;17(2):344-350. doi: 10.1080/21645515.2020.1780848. Epub 2020 Jul 22.
Adult vaccination in Australia is suboptimal. For instance, as few as one in nine people have received a pertussis vaccine in adolescence or adulthood, despite increasing disease burden and evidence of a positive correlation between older age and hospitalization rates. The objectives of this study were to describe general practitioners' (GPs) and adult consumers' knowledge and attitudes toward adult vaccination, with an emphasis on pertussis. Australian GPs and consumers were recruited in two nationally representative online surveys repeated annually between 2014 and 2018. Vaccination discussions occurred in a minority of adult/GP encounters. Pertussis was among the five most frequently identified vaccine preventable diseases but was unlikely to be proactively discussed with adults not in contact with young children. Among consumers, only one in three recalled ever receiving a pertussis vaccination. GPs are a strong predictor of adults receiving a pertussis vaccine. Possible factors contributing to low uptake are misconceptions around pertussis disease, vaccination requirements and lack of GP recommendation for adult vaccination. GPs have a key role to play in increasing adult vaccination coverage with their recommendation.
澳大利亚的成人疫苗接种情况并不理想。例如，尽管疾病负担不断增加，并且有证据表明年龄越大住院率越高，但只有十分之一的人在青少年或成年期接种过百日咳疫苗。本研究的目的是描述全科医生（GP）和成年消费者对成人疫苗接种的知识和态度，重点是百日咳。澳大利亚的全科医生和消费者在 2014 年至 2018 年间每年重复进行两次全国代表性的在线调查，以此进行招募。在大多数成年医患会面中，很少会讨论接种疫苗的问题。百日咳是最常被确定的五种可通过疫苗预防的疾病之一，但不太可能主动与未接触幼儿的成年人讨论。在消费者中，只有三分之一的人记得曾经接种过百日咳疫苗。全科医生是成年人接种百日咳疫苗的有力预测因素。导致接种率低的可能因素包括对百日咳疾病、疫苗接种要求和缺乏 GP 推荐的误解。全科医生在推荐成人接种疫苗方面发挥着关键作用，可以提高成人疫苗接种覆盖率。
