社区医务人员知识态度和行为对老年人接种流感疫苗的影响_《中国循证医学杂志》

作者：

朱小凤 ¹ , 黄婷 ² , 祝小平 ² , 唐雪峰 ² , 余宏杰 ³ , 许真 ³ , 冯奥 ⁴ , 刘磊 ² , 栾荣生 ¹ ,  杨维中 ³

1. 四川大学华西公共卫生学院流行病学教研室（成都 610041）；2. 四川省疾病预防与控制中心（成都 610041）；3. 中国疾病预防与控制中心（北京 102206）；4. 大连大学附属中山医院（大连 116001）;

关键词：

流感疫苗老年人医务人员社区医疗

DOI：

10.7507/1672-2531.20130096

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　探讨社区卫生服务中心医务人员的知识、态度、行为（KAP）对其所在社区的老年人接种流感疫苗的影响。
方法　采用单纯随机抽样方法，从成都市5城区中各随机抽取2个社区，每个社区又各抽取1个居民小区，对小区内≥60岁的老年人进行入户调查；同时对抽中社区的卫生服务中心医务人员进行问卷调查。
结果　社区医务人员对流感疫苗有效性的肯定，明确知道接种的重点人群，在流感季节建议前来就诊的老年人接种疫苗以及参加流感的宣传教育活动，能显著提高老年人流感疫苗的接种率。以上每项的正确率每提高1%，接种率能分别提高2.747%、1.299%、0.864%和0.602%。
结论　社区医务人员的知识和行为可影响老年人流感疫苗的接种率，医务人员的知识、行为和态度的提升对促进老年人群流感疫苗的接种率具有重要意义。

引用本文： 朱小凤,黄婷,祝小平,唐雪峰,余宏杰,许真,冯奥,刘磊,栾荣生,杨维中. 社区医务人员知识态度和行为对老年人接种流感疫苗的影响. 中国循证医学杂志, 2013, 13(5): 543-547. doi: 10.7507/1672-2531.20130096 复制

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15.	Lambert ND, Ovsyannikova IG, Pankratz VS, et al. Understanding the immune response to seasonal influenza vaccination in older adults: a systems biology approach. Expert Rev Vaccines, 2012, 11(8): 985-994.
16.	Rothberg MB, Haessler SD, Brown RB. Complications of viral influenza. Am J Med, 2008, 121(4): 258-264.
17.	Bergsaker M, Hungnes O, Iversen B. Vaccination against influenza--why, for whom and with which vaccine? Tidsskr Nor Laegeforen, 2006, 126(21): 2814-2817.
18.	Domínguez A, Castilla J, Godoy P, et al. Effectiveness of pandemic and seasonal influenza vaccines in preventing pandemic influenza-associated hospitalization. Vaccine, 2012, 30(38): 5644-5650.
19.	Goka E, Vallely P, Mutton K, et al. Influenza A viruses dual and multiple infections with other respiratory viruses and risk of hospitalisation and mortality. Influenza Other Respi Viruses, 2012 Oct 19. doi: 10.1111/irv.12020. [Epub ahead of print].
20.	Brydak L, Roiz J, Faivre P, et al. Implementing an influenza vaccination programme for adults aged ≥65 years in Poland: a cost-effectiveness analysis. Clin Drug Investig, 2012, 32(2): 73-85.
21.	Toplak N, Avcin T. Influenza and autoimmunity. Ann N Y Acad Sci. 2009, 1173: 619-626. doi: 10.1111/j.1749-6632.2009.04759.x.
22.	刘长暖节译. 流感疫苗（WHO 最新立场性文件）. 中国生物制品学杂志, 2007, 20(1): 69-72.
23.	中国流行性感冒疫苗预防接种指导意见. 中国卫生部, 2005.
24.	Kositanont U, Assantachai P, Wasi C, et al. Kinetics of the Antibody Response to Seasonal Influenza Vaccination Among the Elderly. Viral Immunol, 2012, 25(6): 471-476.
25.	Chen J, Li YT, Gu BK, et al. Estimation of the Direct Cost of Treating People Aged More Than 60 Years Infected by Influenza Virus in Shanghai. Asia Pac J Public Health, 2012 Oct 2. [Epub ahead of print].
26.	Mannino S, Villa M, Apolone G, et al. Effectiveness of adjuvanted influenza vaccination in elderly subjects in northern Italy. Am J Epidemiol, 2012, 176(6): 527-533.
27.	Gilbert SC. Advances in the development of universal influenza vaccines. Influenza Other Respi Viruses, 2012 Sep 24. doi: 10.1111/irv.12013. [Epub ahead of print].
28.	董振英, 王全意, 吴疆, 等. 北京市城区流感和流感疫苗知识、态度和行为调查. 中华流行病学杂志, 2005, 26(2): 152.
29.	Li HY, Wu SS, Yang P, et al. Influenza vaccination coverage rates and factors associated with vaccine use among the elderly in Beijing during 2008-2010. Zhonghua Liu Xing Bing Xue Za Zhi, 2012, 33(2): 247-248.
30.	李永成, 王淑惠, 杨雪莹, 等. 天津市城区老年人流感疫苗及影响因素分析. 中国公共卫生, 2007, 23(3): 264-266.
31.	张小平, 许二萍, 刘艳, 等. 杭州市城区老年人流感疫苗接种情况及其影响因素分析. 浙江预防医学, 2011, 23(9): 31-32.
32.	Takahashi O, Noguchi Y, Rahman M, et al. Influence of family on acceptance of influenza vaccination among Japanese patients. Fam Pract, 2003, 20(2): 162-166.
33.	Burns VE, Ring C, Carroll D. Factors influencing influenza vaccination uptake in an elderly, community-based sample. Vaccine, 2005, 23(27): 3604-3608.
34.	Kohlhammer Y, Schnoor M, Schwartz M, et al. Determinants of influenza and pneumococcal vaccination in elderly people: a systematic review. Public Health, 2007, 121(10): 742-751.
35.	Zimmerman RK, Santibanez TA, Janosky JE, et al. What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and Veterans Affairs practices. Am J Med, 2003, 114(1): 31-38.
36.	Kwong EW, Lam IO, Chan TM. What factors affect influenza vaccine uptake among community-dwelling older Chinese people in Hong Kong general outpatient clinics? J Clin Nurs, 2009, 18(7): 960-971.
37.	Avelino-Silva VI, Avelino-Silva TJ, Miraglia JL, et al. Campaign, counseling and compliance with influenza vaccine among older persons. Clinics (Sao Paulo), 2011, 66(12): 2031-2035.
38.	Blank PR, Bonnelye G, Ducastel A, et al. Attitudes of the General Public and General Practitioners in Five Countries towards Pandemic and Seasonal Influenza Vaccines during Season 2009/2010. PLoS One, 2012, 7(10): e45450.

