期刊文献+

上海市老年人肺炎疫苗接种意愿及影响因素分析 被引量:47

Analysis on pneumonia vaccination willness and its influential factors among the elderly people in Shanghai City
原文传递
导出
摘要 目的 了解上海市老年人肺炎疫苗接种的意愿,分析影响接种的因素,为制定相关的干预措施,提高老年人肺炎疫苗接种率,降低社区老年人肺炎球菌相关疾病的发生提供依据.方法 通过分层随机抽样的方法,选取年龄≥60岁上海市户籍老年人,自拟《老年人群肺炎疫苗知晓情况及接种意愿调查表》进行问卷调查,采用多元Logistic回归分析方法,分析接种肺炎疫苗意愿的影响因素.结果 共有3 569名调查对象完成问卷调查(合格率96.41%);36.0%(n=1 283)老年人表示愿意接种肺炎疫苗.多因素Logistic回归分析显示,高年龄组接种意愿低(OR=0.37,95% CI:0.28~0.51),不认为肺炎是一种严重疾病组接种意愿低(OR =0.81,95% CI:0.66~0.99),不认为肺炎可以被预防组接种意愿低(OR =0.61,95% CI:0.47 ~0.80).结论 老年人对肺炎疫苗的认知是影响其是否愿意接种的重要因素,对肺炎疫苗加强针对性的宣传对提高肺炎疫苗接种率具有重要作用. Objective This study was aimed to explore the willness and influential factors towards pneumonia vaccination among the elderly people, providing scientific evidence for vaccine strategy development, to improve pneumonia vaccine coverage and the prevention of pneumococcus-related diseases. Methods A questionnaire survey was performed among people ≥60 years by stratified random sampling method. Multi-variable logistic regression was used to determine factors significantly associated with pneumococcal vaccine wiliness. Results A total of 3 569 participants completed questionnaires ( qualified rate 96. 41% ) ; thirty-six percent ( n=1 283 ) of participants stated that they were willing to receive pneumonia vaccination. The results of multivariate Logistic analysis showed that the high age group had low pneumonia vaccination wiliness (OR =0. 37,95% CI:0. 28-0. 51 ), the participants who did not believe the pneumonia is a serious dis- ease had low pneumonia vaccination wiliness (OR =0. 81,95% CI:0. 66-0. 99), the participants who did not think the pneumonia can be prevented had low pneumonia vaccination wiliness ( OR = 0. 61,95% CI:0. 47-0. 80). Conclusions The results indicated that cognitive of pneumonia vaccine played an important role in influencing self-wiliness of pneumonia vaccination among the elderly population. Measures should be taken to strengthen the propaganda about pneumonia vaccination.
出处 《中华疾病控制杂志》 CAS CSCD 北大核心 2015年第10期975-978,共4页 Chinese Journal of Disease Control & Prevention
关键词 疫苗 肺炎 老年人 Vaccination Pneumonia Elderly people
作者简介 林声(1989-),男,福建南平人,在读硕士研究生。主要研究方向:感染性疾病流行病学。 【通讯作者】孙晓冬,E-mail:sunxiaodong@scdc.sh.cn 【通讯作者】赵根明,E-mail:gmzhao@shmu.edu.cn
  • 相关文献

