Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network
Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network
复制标题
DOI：
10.1016/j.vaccine.2017.12.005
复制
发表时间：
2018-01-25
期刊：
影响因子：
5.5
通讯作者：
Greyson, Devon
中科院分区：
文献类型：
--
作者：
Dube, Eve;Gagnon, Dominique;Greyson, Devon
父母对儿童接种疫苗的决策是复杂和多方面的。有一种看法认为，在加拿大，对儿童疫苗接种感到担忧的父母人数一直在增加。本研究的目的是探讨加拿大的父母之间的疫苗犹豫，并检查与父母的意图接种他/她的孩子相关的因素。根据计划行为理论（TPB），本研究评估了父母对疫苗接种的知识，态度和信念与他们未来为孩子接种疫苗的意图之间的潜在关联。使用在线调查方法对加拿大24-59个月儿童的父母（N = 2013）进行了全国抽样调查。接受调查的父母中有一半强烈打算在未来为孩子接种疫苗。父母的信息需求和搜索以及父母对不同机构的信任与接种意愿相关。报告经常寻找疫苗信息的父母，认为他们作为父母的角色是质疑疫苗，或者以前在获得疫苗接种服务方面遇到困难的父母，不太可能强烈地打算在未来为孩子接种疫苗。对医生和公共卫生有高度信任的父母最有可能强烈地打算给孩子接种疫苗。多因素分析结果显示，积极的态度（aOR = 8.0; 95% CI：6.0，10.4）、较高的社会支持感（aOR = 3.0; 95% CI：2.3，3.93）和较高的行为控制感（aOR = 1.8; 95% CI：1.4，2.43）与父母接种疫苗的意愿相关。这项研究的结果表明，建立信任的干预措施，促进亲疫苗的社会规范和解决对疫苗接种的消极态度，可以提高加拿大父母对疫苗的接受程度。(C)2017爱思唯尔有限公司版权所有
Parental decision making about childhood vaccinations is complex and multidimensional. There is a perception that the number of parents having concerns regarding childhood vaccinations has been increasing in Canada. The aim of this study was to explore vaccine hesitancy among Canadian parents and to examine factors associated with a parent's intention to vaccinate his/her child. Informed by the Theory of Planned Behaviour (TPB) this study assesses potential associations between parents' knowledge, attitudes and beliefs toward vaccination and their intention to vaccinate their child in the future. A national sample of Canadian parents of children aged 24-59 months (N = 2013) was surveyed using an online survey methodology. Half of the surveyed parents strongly intended to have their child vaccinated in the future. Parents' information needs and searches as well as parents' trust in different institutions were associated with intention to vaccinate. Parents who reported having frequently looked for vaccine information, who considered that it was their role as parents to question vaccines, or who had previously experienced difficulty accessing vaccination services were less likely to strongly intend to vaccinate their child in the future. Parents who had a high level of trust in doctors and public health were most likely to strongly intend to vaccinate their child. Results of the multivariate analysis showed that positive attitudes (aOR = 8.0; 95% CI: 6.0, 10.4), higher perceived social support (aOR = 3.0; 95% CI: 2.3, 3.93), and higher perceived behavioural control (aOR = 1.8; 95% CI: 1.4, 2.43) were associated with parents' intention to vaccinate their child. Findings of this study suggest that trust-building interventions that promote pro-vaccine social norms and that address negative attitudes toward vaccination could enhance vaccine acceptance among Canadian parents. (C) 2017 Elsevier Ltd. All rights reserved.