Prevalence and correlates of vaccine attitudes and behaviors in a cohort of low-income mothers.
Prevalence and correlates of vaccine attitudes and behaviors in a cohort of low-income mothers.
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一个低收入母亲队列中疫苗态度和行为的流行及其相关因素
DOI：
10.1016/j.pmedr.2020.101292
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发表时间：
2021-03
影响因子：
2.8
通讯作者：
Lee CP
中科院分区：
文献类型：
--
作者：
Gilbert RM;Mersky JP;Lee CP
美国正面临着疫苗犹豫、延迟和拒绝的上升，尽管对社会经济弱势群体的这些结果知之甚少。本研究调查了接受家访服务的低收入母亲的不同队列中疫苗态度和行为的流行率及其相关性。调查数据收集自2013年至2018年威斯康星州的813名循证家访服务接受者。进行分析以描述疫苗态度和自我报告完成的结果测量，并使用多变量回归来测试疫苗相关结果和假设相关因素之间的关联。大多数妇女（94%）报告说，她们的孩子接种了最新的疫苗; 14.3%的妇女报告说曾推迟接种疫苗。少数人不同意疫苗的重要性（5.0%）、有效性（5.4%）和安全性（6.2%），但大部分人的回答是模棱两可的（10.9%-21.9%）。对卫生保健提供者更信任的参与者报告了更积极的整体疫苗态度（B = 0.24; 95% CI = 0.17，0.31），疫苗接种延迟的可能性较低（OR = 0.57; 95%CI = 0.46，0.73），以及最新疫苗的可能性更大（OR = 1.79，95%CI = 1.30，2.44）。对家访者更信任的妇女对疫苗的评价也更积极（B = 0.09; 95% CI = 0.02，0.15），报告心理健康状况更好的妇女更有可能报告她们的孩子是最新的（OR = 1.05; 95% CI = 1.02，1.09）。与非西班牙裔白人相比，美国印第安人和非西班牙裔黑人的疫苗相关结果较差。需要对高风险人群的疫苗态度和行为进行更多的研究，以制定针对性的战略，旨在解决疫苗犹豫和免疫不足问题。
The US is facing a rise in vaccine hesitancy, delay, and refusal, though little is known about these outcomes in socio-economically disadvantaged populations. This study examines the prevalence and correlates of vaccine attitudes and behaviors in a diverse cohort of low-income mothers receiving home visiting services. Survey data were collected from 813 recipients of evidence-based home visiting services in Wisconsin from 2013 to 2018. Analyses were performed to describe outcome measures of vaccine attitudes and self-reported completion, and multivariate regressions were used to test associations between vaccine-related outcomes and hypothesized correlates. Most women (94%) reported their children were up to date on vaccines; 14.3% reported having ever delayed vaccination. A small minority disagreed that vaccines are important (5.0%), effective (5.4%), and safe (6.2%), though a larger proportion responded ambivalently (10.9%–21.9%). Participants with greater trust in health care providers reported more positive overall vaccine attitudes (B = 0.24; 95% CI = 0.17, 0.31), a lower likelihood of vaccine delay (OR = 0.57; 95% CI = 0.46, 0.73), and a greater likelihood of being up to date on vaccines (OR = 1.79, 95% CI = 1.30, 2.44). Women with greater trust in a home visitor also rated vaccines more positively (B = 0.09; 95% CI = 0.02, 0.15), and women who reported better mental health were more likely to report their children were up to date (OR = 1.05; 95% CI = 1.02, 1.09). Compared to non-Hispanic whites, American Indians and non-Hispanic blacks had poorer vaccine-related outcomes. More research on vaccine attitudes and behaviors among higher-risk populations is needed to develop tailored strategies aimed at addressing vaccine hesitancy and underimmunization.
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影响因子：
8
作者：
Kempe A;O'Leary ST;Kennedy A;Crane LA;Allison MA;Beaty BL;Hurley LP;Brtnikova M;Jimenez-Zambrano A;Stokley S
通讯作者：
Stokley S
影响因子：
8
作者：
Edwards, Kathryn M.;Hackell, Jesse M.
通讯作者：
Hackell, Jesse M.
DOI：
10.3122/jabfm.17.5.324
发表时间：
2004-09-01
期刊：
JOURNAL OF THE AMERICAN BOARD OF FAMILY PRACTICE
影响因子：
--
作者：
Jhanjee, I;Saxeena, D;Gjerdingen, DK
通讯作者：
Gjerdingen, DK
DOI：
10.1093/pubmed/22.1.90
发表时间：
2000-03-01
期刊：
JOURNAL OF PUBLIC HEALTH MEDICINE
影响因子：
--
作者：
Kendrick, D;Hewitt, M;Brummell, K
通讯作者：
Brummell, K
影响因子：
5.5
作者：
Larson, Heidi J.;Jarrett, Caitlin;Wilson, Rose
通讯作者：
Wilson, Rose