...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Vaccine >Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia
【24h】

Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia

机译：克罗地亚北部初级医疗工作者的疫苗接种态度，信仰和行为

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Primary health care workers (HCWs) provide almost all vaccine services in Croatia, so they play an essential role in vaccine recommendations and uptake. The aim of this study was to determine the level of vaccine hesitancy among primary HCWs, to identify differences between nurses and physicians in attitudes, beliefs and behaviours towards vaccination, and to determine predictors of vaccine hesitancy among HCWs. We conducted a cross-sectional study from July to December in 2018 among physicians and nurses employed in the services of epidemiology, public health, school medicine, pediatrics and general practice/family medicine in Primorje-Gorski Kotar County, a primarily urban region with a population around 300 000 in the northern part of Croatia. The list of primary HCWs offices was obtained from the Croatian Health Insurance Fond website. We used a self-administered questionnaire on their attitudes, beliefs and behaviours relative to vaccination. Obtained response rate was 65.5% (324/495) of eligible primary HCWs; 64.1% (143/223) of physicians and 66.5% (181/272) of nurses. Seventeen percent of HCWs were identified as vaccine hesitant, and in univariate analysis, we observed an association between HCWs occupation and their own vaccination against flu (p = 0.001), measles (p = 0.016) and HPV (p = 0.025). Nurses and physicians differed (p < 0.001) in their general attitude, beliefs and behaviours towards vaccination, with a higher level of hesitancy among nurses. In multiple logistic regression, those more likely to be vaccine-hesitant were nurses (AOR = 5.73, 95%CI = 2.48-13.24), those who were uncertain or would never receive a vaccine against measles (AOR=11.13; 95%CI=5.37-23.10) and HPV (AOR=5.02; 95%CI=2.60-9.74), as well as those who had encountered a serious adverse event following immunization (AOR=7.55; 95%CI=3.13-19.18). As personal hesitancy may have a negative impact on vaccination education and recommendations, and therefore vaccine coverage, it is necessary to implement interventions to increase vaccination knowledge and confidence among primary health care workers, especially nurses. (C) 2020 Elsevier Ltd. All rights reserved.
机译：初级卫生保健工作者（HCW）提供克罗地亚几乎所有的疫苗服务，因此他们在疫苗推荐和接种方面发挥着重要作用。本研究的目的是确定初级医务人员中疫苗犹豫不决的程度，确定护士和医生对疫苗接种的态度、信念和行为的差异，并确定医务人员中疫苗犹豫不决的预测因素。2018年7月至12月，我们在普里莫耶·戈尔斯基·科塔尔县（Primorje Gorski Kotar County）从事流行病学、公共卫生、学校医学、儿科和全科/家庭医学服务的医生和护士中进行了一项横断面研究，该县主要为城市地区，人口约30万，位于克罗地亚北部。主要医务工作者办公室的名单可从克罗地亚健康保险网站获得。我们使用了一份自填问卷，调查他们对疫苗接种的态度、信念和行为。获得的应答率为65.5%（324/495）；64.1%（143/223）的医生和66.5%（181/272）的护士。17%的医务人员被确定为疫苗犹豫不决，在单变量分析中，我们观察到医务人员职业与他们自己的流感疫苗接种（p=0.001）、麻疹疫苗接种（p=0.016）和HPV疫苗接种（p=0.025）之间存在关联。护士和医生对疫苗接种的总体态度、信念和行为存在差异（p<0.001），护士的犹豫不决程度较高。在多元逻辑回归中，更可能对疫苗犹豫不决的是护士（AOR=5.73，95%CI=2.48-13.24）、不确定或永远不会接种麻疹疫苗的人（AOR=11.13；95%CI=5.37-23.10）和HPV（AOR=5.02；95%CI=2.60-9.74），以及在接种后遇到严重不良事件的人（AOR=7.55；95%CI=3.13-19.18）。由于个人犹豫不决可能会对疫苗接种教育和建议产生负面影响，从而影响疫苗覆盖率，因此有必要实施干预措施，以提高初级卫生保健工作者，尤其是护士的疫苗接种知识和信心。（C） 2020爱思唯尔有限公司版权所有。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号