{"title":"疫苗犹豫对老年肺炎球菌疫苗拒绝的影响","authors":"Woothikrai Chitaree, Nida Buawangpong, Thanachat Yotruangsri, Wichuda Jiraporncharoen, Kanokporn Pinyopornpanish","doi":"10.1177/21501319241303568","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Pneumonia is a leading cause of mortality worldwide, with Streptococcus pneumoniae being the most common cause. Older adults are particularly at risk. However, vaccination rates in Thailand remain low.</p><p><strong>Objective: </strong>This study aims to examine the prevalence of vaccine refusal and its association with factors outlined in the 5C model (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility) among older patients with morbidities.</p><p><strong>Setting: </strong>Study was conducted at outpatient clinic of the Department of Family Medicine, Chiang Mai University.</p><p><strong>Methods: </strong>An observational cross-sectional study. The data was collected via a self-administered questionnaire including demographic data, questionnaire in 5C model, and intention to received pneumococcal vaccine. Comparison of characteristic between vaccine refuser and non-refuser was performed by using Chi-square or a <i>T</i>-test. To explore the association between factors in 5C model and vaccine refusal, multiple logistic regression was performed with an adjustment for confounders.</p><p><strong>Results: </strong>From a total of 150 participants, the mean age was 69.8 ± 5.6 years old. Most of the patients were female (60.7%). The study found that 18% of the participants refused the pneumococcal vaccine. After adjusted for the confounders, the lower collective responsibility and confidence were significantly associated with vaccine refusal (Odds ratio 0.22 (95% confidence interval [CI] 0.06-0.74, <i>P</i> = .015) and Odds ratio 0.43 (95% CI 0.20-0.89, <i>P</i> = .024), respectively.</p><p><strong>Conclusion: </strong>Strategies to enhance confidence and address complacency about vaccines are essential for improving pneumococcal vaccination coverage. This insight can be used as a guideline and policies can be formulated which are aimed at reducing pneumococcal vaccine refusal in the older adults by enhancing communication about the benefits, efficacy, and risks of vaccines.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241303568"},"PeriodicalIF":3.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605742/pdf/","citationCount":"0","resultStr":"{\"title\":\"Vaccine Hesitancy Affecting Pneumococcal Vaccine Refusal in Older Adults with Morbidities.\",\"authors\":\"Woothikrai Chitaree, Nida Buawangpong, Thanachat Yotruangsri, Wichuda Jiraporncharoen, Kanokporn Pinyopornpanish\",\"doi\":\"10.1177/21501319241303568\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Pneumonia is a leading cause of mortality worldwide, with Streptococcus pneumoniae being the most common cause. Older adults are particularly at risk. However, vaccination rates in Thailand remain low.</p><p><strong>Objective: </strong>This study aims to examine the prevalence of vaccine refusal and its association with factors outlined in the 5C model (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility) among older patients with morbidities.</p><p><strong>Setting: </strong>Study was conducted at outpatient clinic of the Department of Family Medicine, Chiang Mai University.</p><p><strong>Methods: </strong>An observational cross-sectional study. The data was collected via a self-administered questionnaire including demographic data, questionnaire in 5C model, and intention to received pneumococcal vaccine. Comparison of characteristic between vaccine refuser and non-refuser was performed by using Chi-square or a <i>T</i>-test. To explore the association between factors in 5C model and vaccine refusal, multiple logistic regression was performed with an adjustment for confounders.