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影响意大利某地区医生和牙医对新冠疫苗接种建议支持或反对选择的因素

Factors Influencing the Choice to Advise for or against COVID-19 Vaccination in the Physicians and Dentists of an Italian Region.

作者信息

Marziali Eleonora, Lontano Alberto, Regazzi Luca, Paladini Andrea, Villani Leonardo, Calabrò Giovanna Elisa, Damiani Gianfranco, Laurenti Patrizia, Ricciardi Walter, Cadeddu Chiara

机构信息

Section of Hygiene, University Department of Life Sciences and Public Health-Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Department of Women, Children and Public Health-Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Rome, Italy.

出版信息

Vaccines (Basel). 2022 Oct 25;10(11):1793. doi: 10.3390/vaccines10111793.

DOI:10.3390/vaccines10111793
PMID:36366302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9696475/
Abstract

Healthcare workers (HCWs), particularly physicians, are a relevant and trusted source of information for patients, especially when health-related choices such as vaccination are concerned. Between July and November 2022, we administered a web-based survey to physicians and dentists living in the Latio region of Italy to explore whether their background might affect their willingness to recommend the COVID-19 vaccination to their patients (RCVtoPat) and their relatives (RCVtoRel). We performed a multivariable logistic regression to study the association between the two outcomes (RCVtoPat and RCVtoRel) and their potential determinants in our sample ( = 1464). We found that being a dentist, an increasing fear of COVID-19, and having been previously vaccinated against flu are positively associated with both RCVtoPat and RCVtoRel, while a better self-rated knowledge of COVID-19 vaccines is associated only with RCVtoRel. No role was found for age, sex, civil status, education level, information sources, previous SARS-CoV-2 infection, and chronic diseases. A sub-group analysis of physicians alone ( = 1305) demonstrated a positive association with RCVtoRel of being specialized in diagnostic/therapeutic services and a negative effect on RCVtoPat of being trained in general practice. We provide useful insights about the factors that should be addressed to ensure HCWs exert a positive influence on their patients and communities.

摘要

医护人员,尤其是医生,是患者获取信息的重要且值得信赖的来源,在涉及疫苗接种等与健康相关的选择时尤为如此。2022年7月至11月期间,我们对居住在意大利拉齐奥地区的医生和牙医进行了一项基于网络的调查,以探讨他们的背景是否可能影响他们向患者推荐新冠疫苗接种(向患者推荐接种疫苗)以及向其亲属推荐(向亲属推荐接种疫苗)的意愿。我们进行了多变量逻辑回归分析,以研究这两个结果(向患者推荐接种疫苗和向亲属推荐接种疫苗)与我们样本(n = 1464)中的潜在决定因素之间的关联。我们发现,作为牙医、对新冠病毒的恐惧增加以及之前接种过流感疫苗与向患者推荐接种疫苗和向亲属推荐接种疫苗均呈正相关,而对新冠疫苗的自我评估知识水平较高仅与向亲属推荐接种疫苗有关。未发现年龄、性别、婚姻状况、教育水平、信息来源、既往感染过严重急性呼吸综合征冠状病毒2以及慢性病有任何作用。仅对医生进行的亚组分析(n = 1305)显示,专门从事诊断/治疗服务与向亲属推荐接种疫苗呈正相关,而接受全科培训对向患者推荐接种疫苗有负面影响。我们提供了有关应解决的因素的有用见解,以确保医护人员对其患者和社区产生积极影响。

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