Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys
Identifieur interne : 002B98 ( Main/Exploration ); précédent : 002B97; suivant : 002B99Willingness of Hong Kong healthcare workers to accept pre-pandemic influenza vaccination at different WHO alert levels: two questionnaire surveys
Auteurs : Josette S Y. Chor [Hong Kong] ; Karry Lk Ngai [Hong Kong] ; William B. Goggins [Hong Kong] ; Martin C S. Wong [Hong Kong] ; Samuel Y S. Wong [Hong Kong] ; Nelson Lee [Hong Kong] ; Ting-Fan Leung [Hong Kong] ; Timothy H. Rainer [Hong Kong] ; Sian Griffiths [Hong Kong] ; Paul K S. Chan [Hong Kong]Source :
- BMJ [ 0959-8138 ] ; 2009.
English descriptors
- Teeft :
- Alert level, Alert phase, Anonymous questionnaires, Chinese university, Common barriers, Common reasons, Contracting pandemic, Elderly people, Emergency medicine, Exact test, First batch, First priority group, First survey, General outpatient clinic, Health advice, Health belief model, Health care workers, Health professions, Health services, Healthcare, Healthcare workers, Highest risk, Hong kong, Hong kong healthcare workers, Hong kong hospital authority, Hong kong hospital departments, Hospital authority, Human transmission, Influenza, Influenza pandemic, Influenza vaccination, Influenza vaccine, Internal medicine, Invitation letters, Major barriers, Occupational therapy, Odds ratio, Online, Outbreak, Paediatrics, Paediatrics units, Pandemic, Pandemic influenza, Patient contacts, Potential acceptance, Preparedness plan, Public health, Public hospitals, Regression model, Response rate, Same hospital, Sars outbreak, Seasonal influenza, Seasonal influenza vaccination, Seasonal influenza vaccine, Second survey, Side effects, Significant changes, Swine origin, Trend tests, Univariate associations, Uptake rate, Vaccination, Vaccination rate, Vaccine, Wales hospital, Work site, World health organization.
Abstract
Objective To assess the acceptability of pre-pandemic influenza vaccination among healthcare workers in public hospitals in Hong Kong and the effect of escalation in the World Health Organization’s alert level for an influenza pandemic. Design Repeated cross sectional studies using self administered, anonymous questionnaires Setting Surveys at 31 hospital departments of internal medicine, paediatrics, and emergency medicine under the Hong Kong Hospital Authority from January to March 2009 and in May 2009 Participants 2255 healthcare workers completed the questionnaires in the two studies. They were doctors, nurses, or allied health professionals working in the public hospital system. Main outcome measures Stated willingness to accept pre-pandemic influenza vaccination (influenza A subtypes H5N1 or H1N1) and its associating factors. Results The overall willingness to accept pre-pandemic H5N1 vaccine was only 28.4% in the first survey, conducted at WHO influenza pandemic alert phase 3. No significant changes in the level of willingness to accept pre-pandemic H5N1 vaccine were observed despite the escalation to alert phase 5. The willingness to accept pre-pandemic H1N1 vaccine was 47.9% among healthcare workers when the WHO alert level was at phase 5. The most common reasons for an intention to accept were “wish to be protected” and “following health authority’s advice.” The major barriers identified were fear of side effects and doubts about efficacy. More than half of the respondents thought nurses should be the first priority group to receive the vaccines. The strongest positive associating factors were history of seasonal influenza vaccination and perceived risk of contracting the infection. Conclusions The willingness to accept pre-pandemic influenza vaccination was low, and no significant effect was observed with the change in WHO alert level. Further studies are required to elucidate the root cause of the low intention to accept pre-pandemic vaccination.