</p><p><strong>Results: </strong>From a total of 150 participants, the mean age was 69.8 ± 5.6 years old. Most of the patients were female (60.7%). The study found that 18% of the participants refused the pneumococcal vaccine. After adjusted for the confounders, the lower collective responsibility and confidence were significantly associated with vaccine refusal (Odds ratio 0.22 (95% confidence interval [CI] 0.06-0.74, <i>P</i> = .015) and Odds ratio 0.43 (95% CI 0.20-0.89, <i>P</i> = .024), respectively.</p><p><strong>Conclusion: </strong>Strategies to enhance confidence and address complacency about vaccines are essential for improving pneumococcal vaccination coverage. This insight can be used as a guideline and policies can be formulated which are aimed at reducing pneumococcal vaccine refusal in the older adults by enhancing communication about the benefits, efficacy, and risks of vaccines.</p>\",\"PeriodicalId\":46723,\"journal\":{\"name\":\"Journal of Primary Care and Community Health\",\"volume\":\"15 \",\"pages\":\"21501319241303568\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605742/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Primary Care and Community Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/21501319241303568\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Primary Care and Community Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21501319241303568","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0
摘要
简介:肺炎是世界范围内死亡的主要原因,肺炎链球菌是最常见的原因。老年人的风险尤其大。然而,泰国的疫苗接种率仍然很低。目的:本研究旨在研究老年发病率患者中拒绝接种疫苗的患病率及其与5C模型(信心、自满、约束、计算和集体责任)中概述的因素的关系。环境:研究在清迈大学家庭医学系门诊进行。方法:观察性横断面研究。数据通过自填问卷收集,包括人口统计数据、5C模型问卷和接种肺炎球菌疫苗的意向。疫苗拒绝者与非拒绝者的特征比较采用卡方检验或t检验。为了探讨5C模型中各因素与拒绝接种疫苗之间的关系,我们进行了多元逻辑回归,并对混杂因素进行了调整。结果:150名参与者的平均年龄为69.8±5.6岁。患者以女性居多(60.7%)。研究发现,18%的参与者拒绝接种肺炎球菌疫苗。校正混杂因素后,较低的集体责任感和置信度与拒绝接种疫苗显著相关(优势比分别为0.22(95%可信区间[CI] 0.06-0.74, P = 0.015)和0.43 (95% CI 0.20-0.89, P = 0.024)。结论:提高对疫苗的信心和消除自满情绪的策略对于提高肺炎球菌疫苗接种覆盖率至关重要。这一见解可作为指导方针,并可制定政策,旨在通过加强关于疫苗的益处、功效和风险的沟通,减少老年人拒绝接种肺炎球菌疫苗。
Vaccine Hesitancy Affecting Pneumococcal Vaccine Refusal in Older Adults with Morbidities.
Introduction: Pneumonia is a leading cause of mortality worldwide, with Streptococcus pneumoniae being the most common cause. Older adults are particularly at risk. However, vaccination rates in Thailand remain low.
Objective: This study aims to examine the prevalence of vaccine refusal and its association with factors outlined in the 5C model (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility) among older patients with morbidities.
Setting: Study was conducted at outpatient clinic of the Department of Family Medicine, Chiang Mai University.
Methods: An observational cross-sectional study. The data was collected via a self-administered questionnaire including demographic data, questionnaire in 5C model, and intention to received pneumococcal vaccine. Comparison of characteristic between vaccine refuser and non-refuser was performed by using Chi-square or a T-test. To explore the association between factors in 5C model and vaccine refusal, multiple logistic regression was performed with an adjustment for confounders.
Results: From a total of 150 participants, the mean age was 69.8 ± 5.6 years old. Most of the patients were female (60.7%). The study found that 18% of the participants refused the pneumococcal vaccine. After adjusted for the confounders, the lower collective responsibility and confidence were significantly associated with vaccine refusal (Odds ratio 0.22 (95% confidence interval [CI] 0.06-0.74, P = .015) and Odds ratio 0.43 (95% CI 0.20-0.89, P = .024), respectively.
Conclusion: Strategies to enhance confidence and address complacency about vaccines are essential for improving pneumococcal vaccination coverage. This insight can be used as a guideline and policies can be formulated which are aimed at reducing pneumococcal vaccine refusal in the older adults by enhancing communication about the benefits, efficacy, and risks of vaccines.