Negative attitude of highly educated parents and health care workers towards future vaccinations in the Dutch childhood vaccination program
Negative attitude of highly educated parents and health care workers towards future vaccinations in the Dutch childhood vaccination program
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DOI：
10.1016/j.vaccine.2005.01.074
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发表时间：
2005-05-02
期刊：
影响因子：
5.5
通讯作者：
Sanders, EAM
中科院分区：
文献类型：
--
作者：
Hak, E;Schönbeck, Y;Sanders, EAM
背景：尚不清楚是否会接受进一步扩大荷兰儿童疫苗接种计划，以及教育策略中应针对哪些人。目的：确定父母对其孩子未来可能接种疫苗的态度以及与消极态度相关的行为决定因素。设计：问卷研究。方法：要求日托中心 3 个月至 5 岁儿童的父母填写一份调查问卷。使用多元逻辑回归分析评估了对未来可能接种肺炎或流感、乙型肝炎、TBC、天花和 SARS 等疾病疫苗持消极态度的决定因素。 结果：在 283 名受访者中，123 名受访者 (43%) 报告对所有疫苗接种持积极态度，129 名受访者 (46%) 报告对让孩子接种某些疾病疫苗持积极态度，31 名受访者 (11%) 无意遵守任何新的疫苗接种。完全消极态度的决定因素是父母受过高等教育（比值比[OR] 3.3，95%置信区间[95% CI]：1.3-8.6）、是否是一名卫生保健工作者（OR 4.2，95% CI：1.4-12.6）、没有宗教信仰（OR 2.6，95% CI：1.0-6.7）、认为疫苗无效（OR 6.9，95% CI：2.5-18.9）以及疫苗接种导致哮喘或过敏的认知（OR 82.4，95% CI：8.9-766.8）。结论：对遵守新疫苗接种的消极态度的可修改决定因素主要是基于缺乏具体知识。这些疫苗接种障碍可以通过改善疫苗接种计划中的健康教育来克服，特别是针对受过教育的父母和卫生保健工作者。 (c) 2005 Elsevier Ltd. 保留所有权利。
Background: It is unknown whether further expansion of the Dutch childhood vaccination program with other vaccines will be accepted and whom should be targeted in educational strategies.Aim: To determine attitudes of parents towards possible future vaccinations for their children and the behavioural determinants associated with a negative attitude.Design: Questionnaire study.Methods: Parents of children aged between 3 months and 5 years of day-care centres were asked to fill out a questionnaire. Determinants of a negative attitude to comply with possible future vaccinations against example diseases such as pneumonia or influenza, hepatitis B, TBC, smallpox and SARS were assessed using polytomous logistic regression analysis.Results: Of the 283 respondents, 123 (43%) reported a positive attitude towards all vaccinations, 129 (46%) reported to have a positive attitude to have their child vaccinated against some diseases and 31 (11%) had no intention to comply with any new vaccination. Determinants of a fully negative attitude were a high education of the parent (odds ratio [OR] 3.3, 95% confidence interval [95% CI]: 1.3-8.6), being a health care worker (OR 4.2, 95% CI: 1.4-12.6), absence of religion (OR 2.6, 95% CI: 1.0-6.7), perception of vaccine ineffectiveness (OR 6.9, 95% CI: 2.5-18.9) and the perception that vaccinations cause asthma or allergies (OR 82.4, 95% CI: 8.9-766.8).Conclusion: Modifiable determinants for a negative attitude to comply with new vaccinations are mainly based on lack of specific knowledge. These barriers to vaccinations might be overcome by improving health education in the vaccination program, especially when targeted at educated parents and health care workers. (c) 2005 Elsevier Ltd. All rights reserved.