Objective: To understand the project personnel's attitude towards the 23-valent pneumococcal polysaccharide vaccination program for the elderly in Shanghai and its conversion to routine vaccination and to explore its influential factors, so as to provide reference for the further development of the program. Methods: In 2016, a one-to-one questionnaire survey was conducted among the people involved in the project in the 9 districts of Shanghai and the data of demographic characteristics, cognition of pneumococcal pneumonia and PPV23, evaluation of the project, support rate of the project and its conversion to routine vaccination of the project personnel were collected. Results: Among the 2005 respondents, 28.6% (574 persons) of them were male, 85.5% (1 714 persons) of them supported the free vaccination for the elderly, and 69.5% of them (1 394 persons) supported the routine vaccination. For the 23-valent pneumococcal polysaccharide vaccination program, people under 55 years old, in Qingpu District, with poor cognition of pneumonia and 23-valent pneumococcal polysaccharide vaccine (PPV23) or having lower evaluation of the project's scientificity or enforceability had lower support rate than others, and the OR (95%CI) were 0.38 (0.19-0.75), 0.21 (0.10-0.43), 0.16 (0.06-0.41) and 0.26 (0.10-0.69). People believing that the elderly were susceptible to pneumococcal pneumonia and PPV23 was safe and reliable, and those who were willing to vaccinate the elderly at home had higher support rate, and the OR (95%CI) were 2.30 (1.18-4.47), 2.84 (1.62-4.69) and 5.60 (3.74-8.38). For the program's conversion to routine vaccination, people under 35 years old, in Qingpu District, in the vaccination clinic, and those believing that the project was not scientific and difficult to implement had low support rate, and the OR (95%CI) were 0.56 (0.32-0.98), 0.48 (0.26-0.89), 0.26 (0.12-0.59), 0.58 (0.42-0.79) and 0.50 (0.30-0.81); people with technical secondary school or senior school, in Jiading, Putuo or Minhang District, believing that PPV23 was effective in the prevention of pneumococcal pneumonia in the elderly, and those who were willing to vaccinate the elderly with PPV23 had higher support rate, and the OR (95%CI) were 1.63 (1.11-2.39), 2.28 (1.71-3.03), 1.69 (1.25-2.28) and 4.10 (2.86-5.88). Conclusion: The support rate of pneumococcal vaccination project for the elderly in Shanghai needs to be improved, especially its conversion to the routine vaccination.
目的： 分析上海市老年人肺炎球菌疫苗接种项目参与人员对老年人接种23价肺炎球菌多糖疫苗（PPV23）项目及转为常规接种的态度及影响因素。 方法： 于2016年10—12月，对上海市黄浦区、徐汇区、闸北区、普陀区、杨浦区、闵行区、嘉定区、松江区、青浦区共2 005名参与老年人PPV23接种项目的工作人员进行问卷调查。收集研究对象的人口学特征，对肺炎球菌性肺炎和PPV23的认知情况、对项目的评价、对老年人接种PPV23项目及转为常规接种项目的支持率，并采用多因素logistic回归模型分析项目人员对该项目以及转为常规接种的态度的相关因素。 结果： 2 005名调查对象中，男性28.6%（574名），老年人接种PPV23项目的支持率为85.5%（1 714名），转为常规接种项目的支持率为70.0%（1 404名）。对老年人接种PPV23项目而言，<55岁、青浦区、认为项目不科学、项目执行困难者的支持率较低，OR（95%CI）值分别为0.38（0.19~0.75）、0.21（0.10~0.43）、0.16（0.06~0.41）和0.26（0.10~0.69）；认为老年人是肺炎球菌性肺炎的易感人群、肺炎球菌疫苗安全可靠、愿意家中老年人接种肺炎球菌疫苗的支持率较高，OR（95%CI）值分别为2.30（1.18~4.47）、2.84（1.62~4.69）和5.60（3.74~8.38）。对转为常规接种项目而言，<35岁、青浦区、接种门诊、认为该项目科学性低、执行困难者的支持率较低，OR值（95%CI）分别为0.56（0.32~0.98）、0.48（0.26~0.89）、0.26（0.12~0.59）、0.58（0.42~0.79）和0.50（0.30~0.81）；中专或高中学历、在嘉定区、普陀区或闵行区、认为PPV23预防老年人肺炎球菌性肺炎有效果、愿意家中老年人接种PPV23者的支持率较高，OR值分别为1.63（1.11~2.39）、2.28（1.71~3.03）、1.69（1.25~2.28）和4.10（2.86~5.88）。 结论： 上海市老年人肺炎球菌疫苗接种项目人员对项目的支持率有待提升，尤其是转为常规接种项目。.
Keywords: Aged; Cohort studies; Pneumococcal vaccines.