Association of vaccine-related attitudes and beliefs between parents and health care providers
Association of vaccine-related attitudes and beliefs between parents and health care providers
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DOI：
10.1016/j.vaccine.2013.07.039
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发表时间：
2013-09-23
期刊：
影响因子：
5.5
通讯作者：
Salmon, Daniel A.
中科院分区：
文献类型：
--
作者：
Mergler, Michelle J.;Omer, Saad B.;Salmon, Daniel A.
目的：卫生保健提供者影响父母接种疫苗的决定。超过90%的父母报告说，他们从孩子的卫生保健提供者那里获得了疫苗信息。接种疫苗的儿童和免除学校免疫要求的儿童的大多数父母报告说，他们孩子的主要提供者是疫苗信息的良好来源。卫生保健提供者在影响拒绝接种疫苗的父母方面的作用尚未得到充分探讨。本研究的目的是确定与疫苗有关的态度和卫生保健提供者和家长的信念之间的联系。方法：我们调查了2002-2003年和2005年四个州接种疫苗和未接种疫苗的学龄儿童的父母和初级保健提供者。我们测量了关键的免疫信念，包括疫苗接种的感知风险和益处。使用逻辑回归计算父母和提供者反应之间的比值比。结果：共1367名家长（回复率56.1%）和551名服务提供者（回复率84.3%）完成调查。对疫苗安全性有高度信心的父母更有可能有类似信念的提供者，但关于疾病易感性、严重程度和疫苗功效的观点没有关联。那些认为孩子接种了更多疫苗对他们有益的父母，与那些没有这种信念的父母相比，持有同样信念的几率高出4.6。结论：儿童卫生保健提供者和家长的信念，包括对疫苗安全性的信念是相似的。提供者的信念可能导致父母决定接受、推迟或放弃接种疫苗。父母可能会选择性地选择与自己信仰相似的提供者。(C) 2013 Elsevier Ltd.版权所有。
Objectives: Health care providers influence parental vaccination decisions. Over 90% of parents report receiving vaccine information from their child's health care provider. The majority of parents of vaccinated children and children exempt from school immunization requirements report their child's primary provider is a good source for vaccine information. The role of health care providers in influencing parents who refuse vaccines has not been fully explored. The objective of the study was to determine the association between vaccine-related attitudes and beliefs of health care providers and parents.Methods: We surveyed parents and primary care providers of vaccinated and unvaccinated school age children in four states in 2002-2003 and 2005. We measured key immunization beliefs including perceived risks and benefits of vaccination. Odds ratios for associations between parental and provider responses were calculated using logistic regression.Results: Surveys were completed by 1367 parents (56.1% response rate) and 551 providers (84.3% response rate). Parents with high confidence in vaccine safety were more likely to have providers with similar beliefs, however viewpoints regarding disease susceptibility and severity and vaccine efficacy were not associated. Parents whose providers believed that children get more immunizations than are good for them had 4.6 higher odds of holding that same belief compared to parents whose providers did not have that belief.Conclusions: The beliefs of children's health care providers and parents, including those regarding vaccine safety, are similar. Provider beliefs may contribute to parental decisions to accept, delay or forgo vaccinations. Parents may selectively choose providers who have similar beliefs to their own. (C) 2013 Elsevier Ltd. All rights reserved.