参考文献15

  • 1Schlaudecker EP, Steinhoff MC, Omer SB, et al. Antibody per-sistence in mothers one year after pneumococcal immunization inpregnancy [ J]. Vaccine, 2012,30(34):5063-5066.
  • 2耿倩,张涛,陈蓉,丁云芳,郝创利,林玉尊,Steven Black,赵根明.疫苗引入前苏州地区儿童肺炎链球菌的分子流行病学特征研究[J].中华疾病控制杂志,2014,18(5):383-386. 被引量:6
  • 3WHO. Pneumococcal conjugate vaccine for childhood immuniza-tion-WHO position paper [ J]. Wkly Epidemiol Rec,2007,82(12) :93-104.
  • 4Vila-Corcoles A, Ochoa-Gondar 0,Gomez-8ertomeu F, et al. In-vasive pneumococcal disease in Catalonian elderly people,2002 -2009: Serotype coverage for different anti-pneumococcal vaccineformulations at the beginning of the new conjugate vaccines era[J]. Vaccine, 2011,29(43) :7430-7434.
  • 5Kohlhammer Y, Schnoor M, Schwartz M, et al. Determinants ofinfluenza and pneumococcal vaccination in elderly people : a sys-tematic review [J]. Public Health, 2007 ,121 (10) :742-751.
  • 6Schneebei^ A, Bettinger JA, McNeil S, et al. Knowledge, atti-tudes y beliefs and behaviours of older adults about pneumococcalimmunization, a Public Health Agency of Canada/Canadian Insd-tutes of Health Research Influenza Research Network (PCIRN) in-vestigation [J]. BMC Public Health, 2014,14:442.
  • 7张国辉,郑东旖,时念民,艾星,白云骅.北京市朝阳区部分社区老年人的肺炎疫苗接种率及影响因素分析[J].中国生物制品学杂志,2013,26(1):93-95. 被引量:41
  • 8Shapiro ED, Bei^ AT, Austrian R, et al. The protective efficacyof polyvalent pneumococcal polysaccharide vaccine [ J]. N Engl JMed, 1991,325(21):1453-1460.
  • 9Gross PA, Hermogenes AW, Sacks HS, et al. The efficacy of in-fluenza vaccine in elderly persons. A meta-analysis and review ofthe literature [ J]. Ann Intern Med, 1995,123(7) :518-527.
  • 10庞红,吴美华,刘红联,张泽申.上海市长宁区老年人接种肺炎疫苗的影响因素调查[J].上海预防医学,2007,19(5):207-209. 被引量:19

二级参考文献21

  • 1王飞,贺蓓.应用肺炎球菌疫苗对肺炎链球菌耐药的影响[J].中华医学杂志,2006,86(20):1427-1427. 被引量:8
  • 2白庆瑞,徐飚,孙铁英,张涛,何礼贤.上海市老年人社区获得性肺炎危险因素的病例-对照研究[J].卫生研究,2007,36(5):587-590. 被引量:6
  • 3Tammy A M,Stephen A W.Adult pneumococcal vaccination:a review of physician and patient barriers[J].Vaccine,2002,20(9-10):1383-1392.
  • 4Nichol KL,Zimmerman R.Generalist and subspecialist physicians' knowledge,attitudes and practices regarding influenza pneumococcal vaccinations for elderly and high-risk patients[J].Arch Intern Med,2001,161:2702-2708.
  • 5WHO. Pneumococcal conjugated vaccine for childhood immuniza- tion-WHO position paper [ J]. Wkly Epidemiol Rec, 2007 (82) : 93-104.
  • 6Black S, Shinefield H, Fireman B, et al. Efficacy, safety and im- munogenicity of heptavalent pneumococcal conjugate vaccine in children. Northern California Kaiser Permanente Vaccine Study Center Group [J]. Pediatr Infect Dis J, 2000,19(3) :187-195.
  • 7Grijalva CG, Nuorti JP, Arbogast PG, et M. Decline in pneumo- nia admissions after routine childhood immunisation with pneumo- coccal conjugate vaccine in the USA: a time-series analysis [J]. Lancet, 2007,369 ( 9568 ) :1 179-1186.
  • 8Ladhani SN, Andrews NJ, Waight P, et al. Impact of the 7-valent pneumococcal conjugate vaccine on invasive pneumoeoccal disease in infants younger than 90 days in England and wales [J]. Clin Infect Dis, 2013,56(5) :633-640.
  • 9Croucher N J, Harris SR, Fraser C, et al. Rapid pneumococcal e- volution in response to clinical interventions [ J]: Science, 2011, 331 (6016) :430-434.
  • 10Zhang T, Black S, Hao C, et al. The blind nasotracheal aspira- tion method is not a useful tool for pathogen detection of pneumonia in children [J]. PLoS One, 2010,5(12) :e15885.

共引文献55

同被引文献420

引证文献47

二级引证文献314

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部