Jiang Binshan, Cao Yanlin, Qian Jie, Jiang Mingyue, Huang Qiangru, Sun Yanxia, Dai Peixi, Yi Heya, Zhang Run, Xu Lili, Zheng Jiandong, Yang Weizhong, Feng Luzhao
School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China.
Division of Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Vaccines (Basel). 2023 Jan 9;11(1):143. doi: 10.3390/vaccines11010143.
This study aimed to understand the intention and correlation of receiving and recommending influenza vaccine (IV) among healthcare workers (HCWs) in China during the 2022/2023 season using the behavior and social drivers (BeSD) tools. A self-administered electronic survey collected 17,832 participants on a media platform. We investigated the willingness of IV and used multivariate logistic regression analysis to explore its associated factors. The average scores of the 3Cs’ model were compared by multiple comparisons. We also explored the factors that potentially correlated with recommendation willingness by partial regression. The willingness of IV was 74.89% among HCWs, and 82.58% of the participants were likely to recommend it to others during this season. Thinking and feeling was the strongest domain independently associated with willingness. All domains in BeSD were significantly different between the hesitancy and acceptance groups. Central factors in the 3Cs model were significantly different among groups (p < 0.01). HCWs’ willingness to IV recommendation was influenced by their ability to answer related questions (r = 0.187, p < 0.001) after controlling for their IV willingness and perceived risk. HCWs’ attitudes towards IV affect their vaccination and recommendation. The BeSD framework revealed the drivers during the decision-making process. Further study should classify the causes in detail to refine HCWs’ education.
本研究旨在利用行为和社会驱动因素（BeSD）工具，了解2022/2023季节中国医护人员（HCWs）接种和推荐流感疫苗（IV）的意愿及相关性。通过一个媒体平台进行的自我管理电子调查收集了17832名参与者的数据。我们调查了接种流感疫苗的意愿，并使用多因素逻辑回归分析来探索其相关因素。通过多重比较对3C模型的平均得分进行了比较。我们还通过偏回归分析探索了与推荐意愿潜在相关的因素。医护人员中接种流感疫苗的意愿为74.89%，在本季节82.58%的参与者可能会向他人推荐。思考和感受是与意愿独立相关的最强领域。BeSD的所有领域在犹豫组和接受组之间存在显著差异。3C模型中的核心因素在各组之间存在显著差异（p < 0.01）。在控制了接种流感疫苗的意愿和感知风险后，医护人员回答相关问题的能力影响了他们推荐接种流感疫苗的意愿（r = 0.187，p < 0.001）。医护人员对流感疫苗的态度影响他们的接种和推荐行为。BeSD框架揭示了决策过程中的驱动因素。进一步的研究应详细分类原因，以完善对医护人员的教育。
