武汉市某传染病医院医务人员乙肝疫苗及带状疱疹疫苗接种意愿及其影响因素

Vaccination willingness and influencing factors of hepatitis B and herpes zoster vaccines among healthcare workers in a Wuhan infectious disease hospital

  • 摘要:
    目的 探讨武汉市肺科医院医务人员乙肝疫苗(HepB)和带状疱疹疫苗(HZV)接种意愿及其影响因素, 为有效开展医务人员疫苗接种工作提供理论依据。
    方法 2025年1月, 选择武汉市肺科医院医务人员, 使用问卷星平台开展网络问卷调查, 收集基本信息、接种意愿、推荐意愿、既往接种史等资料, 使用χ2检验进行单因素分析, 多因素logistic回归分析HepB和HZV接种意愿的影响因素。
    结果 共收回问卷646份, 有效问卷626份, 问卷应答有效率96.90%(626/646)。626例调查对象中, HepB和HZV接种意愿率分别为88.82%(556/626)和44.41%(278/626), 实际接种率分别为60.06%(376/626)和38.10%(16/42)。多因素logistic回归分析结果显示, 具有HepB接种意愿的人群主要为20~29岁组(OR=5.561, 95%CI: 2.269~13.628), 文化程度为本科(OR=4.128, 95%CI: 2.061~8.270)及本科以上人群(OR=3.793, 95%CI=1.676~8.584), 有基础性疾病人群(OR=5.602, 95%CI: 1.247~25.170), 认为自身有感染该疾病风险人群(OR=8.752, 95%CI: 4.084~18.756)。具有HZV接种意愿的人群主要为20~29岁组(OR=3.600, 95%CI: 1.652~7.844)和有基础性疾病人群(OR=13.326, 95%CI: 6.068~29.266)。
    结论 武汉市肺科医院医务人员HepB接种意愿较高, 但HZV接种意愿较低。年轻、高学历及有基础疾病的医务人员接种意愿更高。建议加强疫苗知识宣传, 优化接种服务, 提升医务人员推荐率和接种率。

     

    Abstract:
    OBJECTIVE To explore the willingness and influencing factors of hepatitis B vaccine (HepB) and herpes zoster vaccine (HZV) vaccination among healthcare workers at Wuhan Pulmonary Hospital, providing a theoretical basis for effective vaccination promotion.
    METHODS In Jan.2025, healthcare workers at Wuhan Pulmonary Hospital were selected for an online questionnaire survey via the Wenjuanxing platform.Data on basic information, vaccination willingness, recommendation willingness and vaccination history were collected.Univariate analysis was conducted through the χ2 test, and multivariate logistic regression was employed to analyze influencing factors of HepB and HZV vaccination willingness.
    RESULTS A total of 646 questionnaires were collected, with 626 valid responses (effective rate: 96.90%, 626/646).Among the 626 respondents, the willingness rates for HepB and HZV vaccination were 88.82%(556/626) and 44.41%(278/626), respectively, while the actual vaccination rates were 60.06%(376/626) and 38.10%(16/42).Multivariate logistic regression showed that individuals willing to receive HepB were primarily aged 20-29(OR=5.561, 95%CI: 2.269-13.628), held a bachelor′s degree (OR=4.128, 95%CI: 2.061-8.270) or higher (OR=3.793, 95%CI: 1.676-8.584), had underlying diseases (OR=5.602, 95%CI: 1.247-25.170), or perceived themselves at risk of infection (OR=8.752, 95%CI: 4.084-18.756).Vaccination willingness for HZV was higher among those aged 20-29(OR=3.600, 95%CI: 1.652-7.844) and those with underlying diseases (OR=13.326, 95%CI: 6.068-29.266).
    CONCLUSIONS Healthcare workers at Wuhan Pulmonary Hospital exhibit relatively high willingness for HepB vaccination but relatively low willingness for HZV.Younger and highly educated healthcare workers and those with underlying diseases show greater vaccination willingness.It is suggested to strengthen vaccine education, optimize vaccination services and improve recommendation and vaccination rates among healthcare workers.

     

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