Factors associated with recommendation behaviors of four non-National Immunization Program vaccines:a cross-sectional survey among public health workers in China  

作　　者：Yun Lyu Xiaozhen Lai Yidi Ma Hai Fang 

机构地区：[1]Department of Health Policy and Management,School of Public Health,Peking University,Beijing,China [2]Health Economics Research Centre,Nufeld Department of Population Health,University of Oxford,Oxford,UK [3]China Center for Health Development Studies,Peking University,Beijing,China [4]Peking University Health Science Center-Chinese Center for Disease Control and Prevention Joint Research Center for Vaccine Economics,Peking University,Beijing,China [5]Institute for Global Health and Development,Peking University,Beijing,China

出　　处：《Infectious Diseases of Poverty》2023年第5期58-68,共11页贫困所致传染病（英文）

基　　金：This work was supported by the Bill&Melinda Gates Foundation(INV034554)。

摘　　要：Background Immunization is a crucial preventive measure to safeguard children under five years old against a range of diseases.In China,the coverage rate of non-National Immunization Program(non-NIP)vaccines can be improved by leveraging the recommendation from public health workers.Hence,understanding the influencing factors of recommendation behaviors assume paramount importance.This study aims to investigate influencing factors of public health workers’recommendation behaviors towards non-NIP vaccines,with a particular emphasis on financial incentives.Methods A cross-sectional survey was conducted using a multi-stage sampling method in 2019 from August to October.627 public health workers were recruited from 148 community healthcare centers in ten provincial-level administrative divisions in China.An anonymous questionnaire was used to collect demographic information,attitudes towards vaccination,and recommendation behaviors towards non-NIP vaccines,includingHaemophilus influenzae type b(Hib)vaccine,pneumococcal conjugate vaccine,varicella vaccine,and rotavirus vaccine.Descriptive analysis and multivariate logistic regression analysis were adopted in this study.Results Of the 610 public health workers with complete survey data,53.8%,57.4%,84.1%,and 54.1%often recommended Hib vaccine,pneumococcal pneumonia vaccine(PCV),varicella vaccine,and rotavirus vaccine,respectively.Logistic regression revealed that gender(Hib vaccine:OR=0.4,95%CI:0.2-0.8;PCV:OR=0.4,95%CI:0.2-0.8;rotavirus vaccine:OR=0.3,95%CI:0.2-0.6),financial incentives for non-NIP vaccination(Hib vaccine:OR=1.9,95%CI:1.1-3.6;PCV:OR=2.1,95%CI:1.1-3.9;rotavirus vaccine:OR=2.0,95%CI:1.1-3.8)and perception of vaccine safety(Hib vaccine:OR=2.7,95%CI:1.1-7.0;PCV:OR=3.2,95%CI:1.2-8.0;rotavirus vaccine:OR=3.0,95%CI:1.2-7.7)were associated with public health workers’recommendation towards Hib vaccine,PCV and rotavirus vaccine.Conclusions The findings highlighted public health workers’recommendation behaviors of non-NIP vaccines in China and revealed stron

关 键 词：National Immunization Program VACCINATION Public health workers Cross-sectional survey RECOMMENDATION China 

分 类 号：R186[医药卫生—流行病学]