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首页> 外文期刊>Vaccine >Behavioral change with influenza vaccination: Factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel
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Behavioral change with influenza vaccination: Factors influencing increased uptake of the pandemic H1N1 versus seasonal influenza vaccine in health care personnel

机译：接种流感疫苗后的行为改变：与季节性流感疫苗相比，卫生保健人员对H1N1大流行性流感的摄取增加的因素

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Background: Many health care personnel (HCP) choose not to get vaccinated against influenza despite recommendations to do so. The pH1N1 epidemic gave a unique opportunity to evaluate the attitudes to influenza vaccination of a group of HCP who routinely choose not to get vaccinated, but accepted the pH1N1 vaccine. Methods: HCP employed at a tertiary care hospital in Winnipeg, Canada who received the pH1N1 vaccine were invited to participate in an online survey asking about attitudes and experiences regarding seasonal and pH1N1 influenza and vaccination. Those eligible included primarily nurses, other clinical staff, and support staff, as few physicians work as employees. Results: Of the 684 respondents (29% return rate), 504 reported routinely getting vaccinated (RV) for seasonal influenza and 180 reported routinely not getting vaccinated (NRV). These two groups had different attitude towards the two strains of influenza, with markedly lower level of concern about seasonal influenza than pH1N1 forthe NRV group. The contrast was especially notable regarding the NRV's view of the seriousness of the illness, their sense of exposure risk, and their confidence in the vaccine effectiveness (for all, seasonal < pH1N1, p < 0.001). The most common motivators for getting vaccinated for both NRV and RV groups related to concerns about personal or family safety, while the choice to decline seasonal vaccination related primarily to lack concern about the illness and concerns about vaccine effectiveness and safety. Coworkers were influential in the decision to get the pH1N1 vaccine for the NRV group. Conclusion: For HCP who do not routinely get the seasonal vaccination, perception of risk outweighing side effect concerns appeared to be a major influence in going ahead with the pH1N1 vaccine. Educational campaigns that focus on personal benefit, engage peer champions, and address concerns about the vaccine may improve influenza vaccine uptake among health care personnel.
机译：背景：尽管有建议，但许多医疗保健人员（HCP）选择不接种流感疫苗。 pH1N1流行病为评估一组常规选择不接种疫苗但接受pH1N1疫苗的HCP对流感疫苗接种的态度提供了独特的机会。方法：邀请加拿大温尼伯市一家三级医院的HCP接种了pH1N1疫苗，并邀请他们参加在线调查，询问有关季节性和pH1N1流感以及接种疫苗的态度和经验。合格人员主要包括护士，其他临床人员和支持人员，因为很少有医生像雇员那样工作。结果：在684名受访者中（29％的返回率），其中504名报告了常规接种季节性流感疫苗（RV），而180名报告了常规未接种疫苗（NRV）。两组对两种流感病毒的态度不同，对于NRV组，季节性流感的关注水平明显低于pH1N1。在NRV对疾病的严重性，他们的接触风险意识以及对疫苗效力的信心方面的看法尤其明显（总体而言，季节性H1N1，p <0.001）。 NRV和RV人群接种疫苗的最常见动机与对个人或家庭安全的担忧有关，而拒绝季节性接种的选择主要与对疾病的担忧以及对疫苗有效性和安全性的担忧有关。同事在决定为NRV组购买pH1N1疫苗方面具有影响力。结论：对于没有常规接种季节性疫苗的HCP，对风险的担忧超过对副作用的担忧似乎是继续使用pH1N1疫苗的主要影响。着重于个人利益，吸引同龄冠军并解决有关疫苗问题的教育运动可能会改善医疗保健人员对流感疫苗的摄取。

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