Minardi Valentina, Gallo Rosaria, Possenti Valentina, Contoli Benedetta, Di Fonzo Davide, D'Andrea Elvira, Masocco Maria
National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy.
Primary Healthcare Unit, Health District 9, Local Health Unit Roma 2, 00159 Rome, Italy.
Vaccines (Basel). 2023 Jul 10;11(7):1223. doi: 10.3390/vaccines11071223.
(1) Influenza causes a significant health and socio-economic burden every year, and health personnel (HP) are at higher risk of exposure to respiratory pathogens than the general population. (2) The study's purpose was to describe and compare influenza vaccine uptake and its prognostic factors among Medical Doctors (MDs) and Non-Medical Health Personnel (NMHP) vs. Non-HP (NHP). We analyzed 2014-2018 data ( = 105,608) from the Italian Behavioral Risk Factor Surveillance System PASSI that, since 2008, has been collecting health-related information continuously in sampled adults. (3) MDs and NMHP represented, respectively, 1.1% and 4.6% of the sample. Among HP, 22.8% (CI 19.8-26.1%) of MDs and 8.5% (CI 7.5-9.5%) of NMHP reported to have been vaccinated vs. 6.3% (CI 6.1-6.5%) in NHP. This difference is confirmed in the three categories (MDs, NMHP, NHP), even more across age groups: in 18-34 yy, respectively, 9.9%, 4.4%, 3.4% vs. 28.4%, 13.9%, 10.6% in 50-64 yy. PASSI surveillance shows an increasing influenza vaccination uptake over time, especially among MDs (22.2% in 2014 vs. 30.5% in 2018). (4) Despite such an increase, especially among younger HP, influenza vaccination uptake is low. Even more under pandemic scenarios, these figures represent key information to address effective strategies for disease prevention and health promotion.
(1) 流感每年都会造成重大的健康和社会经济负担，而且卫生人员（HP）比普通人群面临更高的呼吸道病原体暴露风险。(2) 该研究的目的是描述和比较医生（MD）、非医学卫生人员（NMHP）与非卫生人员（NHP）之间流感疫苗的接种情况及其预后因素。我们分析了来自意大利行为风险因素监测系统PASSI 2014 - 2018年的数据（n = 105,608），该系统自2008年以来一直在对抽样的成年人持续收集与健康相关的信息。(3) MD和NMHP分别占样本的1.1%和4.6%。在卫生人员中，22.8%（CI 19.8 - 26.1%）的MD和8.5%（CI 7.5 - 9.5%）的NMHP报告接种了疫苗，而非卫生人员的这一比例为6.3%（CI 6.1 - 6.5%）。这一差异在三个类别（MD、NMHP、NHP）中均得到证实，在各年龄组中差异更为明显：在18 - 34岁年龄段，接种率分别为9.9%、4.4%、3.4%，而在50 - 64岁年龄段分别为28.4%、13.9%、10.6%。PASSI监测显示流感疫苗接种率随时间呈上升趋势，尤其是在MD中（2014年为22.2%，2018年为30.5%）。(4) 尽管有这种上升趋势，尤其是在年轻卫生人员中，但流感疫苗接种率仍然较低。在大流行情况下更是如此，这些数据是制定疾病预防和健康促进有效策略的关键信息。
