上海市静安区社区医务人员流感疫苗接种率及其影响因素

吕丽雪; 李恩国; 付朝伟

doi:10.16462/j.cnki.zhjbkz.2021.12.018

上海市静安区社区医务人员流感疫苗接种率及其影响因素

doi: 10.16462/j.cnki.zhjbkz.2021.12.018

吕丽雪^{1, 2},
李恩国¹,
付朝伟^{2, 3, ,}

1.
200072 上海，上海市静安区疾病预防控制中心急性传染病防治科
2.
200032 上海，复旦大学公共卫生学院流行病学教研室
3.
200032 上海，复旦大学公共卫生安全教育部重点实验室，国家卫生健康委员会卫生技术评估重点实验室

基金项目:

2019年上海市静安区医学科研课题 2019GW02

详细信息

通讯作者:
付朝伟，E-mail: fcw@fudan.edu.cn

中图分类号: R192;R183
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- 文章访问数: 485
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- 被引次数: 0
出版历程
- 收稿日期: 2021-01-07
- 修回日期: 2021-03-23
- 网络出版日期: 2021-12-27
- 刊出日期: 2021-12-10

Investigation on influenza vaccination rate and its influencing factors among community health workers in Jing'an District of Shanghai

LYU Li-xue^{1, 2},
LI En-guo¹,
FU Chao-wei^{2, 3
, ,}

1.
Department of Acute Infectious Diseases Control, Jing′an Center for Disease Control and Prevention, Shanghai 200072, China
2.
Department of Epidemiology School of Public Health, Fudan University, Shanghai 200032, China
3.
Key Laboratory of Public Health Safety of the Ministry of Education, Fudan University, NHC Key Laboratory of Health Technology Assessment, Shanghai 200032, China

Funds:

Research on Medical Science in Jing'an District of Shanghai, 2019 2019GW02

More Information

Corresponding author: FU Chao-wei, E-mail: fcw@fudan.edu.cn

摘要

摘要: 目的了解上海市静安区社区医务人员流感疫苗接种率及其影响因素。方法 2019年4月，对上海市静安区共15家社区卫生服务中心的所有医务人员进行问卷调查，采用χ²检验和多因素Logistic回归分析模型对流感疫苗接种率的影响因素进行单因素和多因素分析。结果上海市静安区社区医务人员流感疫苗接种率为14.57%，多因素Logistic回归分析模型分析结果显示不同科室、不同专业、流感疫苗知识得分、信念态度得分、流感疫苗是否免费、是否与老人同住是社区医务人员流感疫苗接种率的可能影响因素。结论静安区社区医务人员流感疫苗接种率较低，应加强健康教育提高其认知水平，并建议相关部门推进医务人员免费接种流感疫苗政策。
- 医务人员 /
- 流感疫苗 /
- 接种率 /
- 影响因素
Abstract: Objective To investigate the influenza vaccination rate and its influencing factors among community health workers in Jing'an District. Methods A questionnaire survey was conducted among all health workers in all 15 community health service centers in Jing'an District, Shanghai. Chi-square test and Logistic regression analysis model were used to analyze the influencing factors of influenza vaccination rate. Results The coverage rate of the influenza vaccination was 14.57%. The results of multivariate Logistic regression analysis showed that different departments, different majors, scores of influenza vaccine knowledge, belief and attitude, the free vaccination and living with the elderly were the possible influencing factors of influenza vaccination rate of community health workers. Conclusions The coverage rate of influenza vaccine was low among community health workers in Jing'an District. Health education should be strengthened to improve their cognitive level, and the relevant departments should promote the policy of free influenza vaccination for health workers.
- Health worker /
- Influenza vaccine /
- Vaccination rate /
- Influencing factor

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图 1 上海市静安区各社区卫生服务中心流感疫苗接种率(%)

Figure 1. Influenza vaccination rate of community health service centers in Jing'an District (%)

下载: 全尺寸图片幻灯片

表 1 上海市静安区社区医务人员流感疫苗接种率的单因素分析[n(%)]

Table 1. Single factor analysis of influenza vaccination rates among community health workers [n(%)]

