目的:本研究旨在调查湘西地区糖尿病患者的流感疫苗接种意愿,并确定糖尿病患者接种流感疫苗接种意愿的影响因素。方法:本研究为单中心的横断面调查研究,于2022年10月~2023年4月在湘西州人民医院由医务人员对糖尿病患者通过问卷星平台发放结构化问卷,问卷包括糖尿病患者的社会人口学变量、糖尿病病史及个人健康行为及疫苗相关“知信行”等内容。采用卡方检验、二元logistic回归分析方法对所收集的数据统计分析。结果:最终纳入453份答卷,糖尿病患者愿意接种流感疫苗率为33.8%,通过二元logistic结果显示年龄、接种流感疫苗费用由医保支出、出现流感症状是否治疗、家人或朋友接种流感疫苗、以前接种过流感疫苗是糖尿病患者接种流感疫苗的主要影响因素。结论:湘西地区的糖尿病患者接种流感疫苗的意愿较低,应加强对糖尿病患者进行流感疫苗相关知识的健康教育,提高糖尿病患者流感疫苗接种率。Objective: This study aims to investigate the willingness of diabetic patients in Xiangxi area to receive influenza vaccination and to determine the influencing factors of diabetic patients’ willingness to receive influenza vaccination. Methods: This study is a single-center cross-sectional survey. Between October 2022 and April 2023, medical staff at Xiangxi People’s Hospital distributed structured questionnaires to diabetic patients through the Wenjuxing platform. The questionnaire included sociodemographic variables, diabetes history, personal health behaviors, and vaccine-related “knowledge, belief, and behavior” of diabetic patients. The collected data were statistically analyzed using chi-square test and binary logistic regression analysis methods. Results: A total of 453 questionnaires were finally included, and the willingness of diabetic patients to receive influenza vaccination was 33.8%. The binary logistic results showed that age, the cost of infl
目的:本研究了解湘西地区孕妇对流感和流感疫苗的知识和接种行为及其影响因素,为推广应用流感疫苗。方法:2023年9月~2023年12月,在湘西州人民医院和湘西州妇幼保健医院通过便利抽样,对采用结构化问卷,进行了横断面研究。问卷涉及孕妇人口统计学信息、孕妇对流感和流感疫苗的知识以及拒绝接种流感疫苗的原因。结果:共有396名湘西地区的孕妇参与了本次调查,其中358人(90%)年龄在35岁以下。大部分孕妇为少数民族,包括138人(35%)苗族和184人(46%)土家族。有248名(62.6%)孕妇不知道或认为流感不会对孕妇造成严重并发症,仅有6.6% (n = 26)的参与者认为可以接受孕期接种流感疫苗。7.1% (n = 28)的参与者知道孕妇可以接种流感疫苗。5.5% (n = 22)的参与者表示曾经有医务人员推荐过接种流感疫苗。如果疫苗免费,48.5% (n = 192)的参与者表示愿意在孕期接种疫苗。参与者最常用于拒绝接种疫苗的理由是“我担心流感疫苗对胎儿的安全性”和“我担心流感疫苗对我自己的安全性”(分别为65.8%和59.2%)。流感疫苗接种的意愿与妊娠并发症(OR = 4.478;95% CI: 2.233~8.978),不良妊娠史(OR = 2.379;95% CI: 1.223~4.628)、感知流感疫苗被推荐给孕妇(OR=1.598;95% CI: 1.151~2.217)呈正相关。结论:湘西地区孕妇对流感和流感疫苗的了解较差,接种流感疫苗意愿低。接种流感疫苗意愿的影响因素有:不良孕产史;孕期并发症;对流感和流感疫苗的认知。最常见拒绝接种流感疫苗的原因是:孕妇担心流感疫苗对胎儿和母亲的安全性。Objective: This study aims to understand the knowledge and vaccination behavior of pregnant women in Xiangxi region about influenza and influenza vaccine and their influencing factors, in order to promote the use of influenza vaccine. Methods: From September to December 2023, a cross-sectional study was conducted in Xiangxi People’s Hospital and Xiangxi Matern
