Understanding caregivers' decision to vaccinate childhood cancer survivors against COVID-19.
Understanding caregivers' decision to vaccinate childhood cancer survivors against COVID-19.
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作者：
建议儿童癌症幸存者（CCS）接种COVID-19疫苗。本研究旨在通过应用计划行为理论，确定有助于照顾者决定为5-17岁的CCS接种COVID-19疫苗的前因。这项横断面研究的参与者完成了一项在线调查，评估了护理人员的态度、主观规范、感知的行为控制、接种CCS的意愿、CCS疫苗接种状况、COVID-19健康素养和COVID-19信息寻求频率。在美国批准在5岁以上儿童中紧急使用COVID-19疫苗后，于2022年5月至6月期间完成了调查。参与者为CCS的护理人员（n = 160，87.5%为亲生母亲，75.6%为白色/非西班牙裔）（n = 160，44.4%为女性，平均（M）= 12.5岁，M =停药8.0年）。70.0%（n = 112）的护理人员和53.8%（n = 86）的CCS接受了COVID-19疫苗接种。超过三分之一（37.5%）的护理人员报告对CCS未来的COVID-19疫苗接种持不同意见或犹豫不决。护理人员的意图（β = 0.962;标准误[S.E.] = 0.028; p < 0.001）与CCS疫苗接种状态高度相关。态度（β = 0.568; S.E. = 0.078; p < 0.001）和主观规范（β = 0.322; S.E. = 0.062; p < 0.001）与意图相关。更高的COVID-19信息寻求频率（β = 0.313; S.E. = 0.063; p < 0.001）和COVID-19健康素养（β = 0.234; S.E. = 0.059; p < 0.001）通过态度和主观规范对意图产生了积极的间接影响。照顾者对未成年CCS的疫苗接种意向与疫苗接种行为高度相关，并受态度、主观规范、COVID-19健康素养和COVID-19信息寻求频率的影响。促进与CCS护理人员进行有针对性的沟通，并鼓励他们审查可靠的信息来源，可以解决他们对疫苗的犹豫。
Vaccination against COVID‐19 is recommended for childhood cancer survivors (CCS). This study aimed to identify antecedents contributing to caregivers' decisions to vaccinate CCS aged 5–17 years against COVID‐19 by applying the Theory of Planned Behavior. Participants in this cross‐sectional study completed an online survey assessing caregiver attitudes, subjective norms, perceived behavioral control, intention to vaccinate CCS, CCS vaccination status, COVID‐19 health literacy, and frequency of COVID‐19 information‐seeking. Surveys were completed between May and June 2022 following approval for the emergency use of COVID‐19 vaccines among children aged ≥5 years in the U.S. Data were analyzed using unadjusted linear regressions and structural equation modeling. Participants were caregivers (n = 160, 87.5% biological mothers, 75.6% white/non‐Hispanic) of CCS (n = 160, 44.4% female, mean (M) = 12.5 years old, M = 8.0 years off treatment). 70.0% (n = 112) of caregivers and 53.8% (n = 86) of CCS received a COVID‐19 vaccine. Over one‐third (37.5%) of caregivers reported disagreement or indecision about future COVID‐19 vaccination for the CCS. Caregivers' intention (β = 0.962; standard error [S.E.] = 0.028; p < 0.001) was highly related to CCS vaccination status. Attitudes (β = 0.568; S.E. = 0.078; p < 0.001) and subjective norms (β = 0.322; S.E. = 0.062; p < 0.001) were associated with intention. Higher frequency of COVID‐19 information‐seeking (β = 0.313; S.E. = 0.063; p < 0.001) and COVID‐19 health literacy (β = 0.234; S.E. = 0.059; p < 0.001) had a positive indirect effect on intention through attitudes and subjective norms. Caregivers' vaccination intentions for minor CCS are highly related to vaccination behavior and shaped by attitudes, subjective norms, COVID‐19 health literacy, and frequency of COVID‐19 information‐seeking. Promoting tailored communication with caregivers of CCS and encouraging them to review reputable sources of information can address their vaccine hesitancy.
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影响因子：
4.8
作者：
Lorini C;Santomauro F;Donzellini M;Capecchi L;Bechini A;Boccalini S;Bonanni P;Bonaccorsi G
通讯作者：
Bonaccorsi G
影响因子：
5.5
作者：
Li JB;Lau EYH;Chan DKC
通讯作者：
Chan DKC
影响因子：
10.3
作者：
Ajzen, Icek
通讯作者：
Ajzen, Icek
影响因子：
3.5
作者：
AJZEN, I;MADDEN, TJ
通讯作者：
MADDEN, TJ
DOI：
10.1093/jpids/piac049
发表时间：
2022-08-30
影响因子：
3.2
作者：
通讯作者：
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