上海市老年人带状疱疹疫苗犹豫现状及影响因素
Study on the current situation and influencing factors of herpes zoster vaccine hesitation among elderly in Shanghai
王小龙 1张恩铭 1戴正悦 1王苏醒 1李元 1张娴 2方琼1
作者信息
- 1. 上海交通大学护理学院,上海 200025
- 2. 上海市徐汇区漕河泾街道社区卫生服务中心护理部
- 折叠
摘要
目的 了解上海市老年人带状庖疹疫苗(herpes zoster vaccine,HZV)犹豫现状,基于"5C"模型调查可能影响疫苗犹豫的心理学前因.方法 2022年2-3月,本研究采用方便抽样调查上海20个社区卫生服务中心≥60岁人群社会人口学有关特征、疫苗犹豫及"5C"量表各维度现状.多因素logistic回归分析"5C"各维度与疫苗犹豫的关系.结果 416名老年人中HZV犹豫208人(50.00％).Logistic回归显示,年龄(OR=2.19,95％CI:1.18～4.06,P=0.013)、性别(OR=4.45,95％CI:2.49～7.97,P＜0.01)、婚姻状况(OR=7.20,95％CI:3.02～17.43,P＜0.01)、受教育水平(OR=2.36,95％CI:1.11～4.99,P=0.025;OR=3.93,95％CI:1.88～8.21,P＜0.01)和家庭月收入(OR=0.14,95％CI:0.06～0.31,P＜0.01)对疫苗犹豫的出现有统计学意义."5C"模型中自信程度高(OR=0.85,95％CI:0.65～1.10,P=0.013)、计算能力强(OR=0.63,95％CI:0.48～0.82,P=0.01)和自满程度低(OR=1.42,95％CI:1.17～1.72,P＜0.01)的人出现疫苗犹豫的风险降低.不了解HZV是本次调查中拒绝接种的主要原因.结论 上海市老年人HZV犹豫发生率较高,应重视信息宣传以扩大疫苗信息可及度,提升自信及计算力,降低自满情绪,以减少疫苗犹豫,对提高HZV的接种率具有重要意义.
Abstract
Objective To understand the current situation of herpes zoster vaccine hesitancy and analyze the psychological antecedents that may influence vaccine hesitation based on the"5C"model.Methods From February to March 2022,a convenience sampling survey of 20 community health centers in Shanghai was conducted for health and sociodemographic characteristics,vaccine hesitancy,and the current status of each dimension of the"5C"scale among people aged 60 and above.Multifactorial logistic regression was used to analyze the relationship between the"5C"dimensions and vaccine hesitancy.Results Half of the 416 older adults surveyed showed herpes zoster vaccine hesitancy.Logistic regression analysis revealed that age(OR=2.19,95％CI:1.18-4.06,P=0.013),gender(OR=4.45,95％CI:2.49-7.97,P＜0.01),marital status(OR=7.20,95％CI:3.02-17.43,P＜0.01),education level(OR=2.36,95％CI:1.11-4.99,P=0.025;OR=3.93,95％CI:1.88-8.21,P＜0.01),and monthly household income(OR=0.14,95％CI:0.06-0.31,P＜0.01)showed statistically significant impact on the hesitancy of herpes zoster vaccine.The"5C"model of high confidence(OR=0.85,95％CI:0.65-1.10,P=0.013),strong computational ability(OR=0.63,95％CI:0.48-0.82,P=0.01),and low complacency(OR=1.42,95％CI:1.17-1.72,P＜0.01)had a substantially lower risk of vaccine hesitation.Lack of knowledge about the herpes zoster vaccine was the main reason for refusal of vaccination in this survey.Conclusions Most elderly in Shanghai experience vaccine hesitancy.Emphasis should be placed on expanding the accessibility of information,improving confidence and calculation,and reducing complacency in order to reduce vaccine hesitancy,which is important for increasing the vaccination rate of herpes zoster.
关键词
老年人/带状疱疹疫苗/疫苗犹豫/心理学前因/"5C"模型Key words
Elderly/Herpes zoster vaccine/Vaccine hesitancy/Psychological antecedents/"5C"model引用本文复制引用
基金项目
上海市公共卫生体系建设三年行动计划学科人才建设计划(2020-2022)(GWV-10.2-XD33)
上海交通大学医学院高水平地方高校创新团队项目(2021)(SHSMU-ZDCX20212801)
出版年
2024
NETL
NSTL
万方数据