|
|
|
| Influencing factors for measles vaccine immunization among health care workers in Hangzhou |
| LIU Yan, XU Er-ping, ZHANG Xiao-ping, ZHANG Xue-chao, WANG Jun, XU Yu-yang, CHE Xin-ren, DU Jian, GU Wen-wen
|
| The Center for Disease Control and Prevention of Hangzhou City,Hangzhou,Zhejiang 310021,China |
|
|
|
|
Abstract Objective To determine factors influencing the immunization of measles vaccine（MV）among health care workers in Hangzhou,and to provide recommendations to promote their MV immunization. Methods In 2016,we used typical sampling method to select 2 general hospitals of 3 different levels,1 infectious diseases hospital and 1 children's hospital,and interviewed health care workers in high and low measles risk departments to investigate their MV immunization by using a structured questionnaire. Factors influencing their immunization were analyzed by logistic regression model. Results A total of 141 of 349 health care workers investigated had MV immunization history,and the MV immunization coverage rate was 40.40%. The logistic regression analysis showed that working in low measles risk department（OR=1.91,95%CI：1.20-3.04）was risk factors for MV immunization,and having confidence with the effectiveness of MV（OR=0.40,95%CI：0.21-0.78）. Knowing the “measles vaccination suggestion”（OR=0.50,95%CI：0.28-0.91）and the hospital had organized measles vaccination for health care workers in recent years（OR=0.35,95%CI：0.22-0.57）were protective factors for MV immunization. Conclusions Health care workers in Hangzhou had low MV coverage but high willingness. We should enhance education activity of MV immunization and organize measles vaccination for health care worker at regular intervals by hospitals to increase the MV coverage.
|
|
Received: 28 July 2017
Revised: 12 September 2017
Published: 04 January 2018
|
|
|
|
|
|
[1] MALTEZOU H C,WICKER S. Measles in health-care settings[J]. Am J Infect Control,2013,41（7）：661-663.
[2] 李双飞,马佳,冯梅,等. 儿童含麻疹成分疫苗接种综合干预效果评价[J]. 预防医学,2017,29（8）：823-824.
[3] 马超,贾海梅,苏琪茹,等. 中国2009—2015年麻疹暴发疫情报告与调查处置情况分析[J]. 中国疫苗和免疫,2016,22（5）：481-486,492.
[4] ZHANG Z,ZHAO Y,YANG L,et al. Measles outbreak among previously immunized adult healthcare workers,China,2015[J]. Journal canadien des maladies infectieuses et de la microbiologie medicale,2016,2016：1742530.
[5] LUPO J,BERNARD S,WINTENBERGER C,et al. Fatal measles without rash in immunocompetent adult,France[J]. Emerging Infectious Diseases,2012（3）：521-523.
[6] DINELLI M I,MOREIRA T D,PAULINO E R,et al. Immune status and risk perception of acquisition of vaccine preventable diseases among health care workers[J]. Am J Infect Control,2009,37（10）：858-860.
[7] 孙晓冬,任佳,汤素文,等. 2014年上海市医护人员麻疹、风疹及流行性腮腺炎血清学特征研究[J]. 中国疫苗和免疫,2016, 22（2）：169-174.
[8] CAMPAGNA M,BACIS M,BELOTTI L,et al. Exanthemic diseases （measles,chickenpox,rubella and parotitis）. Focus on screening and health surveillance of health workers：results and perspectives of a multicenter working group[J]. G Ital Med Lav Ergon,2010,32（3）：298-303.
[9] 毛雯雯,王中战,张玲,等. 北京市丰台区医务人员麻疹免疫水平特征[J]. 职业与健康,2017,33（10）：1369-1371.
[10] LI S,MA C,HAO L,et al. Demographic transition and the dynamics of measles in six provinces in China：A modeling study[J]. PLoS Med,2017,14（4）：e1002255.
[11] 苏琪茹,徐爱强,STREBEL P,等. 中国消除麻疹的关键技术问题：专家解读共识[J]. 中国疫苗和免疫,2014,20（3）：264-270,283.
[12] Advisory Committee on Immunization Practices,Centers for Disease Control and Prevention. Immunization of health-care personnel：recommendations of the Advisory Committee on Immunization Practices （ACIP）[J]. MMWR Recomm Rep,2011,60（RR-7）：1-45.
[13] MALTEZOU H C,WICKER S,BORG M,et al. Vaccination policies for health-care workers in acute health-care facilities in Europe[J]. Vaccine,2011,29（51）：9557-9562.
[14] 吴位新,庞志峰,章光明,等. 社区居民二类疫苗接种不同宣传模式效果比较[J]. 浙江预防医学,2016,28（4）：346-349.
[15] 周绍英,方挺,马瑞,等. 儿童接种麻疹风疹联合减毒活疫苗的免疫效果观察[J]. 浙江预防医学,2012,24（12）：10-12.
[16] 俞柳燕,陈深侠,凌罗亚,等. 8 月龄儿童接种麻疹-腮腺炎-风疹三联疫苗免疫效果及接种安全性观察[J]. 中国预防医学杂志,2008,9（3）：206-207. |
|
|
|
