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An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions

Objectives: To evaluate a policy-based intervention to increase seasonal-influenza-vaccination coverage in healthcare workers in Xining, a city in Western China. Methods: From October 2018 to March 2019, we implemented a free vaccination policy in healthcare workers in Xining. A face-to-face intervi...

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Autores principales: Xu, Lili, Zhao, Jinhua, Peng, Zhibin, Ding, Xiaojin, Li, Yonghong, Zhang, Huayi, Feng, Huaxiang, Zheng, Jiandong, Cao, Hailan, Ma, Binzhong, Shi, Yan, Ma, Yongcheng, Feng, Luzhao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157219/
https://www.ncbi.nlm.nih.gov/pubmed/32093085
http://dx.doi.org/10.3390/vaccines8010092
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author Xu, Lili
Zhao, Jinhua
Peng, Zhibin
Ding, Xiaojin
Li, Yonghong
Zhang, Huayi
Feng, Huaxiang
Zheng, Jiandong
Cao, Hailan
Ma, Binzhong
Shi, Yan
Ma, Yongcheng
Feng, Luzhao
author_facet Xu, Lili
Zhao, Jinhua
Peng, Zhibin
Ding, Xiaojin
Li, Yonghong
Zhang, Huayi
Feng, Huaxiang
Zheng, Jiandong
Cao, Hailan
Ma, Binzhong
Shi, Yan
Ma, Yongcheng
Feng, Luzhao
author_sort Xu, Lili
collection PubMed
description Objectives: To evaluate a policy-based intervention to increase seasonal-influenza-vaccination coverage in healthcare workers in Xining, a city in Western China. Methods: From October 2018 to March 2019, we implemented a free vaccination policy in healthcare workers in Xining. A face-to-face interview with the head of the infection control department and an online survey for medical staff in four tertiary medical facilities was conducted to understand both the implementation of the free policy and influenza vaccination coverage. Possible factors for influenza vaccination among healthcare workers (physician, nurses working on the front-line, HCWs) were investigated by multivariate-logistic regression. Results: Coverage in two hospitals that implemented the free vaccination policy was 30.5% and 25.9%, respectively, which was statistically different to hospitals that did not implement the free policy (7.2% and 8.7%, respectively) (χ2 = 332.56, p < 0.0001). Among vaccinated healthcare workers, 65.5% and 48.6% reported their main reasons for vaccination were a convenient vaccination service and awareness of the free vaccination policy. The reasons for not being vaccinated among the 3389 unvaccinated healthcare workers included: the inconvenient vaccination service (33.8%), believing vaccination was unnecessary (29.7%), concerns about adverse reactions to the vaccine (28.8%), and having to pay for the vaccine (25.6%). Conclusions: Implementing the free vaccination policy, combined with improving the accessibility of the vaccination service, increased seasonal-influenza vaccination-coverage in healthcare workers in Xining.
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spelling pubmed-71572192020-05-01 An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions Xu, Lili Zhao, Jinhua Peng, Zhibin Ding, Xiaojin Li, Yonghong Zhang, Huayi Feng, Huaxiang Zheng, Jiandong Cao, Hailan Ma, Binzhong Shi, Yan Ma, Yongcheng Feng, Luzhao Vaccines (Basel) Article Objectives: To evaluate a policy-based intervention to increase seasonal-influenza-vaccination coverage in healthcare workers in Xining, a city in Western China. Methods: From October 2018 to March 2019, we implemented a free vaccination policy in healthcare workers in Xining. A face-to-face interview with the head of the infection control department and an online survey for medical staff in four tertiary medical facilities was conducted to understand both the implementation of the free policy and influenza vaccination coverage. Possible factors for influenza vaccination among healthcare workers (physician, nurses working on the front-line, HCWs) were investigated by multivariate-logistic regression. Results: Coverage in two hospitals that implemented the free vaccination policy was 30.5% and 25.9%, respectively, which was statistically different to hospitals that did not implement the free policy (7.2% and 8.7%, respectively) (χ2 = 332.56, p < 0.0001). Among vaccinated healthcare workers, 65.5% and 48.6% reported their main reasons for vaccination were a convenient vaccination service and awareness of the free vaccination policy. The reasons for not being vaccinated among the 3389 unvaccinated healthcare workers included: the inconvenient vaccination service (33.8%), believing vaccination was unnecessary (29.7%), concerns about adverse reactions to the vaccine (28.8%), and having to pay for the vaccine (25.6%). Conclusions: Implementing the free vaccination policy, combined with improving the accessibility of the vaccination service, increased seasonal-influenza vaccination-coverage in healthcare workers in Xining. MDPI 2020-02-19 /pmc/articles/PMC7157219/ /pubmed/32093085 http://dx.doi.org/10.3390/vaccines8010092 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Xu, Lili
Zhao, Jinhua
Peng, Zhibin
Ding, Xiaojin
Li, Yonghong
Zhang, Huayi
Feng, Huaxiang
Zheng, Jiandong
Cao, Hailan
Ma, Binzhong
Shi, Yan
Ma, Yongcheng
Feng, Luzhao
An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions
title An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions
title_full An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions
title_fullStr An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions
title_full_unstemmed An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions
title_short An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018–2019: Improving Target Population Coverage Based on Policy Interventions
title_sort exploratory study of influenza vaccination coverage in healthcare workers in a western chinese city, 2018–2019: improving target population coverage based on policy interventions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157219/
https://www.ncbi.nlm.nih.gov/pubmed/32093085
http://dx.doi.org/10.3390/vaccines8010092
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