The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status A Validation Study
The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status A Validation Study
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DOI：
10.1001/jamapediatrics.2013.2483
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发表时间：
2013-11-01
期刊：
影响因子：
26.1
通讯作者：
Mangione-Smith, Rita
中科院分区：
文献类型：
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作者：
Opel, Douglas J.;Taylor, James A.;Mangione-Smith, Rita
重要性接受儿童疫苗接种正在减弱，扩大兴趣的发展和测试干预措施，解决父母的障碍，免疫acceptance.OBJECTIVE确定的预测效度和重测信度的父母态度关于儿童疫苗调查（PACV），最近开发的疫苗犹豫措施。和参与者：2010年7月10日至12月10日出生的2个月大儿童的英语父母的前瞻性队列，他们属于总部设在西雅图的综合医疗保健提供系统，并返回了完整的基线PACV。8周后完成随访调查的父母被纳入可靠性分析。在孩子19个月大之前一直在分娩系统中保持连续成员的父母被包括在有效性分析中。从0到100分（100表示高疫苗犹豫）。主要结果和措施儿童的免疫状况，从出生到19个月大的免疫不足的天数的百分比来衡量。7名家长完成了基线PACV（应答率，50.5%），220名（66.5%）完成了随访调查。在完成基线调查的437名家长中，310名（70.9%）保持连续入学。与得分低于50分的父母相比，调查中得分为50至69分的父母的儿童从出生到19个月大的免疫不足天数多出8.3%（95%CI，3.6%-12.8%）;得分为70至100分的父母，多出46.8%（40.3%-53.3%）。基线和8周随访PACV评分高度一致（rho = 0.844）。结论和相关性PACV评分预测儿童免疫状况，具有较高的可靠性。我们的研究结果应该在不同的地理和人口样本的父母验证。
IMPORTANCE Acceptance of childhood vaccinations is waning, amplifying interest in developing and testing interventions that address parental barriers to immunization acceptance.OBJECTIVE To determine the predictive validity and test-retest reliability of the Parent Attitudes About Childhood Vaccines survey (PACV), a recently developed measure of vaccine hesitancy.DESIGN, SETTING, AND PARTICIPANTS Prospective cohort of English-speaking parents of children aged 2 months and born from July 10 through December 10, 2010, who belonged to an integrated health care delivery system based in Seattle and who returned a completed baseline PACV. Parents who completed a follow-up survey 8 weeks later were included in the reliability analysis. Parents who remained continuous members in the delivery system until their child was 19 months old were included in the validity analysis.EXPOSURE The PACV, scored on a scale of 0 to 100 (100 indicates high vaccine hesitancy).MAIN OUTCOMES AND MEASURES Child's immunization status as measured by the percentage of days underimmunized from birth to 19 months of age.RESULTS Four hundred thirty-seven parents completed the baseline PACV (response rate, 50.5%), and 220 (66.5%) completed the follow-up survey. Of the 437 parents who completed a baseline survey, 310 (70.9%) maintained continuous enrollment. Compared with parents who scored less than 50, parents who scored 50 to 69 on the survey had children who were underimmunized for 8.3% (95% Cl, 3.6%-12.8%) more days from birth to 19 months of age; those who scored 70 to 100, 46.8% (40.3%-53.3%) more days. Baseline and 8-week follow-up PACV scores were highly concordant (rho = 0.844).CONCLUSIONS AND RELEVANCE Scores on the PACV predict childhood immunization status and have high reliability. Our results should be validated in different geographic and demographic samples of parents.