椒江区老年人群流感疫苗免费接种意愿及影响因素分析
摘要
目的了解台州市椒江区老年人群流感疫苗免费接种意愿及影响因素。方法采用街头截访方式对椒江区户籍、60岁及以上老年人进行问卷调查,收集基本情况、流感疫苗接种相关知识和接种意愿等资料,采用多因素Logistic回归模型分析老年人群流感疫苗免费接种意愿的影响因素。结果发放问卷430份,获得有效问卷393份,问卷有效率为91.40%。2017年老年人群流感疫苗免费接种率为23.66%。愿意免费接种流感疫苗205人,占52.16%;不愿意免费接种流感疫苗188人,占47.84%。多因素Logistic回归分析结果显示,2017年免费接种过流感疫苗(OR=12.519,95%CI:5.620～27.889)、同意接种过流感疫苗就不会得流感(OR=3.387,95%CI:2.118～5.417)、知晓预防流感最好每年接种一次流感疫苗(OR=3.430,95%CI:1.789～6.576)是老年人群愿意免费接种流感疫苗的促进因素。结论免费接种过流感疫苗、认同流感疫苗预防效果、认识到每年需接种流感疫苗的老年人更愿意免费接种流感疫苗。
引文
[1]何寒青,李倩,何奔,等.中学生接种甲型H1N1流感疫苗保护效果的评价[J].中华流行病学杂志,2011,32(7):661-663.
[2]汤红女.152例老年人接种流感疫苗的效果观察[J].中国医药指南,2013,11(36):19-22.
[3]冯录召,杨鹏,张涛,等.中国季节性流感疫苗应用技术指南(2014-2015)[J].中华流行病学杂志,2014,35(12):1295-1319.
[4]World Health Organization.Vaccines against influenza.WHO position paper-November 2012[J].Wkly Epidemiol Rec,2012,87(47):461-476.
[5]张栋梁,劳旭影,易波,等.宁波市60岁以上老年人群扩大流感疫苗接种社区干预研究[J].中国公共卫生管理,2018,34(1):20-23.
[6]张小平,许二萍,刘艳,等.杭州市城区老年人流感疫苗接种情况及其影响因素分析[J].浙江预防医学,2011,23(9):31-32.
[7]YEUNG M P,LAM F L,COKER R.Factors associated with the uptake of seasonal influenza vaccination in adults:a systematic review[J].J Public Health(Oxf),2016,38(4):746-753.
[8]方任飞,马彦,吴疆,等.北京市老年人免费流感疫苗接种率及认知影响因素调查分析[J].中国全科医学,2014,17(12):1403-1406.
[9]THOMAS R E,LORENZETTI D L.Interventions to increase influenza vaccination rates of those 60 years and older in the community[J].Cochrane Database Syst Rev,2018,5:CD005188.
[10]VAUX S,VAN CAUTEREN D,GUTHMANN J P,et al.Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France:a cross-sectional survey[J].BMCPublic Health,2011,11:30.
[11]HORBY P W,WILLIAMS A,BURGESS M A,et al.Prevalence and determinants of influenza vaccination in Australians aged 40years and over--a national survey[J].Aust N Z J Public Health,2005,29(1):35-37.
[12]SANTIBANEZ T A,MOOTREY G T,EULER G L,et al.Behavior and beliefs about influenza vaccine among adults aged 50-64 years[J].Am J Health Behav,2010,34(1):77-89.
[13]TAKAHASHI O,NOGUCHI Y,RAHMAN M,et al.Influence of family on acceptance of influenza vaccination among Japanese patients[J].Fam Pract,2003,20(2):162-166.
[14]GROHSKOPF L A,SOKOLOW L Z,BRODER K R,et al.Prevention and control of seasonal influenza with vaccines:recommendations of the Advisory Committee on Immunization Practices-United States,2018-19 Influenza Season[J].MMWRRecomm Rep,2018,67(3):1-20.
[15]LAU J T,AU D W,TSUI H Y,et al.Prevalence and determinants of influenza vaccination in the Hong Kong Chinese adult population[J].Am J Infect Control,2012,40(7):e225-227.
[16]KLISZCZ J,NAOWICKA-SAUER K,TRZECIAK B,et al.Empathy in health care providers--validation study of the Polish version of the Jefferson Scale of Empathy[J].Adv Med Sci,2006,51:219-225.
[17]WORASATHIT R,WATTANA W,OKANURAK K,et al.Health education and factors influencing acceptance of and willingness to pay for influenza vaccination among older adults[J].BMC Geriatr,2015,15:136.
[2]汤红女.152例老年人接种流感疫苗的效果观察[J].中国医药指南,2013,11(36):19-22.
[3]冯录召,杨鹏,张涛,等.中国季节性流感疫苗应用技术指南(2014-2015)[J].中华流行病学杂志,2014,35(12):1295-1319.
[4]World Health Organization.Vaccines against influenza.WHO position paper-November 2012[J].Wkly Epidemiol Rec,2012,87(47):461-476.
[5]张栋梁,劳旭影,易波,等.宁波市60岁以上老年人群扩大流感疫苗接种社区干预研究[J].中国公共卫生管理,2018,34(1):20-23.
[6]张小平,许二萍,刘艳,等.杭州市城区老年人流感疫苗接种情况及其影响因素分析[J].浙江预防医学,2011,23(9):31-32.
[7]YEUNG M P,LAM F L,COKER R.Factors associated with the uptake of seasonal influenza vaccination in adults:a systematic review[J].J Public Health(Oxf),2016,38(4):746-753.
[8]方任飞,马彦,吴疆,等.北京市老年人免费流感疫苗接种率及认知影响因素调查分析[J].中国全科医学,2014,17(12):1403-1406.
[9]THOMAS R E,LORENZETTI D L.Interventions to increase influenza vaccination rates of those 60 years and older in the community[J].Cochrane Database Syst Rev,2018,5:CD005188.
[10]VAUX S,VAN CAUTEREN D,GUTHMANN J P,et al.Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France:a cross-sectional survey[J].BMCPublic Health,2011,11:30.
[11]HORBY P W,WILLIAMS A,BURGESS M A,et al.Prevalence and determinants of influenza vaccination in Australians aged 40years and over--a national survey[J].Aust N Z J Public Health,2005,29(1):35-37.
[12]SANTIBANEZ T A,MOOTREY G T,EULER G L,et al.Behavior and beliefs about influenza vaccine among adults aged 50-64 years[J].Am J Health Behav,2010,34(1):77-89.
[13]TAKAHASHI O,NOGUCHI Y,RAHMAN M,et al.Influence of family on acceptance of influenza vaccination among Japanese patients[J].Fam Pract,2003,20(2):162-166.
[14]GROHSKOPF L A,SOKOLOW L Z,BRODER K R,et al.Prevention and control of seasonal influenza with vaccines:recommendations of the Advisory Committee on Immunization Practices-United States,2018-19 Influenza Season[J].MMWRRecomm Rep,2018,67(3):1-20.
[15]LAU J T,AU D W,TSUI H Y,et al.Prevalence and determinants of influenza vaccination in the Hong Kong Chinese adult population[J].Am J Infect Control,2012,40(7):e225-227.
[16]KLISZCZ J,NAOWICKA-SAUER K,TRZECIAK B,et al.Empathy in health care providers--validation study of the Polish version of the Jefferson Scale of Empathy[J].Adv Med Sci,2006,51:219-225.
[17]WORASATHIT R,WATTANA W,OKANURAK K,et al.Health education and factors influencing acceptance of and willingness to pay for influenza vaccination among older adults[J].BMC Geriatr,2015,15:136.