Shen Jianyong, Han Shangyan, Zhang Chao, Lv Huakun, Hu Yu
Institute of Immunization and Prevention, Huzhou Municipal Center for Disease Control and Prevention, Huzhou 313000, China.
Institute of Immunization and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Vaccines (Basel). 2025 May 12;13(5):507. doi: 10.3390/vaccines13050507.
This study was aimed at understanding the attitude on influenza and influenza vaccination among workers of community healthcare centers (CHCs) and investigating the barriers and facilitators for influenza vaccination. A cross-sectional study was conducted through an anonymous questionnaire to all workers of CHCs in 22 CHCs. Socio-demographic characteristics, reasons for acceptance or refusal of influenza vaccination, influenza vaccination status, and attitude toward influenza vaccination were collected. Suggested strategies for improving influenza vaccine uptake were also surveyed. Descriptive analyses were conducted depending on the distributions of variables. A logistic regression analysis was implemented to examine the association between influenza vaccination status in the 2022/2023 season and the potential predictors. The adjusted odds ratio (AOR) with 95% confidence interval (CI) was calculated. In total, 2205 workers of CHCs participated in this study. Influenza vaccination coverage in the 2022/2023 season was 1.36%. The reason "To avoid influenza" met with the highest level of agreement for acceptance of influenza vaccination (median = 4.36 for 1-5-point Likert scale), while the reason "Not a high-risk group of influenza and possible complications" met with the highest level of agreement for refusal of influenza vaccination (median = 3.72 for 1-5-point Likert scale). The influenza vaccination status was significantly related to professional categories, regular exercise habits, sources of information on influenza vaccination, and attitude on recommending influenza vaccination to patients. The free influenza vaccination and mandatory vaccination policies were the most frequent suggestions for improving influenza vaccination coverage. A lower influenza vaccination coverage was observed in workers of CHCs, and it might be attributed to several risk factors. It was urgent to take actions on improving their understanding of, awareness of, and confidence in influenza vaccination. Free influenza vaccination and vaccination requirement policies might be helpful for enhancing vaccine uptake, especially for physicians and other healthcare workers.
本研究旨在了解社区卫生服务中心（CHC）工作人员对流感及流感疫苗接种的态度，并调查流感疫苗接种的障碍和促进因素。通过对22家社区卫生服务中心的所有工作人员进行匿名问卷调查开展了一项横断面研究。收集了社会人口学特征、接受或拒绝流感疫苗接种的原因、流感疫苗接种状况以及对流感疫苗接种的态度。还调查了提高流感疫苗接种率的建议策略。根据变量分布进行描述性分析。实施逻辑回归分析以检验2022/2023季节流感疫苗接种状况与潜在预测因素之间的关联。计算了调整后的优势比（AOR）及95%置信区间（CI）。共有2205名社区卫生服务中心工作人员参与了本研究。2022/2023季节流感疫苗接种覆盖率为1.36%。“预防流感”这一理由在接受流感疫苗接种方面的认同度最高（1 - 5分李克特量表中值 = 4.36），而“非流感及可能并发症的高危人群”这一理由在拒绝流感疫苗接种方面的认同度最高（1 - 5分李克特量表中值 = 3.72）。流感疫苗接种状况与职业类别、规律运动习惯、流感疫苗接种信息来源以及向患者推荐流感疫苗接种的态度显著相关。免费流感疫苗接种和强制接种政策是提高流感疫苗接种覆盖率最常见的建议。社区卫生服务中心工作人员的流感疫苗接种覆盖率较低，这可能归因于若干风险因素。迫切需要采取行动提高他们对流感疫苗接种的理解、认识和信心。免费流感疫苗接种和接种要求政策可能有助于提高疫苗接种率，尤其是对医生和其他医护人员。
