School of Public Health and Management, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China.
Infectious Disease Control and Prevention Institute, Chongqing Center for Disease Control and Prevention, Chongqing, China.
Hum Vaccin Immunother. 2021 Dec 2;17(12):5500-5508. doi: 10.1080/21645515.2021.2007013. Epub 2021 Dec 29.
Influenza is associated with a substantial disease burden, and influenza vaccination is recommended to all healthcare workers. We aimed to assess healthcare workers' knowledge, attitudes, and practices about influenza and its vaccine in Chongqing, China. A cross-sectional study was conducted at selected hospitals from September to November 2019, in which healthcare workers filled in a self-administered questionnaire. Both sentinel (42.92%) and non-sentinel hospitals (57.08%) were included. The majority were nurses (52.48%) and physicians (32.37%). Half (50.42%) of the respondents had a good command of knowledge, and the proportion of healthcare workers having a positive attitude accounted for 62.68%. The primary information sources were colleagues (58.81%), followed by television, newspapers and media (30.18%). The number of healthcare workers reported having got vaccinated last year was only 237 (16.78%), and the main reason was protecting themselves from influenza (93.25%). While the most common reasons given for not getting vaccinated were having no time (65.70%), believing it is unnecessary to get vaccinated (29.62%), worrying about the quality of influenza vaccine (27.49%) or the adverse reactions (25.70%). Factors associated with self-reported high vaccination were sentinel hospital (aOR: 1.427; 95% CI: 1.057-1.925), high-risk department (aOR: 1.919; 95% CI: 1.423-2.589), positive attitude (aOR: 2.429; 95% CI: 1.697-3.477) and taking the initiative to learn influenza information (aOR: 3.000; 95% CI: 1.983-4.538). We concluded that healthcare workers in Chongqing had some misconceptions although many of them showed a positive attitude toward the influenza vaccine. Various strategies, including educational training and on-site vaccination, are necessary to improve the knowledge and overall vaccination coverage.
流感会导致严重的疾病负担，因此建议所有医护人员接种流感疫苗。本研究旨在评估中国重庆医护人员对流感及其疫苗的知识、态度和实践情况。2019 年 9 月至 11 月，在选定的医院进行了一项横断面研究，医护人员填写了一份自我管理的问卷。纳入了哨点（42.92%）和非哨点医院（57.08%）。大多数是护士（52.48%）和医生（32.37%）。有一半（50.42%）的受访者知识掌握较好，态度积极的医护人员比例占 62.68%。主要信息来源是同事（58.81%），其次是电视、报纸和媒体（30.18%）。报告去年接种过疫苗的医护人员只有 237 人（16.78%），主要原因是预防流感（93.25%）。而不接种疫苗的主要原因是没有时间（65.70%）、认为没有必要接种（29.62%）、担心流感疫苗的质量（27.49%）或不良反应（25.70%）。自我报告高接种率的相关因素包括哨点医院（比值比：1.427；95%置信区间：1.057-1.925）、高风险科室（比值比：1.919；95%置信区间：1.423-2.589）、积极的态度（比值比：2.429；95%置信区间：1.697-3.477）和主动学习流感信息（比值比：3.000；95%置信区间：1.983-4.538）。研究结果表明，重庆医护人员虽然对流感疫苗持积极态度，但仍存在一些误解。需要采取多种策略，包括教育培训和现场接种，以提高知识水平和整体接种率。
