PDF(Pubmed)
Abstract：
Herpes zoster (HZ) is a prevalent disease characterized by a painful rash. A multi‑country study was conducted to elicit public and physician knowledge, attitude, and practice (KAP) toward HZ disease and vaccination for the assessment of local factors influencing HZ vaccine perceptions in four Asian-Pacific countries/territories One-to-one qualitative interviews were conducted in 2022, among the public (people aged ≥ 50 years, adults with parents aged ≥ 50 years, zoster vaccine live-vaccinated individuals aged ≥ 50 years in Republic of Korea, and HZ patients; n = 78) and physicians (general practitioners and specialists; n = 24). Themes surrounding KAP toward HZ and HZ vaccination were summarized using a thematic analysis. A substantial knowledge gap related to HZ was observed among the public, including its causes, long-term impacts, and the at-risk population. There was a low perceived risk of HZ and low general awareness of HZ vaccine availability, although country/territory-specific differences existed. Fear of HZ-associated pain contributed toward vaccination intent among HZ patients and adults with parents aged ≥ 50 years. HZ-naïve adults who were encouraged to receive the vaccine by others were not motivated to do so due to optimism bias. Physicians were perceived to be a reliable source of information. However, physicians did not always proactively discuss HZ vaccination due to time constraints and a perceived need to prioritize other vaccinations including influenza and pneumococcal vaccines. Initiatives are needed to improve public awareness of HZ and its complications, in terms of overall impact on individuals and society, and highlight the important role of physicians in recommending vaccination.
摘要：
带状疱疹（HZ）是一种以疼痛性皮疹为特征的流行疾病。进行了一项多国研究，以获取公众和医生的知识，态度,针对HZ疾病和疫苗接种的实践（KAP），以评估影响四个亚太国家/地区HZ疫苗认知的当地因素，2022年在公众中进行了一对一的定性访谈（50岁以上的人，父母年龄≥50岁的成年人，大韩民国50岁以上的带状疱疹疫苗活疫苗接种者，和HZ患者；n=78）和医生（全科医生和专家；n=24）。使用主题分析总结了围绕KAP针对HZ和HZ疫苗接种的主题。在公众中观察到与HZ相关的巨大知识差距，包括它的原因，长期影响，和高危人群。HZ的感知风险较低，对HZ疫苗可用性的普遍认识较低，尽管存在特定国家/地区的差异。对HZ相关疼痛的恐惧有助于HZ患者和父母年龄≥50岁的成年人的疫苗接种意向。由于乐观的偏见，被其他人鼓励接种疫苗的人没有动力这样做。医生被认为是可靠的信息来源。然而,由于时间限制和认为需要优先考虑其他疫苗接种,包括流感和肺炎球菌疫苗,医师并不总是积极讨论HZ疫苗接种.需要采取举措来提高公众对HZ及其并发症的认识，就对个人和社会的整体影响而言，并强调医生在推荐疫苗接种中的重要作用。
