Determinants of healthcare workers' willingness to recommend the seasonal influenza vaccine to diabetic patients: A cross-sectional survey in Ningbo, China
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作者:
Ye, Lixia
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Ye, Lixia
[1
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Chen, Jieping
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Chen, Jieping
[1
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Fang, Ting
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Fang, Ting
[1
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Cui, Jun
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Cui, Jun
[1
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Li, Hui
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Li, Hui
[1
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Ma, Rui
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Ma, Rui
[1
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Sun, Yexiang
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机构:
Yinzhou Dist Ctr Dis Prevent & Control, Ningbo, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Sun, Yexiang
[2
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Li, Pingping
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机构:
Jiangbei Dist Ctr Dis Prevent & Control, Ningbo, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Li, Pingping
[3
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Dong, Hongjun
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Dong, Hongjun
[1
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Xu, Guozhang
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机构:
Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R ChinaNingbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
Xu, Guozhang
[1
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机构:
[1] Ningbo Municipal Ctr Dis Prevent & Control, 237 Yongfeng Rd, Ningbo 315010, Zhejiang, Peoples R China
[2] Yinzhou Dist Ctr Dis Prevent & Control, Ningbo, Zhejiang, Peoples R China
[3] Jiangbei Dist Ctr Dis Prevent & Control, Ningbo, Zhejiang, Peoples R China
Background: Seasonal influenza vaccine uptake among diabetic patients is low in China. Recent studies showed healthcare workers'(HCWs') recommendation is an effective way to promote influenza vaccination. This study aimed to assess HCWs' willingness to recommend influenza vaccine to diabetic patients and identify the predictors of this willingness. Methods: During Dec 2016-Jan 2017, a self-administered questionnaire on perceptions, attitudes and practices related to influenza vaccination for diabetic patients was distributed to 1370 HCWs in 20 hospitals and 20 community health centers in Ningbo. Predictors of HCWs' willingness to recommend influenza vaccine were analyzed by logistic regressions. Results: Of 1340 HCWs who completed the survey, 58.13%(779/1340) participants reported willingness to recommend influenza vaccine to diabetic patients. Factors positively associated with the recommendation willingness included awareness of national influenza vaccination guideline(OR: 6.33; 95%CI: 4.66-8.60) and regional reimbursement policy(OR: 1.62; 95%CI: 1.19-2.20), training on influenza and diabetes (OR: 1.65; 95%CI: 1.21-2.23), influenza vaccination history(OR: 1.35; 95%CI: 1.01-1.79), beliefs in vaccine effects on reducing serious consequences(OR: 1.38; 95%CI: 1.01-1.91), reduction in hospitalization costs(OR: 1.43; 95%CI: 1.05-1.94) caused by influenza, and more than 10 years of practitioner experience(OR: 1.60; 95%CI: 1.04-2.46). Worries about side-effects of influenza vaccine were identified as the barriers of recommendation. Conclusion: The present study demonstrates that knowledge about national guideline and reimbursement policies, training programs, perceptions about effectiveness and safety of influenza vaccine increase HCWs' willingness to recommend the influenza vaccination to diabetic patients. These measures should be taken to ensure HCWs' role in the administration of influenza vaccination among diabetic patients.
机构:
Sichuan Univ, West China Hosp 4, Sichuan, Peoples R China
Sichuan Univ, West China Sch Publ Hlth, Sichuan, Peoples R China
Chongqing Municipal Ctr Dis Control & Prevent, EPI Dept, Chongqing, Peoples R ChinaSichuan Univ, West China Hosp 4, Sichuan, Peoples R China
Xu, Binyue
Zhang, Yi
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机构:
Univ Elect Sci & Technol China, Sch Elect Sci & Engn, Chengdu, Peoples R ChinaSichuan Univ, West China Hosp 4, Sichuan, Peoples R China
Zhang, Yi
Chen, Lei
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机构:
Yuzhong Distinct Ctr Dis Control & Prevent, EPI Dept, Chongqing, Peoples R ChinaSichuan Univ, West China Hosp 4, Sichuan, Peoples R China
Chen, Lei
Yu, Linling
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机构:
Yubei Distinct Ctr Dis Control & Prevent, EPI Dept, Chongqing, Peoples R ChinaSichuan Univ, West China Hosp 4, Sichuan, Peoples R China
Yu, Linling
Li, Lanxin
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机构:
Shapingba Distinct Ctr Dis Control & Prevent, EPI Dept, Chongqing, Peoples R ChinaSichuan Univ, West China Hosp 4, Sichuan, Peoples R China
Li, Lanxin
Wang, Qing
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机构:
Chongqing Municipal Ctr Dis Control & Prevent, EPI Dept, Chongqing, Peoples R ChinaSichuan Univ, West China Hosp 4, Sichuan, Peoples R China