1. Michael M, Helm E, Van Graafeiland B, et al. Influenza vaccination with a live attenuated vaccine. Am J Nurs, 2009, 109(10): 44-48.
2. Forleo-Neto E, Halker E, Santos VJ, et al. Influenza. Rev Soc Bras Med Trop, 2003, 36(2): 267-274.
3. 中华人民共和国卫生部. 中国流行性感冒疫苗预防接种指导意见. 国际呼吸杂志, 2006, 26(1): 3, 7.
4. Mato Chaín G, Mariano Lázaro A, Alcudia Pérez F, et al. Flu vaccination in the elderly. Rev Esp Geriatr Gerontol, 2011, 46(2): 89-95.
5. Derber CJ, Shankaran S. Health-Care Worker Vaccination for Influenza: Strategies and Controversies. Curr Infect Dis Rep, 2012, 14(6): 627-632.
6. Maggi S. Vaccination and healthy aging. Expert Rev Vaccines, 2010, 9(3 Suppl): 3-6.
7. Lang PO, Mendes A, Socquet J, et al. Effectiveness of influenza vaccine in aging and older adults: comprehensive analysis of the evidence. Clin Interv Aging, 2012, 7(1): 55-64.
8. Kasten MJ, Poland GA. Influenza vaccination and the elderly: pandemic preparedness. Drugs Aging, 2008, 25(3): 179-186.
9. Booy R, Lindley RI, Dwyer DE, et al. Treating and preventing influenza in aged care facilities: a cluster randomised controlled trial. PLoS One, 2012, 7(10): e46509.
10. Biagi E, Candela M, Turroni S, et al. Ageing and gut microbes: Perspectives for health maintenance and longevity. Pharmacol Res, 2013, 69(1): 11-20.
11. Monto AS, Ansaldi F, Aspinall R, et al. Stephenson I Influenza control in the 21st century: Optimizing protection of older adults. Vaccine, 2009, 27(37): 5043-5053.
12. Orosi P, Borbely A, Szidor J, et al. Factors affecting influenza vaccine uptake among health care workers at the Medical and Health Sciences Center of Debrecen University, Hungary. Orv Hetil, 2012, 153(13): 505-513.
13. Liu X, Guo J, Han S, et al. Enhanced immune response induced by a potential influenza A vaccine based on branched M2e polypeptides linked to tuftsin. Vaccine, 2012, 30(46): 6527-6533.
14. Perez LE, Merrill GA, Delorenzo RA, et al. Evaluation of the specificity and sensitivity of a potential rapid influenza screening system. Diagn Microbiol Infect Dis, 2013, 75(1): 77-80.
15. Lambert ND, Ovsyannikova IG, Pankratz VS, et al. Understanding the immune response to seasonal influenza vaccination in older adults: a systems biology approach. Expert Rev Vaccines, 2012, 11(8): 985-994.
16. Rothberg MB, Haessler SD, Brown RB. Complications of viral influenza. Am J Med, 2008, 121(4): 258-264.
17. Bergsaker M, Hungnes O, Iversen B. Vaccination against influenza--why, for whom and with which vaccine? Tidsskr Nor Laegeforen, 2006, 126(21): 2814-2817.
18. Domínguez A, Castilla J, Godoy P, et al. Effectiveness of pandemic and seasonal influenza vaccines in preventing pandemic influenza-associated hospitalization. Vaccine, 2012, 30(38): 5644-5650.
19. Goka E, Vallely P, Mutton K, et al. Influenza A viruses dual and multiple infections with other respiratory viruses and risk of hospitalisation and mortality. Influenza Other Respi Viruses, 2012 Oct 19. doi: 10.1111/irv.12020. [Epub ahead of print].
