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慢性病患者对推荐疫苗的知晓率、态度及接种覆盖率:意大利的一项横断面电话调查

Knowledge, Attitudes, and Coverage of Recommended Vaccinations in Individuals with Chronic Medical Conditions: A Cross-Sectional Telephone Survey in Italy.

作者信息

Sansone Vincenza, Miraglia Del Giudice Grazia, Della Polla Giorgia, Angelillo Italo Francesco

机构信息

Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via Luciano Armanni 5, 80138 Naples, Italy.

出版信息

Vaccines (Basel). 2024 Mar 20;12(3):336. doi: 10.3390/vaccines12030336.

Abstract

BACKGROUND

This cross-sectional survey investigated the knowledge, attitudes, and coverage of recommended vaccinations among a random sample of patients with chronic medical conditions, at higher risk of vaccine-preventable diseases (VPDs), in Italy.

METHODS

The survey was conducted via telephone-based interviews.

RESULTS

Multinomial regression analysis showed that the patients who believed that VPDs were severe were more likely to know one recommended vaccination; those who believed that VPDs were severe and those who were advised from a general practitioner (GP) were more likely to know two vaccinations; those who were older, graduated, with more time from diagnosis, who believed that VPDs were severe, who did not need additional information, and who were advised from a GP were more likely to know three or four vaccinations. Patients who knew at least one vaccination, who perceived themselves at risk, and who were advised from a GP were more likely to have received one vaccination; those who knew more than one vaccination and who were advised from a GP were more likely to receive two or three vaccinations. Among the unvaccinated, patients who were unmarried/not cohabiting, those who needed information, and who believed that vaccinations were useful and safe were more willing to receive the recommended vaccinations.

CONCLUSIONS

Educational interventions are needed to improve the adherence of individuals with chronic medical conditions.

摘要

背景

这项横断面调查研究了意大利患有慢性疾病、患疫苗可预防疾病(VPDs)风险较高的患者随机样本中对推荐疫苗接种的知识、态度和覆盖率。

方法

通过电话访谈进行调查。

结果

多项回归分析表明,认为VPDs严重的患者更有可能知晓一种推荐疫苗接种;认为VPDs严重的患者以及那些接受全科医生(GP)建议的患者更有可能知晓两种疫苗接种;年龄较大、毕业、确诊后时间较长、认为VPDs严重、不需要额外信息且接受GP建议的患者更有可能知晓三种或四种疫苗接种。知晓至少一种疫苗接种、认为自己有风险且接受GP建议的患者更有可能接种过一种疫苗;知晓不止一种疫苗接种且接受GP建议的患者更有可能接种两种或三种疫苗。在未接种疫苗的人群中,未婚/未同居、需要信息且认为疫苗接种有用且安全的患者更愿意接受推荐的疫苗接种。

结论

需要开展教育干预措施以提高慢性病患者的依从性。

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