| 王明,龙超,胡明政,王延赏,夏祎祺,袁蓓蓓,朱大伟,何平.我国部分地区城市居民带状疱疹疫苗的认知、态度和接种行为研究[J].Chinese journal of Epidemiology,2023,44(6):899-904 |
| 我国部分地区城市居民带状疱疹疫苗的认知、态度和接种行为研究 |
| A study on knowledge, attitude, and vaccination behavior of herpes zoster vaccine among urban residents in selected areas of China |
| Received:November 25, 2022 |
| DOI：10.3760/cma.j.cn112338-20221125-00998 |
| KeyWord: 带状疱疹 接种 认知 态度 行为 |
| English Key Word: Herpes zoster Vaccination Knowledge Attitude Behavior |
| FundProject:国家社会科学基金重大项目（21&ZD187）；国家自然科学基金（71904005） |
| Author Name | Affiliation | E-mail | | Wang Ming | School of Public Health, Peking University, Beijing 100191, China
China Center for Health Development Studies, Peking University, Beijing 100191, China | | | Long Chao | School of Public Health, Peking University, Beijing 100191, China
China Center for Health Development Studies, Peking University, Beijing 100191, China | | | Hu Mingzheng | School of Public Health, Peking University, Beijing 100191, China
China Center for Health Development Studies, Peking University, Beijing 100191, China | | | Wang Yanshang | School of Public Health, Peking University, Beijing 100191, China
China Center for Health Development Studies, Peking University, Beijing 100191, China | | | Xia Yiqi | School of Public Health, Peking University, Beijing 100191, China
China Center for Health Development Studies, Peking University, Beijing 100191, China | | | Yuan Beibei | China Center for Health Development Studies, Peking University, Beijing 100191, China | | | Zhu Dawei | China Center for Health Development Studies, Peking University, Beijing 100191, China | | | He Ping | China Center for Health Development Studies, Peking University, Beijing 100191, China | phe@pku.edu.cn |
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| Abstract: |
| 目的 了解我国≥25岁的城市居民对带状疱疹及其疫苗的认知、态度以及接种现状。方法 2022年8-10月采用方便抽样的方法调查9个城市36家社区卫生服务中心≥25岁的就诊居民。采用问卷调查法收集居民基本信息、对带状疱疹及其疫苗的认知和态度以及接种情况和未接种原因。结果 共有2 864名城市居民纳入研究。调查对象对带状疱疹及其疫苗的认知总得分为（3.01±2.08）分，态度总得分为（18.25±2.76）分。其中男性（β=-0.45，P<0.001）、年龄40~59岁（β=-0.34，P=0.023）或≥60岁（β=-0.68，P<0.001）、已婚（β=-0.69，P=0.002）与认知得分负相关；文化程度为高中/中专（β=0.44，P=0.036）、大专（β=0.65，P=0.006）、本科及以上（β=1.20，P<0.001）、2021年家庭年收入≥120 000元（β=0.42，P=0.020）、拥有城镇职工医保（β=0.62，P=0.030）、公费医疗或商业医保（β=0.65，P=0.033）、有过水痘患病史（β=0.29，P=0.025）与认知得分正相关。男性（β=-0.38，P=0.008）、水痘患病史不详（β=-0.49，P=0.012）与态度得分负相关，2021年家庭年收入40 000~元（β=0.44，P=0.032）或80 000~元（β=0.62，P=0.002）或≥120 000元（β=0.93，P<0.001）、有过带状疱疹病史（β=0.59，P=0.004）与态度得分正相关。在调查的2 864名居民中，仅有29名（1.01%）接种过带状疱疹疫苗，其中≥50岁的接种率为1.70%。未接种的主要原因是对带状疱疹疫苗的不了解，其次是价格太高。42.67%的居民表示未来会考虑接种带状疱疹疫苗。结论 我国城市居民对带状疱疹及其疫苗的认知较低，对带状疱疹疫苗预防效果感到满意，疫苗接种率极低，需要采取多种措施加强对居民的健康教育以及疫苗接种推荐，尤其是老年、低文化程度和低收入人群。 |
| English Abstract: |
| Objective To understand the knowledge, attitude, and current status of vaccination of herpes zoster vaccination among urban residents aged 25 years and above in China. Methods In August to October 2022, a convenience sampling method was used to survey residents aged 25 years and above at 36 community centers in 9 cities across China. Questionnaires were used to collect basic information, knowledge, and attitude toward herpes zoster and its vaccination, as well as vaccination status and reasons for non-vaccination among residents. Results A total of 2 864 urban residents were included in the study. The total score of residents' cognition of herpes zoster and its vaccine was 3.01±2.08, and the total score of their attitude was 18.25±2.76. Factors such as being male (β=-0.45, P<0.001), older than 40-59 years (β=-0.34, P=0.023) or ≥60 years (β=-0.68, P<0.001), married (β=-0.69, P=0.002) were negatively associated with knowledge score. The educational level of high school or secondary school (β=0.44, P=0.036), college (β=0.65, P=0.006), bachelor's degree and above (β=1.20, P<0.001), annual net household income ≥120 000 Yuan in 2021 (β=0.42, P=0.020), having urban employee medical insurance (β=0.62,P=0.030), having public or commercial medical insurance (β=0.65, P=0.033), and having a history of chickenpox (β=0.29, P=0.025) were positively associated with knowledge scores. Being male (β=-0.38, P=0.008) and not remembering a history of chickenpox (β=-0.49, P=0.012) were negatively associated with attitude scores. Annual net household income in 2021 was between 40 000-80 000 Yuan (β=0.44, P=0.032) or between 80 000-120 000 Yuan (β=0.62, P=0.002) or ≥120 000 Yuan (β=0.93,P<0.001), and a history of herpes zoster (β=0.59, P=0.004) were positively associated with attitude scores. Of the 2 864 residents surveyed, only 29 (1.01%) had received the herpes zoster vaccine, with a vaccination rate of 1.70% for those aged 50 years and above, with the main reason for non-vaccination being lack of knowledge about the herpes zoster vaccine, followed by the high price. 42.67% of the population said they would consider getting the herpes zoster vaccine in the future. Conclusion Low knowledge of herpes zoster and its vaccine, positive attitudes towards the preventive effects of herpes zoster and its vaccine, and extremely low vaccination rates among the urban population in China call for multiple measures to strengthen health education and vaccination recommendations for residents, especially for the elderly, low-education and low-income populations. |
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