20. Brydak L, Roiz J, Faivre P, et al. Implementing an influenza vaccination programme for adults aged ≥65 years in Poland: a cost-effectiveness analysis. Clin Drug Investig, 2012, 32(2): 73-85.
21. Toplak N, Avcin T. Influenza and autoimmunity. Ann N Y Acad Sci. 2009, 1173: 619-626. doi: 10.1111/j.1749-6632.2009.04759.x.
22. 刘长暖节译. 流感疫苗（WHO 最新立场性文件）. 中国生物制品学杂志, 2007, 20(1): 69-72.
23. 中国流行性感冒疫苗预防接种指导意见. 中国卫生部, 2005.
24. Kositanont U, Assantachai P, Wasi C, et al. Kinetics of the Antibody Response to Seasonal Influenza Vaccination Among the Elderly. Viral Immunol, 2012, 25(6): 471-476.
25. Chen J, Li YT, Gu BK, et al. Estimation of the Direct Cost of Treating People Aged More Than 60 Years Infected by Influenza Virus in Shanghai. Asia Pac J Public Health, 2012 Oct 2. [Epub ahead of print].
26. Mannino S, Villa M, Apolone G, et al. Effectiveness of adjuvanted influenza vaccination in elderly subjects in northern Italy. Am J Epidemiol, 2012, 176(6): 527-533.
27. Gilbert SC. Advances in the development of universal influenza vaccines. Influenza Other Respi Viruses, 2012 Sep 24. doi: 10.1111/irv.12013. [Epub ahead of print].
28. 董振英, 王全意, 吴疆, 等. 北京市城区流感和流感疫苗知识、态度和行为调查. 中华流行病学杂志, 2005, 26(2): 152.
29. Li HY, Wu SS, Yang P, et al. Influenza vaccination coverage rates and factors associated with vaccine use among the elderly in Beijing during 2008-2010. Zhonghua Liu Xing Bing Xue Za Zhi, 2012, 33(2): 247-248.
30. 李永成, 王淑惠, 杨雪莹, 等. 天津市城区老年人流感疫苗及影响因素分析. 中国公共卫生, 2007, 23(3): 264-266.
31. 张小平, 许二萍, 刘艳, 等. 杭州市城区老年人流感疫苗接种情况及其影响因素分析. 浙江预防医学, 2011, 23(9): 31-32.
32. Takahashi O, Noguchi Y, Rahman M, et al. Influence of family on acceptance of influenza vaccination among Japanese patients. Fam Pract, 2003, 20(2): 162-166.
33. Burns VE, Ring C, Carroll D. Factors influencing influenza vaccination uptake in an elderly, community-based sample. Vaccine, 2005, 23(27): 3604-3608.
34. Kohlhammer Y, Schnoor M, Schwartz M, et al. Determinants of influenza and pneumococcal vaccination in elderly people: a systematic review. Public Health, 2007, 121(10): 742-751.
35. Zimmerman RK, Santibanez TA, Janosky JE, et al. What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and Veterans Affairs practices. Am J Med, 2003, 114(1): 31-38.
36. Kwong EW, Lam IO, Chan TM. What factors affect influenza vaccine uptake among community-dwelling older Chinese people in Hong Kong general outpatient clinics? J Clin Nurs, 2009, 18(7): 960-971.
37. Avelino-Silva VI, Avelino-Silva TJ, Miraglia JL, et al. Campaign, counseling and compliance with influenza vaccine among older persons. Clinics (Sao Paulo), 2011, 66(12): 2031-2035.
38. Blank PR, Bonnelye G, Ducastel A, et al. Attitudes of the General Public and General Practitioners in Five Countries towards Pandemic and Seasonal Influenza Vaccines during Season 2009/2010. PLoS One, 2012, 7(10): e45450.

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社区医务人员知识态度和行为对老年人接种流感疫苗的影响

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《中国循证医学杂志》

社区医务人员知识态度和行为对老年人接种流感疫苗的影响

摘要 全文 图表 视频 参考文献 施引文献 补充材料

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