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Determinants of non-compliance with herpes zoster vaccination in the community-dwelling elderly

机译：社区老年人中不遵守带状疱疹疫苗接种的决定因素

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摘要

As part of a series of studies on vaccine acceptance, we assessed determinants of compliance of the community-dwelling elderly with herpes zoster (HZ) vaccination in an existing influenza vaccination program. General practitioners (GPs) sent out a questionnaire to 1778 patients aged >/=65 years, and offered them free HZ vaccination simultaneously with the yearly influenza vaccination. In all, 690 patients (39%) were vaccinated against HZ; 1349 patients (76%) accepted influenza vaccination. Determinants of non-compliance with HZ vaccination were perceived lack of recommendation by the GP, unwillingness to comply with the doctor's advice, perception of low risk of contracting HZ, perception of short pain duration of HZ, and the opinion that vaccinations weaken one's natural defenses. The same determinants were associated with non-compliance with both vaccinations, but objections in general towards vaccination, a high education and difficulties to visit GPs were also important. Uptake of HZ vaccination was rather low and more data on (cost-)effectiveness might encourage GPs to offer HZ vaccination to their patients.
机译：作为一系列疫苗接受性研究的一部分，我们在现有的流感疫苗接种计划中评估了社区居住的老年人对带状疱疹（HZ）疫苗的依从性的决定因素。全科医生（GPs）向1778名年龄≥65岁的患者发出了调查表，并为他们提供了免费的HZ疫苗接种以及每年的流感疫苗接种。共有690名患者（39％）接种了HZ疫苗; 1349名患者（76％）接受了流感疫苗接种。全科医生认为不遵从HZ疫苗的决定因素，不愿意遵从医生的建议，对HZ感染风险低，对HZ疼痛持续时间短的看法以及疫苗接种会削弱人的自然防御力的观点。相同的决定因素与两种疫苗接种的不遵守有关，但是总体上对疫苗接种，高学历和难于探访全科医生的反对也很重要。 HZ疫苗的摄取率很低，更多有关（成本）效果的数据可能会鼓励全科医生为他们的患者提供HZ疫苗。

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