接种医生疫苗信息获取与二类疫苗推荐行为分析  

Access to vaccine information and recommendation practice of non-EPI vaccines among vaccination service providers in China

作　　者：王茜 韩开益 涂诗意[1] 侯志远[1] WANG Qian;HAN Kai-yi;TU Shi-yi(School of Public Health,Fudan University,Shanghai 200032,Chin;不详)

机构地区：[1]复旦大学公共卫生学院国家卫健委卫生技术评估重点实验室,上海200032 [2]英国伦敦卫生与热带医学院传染病流行病学系

出　　处：《中国公共卫生》2022年第7期879-883,共5页Chinese Journal of Public Health

基　　金：英国国家健康研究所项目(EPIDZL9012)。

摘　　要：目的了解中国接种医生疫苗信息获取和二类疫苗推荐行为,为提高接种医生二类疫苗推荐意愿提供建议。方法于2019年1月,采用二阶段整群抽样对中国安徽、陕西和深圳3个省(市)的555名接种医生进行线上问卷调查,了解其社会人口学特征、二类疫苗推荐行为、获取疫苗信息的渠道和来源,并对二类疫苗推荐行为进行单因素和多因素分析。结果仅有51.53%的接种医生经常推荐二类疫苗。通过培训和会议、医务人员、专业书籍和媒体获取疫苗信息的接种医生分别占83.60%、61.08%、36.64%、58.92%;疫苗信息来源为疾病预防控制中心、疫苗生产厂家和政府的接种医生分别占97.48%、31.17%、29.73%。多因素logistic回归分析结果显示,在深圳工作(OR=0.66,95%CI=0.51~0.85)、职业为护士(OR=0.65,95%CI=0.46~0.92)的接种医生经常推荐二类疫苗的可能性更小;而年龄在45岁以上(OR=2.04,95%CI=1.01~4.11),获取疫苗信息的渠道为培训和会议(OR=2.11,95%CI=1.62~2.76)、专业书籍(OR=1.28,95%CI=1.08~1.51),获取疫苗信息的来源为疫苗生产厂家(OR=1.55,95%CI=1.11~2.18)的接种医生经常推荐二类疫苗的可能性更大。结论中国接种医生二类疫苗推荐水平较低,需要加强接种医生从培训和会议、专业书籍等渠道获取信息,提高其二类疫苗推荐意愿。Objective To investigate the access to vaccine information and recommendation practice of non-Expanded Programme on Immunization(EPI)vaccines among vaccination service providers(VSPs)in China and to provide suggestions on promoting recommendation intention of non-EPI vaccines among VSPs.Methods A cross-sectional online survey was conducted among 584 VSPs recruited using two-stage cluster sampling in Anhui and Shaanxi province and Shenzhen municipality in central,western,and eastern China during January 2019.The participants′information on sociodemographic characteristics,recommendation practice of non-EPI vaccines,channels and sources for getting knowledge about vaccination were collected with a self-administered questionnaire.Univariate chi-square test and multivariate logistic regression model were adopted in data analyses.Results Of the 555 participants with valid responses,only 51.53%reported frequent recommendation of non-EPI vaccines to clinic attendees.Among the participants,83.60%,61.08%,36.64%,and58.92%reported getting information on non-EPI vaccines from training programmes/seminars,medical workers,professional books,and media and the proportions of the participants getting the information disseminated by Chinese Center for Disease Control and Prevention(CDC),vaccine manufacturers,and government agencies were 97.48%,31.17%,and 29.73%,respectively.The results of multivariate logistic regression analysis indicated that the participants working in Shenzhen municipality(odds ratio[OR]=0.66,95%confidence interval[95%CI]:0.51-0.85),being nurses(OR=0.65,95%CI:0.46-0.92)were less likely to carry on recommendation of non-EPI vaccines;while,the participants aged over 45 years(OR=2.04,95%CI:1.01-4.11),getting non-EPI vaccine-related information from training programmes/seminars(OR=2.11,95%CI:1.62-2.76)/professional books(OR=1.28,95%CI:1.08-1.51)and disseminated by vaccine manufacturers(OR=1.55,95%CI:1.11-2.18)were more likely to recommend non-EPI vaccines to clinic attendees.Conclusion The practice of recommenda

关 键 词：推荐行为 二类疫苗 HPV疫苗 接种医生 

分 类 号：R186[医药卫生—流行病学]