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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >No intention to comply with influenza and pneumococcal vaccination: behavioural determinants among smokers and non-smokers.
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No intention to comply with influenza and pneumococcal vaccination: behavioural determinants among smokers and non-smokers.

机译：无意遵守流感和肺炎球菌疫苗接种：吸烟者和非吸烟者的行为决定因素。

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OBJECTIVE: Smoking increases the risk for influenza and pneumococcal disease, but vaccination uptake is lower among smokers than non-smokers. We therefore aimed to determine reasons for not complying with vaccination among smokers and non-smokers. METHOD: In 2005 a self-administered questionnaire was sent to a random sample of Dutch patients (n=4,000) assessing medical, social and behavioural determinants. Independent factors associated with not complying with influenza and pneumococcal vaccination among smokers and non-smokers were assessed by multivariate logistic regression analysis. RESULTS: In all, 1,725 of 4,000 patients returned the questionnaire (response rate: 43%), 426 (25%) were smokers. Among smokers self-reported flu vaccine uptake was 42% and among non-smokers 52% among both only 0,2% received both vaccines. Most important predictors of not complying in smokers and non-smokers were patient's beliefs not to be susceptible to disease (odds ratio (OR) 4.0, 95% confidence interval (CI): 2.0, 8.0 and OR 2.8, CI: 2.0, 3.9), finding it difficult to go to the GP for vaccination (OR 2.5, CI: 1.3, 4.8 and OR 1.8, CI: 1.3, 2.6) and being against vaccination (OR 2.4 CI: 1.3, 4.4 and OR 1.8, CI: 1.3, 2.6), respectively. CONCLUSION: There are no substantial differences in determinants associated with not complying with influenza and pneumococcal vaccination between smokers and non-smokers but there is a trend towards stronger associations in smokers.
机译：目的：吸烟会增加患流感和肺炎球菌疾病的风险，但吸烟者的疫苗接种率比不吸烟者低。因此，我们旨在确定吸烟者和非吸烟者不遵守疫苗接种的原因。方法：2005年，向荷兰患者（n = 4,000）的随机样本发送了一份自我管理的调查问卷，评估了医学，社会和行为决定因素。通过多因素logistic回归分析评估吸烟者和非吸烟者与流感和肺炎球菌疫苗接种不符合相关的独立因素。结果：总共4,000名患者中的1,725名返回了问卷（答复率：43％），426名（25％）是吸烟者。在吸烟者中，自我报告的流感疫苗摄入率为42％，在非吸烟者中，只有0.2％的人中有52％都接受了两种疫苗。吸烟者和非吸烟者不依从的最重要预测因素是患者认为自己不容易患病（赔率（OR）4.0，95％置信区间（CI）：2.0、8.0和OR 2.8，CI：2.0，3.9） ，发现很难去GP进行疫苗接种（OR 2.5，CI：1.3、4.8和OR 1.8，CI：1.3、2.6）和反对疫苗接种（OR 2.4 CI：1.3、4.4和OR 1.8，CI：1.3， 2.6）。结论：吸烟者与非吸烟者之间的不符合流行性感冒和肺炎球菌疫苗接种的决定因素并无实质性差异，但吸烟者之间的关联性趋于增强。

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