Validation of the Vaccination Confidence Scale: A Brief Measure to Identify Parents at Risk for Refusing Adolescent Vaccines
Validation of the Vaccination Confidence Scale: A Brief Measure to Identify Parents at Risk for Refusing Adolescent Vaccines
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DOI：
10.1016/j.acap.2015.06.007
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发表时间：
2016-01-01
影响因子：
3.1
通讯作者：
Brewer, Noel T.
中科院分区：
文献类型：
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作者：
Gilkey, Melissa B.;Reiter, Paul L.;Brewer, Noel T.
目的：为了验证一个简短的措施，接种疫苗的信心，使用一个大的，全国代表性的样本parents.METHODS：我们分析了加权数据，从9018父母谁完成了2010年全国免疫调查青少年，每年一次，以人口为基础的电话调查。父母报告了家中一名13至17岁儿童的疫苗接种史，包括破伤风、白喉和无细胞百日咳（Tdap）、脑膜炎球菌和人乳头瘤病毒疫苗。对于每种疫苗，单独的逻辑回归模型评估了父母在8项疫苗接种信心量表上的平均得分与疫苗拒绝、疫苗延迟和疫苗接种状态之间的关联。我们重复分析的规模的4项简短的form.Results：四分之一的父母（24%）报告拒绝任何疫苗，拒绝特定的疫苗范围从21%的人乳头瘤病毒Tdap的2%。使用完整的8项量表，疫苗接种信心与疫苗拒绝措施呈负相关，与疫苗接种状态呈正相关。例如，拒绝接种任何疫苗在父母中更常见，其量表得分为中等（比值比，2.08; 95%置信区间，1.75-2.47）或低（比值比，4.61; 95%置信区间，3.51-6.05）与高。对于4项简表，评分也始终与疫苗接种拒绝和疫苗接种状态相关。接种疫苗的信心是不一致的疫苗delay.CONCLUSIONS：疫苗接种信心量表显示承诺作为一种工具，用于识别父母拒绝青少年疫苗的风险。该量表的简短形式似乎提供了可比的性能。
OBJECTIVE: To validate a brief measure of vaccination confidence using a large, nationally representative sample of parents.METHODS: We analyzed weighted data from 9018 parents who completed the 2010 National Immunization Survey Teen, an annual, population-based telephone survey. Parents reported on the immunization history of a 13- to 17-year-old child in their households for vaccines including tetanus, diphtheria, and acellular pertussis (Tdap), meningococcal, and human papillomavirus vaccines. For each vaccine, separate logistic regression models assessed associations between parents' mean scores on the 8-item Vaccination Confidence Scale and vaccine refusal, vaccine delay, and vaccination status. We repeated analyses for the scale's 4-item short form.RESULTS: One quarter of parents (24%) reported refusal of any vaccine, with refusal of specific vaccines ranging from 21% for human papillomavirus to 2% for Tdap. Using the full 8-item scale, vaccination confidence was negatively associated with measures of vaccine refusal and positively associated with measures of vaccination status. For example, refusal of any vaccine was more common among parents whose scale scores were medium (odds ratio, 2.08; 95% confidence interval, 1.75-2.47) or low (odds ratio, 4.61; 95% confidence interval, 3.51-6.05) versus high. For the 4-item short form, scores were also consistently associated with vaccine refusal and vaccination status. Vaccination confidence was inconsistently associated with vaccine delay.CONCLUSIONS: The Vaccination Confidence Scale shows promise as a tool for identifying parents at risk for refusing adolescent vaccines. The scale's short form appears to offer comparable performance.