Influencing factors of monkeypox perceptions and willingness to treat monkeypox patients among medical staff in Beijing
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摘要:
目的 旨在了解北京市医务人员对猴痘的认知水平及对猴痘患者的接诊意愿，分析其现状及影响因素，为制定相应策略提供科学依据。 方法 在2023年7月24日―8月2日，采用方便抽样法对北京市医务人员进行问卷调查，调查内容主要包括个人基本信息、对猴痘的认知、接诊猴痘患者的意愿。采用多因素logistic回归分析模型分析影响医务人员猴痘认知水平和接诊意愿的因素。 结果 共回收2 148份有效问卷，被调查者平均年龄(36.76±9.08)岁。83.10%的医务人员在本次调查之前了解过猴痘，82.45%的医务人员愿意接诊猴痘患者。多因素logistic回归分析模型分析结果显示，年龄为41~＜51岁(OR=1.98, 95% CI：1.27~3.07)、三级医疗机构工作(OR=1.53, 95% CI：1.13~2.07)、医师(OR=1.80, 95% CI：1.32~2.45)、中级职称(OR=1.37, 95% CI：1.05~1.79)对猴痘的认知水平较高，妇科、儿科等其他科室的(OR=0.73, 95% CI：0.57~0.94)医务人员认知水平较低(均P＜0.05)；女性(OR=0.70, 95% CI：0.51~0.96)、中级(OR=0.62, 95% CI：0.45~0.87)、高级职称(OR=0.55, 95% CI：0.31~0.95)及对猴痘认知水平高的医务人员(OR=0.76, 95% CI：0.61~0.97)对猴痘患者的接诊意愿较低，其他科室医务人员接诊意愿高于(OR=1.51, 95% CI：1.08~2.15)重点科室(均P＜0.05)。 结论 北京市医务人员对猴痘具有较高的认知水平，有部分医务人员不愿接诊猴痘患者。需加强医务人员的职业防护培训及心理干预，避免医务人员感染，消除接诊顾虑，提高接诊意愿。 Abstract:Objective This study aims to understand the level of awareness of monkeypox, the willingness to treat monkeypox patients and their associated factors among medical workers in Beijing. Thereby contributing to provide a scientific basis for formulating responding strategies. Methods The questionnaire survey was conducted among medical workers using the convenient sampling method between July 24 and August 2, 2023 in Beijing. The contents of the survey mainly included general demographic characteristics, awareness of monkeypox, and the willingness to treat monkeypox patients. Multivariate logistic regression analysis model was employed to analyze the influencing factors associated with the level of awareness of monkeypox and the willingness of receiving monkeypox patients among medical workers. Results A total of 2 148 valid questionnaires were collected in this study, the mean age of the respondents was 36.76±9.08 years old. 83.10% of individuals knew about monkeypox before this survey, and 82.45% were willing to treat monkeypox patients. The results of multivariate logistic regression analysis model showed that medical workers who aged from 41 to 50 years old (OR=1.98, 95% CI: 1.27-3.07), working in tertiary medical institutions (OR=1.53, 95% CI: 1.13-2.07), physician (OR=1.80, 95% CI: 1.32-2.45), with middle professional titles (OR=1.37, 95% CI: 1.05-1.79) had a higher level of monkeypox knowledge. And medical workers who working in other departments such as gynecology/pediatrics departments (OR=0.73, 95% CI: 0.57-0.94) were more likely to have lower level of monkeypox knowledge (all P < 0.05). Medical workers who were female (OR=0.70, 95% CI: 0.51-0.96), with middle (OR=0.62, 95% CI: 0.45-0.87) and senior professional titles (OR=0.55, 95% CI: 0.31-0.95), had high awareness of monkeypox (OR=0.76, 95% CI: 0.61-0.97), were less willing to treat monkeypox patients. Medical staff in other departments were more willing to treat monkeypox patients (OR=1.51, 95% CI: 1.08-2.15) than those in high-risk departments (all P < 0.05). Conclusions Awareness of monkeypox was high among medical workers in Beijing, however some of them were unwilling to treat monkeypox patients. It is necessary for medical workers to strengthen relevant occupational protection training and psychological interventions to protect them from monkeypox transmission, eliminate their concerns about receiving patients, and improve their willingness to treat monkeypox patients. -
Key words:
- Monkeypox /
- Perceptions /
- Medical workers
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图 1 北京市医务人员猴痘认知题回答正确率
Figure 1. The correct answer rate of monkeypox perceptions question among medical staff in Beijing
图 2 北京市医务人员拒绝接诊猴痘患者原因
其他原因包括调查对象所在科室为非临床科室以及尚无猴痘患者接诊经验等。
Figure 2. The reason of medical staff in Beijing refused to treat monkeypox patients
Other reasons include the non-clinical nature of the respondents′ departments and the lack of experience in treating monkeypox patients.
