摘要
目的了解深圳市2型糖尿病患者接种流感疫苗知识、态度和行为情况及影响因素,为开展社区2型糖尿病患者健康管理服务提供基础依据。方法于2018年1-3月,采用多阶段随机抽样方法,在深圳市常住居民中抽取2 896例2型糖尿病患者进行问卷调查,内容包括基本情况、流感疫苗知晓情况、流感疫苗接种情况和接种意愿。用SAS 9.4统计软件进行χ^2检验,采用多因素logistic回归分析流感疫苗接种的影响因素。结果 1 484例(51.24%)2型糖尿病患者愿意接种流感疫苗,307例(10.6%)2型糖尿病患者接种过流感疫苗,其中176例(6.08%)患者近1年接种过;1 295例(44.72%)2型糖尿病患者认为慢性病患者是流感的易感人群,877例(30.38%)患者认为慢性病患者接种流感疫苗能降低门诊、住院和死亡风险,860例(29.70%)患者认为糖尿病患者是流感疫苗的优先接种对象。多因素logistic回归分析结果显示,离退休患者,认为接种流感疫苗能降低门诊、住院和死亡风险的患者,认为糖尿病患者是流感疫苗的优先接种对象的患者更加愿意接种流感疫苗(OR值分别为1.539、1.734和1.665,P<0.05);离退休患者,文化程度较高的患者,认为接种流感疫苗能降低门诊、住院和死亡风险的患者以往流感疫苗接种率更高(OR值分别为2.444、1.550、和1.481,P<0.05)。结论深圳市2型糖尿病患者对流感疫苗接种的认知、接种意愿和接种率均较低,应加强对慢性病患者流感防治和流感疫苗接种的健康教育。
Objective To understand the knowledge-attitude-practice(KAP) and influencing factors of influenza vaccination in type 2 diabetes mellitus(T2 DM) patients in Shenzhen,and to provide the basis for developing health management services for T2 DM patients in community. Methods From January to March in 2018,2 896 T2 DM patients were selected from Shenzhen residents by multi-stage cluster random sampling as the subjects. The investigation was conducted with the questionnaire,which included the basic information,influenza vaccine awareness,influenza vaccination status and inoculation intention. Chi-square test and multivariate logistic regression analysis were used to analyze the data and influencing factors of influenza vaccination. The used software was SAS 9.4. Results In present study,1 484(51.24%) T2 DM patients were willing to receive influenza vaccination,and 307(10.6%) T2 DM patients were vaccinated against influenza,176(6.08%) T2 DM patients had been vaccinated in the past year;1 295(44.72%) T2 DM patients believed that patients with chronic diseases were susceptible to influenza;877(30.38%) T2 DM patients believed that influenza vaccination for chronic disease patients could reduce the risk of outpatient,hospitalization and death;860(29.70%) T2 DM patients believed that T2 DM patients were the priority recipients of influenza vaccine. Multivariate logistic regression analysis showed that retired patients,those who thought that influenza vaccination could reduce the risk of outpatient,hospitalization and death,and T2 DM patients were the priority of influenza vaccination were more willing to receive influenza vaccination(OR values were 1.539,1.734 and 1.665,respectively,P<0.05);the retired patients,highly educated patients,and those who believed that influenza vaccination could reduce the risk of outpatient,hospitalization and death were more likely to receive influenza vaccination(OR values were 2.444,1.550 and 1.481,respectively,P<0.05). Conclusion In T2 DM patients of Shenzhen,there were lower influenza vaccine awareness,inoculation intention and vaccination rate. Health education on influenza prevention and influenza vaccination in patients with chronic diseases should be strengthened.
作者
袁雪丽
王瑞
付莹
谢奎
倪文庆
徐健
YUAN Xue-li;WANG Rui;FU Ying;XIE Kui;NI Wen-qing;XU Jian(Shenzhen Center for Chronic Disease Control,Shenzhen,Guangdong Province 518020,China)
出处
《中国慢性病预防与控制》
CAS
北大核心
2018年第12期905-909,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
深圳市卫生计生系统科研项目(SZFZ2017025)
深圳市医疗卫生三名工程(SZSM201811093)
罗湖区教育卫生系统软科学研究计划项目(201636)
关键词
糖尿病
2型
流感疫苗
知信行
影响因素
Diabetes mellitus,type2
Influenza vaccination
Knowledge-attitude-practice
Influencing factors
