Factors associated with knowledges and attitudes about measles and rubella immunization in a non-health care occupational setting in Japan |
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| Authors: | Yuichiro Yahata James E. Fielding Hajime Kamiya Noriaki Takimoto Jun Ishii Munehisa Fukusumi Tomimasa Sunagawa |
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| Affiliation: | 1. Infectious Disease Surveillance Center, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8640, Japan;2. Victorian Infectious Diseases Reference Laboratory, At the Peter Doherty Institute for Infection and Immunity, 792 Elizabeth St, Melbourne, VIC, 3004, Australia;3. Department of Health and Welfare, Akita Prefectural Government, 4-1-1 Sanno, Akita City, Akita, 010-8570, Japan;1. Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India;2. Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India;3. Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India;4. Department of Radiodiagnosis, Government Medical College and Hospital -32, Chandigarh, India;1. First Department of Internal Medicine, Shinshu University School of Medicine, 3-1-1, Asahi Matsumoto City, Nagano, 390-8621, Japan;2. Center of Infectious Diseases, Nagano Prefectural Shinshu Medical Center, 1332, Suzaka, Suzaka City, Nagano, 382-8577, Japan;3. Department of Respiratory Medicine, Minaminagano Medical Center, Shinonoi General Hospital, 666-1 Ai, Shinonoi, Nagano City, Nagano, 388-8004, Japan;4. Department of Respiratory Medicine, Japanese Red Cross Society Suwa Hospital, 5-11-50, Kogandori, Suwa City, Nagano, 392-8510, Japan;5. Department of Respiratory Medicine, Nagano Municipal Hospital, 1333-1, Tomitake, Nagano City, Nagano, 381-8551, Japan;6. Department of Respiratory Medicine, Japanese Red Cross Society Nagano Hospital, 5-22-1, Wakasato, Nagano City, Nagano, 380-8582, Japan;1. Division of Bioresources, Research Center for Zoonosis Control, Hokkaido University, Sapporo, Japan;2. Laboratory of Food Microbiology and Food Safety, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Japan;3. Department of Biochemistry, Chulalongkorn University, Bangkok, Thailand;4. Quality Vet Product Co., Ltd, Klongsamwa District, Bangkok, Thailand;5. International Collaboration Unit, Research Center for Zoonosis Control, Hokkaido University, Sapporo, Hokkaido, Japan;1. Department of Breast and Endocrine Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan;2. Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan;3. Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School;4. Department of Health Services Research, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan;5. Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan;6. Department of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School, Tokyo, Japan;7. Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan;1. Medical School of Ege University, Division of Infectious Disease, Department of Pediatrics, Izmir, Turkey;2. Medical School of Ege University, Department of Microbiology and Infectious Diseases, Izmir, Turkey;1. Department of Clinical Infectious Diseases, Aichi Medical University Hospital, Aichi, Japan;2. Department of Infection Control and Prevention, Aichi Medical University Hospital, Japan;3. Division of Biostatistics, Clinical Research Center, Aichi Medical University Hospital, Japan;4. Department of Emergency and Critical Care Medicine, Aichi Medical University Hospital, Japan;5. University of Queensland Centre for Clinical Research, The University of Queensland, Royal Brisbane ＆ Women''s Hospital, Brisbane, QLD, Australia;6. Department of Molecular Epidemiology and Biomedical Sciences, Aichi Medical University, Aichi, Japan |
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| Abstract: | IntroductionElimination of measles and rubella has been achieved in several countries and some regions. After verified measles elimination, some countries have reported outbreaks among adults in occupational settings such as health care institution and school setting. Studies have reported that knowledge and attitude for measles and/or rubella are significantly associated with immunization uptake in adults, but few studies have been conducted in settings other than health care facilities and schools.MethodsWe conducted a cross-sectional study among 134 office employees during a routine health checkup in June 17–20, 2014, to examine the association between willingness to receive immunization and knowledge and attitudes.ResultsApproximately 75% had a protective level of antibody for measles (PA≥1:256) and rubella (HI ≥ 32 IU/mL). After adjustment for sex, age and immune status, the attitudes that immunization prevents measles (adjusted odds ratio [aOR] = 7.8, 95% confidence interval [95%CI]: 2.5–24.7) and prevents infection and transmission to others (aOR = 4.0, 95%CI: 1.4–11.4). Knowing that males are the vulnerable group for rubella infection (aOR = 5.8, 95%CI: 2.4–13.9), attitude that immunization prevents rubella infection (aOR = 7.9, 95%CI: 2.4–26.5), and prevents infection and transmit to others (aOR = 6.7, 95%CI: 2.2–20.1) were significantly associated with willingness to receive immunization after adjustment for sex, age, and immune status.ConclusionsStudies have shown that physicians and other health care workers are important source of information for promotion of immunization. Thus, we recommend that physicians educate and promote immunization for measles and/or rubella to adults working in offices during routine health checks. |
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| Keywords: | Measles Rubella Immunization Knowledge Attitude Non-health care occupational setting |
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