Cargando…
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...
Autores principales: | , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1783522333897523200 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7157219 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT xulili anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT zhaojinhua anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT pengzhibin anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT dingxiaojin anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT liyonghong anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT zhanghuayi anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT fenghuaxiang anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT zhengjiandong anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT caohailan anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT mabinzhong anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT shiyan anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT mayongcheng anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT fengluzhao anexploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT xulili exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT zhaojinhua exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT pengzhibin exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT dingxiaojin exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT liyonghong exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT zhanghuayi exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT fenghuaxiang exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT zhengjiandong exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT caohailan exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT mabinzhong exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT shiyan exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT mayongcheng exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions AT fengluzhao exploratorystudyofinfluenzavaccinationcoverageinhealthcareworkersinawesternchinesecity20182019improvingtargetpopulationcoveragebasedonpolicyinterventions |