Biswas Md Abdullah Al Jubayer, Rahman Mahbubur, Khan Sazzad Hossain, Basher Ahamed Khairul, Islam Md Ariful, Pyash Ashrak Shad, Shoshi Homayra Rahman, Riaj Md Altaf Ahmed, Islam Md Nazrul, Rabbany Md Arif, Haque Md Azizul, Chakraborty Shishir Ranjan, Parvin Syeda Rukhshana, Rahman Mahmudur, Chowdhury Fahmida, Shirin Tahmina, Hassan Md Zakiul
Programme for Emerging Infections, Infectious Disease Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, Bangladesh.
Collaborative Biostatistics Program, University of Saskatchewan, Saskatoon, SK S7N 5A2, Canada.
Int J Environ Res Public Health. 2025 Jan 9;22(1):84. doi: 10.3390/ijerph22010084.
Influenza remains a significant public health challenge in low- and middle-income countries (LMICs) like Bangladesh, where vaccine uptake remains low despite the substantial disease burden. Physicians play a vital role in promoting vaccination, yet their intentions and influencing factors are not well understood.
We conducted a cross-sectional study from June to October 2022 across four tertiary-level hospitals in Bangladesh using a questionnaire grounded in the Theory of Planned Behavior (TPB). Hierarchical logistic regression was employed to identify factors associated with vaccine recommendation intentions.
Among 972 physicians with an average age of 32.1 years, 40.1% intended to recommend and administer the influenza vaccine. Most (85.3%) agreed vaccination reduces risk, 65.5% desired vaccination for self-protection, 63.5% would vaccinate if available at work, and 85.3% anticipated Ministry of Health support. Male (OR = 1.9, 95% CI: 1.5-2.3) and married (OR = 1.5, 95% CI: 1.1-1.9) physicians were more likely to recommend vaccination. Each unit increase in attitude score doubled the likelihood of recommending the vaccine (OR = 2.0, 95% CI: 1.4-3.0).
Physicians' influenza vaccine recommendations in Bangladesh are suboptimal, influenced by gender, marital status, and attitudes. Targeted educational interventions addressing attitudinal barriers and leveraging institutional support could improve recommendation practices.
在孟加拉国等低收入和中等收入国家（LMICs），流感仍然是一项重大的公共卫生挑战，尽管疾病负担沉重，但该国的疫苗接种率仍然很低。医生在促进疫苗接种方面发挥着至关重要的作用，然而他们的意图和影响因素尚未得到充分了解。
我们于2022年6月至10月在孟加拉国的四家三级医院进行了一项横断面研究，使用基于计划行为理论（TPB）的问卷。采用分层逻辑回归来确定与疫苗推荐意图相关的因素。
在972名平均年龄为32.1岁的医生中，40.1%的人打算推荐并接种流感疫苗。大多数人（85.3%）同意接种疫苗可降低风险，65.5%的人希望接种疫苗进行自我保护，63.5%的人如果工作场所提供疫苗就会接种，85.3%的人预计会得到卫生部的支持。男性医生（OR = 1.9，95% CI：1.5 - 2.3）和已婚医生（OR = 1.5，95% CI：1.1 - 1.9）更有可能推荐接种疫苗。态度得分每增加一个单位，推荐疫苗的可能性就会翻倍（OR = 2.0，95% CI：1.4 - 3.0）。
在孟加拉国，医生对流感疫苗的推荐并不理想，受到性别、婚姻状况和态度的影响。针对态度障碍并利用机构支持的有针对性的教育干预措施可以改善推荐做法。
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