Department of Epidemiology and Health Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, China.
Department of Immunization Program, Ningxia Center for Disease Prevention and Control, Yinchuan, China.
Hum Vaccin Immunother. 2022 Nov 30;18(6):2102354. doi: 10.1080/21645515.2022.2102354. Epub 2022 Aug 3.
Vaccinating health-care workers against influenza during the COVID-19 pandemic can effectively prevent and control influenza and reduce COVID-19 strain on health systems. This study was conducted to explore influenza vaccination coverage and determinants among health-care workers during the COVID-19 pandemic in 2020/2021 influenza season in Ningxia. This cross-sectional survey included demographic characteristics of health-care workers, influenza vaccination status, reasons for not getting vaccinated, and whether influenza vaccination was recommended for others. We found that influenza vaccine rate of health-care workers was 39.6%. A binary logistic regression analysis showed that health-care workers' vaccination coverage was higher when the individuals were aware of the effect of the influenza vaccine (OR = 0.624, 95% CI: 0.486-0.802). Health-care workers who from internal medicine (OR = 1.494, 95% CI: 1.146-1.948), pediatrics (OR = 2.091, 95% CI: 1.476-2.962), and surgery departments (OR = 1.373, 95% CI: 1.014-1.859) had a lower coverage than those who worked in vaccination and infectious disease departments. The main reasons that some stated for not getting vaccinated were that they felt it was unnecessary (52.22%). Health-care workers who were vaccinated against influenza were more likely to recommend influenza vaccination to their patients than health-care workers who had not been vaccinated. The incidence of influenza among health-care workers was higher than that of the general population in Ningxia. Under the policy of voluntary and self-pay influenza vaccination in Ningxia, the coverage rate of influenza vaccine among health-care workers was far below the vaccination requirements of influenza vaccine in influenza season even during the COVID-19 epidemic.
在 COVID-19 大流行期间，为卫生保健工作者接种流感疫苗可以有效预防和控制流感，并减轻卫生系统对 COVID-19 的压力。本研究旨在探讨 2020/2021 年流感季宁夏 COVID-19 大流行期间卫生保健工作者的流感疫苗接种率及其决定因素。这项横断面调查包括卫生保健工作者的人口统计学特征、流感疫苗接种状况、未接种疫苗的原因以及是否建议他人接种流感疫苗。结果显示，卫生保健工作者的流感疫苗接种率为 39.6%。二项逻辑回归分析显示，当个体意识到流感疫苗的效果时（OR=0.624，95%CI：0.486-0.802），卫生保健工作者的疫苗接种率更高。来自内科（OR=1.494，95%CI：1.146-1.948）、儿科（OR=2.091，95%CI：1.476-2.962）和外科部门（OR=1.373，95%CI：1.014-1.859）的卫生保健工作者的接种率低于接种和传染病部门的卫生保健工作者。一些人表示未接种疫苗的主要原因是他们认为没有必要（52.22%）。接种流感疫苗的卫生保健工作者比未接种疫苗的卫生保健工作者更有可能向其患者推荐流感疫苗接种。卫生保健工作者的流感发病率高于宁夏普通人群。在宁夏自愿和自费流感疫苗接种政策下，即使在 COVID-19 大流行期间，卫生保健工作者的流感疫苗接种率也远低于流感季节的流感疫苗接种要求。
