医务人员含麻疹成分疫苗接种意愿调查  

Willingness to receive measles-containing vaccine among healthcare workers

作　　者：严睿[1] 林乃珩 李智[3] 孙翔[4] 王斌冰[5] 朱瑶 何寒青[1] 吕华坤[1] YAN Rui;LIN Naiheng;LI Zhi;SUN Xiang;WANG Binbing;ZHU Yao;HE Hanqing;LÜHuakun(Department of Immunization Program,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China;Xiamen University,Xiamen,Fujian 361100,China;Shanghai Municipal Center for Disease Control and Prevention,Shanghai 200336,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu 210009,China;Anhui Provincial Center for Disease Control and Prevention,Hefei,Anhui 230601,China)

机构地区：[1]浙江省疾病预防控制中心免疫规划所,浙江杭州310051 [2]厦门大学,福建厦门361100 [3]上海市疾病预防控制中心,上海200336 [4]江苏省疾病预防控制中心,江苏南京210009 [5]安徽省疾病预防控制中心,安徽合肥230601

出　　处：《预防医学》2022年第9期876-880,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省卫生健康科技计划项目(2022KY721)。

摘　　要：目的了解长江三角洲(长三角)地区医务人员含麻疹成分疫苗(MCV)接种意愿及影响因素,为提高医务人员MCV接种率提供依据。方法于2020年7月—2021年3月,采用多阶段分层方便抽样方法,从上海市、江苏省、浙江省和安徽省各抽取19家医疗机构的医务人员进行问卷调查,收集性别、年龄、文化程度和职称等基本信息,以及MCV接种情况、知晓情况和接种意愿。采用多因素logistic回归模型分析医务人员MCV接种意愿的影响因素。结果纳入1403人,有效调查1394人,调查有效率为99.36%。男性327人,女性1067人,男女性别比为1∶3.26。31~<51岁897人,占64.35%。本科学历1005人,占72.09%。中高级职称765人,占54.88%。既往接种过MCV 676人,接种率为48.49%。有MCV接种愿意1176人,占84.36%;218人暂无接种意愿,主要受接种便利程度和费用影响,分别占30.73%和19.27%。多因素logistic回归分析结果显示,地区(浙江,OR=1.613,95%CI:1.054~2.470;安徽,OR=2.058,95%CI:1.259~3.363)和无麻疹病史(OR=2.219,95%CI:1.302~3.781)是医务人员MCV接种意愿的促进因素,医院级别(二级,OR=0.483,95%CI:0.306~0.763;三级,OR=0.251,95%CI:0.160~0.394)、MCV免疫史(无,OR=0.262,95%CI:0.172~0.399;不详,OR=0.386,95%CI:0.266~0.559)和不知晓MCV知识(OR=0.208,95%CI:0.081~0.536)是医务人员MCV接种意愿的阻碍因素。结论长三角地区医务人员MCV接种意愿与地区、麻疹病史、医院级别、MCV免疫史和MCV知识知晓程度有关。Objective To investigate the willingness to receive measles-containing vaccine(MCV)and its influencing factors among healthcare workers in the Yangtze River Delta region,so as to provide the evidence for improving the measles-containing vaccination rate.Methods Healthcare workers were sampled from 19 medical institutions in each of Shanghai Municipality,Jiangsu Province,Zhejiang Province and Anhui Province for questionnaire surveys using a multi stage stratified convenience sampling methods from July 2020 to March 2021.Participants'gender,age,educational level,professional title,measles-containing vaccination,awareness of MCV and willingness to receive MCV were collected,and the factors affecting the willingness to receive MCV were identified among healthcare workers using a multivariable logistic regression model.Results Totally 1403 questionnaires were allocated,and 1394 valid questionnaires were recovered,with an effective recovery rate of 99.36%.The respondents included 327 men and 1067 women,with a male to female ratio of 1∶3.26,and 64.35%(897)were at ages of 31 to 50 years.There were 1005 respondents with a bachelor degree(72.09%),765 with middle and senior professional titles(54.88%),676 with a history of measles-containing vaccination(48.49%),1176 with willingness to receive MCV(84.36%)and 218 without willingness to receive MCV due to convenience of vaccination(30.73%)and cost(19.27%).Multivariable logistic regression analysis showed that region(Zhejiang,OR=1.613,95%CI:1.054-2.470;Anhui,OR=2.058,95%CI:1.259-3.363),and no history of measles(OR=2.219,95%CI:1.302-3.781)were factors improving the willingness to receive MCV among healthcare workers,and hospital level(secondary,OR=0.483,95%CI:0.306-0.763;tertiary,OR=0.251,95%CI:0.160-0.394),history of measles-containing vaccination(no,OR=0.262,95%CI:0.172-0.399;unknown,OR=0.386,95%CI:0.266-0.559),and unawareness of MCV knowledge(OR=0.208,95%CI:0.081-0.536)were factors inhibiting the willingness to receive MCV among healthcare workers.Conclusions The willingne

关 键 词：含麻疹成分疫苗 接种意愿 医务人员 长江三角洲地区 

分 类 号：R186[医药卫生—流行病学]