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中国医学生和住院医师在疫苗接种方面的知识、态度及教育差距:来自单一三级转诊中心的一项初步研究

Knowledge, Attitudes, and Educational Gaps About Vaccination in Chinese Medical Students and Residents: A Pilot Study from a Single Tertiary Referral Center.

作者信息

Liu Xinchao, Chen Yan, Dai Huanyu, Li Rongzhen, Ding Yufang, Wu Jiaming, Shi Xiaochun

机构信息

Division of Infectious Diseases, Department of Internal Medicine, State Key Laboratory of Complex Severe and Rare Disease, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

Eight-Year Program of Clinical Medicine, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.

出版信息

Infect Drug Resist. 2024 Nov 29;17:5315-5323. doi: 10.2147/IDR.S497624. eCollection 2024.

DOI:10.2147/IDR.S497624
PMID:39635290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11615001/
Abstract

OBJECTIVE

Physicians play a key role in vaccination advocacy. To explore potential educational gaps, we surveyed the knowledge and opinions on vaccination, as well as their own vaccination status, among Chinese medical students and residents in a single medical institute.

METHODS

We recruited sixth- and seventh-year medical students and internal medicine residents to carry out this investigation. All participants were given a questionnaire to fill out.

RESULTS

In total, 118 responses from medical students (n=75) and residents (n=43) were analyzed. Thus, 58.5% of participants (69/118) declared that they had enough knowledge, and 68.6% (81/118) wanted to learn more. The average knowledge score was 15.3±2.4 (the full mark was 21 points), while the average accuracy rate was 72.9%. Most respondents agreed that vaccines are useful and that the national vaccination program is effective. Although nearly all participants supported the importance of revaccination, only 48.3% had actually received boosters. There were no significant differences in knowledge and general attitude between medical students and residents. Vaccine uptake in childhood was good. With regard to the 12 vaccines other than the national standard immunization program, the most frequently declared vaccine was against coronavirus disease 2019 (89.8%), while 55.1% had received the human papillomavirus vaccine. There were no significant differences in vaccination coverage between medical students and residents, except for varicella vaccine (40% in medical students vs 18.6% in residents, =0.017).

CONCLUSION

A large proportion of medical students and residents in this tertiary referral center exhibited attitudes that favored vaccine acceptance. However, there are certain gaps in their knowledge of and attitudes toward vaccination, which could be addressed by implementing a formal standardized vaccine curriculum.

摘要

目的

医生在疫苗接种宣传中发挥着关键作用。为探索潜在的教育差距,我们在一所单一的医学院校中,对中国医学生和住院医师关于疫苗接种的知识、看法以及他们自身的疫苗接种状况进行了调查。

方法

我们招募了六年级和七年级的医学生以及内科住院医师来开展此项调查。所有参与者都收到一份问卷进行填写。

结果

总共分析了来自医学生(n = 75)和住院医师(n = 43)的118份回复。因此,58.5%的参与者(69/118)宣称他们有足够的知识,68.6%(81/118)想要了解更多。平均知识得分是15.3±2.4(满分21分),而平均准确率为72.9%。大多数受访者认同疫苗是有用的,并且国家疫苗接种计划是有效的。尽管几乎所有参与者都支持再次接种的重要性,但实际上只有48.3%的人接种了加强针。医学生和住院医师在知识和总体态度方面没有显著差异。儿童时期的疫苗接种率良好。关于国家标准免疫规划之外的12种疫苗,最常提及的疫苗是针对2019冠状病毒病的疫苗(89.8%),而55.1%的人接种了人乳头瘤病毒疫苗。除水痘疫苗外(医学生中为40%,住院医师中为18.6%,P = 0.017),医学生和住院医师在疫苗接种覆盖率方面没有显著差异。

结论

在这个三级转诊中心,很大一部分医学生和住院医师表现出支持疫苗接种的态度。然而,他们在疫苗接种知识和态度方面存在一定差距,可通过实施正式的标准化疫苗课程来解决。

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Hum Vaccin Immunother. 2024 Dec 31;20(1):2337161. doi: 10.1080/21645515.2024.2337161. Epub 2024 Apr 2.
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The faces behind vaccination: unpacking the attitudes, knowledge, and practices of staff of Cameroon's Expanded program on Immunization.接种背后的面孔:剖析喀麦隆扩大免疫规划工作人员的态度、知识和实践。
Hum Resour Health. 2023 Nov 13;21(1):88. doi: 10.1186/s12960-023-00869-7.
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Development and assessment of a vaccine administration training course for medical students.为医学生开发和评估疫苗接种管理培训课程。
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