Url:
DOI: 10.1136/bmj.b3391
Affiliations:
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Wong</name><affiliation wicri:level="4"><country xml:lang="fr">Hong Kong</country><wicri:regionArea>School of Public Health and Primary Care, Chinese University of Hong Kong, School of Public Health, Prince of Wales Hospital, Shatin</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Hong Kong</country></affiliation></author><author><name sortKey="Wong, Samuel Y S" sort="Wong, Samuel Y S" uniqKey="Wong S" first="Samuel Y S" last="Wong">Samuel Y S. 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Chan</name><affiliation wicri:level="4"><orgName type="university">Université chinoise de Hong Kong</orgName><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Hong Kong</country></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Hong Kong</country></affiliation></author></analytic><monogr></monogr><series><title level="j">BMJ</title><title level="j" type="abbrev">BMJ</title><idno type="ISSN">0959-8138</idno><idno type="eISSN">1468-5833</idno><imprint><publisher>British Medical Journal Publishing Group</publisher><date type="published" when="2009">2009</date><biblScope unit="volume">339</biblScope></imprint><idno type="ISSN">0959-8138</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0959-8138</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Alert level</term><term>Alert phase</term><term>Anonymous questionnaires</term><term>Chinese university</term><term>Common barriers</term><term>Common reasons</term><term>Contracting pandemic</term><term>Elderly people</term><term>Emergency medicine</term><term>Exact test</term><term>First batch</term><term>First priority group</term><term>First survey</term><term>General outpatient clinic</term><term>Health advice</term><term>Health belief model</term><term>Health care workers</term><term>Health professions</term><term>Health services</term><term>Healthcare</term><term>Healthcare workers</term><term>Highest risk</term><term>Hong kong</term><term>Hong kong healthcare workers</term><term>Hong kong hospital authority</term><term>Hong kong hospital departments</term><term>Hospital authority</term><term>Human transmission</term><term>Influenza</term><term>Influenza pandemic</term><term>Influenza vaccination</term><term>Influenza vaccine</term><term>Internal medicine</term><term>Invitation letters</term><term>Major barriers</term><term>Occupational therapy</term><term>Odds ratio</term><term>Online</term><term>Outbreak</term><term>Paediatrics</term><term>Paediatrics units</term><term>Pandemic</term><term>Pandemic influenza</term><term>Patient contacts</term><term>Potential acceptance</term><term>Preparedness plan</term><term>Public health</term><term>Public hospitals</term><term>Regression model</term><term>Response rate</term><term>Same hospital</term><term>Sars outbreak</term><term>Seasonal influenza</term><term>Seasonal influenza vaccination</term><term>Seasonal influenza vaccine</term><term>Second survey</term><term>Side effects</term><term>Significant changes</term><term>Swine origin</term><term>Trend tests</term><term>Univariate associations</term><term>Uptake rate</term><term>Vaccination</term><term>Vaccination rate</term><term>Vaccine</term><term>Wales hospital</term><term>Work site</term><term>World health organization</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objective To assess the acceptability of pre-pandemic influenza vaccination among healthcare workers in public hospitals in Hong Kong and the effect of escalation in the World Health Organization’s alert level for an influenza pandemic. Design Repeated cross sectional studies using self administered, anonymous questionnaires Setting Surveys at 31 hospital departments of internal medicine, paediatrics, and emergency medicine under the Hong Kong Hospital Authority from January to March 2009 and in May 2009 Participants 2255 healthcare workers completed the questionnaires in the two studies. They were doctors, nurses, or allied health professionals working in the public hospital system. Main outcome measures Stated willingness to accept pre-pandemic influenza