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.
目的： 了解山东省成年居民对流感、肺炎球菌、人乳头瘤病毒、带状疱疹、新型冠状病毒（新冠病毒）、乙肝和狂犬病等疫苗接种知识、态度、行为的现况。 方法： 2022年8—9月，采用多阶段分层随机抽样的方法，对山东省12个县（市、区）以社区为基础18岁以上的居民进行调查。采用问卷调查的方法收集调查对象基本情况，流感、肺炎球菌、人乳头瘤病毒、带状疱疹、新冠病毒、乙肝和狂犬病疫苗等的知识、态度和接种行为等信息，采用方差分析比较调查对象对不同疫苗知识和态度得分的差异，采用χ2检验比较不同特征对象接种原因的差异，采用logistic回归模型分析接种行为的影响因素。 结果： 本研究共纳入2 754名调查对象，其年龄M（Q1，Q3）为39（29，57）岁，男性为1 234名（44.81%）。调查对象对成人疫苗各类知识了解程度的得分均值均<4.00分，其中对成人疫苗可以预防哪些疾病的了解程度得分最高。对成人疫苗能够预防疾病的同意程度和接种的必要程度得分均值均>3.6分。在知识需求和信息渠道信任度方面，对预防接种门诊工作人员和临床医生建议的信任度较高［分别为（4.15±0.79）分和（4.02±0.80）分］；对接种安全性知识的信息需求最高为（4.18±0.84）分；近两年除新冠病毒疫苗和狂犬病疫苗外还接种过其他疫苗的占52.11%，该人群中媒体宣传感觉有必要接种的占45.44%。女性、年龄增长、受教育程度高、收入水平高是采取接种行为的促进因素。 结论： 山东省成年居民对疫苗接种有基本的认识、对疫苗接种持支持态度，但是接种行为率还相对低，存在明显的性别、年龄、受教育程度和收入水平差异，需要在成人预防接种宣传教育的广度、深度以及针对不同人群的宣传策略等方面进一步加大工作力度。.