Mandatory meningococcal vaccine, and other recommended immunisations: Uptake, barriers, and facilitators among health care workers and trainees at Hajj  

作　　者：Al-Mamoon Badahdah Mohammad Alfelali Amani S Alqahtani Saeed Alsharif Osamah Barasheed Harunor Rashid the Hajj Research Team 

机构地区：[1]Department of Family and Community Medicine,Faculty of Medicine in Rabigh,King Abdulaziz University,Jeddah 22252,Saudi Arabia [2]National Centre for Immunisation Research and Surveillance,the Children’s Hospital at Westmead,Westmead,NSW 2145,Australia [3]the Discipline of Child and Adolescent Health,the Faculty of Medicine and Health,the University of Sydney,Westmead,NSW 2145,Australia [4]Saudi Food and Drug Authority,Riyadh 13312,Saudi Arabia [5]Command and Control Centre of Infectious Diseases of Public Health Department of Ministry of Health,Taif 26521,Saudi Arabia [6]the Executive Administration of Research and Innovation at King Abdullah Medical City in Holy Capital,Makkah 24246,Saudi Arabia [7]Marie Bashir Institute for Infectious Diseases and Biosecurity,School of Biological Sciences and Sydney Medical School,University of Sydney,Westmead,NSW 2145,Australia [8]不详

出　　处：《World Journal of Clinical Cases》2018年第16期1128-1135,共8页世界临床病例杂志

摘　　要：AIM To evaluate the uptake of a mandatory meningococcal, a highly recommended influenza, and an optional pneumococcal vaccine, and to explore the key factors affecting vaccination rate among health care workers(HCWs) during the Hajj.METHODS An anonymous cross-sectional online survey was distributed among HCWs and trainees who worked or volunteered at the Hajj 2015-2017 through their line managers, or by visiting their hospitals and healthcare centres in Makkah and Mina. Overseas HCWs who accompanied the pilgrims or those who work in foreign Hajj medical missions were excluded. Pearson's χ2 test was used to compare categorical variables and odds ratio(OR) was calculated by "risk estimate" statistics along with 95% confidence interval(95%CI).RESULTS A total of 138 respondents aged 20 to 59(median 25.6) years with a male to female ratio of 2.5:1 participated in the survey. Only 11.6%(16/138) participants reported receiving all three vaccines, 15.2%(21/138) did not receive any vaccine, 76.1%(105/138) received meningococcal, 68.1%(94/138) influenza and 13.8%(19/138) pneumococcal vaccine. Females were more likely to receive a vaccine than males(OR 3.6, 95%CI: 1.0-12.7, P < 0.05). Willingness to follow health authority's recommendation was the main reason for receipt of vaccine(78.8%) while believing that they were up-to-date with vaccination(39.8%) was the prime reason for non-receipt. CONCLUSION Some HCWs at Hajj miss out the compulsory and highly recommended vaccines; lack of awareness is a key barrier and authority's advice is an important motivator. Health education followed by stringent measures may be required to improve their vaccination rate.AIM To evaluate the uptake of a mandatory meningococcal, a highly recommended influenza, and an optional pneumococcal vaccine, and to explore the key factors affecting vaccination rate among health care workers(HCWs) during the Hajj.METHODS An anonymous cross-sectional online survey was distributed among HCWs and trainees who worked or volunteered at the Hajj 2015-2017 through their line managers, or by visiting their hospitals and healthcare centres in Makkah and Mina. Overseas HCWs who accompanied the pilgrims or those who work in foreign Hajj medical missions were excluded. Pearson's χ2 test was used to compare categorical variables and odds ratio(OR) was calculated by "risk estimate" statistics along with 95% confidence interval(95%CI).RESULTS A total of 138 respondents aged 20 to 59(median 25.6) years with a male to female ratio of 2.5:1 participated in the survey. Only 11.6%(16/138) participants reported receiving all three vaccines, 15.2%(21/138) did not receive any vaccine, 76.1%(105/138) received meningococcal, 68.1%(94/138) influenza and 13.8%(19/138) pneumococcal vaccine. Females were more likely to receive a vaccine than males(OR 3.6, 95%CI: 1.0-12.7, P < 0.05). Willingness to follow health authority's recommendation was the main reason for receipt of vaccine(78.8%) while believing that they were up-to-date with vaccination(39.8%) was the prime reason for non-receipt. CONCLUSION Some HCWs at Hajj miss out the compulsory and highly recommended vaccines; lack of awareness is a key barrier and authority's advice is an important motivator. Health education followed by stringent measures may be required to improve their vaccination rate.

关 键 词：Influenza MENINGOCOCCAL DISEASE HAJJ Health care workers PNEUMOCOCCAL DISEASE Vaccine UPTAKE 

分 类 号：R[医药卫生]