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卡塔尔初级卫生保健工作者中乙肝、麻疹-腮腺炎-风疹、水痘和破伤风-白喉-无细胞百日咳疫苗接种覆盖率及相关因素:一项回顾性研究(2020 - 2024年)

Vaccination Coverage and Associated Factors of Hepatitis B, Measles-Mumps-Rubella, Varicella, and Tetanus-Diphtheria-Acellular Pertussis Among Primary Health Care Workers in Qatar: A Retrospective Study (2020-2024).

作者信息

Alhajri Sameera, Alyafei Anees A, Semaan Sandy, Al Muslemani Maryam, Al Nuaimi Asma

机构信息

Occupational Health and Safety, Primary Health Care Corporation, Doha, QAT.

Preventive Medicine, Primary Health Care Corporation, Doha, QAT.

出版信息

Cureus. 2025 Jun 28;17(6):e86901. doi: 10.7759/cureus.86901. eCollection 2025 Jun.


DOI:10.7759/cureus.86901
PMID:40583921
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12205483/
Abstract

Background Healthcare workers (HCWs) are at an increased risk of exposure to infectious diseases, making vaccination a cornerstone of occupational health and patient safety. Despite clear recommendations, vaccination coverage among HCWs remains suboptimal worldwide, with significant disparities influenced by sociodemographic and professional factors. There is a lack of published data on vaccine uptake among HCWs in Qatar, particularly within the Primary Health Care Corporation (PHCC). This study aimed to assess the vaccination coverage rates for hepatitis B virus (HBV), measles, mumps, and rubella (MMR), varicella, and tetanus, diphtheria, and acellular pertussis (Tdap) among HCWs at PHCC in Qatar from 2020 to 2024 and to identify factors associated with vaccination status. Methods A quantitative, retrospective analysis was conducted using data from the Electronic Medical Records System and Human Resources Database across 31 PHCC health centers. All HCWs employed for at least three months were included. Sociodemographic and career-related variables were extracted. Vaccination status for HBV, MMR, varicella, and Tdap was determined. Descriptive statistics summarized coverage rates, and chi-square tests assessed the associations between vaccination status and sociodemographic variables. A p-value was considered statistically significant at <0.005. Results Among 7,463 PHCC employees, the mean age was 40.82 ± 9.00 years, with 65.06% females and 72.18% non-Qatari nationals. Clinical HCWs comprised 64.24% of the workforce. Vaccination coverage was 16.75% for HBV, 5.86% for MMR, 1.76% for varicella, and 12.87% for Tdap. Coverage rates were significantly higher among younger age groups, females, non-Qatari nationals, and those with fewer years of service (p < 0.001 for most comparisons). Non-clinical HCWs had higher HBV coverage, while clinical HCWs had higher Varicella coverage. Educational qualification was associated with HBV and MMR coverage but not with varicella or Tdap. Conclusions Vaccination coverage among PHCC HCWs in Qatar is considerably lower than international targets, with significant disparities across age, gender, nationality, job role, years of service, and education. These findings underscore the need for targeted interventions to enhance vaccine uptake and address barriers among specific HCW subgroups, thereby improving occupational and patient safety.

摘要

背景 医护人员接触传染病的风险增加,这使得疫苗接种成为职业健康和患者安全的基石。尽管有明确的建议,但全球医护人员的疫苗接种覆盖率仍未达到最佳水平,社会人口统计学和专业因素对其有显著差异影响。卡塔尔缺乏关于医护人员疫苗接种情况的公开数据,尤其是在初级卫生保健公司(PHCC)内部。本研究旨在评估2020年至2024年卡塔尔PHCC医护人员中乙型肝炎病毒(HBV)、麻疹、腮腺炎和风疹(MMR)、水痘以及破伤风、白喉和无细胞百日咳(Tdap)的疫苗接种覆盖率,并确定与疫苗接种状况相关的因素。方法 使用来自31个PHCC健康中心的电子病历系统和人力资源数据库的数据进行定量回顾性分析。纳入所有受雇至少三个月的医护人员。提取社会人口统计学和与职业相关的变量。确定HBV、MMR、水痘和Tdap的疫苗接种状况。描述性统计总结覆盖率,卡方检验评估疫苗接种状况与社会人口统计学变量之间的关联。p值<0.005被认为具有统计学意义。结果 在7463名PHCC员工中,平均年龄为40.82±9.00岁,女性占65.06%,非卡塔尔籍占72.18%。临床医护人员占劳动力的64.24%。HBV疫苗接种覆盖率为16.75%,MMR为5.86%,水痘为1.76%,Tdap为12.87%。较年轻年龄组、女性、非卡塔尔籍以及服务年限较少的人员的覆盖率显著更高(大多数比较中p<0.001)。非临床医护人员的HBV覆盖率较高,而临床医护人员的水痘覆盖率较高。教育程度与HBV和MMR覆盖率相关,但与水痘或Tdap无关。结论 卡塔尔PHCC医护人员的疫苗接种覆盖率远低于国际目标,在年龄、性别、国籍、工作岗位、服务年限和教育程度方面存在显著差异。这些发现强调需要有针对性的干预措施来提高疫苗接种率并解决特定医护人员亚组中的障碍,从而改善职业和患者安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93b0/12205483/837ffe8d2290/cureus-0017-00000086901-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93b0/12205483/837ffe8d2290/cureus-0017-00000086901-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93b0/12205483/837ffe8d2290/cureus-0017-00000086901-i01.jpg

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本文引用的文献

[1]
Hepatitis B vaccine coverage in health care students: a cross-sectional study in Vietnam.

PLoS One. 2025-3-31

[2]
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J Public Health Afr. 2025-2-14

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Euro Surveill. 2024-2

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[10]
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