老年糖尿病患者肺炎球菌多糖疫苗接种意愿及影响因素分析

目的 探析老年糖尿病患者肺炎球菌多糖疫苗接种意愿及影响因素.方法 以2019年4月至2020年4月上海市某医院健康服务中心定期体检的老年糖尿病患者为调查对象.设计《PPV23肺炎疫苗接种意愿调查表》,调查老年患者基本情况及PPV23肺炎疫苗接种意愿,采用多因素Logistic回归分析老年患者PPV23肺炎疫苗接种意愿的...

Vaccination will and its influencing factors of pneumococcal polysaccharide vaccine in elderly diabetic patients

Objective To analyze the vaccination will and its influencing factors of pneumococcal polysaccharide vaccine in elderly diabetic patients. Methods The elderly patients with diabetes who received regular physical examination in a health service center of a hospital in Shanghai from April 2019 to April 2020 were investigated. The"PPV23 pneumonia vaccination willingness questionnaire"was designed to investigate the basic conditions of elderly patients and the PPV23 pneumonia vaccination willingness,and multivariate Logistic regression analysis was used to analyze the factors affecting the PPV23 pneumonia vaccination willingness of the elderly patient group. Results A total of 1 240 elderly patients were investigated,with an average age of(68.35 ± 5.13)years,of which 546(44.03%)were willing to receive PPV23 pneumonia vaccine. Multivariate analysis showed that the younger the age(OR=4.346),the higher the family’s highest education(high school or technical secondary school,OR=2.269;junior college and above,OR=2.173),a history of chronic respiratory disease(OR=2.548),the belief that pneumonia was severe disease(OR=1.756),worried about owning pneumonia disease(OR=1.861),knowing that PPV23 pneumonia vaccination could prevent pneumonia(OR=2.085),family members suffered chronic respiratory disease(OR=4.166),family members or friends recommended vaccination PPV23 pneumonia vaccine(OR=3.572),doctors recommended vaccination PPV23 pneumonia vaccine(OR=2.604),the more likely the elderly diabetic patients to be vaccinated with PPV23 pneumonia vaccine. Conclusion Elderly diabetic patients have low willingness to vaccinate PPV23 pneumonia vaccine. Ages,history of chronic respiratory diseases,knowledge of pneumonia and vaccines,and doctor’s advice are related factors affect their willingness to vaccinate. It is recommended to strengthen the publicity and education on the preventive effect and safety of pneumonia vaccine to improve the awareness of PPV23 pneumonia vaccine in elderly diabetic patients.