变量	调查人数	接种		χ²值	P值
变量	调查人数	是	否	χ²值	P值
性别				7.213	0.007
男	276 (18.61)	26 (9.42)	250 (90.58)
女	1 207 (81.39)	190 (15.74)	1 017 (84.86)
年龄(岁)				6.007	0.111
< 30	239 (16.12)	32 (13.39)	207 (86.61)
30~ < 40	674 (45.45)	96 (14.24)	578 (85.76)
40~ < 50	417 (28.12)	73 (17.51)	344 (82.49)
≥50	153 (10.32)	15 (9.80)	138 (90.20)
科室				53.122	< 0.001
临床诊疗科室	502 (33.85)	50 (9.96)	452 (90.04)
预防保健科室	269 (18.14)	74 (27.51)	195 (72.49)
医技辅助科室	280 (18.88)	40 (14.29)	240 (85.71)
行政科室	172 (11.60)	28 (16.28)	144 (83.72)
全科团队	130 (8.77)	16 (12.31)	114 (87.69)
病房	130 (8.77)	8 (6.15)	122 (93.85)
文化程度				2.936	0.402
中专及以下	69 (4.65)	11 (15.94)	58 (84.06)
大专	420 (28.32)	70 (16.67)	350 (83.33)
本科	927 (62.51)	128 (13.81)	799 (86.19)
研究生及以上	67 (4.52)	7 (10.45)	60 (89.55)
最高学历专业				30.836	< 0.001
预防医学	81 (5.46)	19 (23.46)	62 (76.54)
护理	568 (38.30)	108 (19.01)	460 (80.99)
非医学	103 (6.95)	18 (17.48)	85 (82.52)
医技	232 (15.64)	29 (12.50)	203 (87.50)
临床医学	499 (33.65)	42 (8.42)	457 (91.58)
职称				2.910	0.233
初级及以下	692 (46.66)	104 (15.03)	588 (84.97)
中级	706 (47.61)	105 (14.87)	601 (85.13)
副高及以上	85 (5.73)	7 (8.24)	78 (91.76)
户籍				5.363	0.021
上海本地	1 278 (86.18)	197 (15.41)	1081 (84.59)
外地	205 (13.82)	19 (9.27)	186 (90.73)
工作年限(年)				2.114	0.715
< 5	107 (7.22)	14 (13.08)	93 (86.92)
5~ < 10	223 (15.04)	27 (12.11)	196 (87.89)
10~ < 15	324 (21.85)	46 (14.20)	278 (85.80)
15~ < 20	271 (18.27)	44 (16.24)	227 (83.76)
≥20	558 (37.63)	85 (15.23)	473 (84.77)
与老人同住				4.243	0.039
是	721 (48.62)	119 (16.50)	602 (83.50)
否	762 (51.38)	97 (12.73)	605 (79.60)
与小孩同住				1.752	0.186
是	721 (48.62)	114 (15.81)	607 (84.19)
否	762 (51.38)	102 (13.39)	660 (86.61)
患有慢性疾病				4.373	0.037
是	201 (13.55)	39 (19.40)	162 (80.60)
否	1 282 (86.45)	177 (13.81)	1 105 (86.19)
是否免费接种				23.862	< 0.001
是	889 (59.95)	162 (18.22)	727 (81.78)
否	594 (40.05)	54 (9.09)	540 (90.91)

下载: 导出CSV

表 2 社区医务人员流感疫苗接种率影响因素的Logistic回归分析模型分析

Table 2. Logistic regression analysis of influencing factors of influenza vaccination rate among community health workers

变量	β值	s_x	Wald值	OR(95% CI)值	P值
是否免费接种
否				1.000
是	0.981	0.183	28.755	2.668(1.864~3.818)	< 0.001
知识得分	0.104	0.053	3.902	1.110(1.001~1.231)	0.048
信念态度得分	0.162	0.017	87.262	1.176(1.137~1.217)	< 0.001
与老人同住
否				1.000
是	0.344	0.162	4.531	1.411(1.028~1.937)	0.033
科室
病房			26.282	1.000
预防保健科室	0.777	0.415	3.513	2.175(0.965~4.902)	0.061
医技辅助科室	1.662	0.409	16.483	5.270(2.362~11.756)	< 0.001
行政科室	1.421	0.464	9.399	4.143(1.670~10.278)	0.002
临床诊疗科室	0.923	0.481	3.684	2.517(0.981~6.459)	0.055
全科团队	0.973	0.472	4.252	2.646(1.049~6.671)	0.039
最高学历专业
临床医学			15.728		0.003
预防医学	0.515	0.358	2.074	1.674(0.830~3.377)	0.150
护理	0.834	0.220	14.415	2.301(1.497~3.539)	< 0.001
医技	0.322	0.340	0.895	1.380(0.708~2.687)	0.344
非医学	0.815	0.405	4.054	2.259(1.022~4.992)	0.044
常量	-10.531	0.872	146.011		< 0.001

下载: 导出CSV

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