Parents' concerns about vaccine scheduling in Shanghai, China
Parents' concerns about vaccine scheduling in Shanghai, China
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DOI：
10.1016/j.vaccine.2017.06.077
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发表时间：
2017-08-03
期刊：
影响因子：
5.5
通讯作者：
Zikmund-Fisher, Brian J.
中科院分区：
文献类型：
--
作者：
Wagner, Abram L.;Boulton, Matthew L.;Zikmund-Fisher, Brian J.
背景资料：近年来，几种新疫苗已被引入中国，但中国的一些父母对幼儿接种疫苗的时间安排表示担忧。本研究探讨了照顾者对儿童在一次就诊中接受多种疫苗接种以及对< 6个月婴儿接种疫苗的担忧，并评估了这些担忧与上海不同疫苗信息来源重要性评级的相关程度。对上海市8个月至7岁儿童在免疫门诊就诊的照顾者进行了关于疫苗联合接种和疫苗接种的调查。6个月大。受访者提供了来自不同来源（互联网，家人/朋友，其他父母）的信息和对医生的信任的评级。我们使用线性回归分析，包括这些信息来源调整后的社会经济variables.Results：在618照顾者，64%的人担心疫苗共同管理和31%的人担心疫苗管理的婴儿< 6个月的年龄。互联网作为重要信息来源的评分越高，对联合给药的关注度越高（β = 0.11，95% CI：0.00，0.22），对< 6月龄时给药的关注度越高（β = 0.17，95% CI：0.05，0.28）。对来自其他父母的信息给予更高的评级对应于对疫苗联合给药的0.24分的更大关注（95% CI：0.04，0.44）。更多的信任医生和评级的信息，从朋友和家人没有相关的疫苗concerns.Conclusions：照顾者对疫苗调度的关注可能会限制中国的灵活性，以增加疫苗的官方免疫接种计划。在互联网上报告有关疫苗安全性的信息，并将父母聚集在一起讨论疫苗，可能有助于减轻对疫苗接种时间表的担忧。(C)2017爱思唯尔有限公司版权所有
Background: Several new vaccines have been introduced into China in recent years, but some parents in China have shown concerns about the scheduling of vaccinations for young infants. This study explores caregiver concerns about children receiving multiple vaccines during a single visit and about vaccine administration in infants < 6 months, and assesses the degree to which these concerns are associated with ratings of the importance of different sources of vaccine information in Shanghai.Methods: Caregivers of children 8 months to 7 years presenting at immunization clinics in Shanghai completed a survey about vaccine co-administration and vaccine administration < 6 months of age. Respondents provided ratings of information from different sources (Internet, family/friends, other parents) and trust in doctors. We analyzed vaccine concerns using linear regression analyses that included these information sources after adjusting for socioeconomic variables.Results: Among 618 caregivers, 64% were concerned about vaccine co-administration and 31% were concerned about vaccine administration to infants < 6 months of age. Higher ratings of Internet as an important source of information were associated with greater concern about co-administration (beta = 0.11, 95% CI: 0.00, 0.22) and concern about administration at < 6 months of age (beta = 0.17, 95% CI: 0.05, 0,28). Higher ratings given to information from other parents corresponded to 0.24 points greater concern about vaccine co-administration (95% CI: 0.04, 0.44). More trust in doctors and ratings of information from friends and family were not associated with vaccine concerns.Conclusions: Caregiver concerns about vaccine scheduling may limit China's flexibility to add vaccines to its official immunization schedule. Reporting information about vaccine safety on the Internet and bringing groups of parents together to discuss vaccines might help to ameliorate concerns about vaccine scheduling. (C) 2017 Elsevier Ltd. All rights reserved.