Factors associated with recommendation behaviors of four non-National Immunization Program vaccines:a cross-sectional survey among public health workers in China

作     者：Yun Lyu Xiaozhen Lai Yidi Ma Hai Fang Yun Lyu;Xiaozhen Lai;Yidi Ma;Hai Fang

作者机构：Department of Health Policy and ManagementSchool of Public HealthPeking UniversityBeijingChina Health Economics Research CentreNufeld Department of Population HealthUniversity of OxfordOxfordUK China Center for Health Development StudiesPeking UniversityBeijingChina Peking University Health Science Center-Chinese Center for Disease Control and Prevention Joint Research Center for Vaccine EconomicsPeking UniversityBeijingChina Institute for Global Health and DevelopmentPeking UniversityBeijingChina 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2023年第12卷第5期

页      面：58-68页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：This work was supported by the Bill&Melinda Gates Foundation(INV034554) 

主　　题：National Immunization Program Vaccination Public health workers Cross-sectional survey Recommendation China 

摘      要：Background Immunization is a crucial preventive measure to safeguard children under five years old against a range of *** China,the coverage rate of non-National Immunization Program(non-NIP)vaccines can be improved by leveraging the recommendation from public health ***,understanding the influencing factors of recommendation behaviors assume paramount *** study aims to investigate influencing factors of public health workers’recommendation behaviors towards non-NIP vaccines,with a particular emphasis on financial *** A cross-sectional survey was conducted using a multi-stage sampling method in 2019 from August to October.627 public health workers were recruited from 148 community healthcare centers in ten provincial-level administrative divisions in *** anonymous questionnaire was used to collect demographic information,attitudes towards vaccination,and recommendation behaviors towards non-NIP vaccines,includingHaemophilus influenzae type b(Hib)vaccine,pneumococcal conjugate vaccine,varicella vaccine,and rotavirus *** analysis and multivariate logistic regression analysis were adopted in this *** Of the 610 public health workers with complete survey data,53.8%,57.4%,84.1%,and 54.1%often recommended Hib vaccine,pneumococcal pneumonia vaccine(PCV),varicella vaccine,and rotavirus vaccine,*** regression revealed that gender(Hib vaccine:OR=0.4,95%CI:0.2-0.8;PCV:OR=0.4,95%CI:0.2-0.8;rotavirus vaccine:OR=0.3,95%CI:0.2-0.6),financial incentives for non-NIP vaccination(Hib vaccine:OR=1.9,95%CI:1.1-3.6;PCV:OR=2.1,95%CI:1.1-3.9;rotavirus vaccine:OR=2.0,95%CI:1.1-3.8)and perception of vaccine safety(Hib vaccine:OR=2.7,95%CI:1.1-7.0;PCV:OR=3.2,95%CI:1.2-8.0;rotavirus vaccine:OR=3.0,95%CI:1.2-7.7)were associated with public health workers’recommendation towards Hib vaccine,PCV and rotavirus *** The findings highlighted public health workers’recommendation behaviors of no