The continuum of influenza vaccine hesitancy among nursing professionals in Hong Kong |
| |
| Affiliation: | 1. Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China;2. Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Hong Kong, China;1. The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China;2. Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Shatin, Hong Kong, China;3. Shenzhen Research Institute of the Chinese University of Hong Kong, Shenzhen, China;4. Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China;5. Nursing Administration (Infection Control), Yishun Community Hospital, Singapore;6. Occupational Health Division, Public Health Services, Ministry of Health, Brunei Darussalam;7. PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam;8. NUS Saw Swee Hock School of Public Health, National University of Singapore, Singapore;9. Health for Life Center, Khoo Teck Puat Hospital (KTPH), Singapore;1. School of Public Health and Community Medicine, University of New South Wales, NSW, Australia;2. Direction des risques biologiques et de la santé au travail, Institut national de santé publique du Québec, Québec, Canada;3. Axe maladies infectieuses et immunitaires, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada;4. Department of General Medicine, The Royal Children’s Hospital, VIC, Australia;5. Department of Paediatrics, University of Melbourne, VIC, Australia;6. Vaccine and Immunisation Research Group, Murdoch Children’s Research Institute, VIC, Australia;7. Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, VIC, Australia;8. Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, VIC, Australia;1. Centre for Clinical Epidemiology and Outcomes Research(CLEO), Athens, Greece;2. Infection Control Committee, Aghia Sophia Children''s Hospital, Athens, Greece;3. Department of Pediatrics, Perelman School of Medicine at University of Pennsylvania; Division of Infectious Diseases, Children’s Hospital of Philadelphia, Philadelphia, PA, USA;1. London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom;2. European Centre for Disease Prevention and Control (ECDC), Sweden;3. World Health Communication Associates (WHCA), United Kingdom;4. Department of Global Health, University of Washington, Seattle, USA;1. School of Public Health and Health Systems, University of Waterloo, Canada;2. School of Pharmacy, University of Waterloo, Canada;3. Department of History, University of Waterloo, Canada;1. Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado School of Medicine and Children''s Hospital Colorado, Aurora, CO, United States;2. Department of Pediatrics, UCLA Mattel Children''s Hospital, University of California at Los Angeles, Los Angeles, CA, United States;3. Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States;4. Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, United States |
| |
| Abstract: | IntroductionInfluenza vaccine hesitancy among healthcare workers poses challenges to the achievement of herd immunity and causes infection risks to vulnerable patients. This study aimed to quantify the extent of influenza vaccine hesitancy among nurses in Hong Kong, to delineate its pattern, and to explore its socio-demographic, professional and personal correlates.MethodNurses in Hong Kong were recruited in a cross-sectional study involving the administration of an online questionnaire survey after the 2017/18 winter influenza season. Respondents’ influenza vaccination behaviours, attitudes and psychological antecedents were assessed, followed by their delineation into subgroups along the hesitancy continuum through a combination of multiple correspondence analysis and K-means cluster analysis. Socio-demographic, professional and personal correlations of subgrouping were investigated using generalised ordered logistic regression.ResultsThe overall vaccination coverage of nurses for the 2017/18 influenza season was 44%. Five clusters were differentiated by the level of influenza vaccine hesitancy: “Very high hesitancy-to-complete refusal” (n = 56; 7%) characterised by outright refusal of vaccination; “High hesitancy” (n = 171; 23%) distinguished by tendency of skipping vaccination and scepticism about safety of vaccine; “Moderate hesitancy” (n = 273; 36%) with uncertainties towards vaccination, mistrust of the government’s vaccine recommendations and priority concern on affordability of vaccine; “Low hesitancy” (n = 95; 13%) with cautious acceptance towards vaccination and “No-to-minimal hesitancy” (n = 158; 21%) with strong vaccine confidence and compliance greatly linked to convenience of vaccine access. Nurses having completed at least 3 years’ pre-registration professional training, having most family members vaccinated against influenza, and with influenza vaccination history during studentship were less vaccine hesitant.ConclusionWith more than half of the nurses in Hong Kong having moderate or higher level of influenza vaccine hesitancy, interventions customised to the needs of nurses as reflected from the characteristics of clusters along the vaccine hesitancy continuum could form an important strategy for improving vaccination uptake. |
| |
| Keywords: | Influenza Influenza vaccination Vaccine hesitancy Healthcare workers Nurse |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