表 1 北京市医务工作者一般人口学特征及科室分布情况
Table 1. General characteristics and department distribution of medical workers in Beijing
一般人口学特征
General characteristics总人数 ①
Number of population ①重点科室人数 ①
Number of high-risk departments ①其他科室人数 ①
Number of other departments ①年龄组/岁Age group/years 18~＜31 599(27.89) 89(24.93) 510(28.48) 31~＜41 872(40.60) 134(37.54) 738(41.20) 41~＜51 453(21.09) 84(23.53) 369(20.60) ≥51 224(10.42) 50(14.00) 174(9.72) 性别Gender 男Male 424(19.74) 80(22.41) 344(19.21) 女Female 1 724(80.26) 277(77.59) 1 447(80.79) 文化程度Education level 硕士及以上Master or above 550(25.61) 106(29.69) 444(24.79) 大学本科University 1 172(54.56) 186(52.10) 986(55.05) 专科及以下Junior college or below 426(19.83) 65(18.21) 361(20.16) 职业Profession 护士Nurse 1 168(54.38) 199(55.74) 969(54.10) 医技及其他Medical technician or others 177(8.24) 8(2.24) 169(9.44) 医师Physician 803(37.38) 150(42.02) 653(36.46) 职称Professional title 高级职称High title 300(13.97) 64(17.93) 236(13.18) 中级职称Middle title 900(41.90) 153(42.85) 747(41.71) 初级或无职称Primary title or below 948(44.13) 140(39.22) 808(45.11) 婚姻状况Marital status 已婚Married 1 526(71.04) 267(74.79) 1 259(70.30) 未婚Unmarried 622(28.96) 90 (25.21) 532(29.70) 月收入/元Monthly income/yuan ≥20 000 80(3.72) 23(6.44) 57(3.18) 10 000~＜20 000 761(35.43) 158(44.26) 603(33.67) 6 000~＜10 000 936(43.58) 135(37.82) 801(44.72) ＜6 000 371(17.27) 41(11.48) 330(18.43) 工作年限Work experience 0~＜6 485(22.58) 83(23.25) 402(22.44) 6~＜11 524(24.39) 72(20.17) 452(25.24) ≥11 1 139(53.03) 202(56.58) 937(52.32) 医疗机构级别Medical institution level 三级Tertiary 1 926(83.38) 328(91.88) 1 598(89.22) 二级及以下Secondary or below 222(16.62) 29(8.12) 193(10.78) 慢性病Chronic disease 有Yes 573(26.68) 115(32.21) 458(25.57) 无No 1 575(73.32) 242(67.79) 1 333(74.43) 注：重点科室包括皮肤/性病科、感染性疾病科/发热门诊、肛肠科、泌尿科/男科; 其他科室包括妇科、儿科、全科、急诊科及非临床科室。
①以人数(占比/%)表示。
Note: High-risk departments include dermatology/venereal diseases department, infectious diseases/fever clinic department, anorectal diseases department, urology/andrology department; Other departments include gynecology dapartment, pediatrics department, general medicine department, emergency department and other departments.
① Number of people (proportion/%).
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表 2 北京市医务人员猴痘认知状况及接诊意愿多因素logistic回归分析
Table 2. Multivariate logistic regression analysis of monkeypox perceptions and willingness to consult among medical staff in Beijing
变量Variable 猴痘认知水平Monkeypox perceptions 接诊意愿Willingness to treat patients OR值value(95% CI) P值value OR值value(95% CI) P值value 年龄组/岁Age group/years 18~＜31 1.00 1.00 31~＜41 1.33(0.96~1.84) 0.089 1.20(0.79~1.81) 0.399 41~＜51 1.98(1.27~3.07) 0.002 1.14(0.65~1.99) 0.653 ≥51 1.52(0.92~2.52) 0.101 1.68(0.90~3.13) 0.099 性别Gender 男Male 1.00 1.00 女Female 1.02(0.79~1.32) 0.880 0.70(0.51~0.96) 0.027 文化程度Education level 硕士及以上Master or above 1.00 1.00 大学本科University 0.75(0.54~1.02) 0.068 1.41(0.94~2.13) 0.098 专科及以下Junior college or below 0.82(0.56~1.22) 0.335 1.28(0.78~2.11) 0.331 职业Profession 护士Nurse 1.00 1.00 医技及其他Medical technician or others 1.21(0.86~1.70) 0.280 0.80(0.51~1.22) 0.305 医师Physician 1.80(1.32~2.45) ＜0.001 0.80(0.54~1.17) 0.247 职称Professional title 初级或无职称Primary title or below 1.00 1.00 中级职称Middle title 1.37(1.05~1.79) 0.019 0.62(0.45~0.87) 0.005 高级职称High title 1.25(0.81~1.94) 0.314 0.55(0.31~0.95) 0.034 婚姻状况Marital status 已婚Married 1.00 1.00 未婚Unmarried 1.03(0.81~1.33) 0.797 0.86(0.62~1.18) 0.360 月收入/元Monthly income/yuan ＜6 000 1.00 1.00 6 000~＜10 000 1.20(0.92~1.55) 0.174 0.91(0.67~1.24) 0.541 10 000~＜20 000 0.84(0.63~1.11) 0.225 0.82(0.57~1.16) 0.254 ≥20 000 0.72(0.41~1.25) 0.234 0.69(0.30~1.44) 0.345 医疗机构级别Medical institution level 二级及以下Secondary or below 1.00 1.00 三级Tertiary 1.53(1.13~2.07) 0.005 0.78(0.55~1.12) 0.164 工作年限Work experience 0~＜6 1.00 1.00 6~＜11 0.98(0.72~1.33) 0.877 0.83(0.56~1.24) 0.363 ≥11 1.11(0.75~1.66) 0.602 1.08(0.65~1.80) 0.766 科室类别Type of department 重点科室High risk departments 1.00 1.00 其他科室Other departments 0.73(0.57~0.94) 0.016 1.51(1.08~2.15) 0.018 慢性病Chronic disease 无No 1.00 1.00 有Yes 1.02(0.81~1.28) 0.877 0.95(0.71~1.26) 0.729 认知水平Perceptions 低Low ― 1.00 高High ― 0.76(0.61~0.97) 0.025 截距Intercept 0.75(0.39~1.44) 0.386 0.33(0.15~0.76) 0.009 注：“―”因行、列变量均为猴痘认知水平，故OR值为空缺。
Note: “―” since the variables in the rows and columns are the perception level of monkeypox, the OR value is vacant.
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