vaccination (influenza A subtypes H5N1 or H1N1) and its associating factors. Results The overall willingness to accept pre-pandemic H5N1 vaccine was only 28.4% in the first survey, conducted at WHO influenza pandemic alert phase 3. No significant changes in the level of willingness to accept pre-pandemic H5N1 vaccine were observed despite the escalation to alert phase 5. The willingness to accept pre-pandemic H1N1 vaccine was 47.9% among healthcare workers when the WHO alert level was at phase 5. The most common reasons for an intention to accept were “wish to be protected” and “following health authority’s advice.” The major barriers identified were fear of side effects and doubts about efficacy. More than half of the respondents thought nurses should be the first priority group to receive the vaccines. The strongest positive associating factors were history of seasonal influenza vaccination and perceived risk of contracting the infection. Conclusions The willingness to accept pre-pandemic influenza vaccination was low, and no significant effect was observed with the change in WHO alert level. Further studies are required to elucidate the root cause of the low intention to accept pre-pandemic vaccination.</div></front></TEI><affiliations><list><country><li>Hong Kong</li></country><settlement><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><country name="Hong Kong"><noRegion><name sortKey="Chor, Josette S Y" sort="Chor, Josette S Y" uniqKey="Chor J" first="Josette S Y" last="Chor">Josette S Y. Chor</name></noRegion><name sortKey="Chan, Paul K S" sort="Chan, Paul K S" uniqKey="Chan P" first="Paul K S" last="Chan">Paul K S. Chan</name><name sortKey="Chan, Paul K S" sort="Chan, Paul K S" uniqKey="Chan P" first="Paul K S" last="Chan">Paul K S. Chan</name><name sortKey="Chan, Paul K S" sort="Chan, Paul K S" uniqKey="Chan P" first="Paul K S" last="Chan">Paul K S. Chan</name><name sortKey="Chor, Josette S Y" sort="Chor, Josette S Y" uniqKey="Chor J" first="Josette S Y" last="Chor">Josette S Y. Chor</name><name sortKey="Goggins, William B" sort="Goggins, William B" uniqKey="Goggins W" first="William B" last="Goggins">William B. Goggins</name><name sortKey="Goggins, William B" sort="Goggins, William B" uniqKey="Goggins W" first="William B" last="Goggins">William B. Goggins</name><name sortKey="Griffiths, Sian" sort="Griffiths, Sian" uniqKey="Griffiths S" first="Sian" last="Griffiths">Sian Griffiths</name><name sortKey="Griffiths, Sian" sort="Griffiths, Sian" uniqKey="Griffiths S" first="Sian" last="Griffiths">Sian Griffiths</name><name sortKey="Lee, Nelson" sort="Lee, Nelson" uniqKey="Lee N" first="Nelson" last="Lee">Nelson Lee</name><name sortKey="Lee, Nelson" sort="Lee, Nelson" uniqKey="Lee N" first="Nelson" last="Lee">Nelson Lee</name><name sortKey="Leung, Ting Fan" sort="Leung, Ting Fan" uniqKey="Leung T" first="Ting-Fan" last="Leung">Ting-Fan Leung</name><name sortKey="Leung, Ting Fan" sort="Leung, Ting Fan" uniqKey="Leung T" first="Ting-Fan" last="Leung">Ting-Fan Leung</name><name sortKey="Ngai, Karry Lk" sort="Ngai, Karry Lk" uniqKey="Ngai K" first="Karry Lk" last="Ngai">Karry Lk Ngai</name><name sortKey="Ngai, Karry Lk" sort="Ngai, Karry Lk" uniqKey="Ngai K" first="Karry Lk" last="Ngai">Karry Lk Ngai</name><name sortKey="Rainer, Timothy H" sort="Rainer, Timothy H" uniqKey="Rainer T" first="Timothy H" last="Rainer">Timothy H. Rainer</name><name sortKey="Rainer, Timothy H" sort="Rainer, Timothy H" uniqKey="Rainer T" first="Timothy H" last="Rainer">Timothy H. Rainer</name><name sortKey="Wong, Martin C S" sort="Wong, Martin C S" uniqKey="Wong M" first="Martin C S" last="Wong">Martin C S. Wong</name><name sortKey="Wong, Martin C S" sort="Wong, Martin C S" uniqKey="Wong M" first="Martin C S" last="Wong">Martin C S. Wong</name><name sortKey="Wong, Samuel Y S" sort="Wong, Samuel Y S" uniqKey="Wong S" first="Samuel Y S" last="Wong">Samuel Y S. Wong</name><name sortKey="Wong, Samuel Y S" sort="Wong, Samuel Y S" uniqKey="Wong S" first="Samuel Y S" last="Wong">Samuel Y S. Wong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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