Investigation and analysis on knowledge, attitude and behavior about adult vaccination of the residents in Shandong Province.
10.3760/cma.j.cn112150-20230606-00441
- Author:
Ying Jie ZHANG
1
;
Wei Yan ZHANG
2
;
Yang YU
3
;
Ai Qiang XU
4
;
Ren Peng LI
5
;
Tong Zhan WANG
6
Author Information
1. Department of Human Resource/Department of Party and Masses Work, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China.
2. Department of EPI Management, Shandong Center for Disease Control and Prevention, Ji'nan 250014, China.
3. Department of EPI Management, Weihai Center for Disease Control and Prevention, Weihai 264200, China.
4. Academy of Preventive Medicine, Shandong University, Shandong Provincial Key Laboratory of Infectious Disease Control and Prevention, Ji'nan 250014, China.
5. Shandong Provincial Institute for Endemic Disease Control, Ji'nan 250014, China.
6. Shandong Preventive Medicine Association, Ji'nan 250014, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Male;
Female;
Humans;
Adolescent;
COVID-19 Vaccines;
Health Knowledge, Attitudes, Practice;
Influenza, Human;
Papillomavirus Infections;
Rabies Vaccines;
Influenza Vaccines;
COVID-19/prevention & control*;
Hepatitis B;
Herpes Zoster
- From:
Chinese Journal of Preventive Medicine
2023;57(12):2029-2035
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To understand the knowledge, attitude and behavior of adult residents on influenza, pneumococcus, human papillomavirus (HPV), herpes zoster (HZ), COVID-19, hepatitis B and rabies vaccination in Shandong Province. Methods: From August to September 2022, a multi-stage stratified random sampling method was used to investigate community-dwelling residents aged 18 years old and above in 12 counties (cities and districts) of Shandong Province. A questionnaire survey was used to collect the basic information of the respondents, such as knowledge, attitude and vaccination behavior of influenza, pneumococcus, HPV, HZ, COVID-19, hepatitis B and rabies vaccine. Analysis of variance was used to compare the differences in the respondents' knowledge and attitude scores of different vaccines. The Chi-square test was conducted to compare the differences in vaccination reasons among different characteristics, and a logistic regression model was used to analyze the influencing factors of vaccination behavior. Results: The median age (Q1, Q3) of the 2 754 respondents was 39 (29, 57) years ranging from 18 to 94 years, with a number of 1 234 (44.81%) males. The average score of the respondents' understanding of various knowledge about adult vaccines was less than 4 points, with the highest score for understanding which diseases can be prevented by adult vaccines. The average score of consent and necessity for adult vaccines to prevent diseases was greater than 3.6 points. In terms of knowledge demand and trust in information channels, there was a high level of trust in the recommendations of vaccination outpatient staff and clinical doctors [with scores of (4.15±0.79) and (4.02±0.80), respectively]. The highest demand for information on vaccination safety knowledge was (4.18±0.84) points. In recent two years, 52.11% of the population had been vaccinated with other vaccines in addition to the COVID-19 vaccine and rabies vaccine, and 45.44% of the population felt it was necessary to be vaccinated through media publicity. Women, age growth, high education level, and high-income level were the promoting factors for adopting vaccination behavior. Conclusion: Adult residents in Shandong Province have a basic understanding and supportive attitude towards vaccination, but the vaccination behavior rate is still relatively low, with significant differences in sex, age, education level, and income level. It is necessary to further increase efforts in the breadth and depth of adult vaccination promotion and education, as well as promotion strategies targeting different populations.
