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刘天, 杨瑞, 陶忠发, 张奕南, 张国钦, 赵婧, 马会来, 张丽杰, 王中战, 蔡剑, 冯录召. 北京市丰台区社区卫生服务中心医务人员流感疫苗接种现状、推荐意愿及影响因素[J]. 疾病监测, 2020, 35(12): 1136-1140. DOI: 10.3784/j.issn.1003-9961.2020.12.016
引用本文: 刘天, 杨瑞, 陶忠发, 张奕南, 张国钦, 赵婧, 马会来, 张丽杰, 王中战, 蔡剑, 冯录召. 北京市丰台区社区卫生服务中心医务人员流感疫苗接种现状、推荐意愿及影响因素[J]. 疾病监测, 2020, 35(12): 1136-1140. DOI: 10.3784/j.issn.1003-9961.2020.12.016
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Li Tian, Yang Rui, Tao Zhongfa, Zhang Yinan, Zhang Guoqin, Zhao Jing, Ma Huilai, Zhang Lijie, Wang Zhongzhan, Cai Jian, Feng Luzhao. Status of influenza vaccination and recommendation intention to others and related factors in healthcare workers in community health service centers in Fengtai district, Beijing[J]. Disease Surveillance, 2020, 35(12): 1136-1140. DOI: 10.3784/j.issn.1003-9961.2020.12.016
Citation: Li Tian, Yang Rui, Tao Zhongfa, Zhang Yinan, Zhang Guoqin, Zhao Jing, Ma Huilai, Zhang Lijie, Wang Zhongzhan, Cai Jian, Feng Luzhao. Status of influenza vaccination and recommendation intention to others and related factors in healthcare workers in community health service centers in Fengtai district, Beijing[J]. Disease Surveillance, 2020, 35(12): 1136-1140. DOI: 10.3784/j.issn.1003-9961.2020.12.016
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北京市丰台区社区卫生服务中心医务人员流感疫苗接种现状、推荐意愿及影响因素

Status of influenza vaccination and recommendation intention to others and related factors in healthcare workers in community health service centers in Fengtai district, Beijing

    摘要
  • 摘要:
      目的  了解北京市丰台区社区卫生服务中心医务人员流感疫苗接种现状、推荐意愿及影响因素，为提高该人群流感疫苗接种率提供依据。
      方法  采用自行设计的问卷，对北京市丰台区23家社区卫生服务中心的医务人员和公卫科负责人分别进行调查和访谈。 了解流感及流感疫苗的认知情况、2018 — 2019年度流感疫苗接种现状和推荐意愿、医务人员接种流感疫苗的相关政策等内容，采用非条件多因素logistic回归分析流感疫苗接种现状和推荐意愿的影响因素。
      结果  共回收有效问卷1 359份，应答率平均为58.48%（1 359/2 324），2018 — 2019年流感疫苗调整权重后接种率为32.81%，推荐率为79.76%（1 084/1 359）。 公共卫生等科室、知晓疫苗效果、知晓疫苗接种时间、知晓医务人员是我国推荐优先接种流感疫苗的人群、单位免费提供等因素促进流感疫苗接种。 年龄较大、医师和护士等岗位、既往接种流感疫苗、流感及流感疫苗知识得分高等因素促进流感疫苗推荐意愿。 78.26%（18/23）受访者认为流感疫苗接种率不高的原因主要是流感疫苗未免费。 91.30%（22/23）受访者建议加强流感和流感疫苗知识宣传以提高流感疫苗接种率。
      结论  丰台区社区卫生服务中心医务人员流感疫苗接种率较低，推荐率较高，为医务人员免费提供疫苗并针对性开展宣传教育是提高该人群流感疫苗接种率的关键。

     

    Abstract:
      Objective  To understand the status of influenza vaccination and recommendation intention to others and related factors in healthcare workers in community health service centers in Fengtai district of Beijing, and provide evidence to increase the vaccination rate of influenza in this population.
      Methods  All the healthcare workers of 23 community health service centers in Fengtai district of Beijing were surveyed by using a self-designed questionnaire and an interviews of 23 heads of public health section of community health service centers were conducted to collect the information about the awareness of influenza vaccine related knowledge, status of influenza vaccination during 2018–2019 and recommendation intention to others in health care workers as well as related policies. Unconditional multivariate logistic regression analysis was conducted to identify the related factors for influenza vaccination and recommendation intention to others.
      Results  A total of 1359 valid questionnaires were returned, with an average response rate of 58.48% (1359/2324). The vaccination rate was adjusted to be 32.81%, and the vaccine recommendation rate was 79.76% (1084/1359). Department of public health, knowing the effectiveness of vaccines, knowing the time of vaccination, and knowing that healthcare workers are the key group to recommend vaccination to others in China, and the free supply of the vaccine were factors that are positively related to influenza vaccination. Older age, being doctor or nurse, history of influenza vaccination, awareness of influenza and influenza vaccine related knowledge were positive factors for influenza vaccine recommendations. In the health care workers interviewed, 78.26% (18/23) believed that the low influenza vaccination rate was due to non-free availability of the vaccine. Up to 91.30% (22/23) suggested to strengthen the health education about influenza and influenza vaccine to increase the vaccination rate.
      Conclusion  The healthcare workers in community health service centers in Fengtai had a low rate of influenza vaccination and a high recommendation rate. Providing free vaccines for medical staff and targeted education are the key measures to increase the influenza vaccination rate in this population.

     

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