预防接种人员对2018年疫苗事件的认知及疫苗信任度快速调查

Analysis of vaccinators’ confidence on vaccine and cognitive status about Changchun rabies vaccine event of 2018

目的快速了解2018年长春长生狂犬疫苗事件后,从事预防接种的医务人员对事件的认识情况及疫苗信任度。方法以预防接种人员为调查对象,随机整群抽取湖北省某市2县区所有预防接种人员开展问卷调查,采用配对Wilcoxon符号秩检验比较事件前后预防接种人员对狂犬疫苗的信任度。结果共调查230名预防接种人员,对此次疫苗事件的知晓率为100%,其信息来源主要为网络。对事件3条关键信息回答正确率只有64. 4%、46. 5%和80. 4%。此次事件后,78. 7%的预防接种人员担心我国狂犬疫苗的免疫效果,对我国狂犬疫苗的信任度较事件前明显下降,差异有统计学意义(Z=11. 554,P <0. 001)。结论预防接种人员对此次疫苗事件核心知识点知晓率不高,事件后对疫苗的信任度明显下降。有必要尽快采取一系列措施,提升预防接种人员对事件的认知及其对国产狂犬疫苗的信任度。

Objective To learn about the medical staff’s understanding of the event and their trust in the vaccine after the 2018 Changchun rabies vaccine incident.Methods Random cluster sampling was adopted,and a questionnaire survey was conducted among all vaccination personnel of 2 counties in Hubei province.The paired Wilcoxon rank test was used to compare the degree of trust of vaccinators to rabies vaccine before and after the event.Results A total of 230 vaccination staffs were interviewed,and all had heard of Changchun rabies vaccine event.The main source of information about the event was internet.Only 64.4%,46.5%and 80.4%vaccination staffs correctly answered the three key information of the event.After the event,78.7%of vaccination staffs worried about the immune effect of the rabies vaccine in China,and their confidence on rabies vaccine was significantly lower than that before(Z=11.554,P<0.001).Conclusion The vaccination staffs are not fully aware of the core knowledge of the vaccine event,and their trust in rabies vaccine decline significantly after the event.We should take a series of measures as soon as possible to improve the awareness of events among vaccinators and promote their confidence on domestic rabies vaccine.