Parental attitudes about sexually transmitted infection vaccination for their adolescent children.
Parental attitudes about sexually transmitted infection vaccination for their adolescent children.
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DOI：
10.1001/archpedi.159.2.132
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发表时间：
2005-02
影响因子：
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通讯作者：
G. Zimet;R. Mays;L. Sturm;A. A. Ravert-A.;S. Perkins;B. Juliar
中科院分区：
文献类型：
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作者：
G. Zimet;R. Mays;L. Sturm;A. A. Ravert-A.;S. Perkins;B. Juliar
评估父母对青少年接种疫苗的态度作为疫苗特性的函数，包括疫苗是否预防性传播感染（STI），并探讨STI疫苗可接受性的可能社会人口预测因素。设计参与者是278名陪同子女（69.1%为女性，年龄12-17岁）到医疗诊所就诊的父母。通过使用基于计算机的问卷，父母对9种假设的疫苗方案进行了评级，每种方案都是沿着4个维度定义的：传播方式（STI或非STI），感染的严重程度（可治愈，慢性或致命），疫苗效力（50%，70%或90%）以及预防行为方法的可用性（可用或不可用）。父母在每种疫苗方案下为青少年接种疫苗的意愿在0至100的范围内进行评估。联合分析用于确定每个维度对评级的相对贡献。结果疫苗情景评分平均为81.3。性传播感染疫苗（平均81.3分）与非性传播感染疫苗（平均80.0分）的评分没有差异。联合分析表明，感染的严重程度和疫苗的效力有最强的影响评级，其次是行为预防的可用性。传播方式对收视率的影响可以忽略不计。儿童年龄（P = 0.08）和性别（P = 0.77）、父母年龄（P = 0.32）和教育程度（P = 0.34）、保险状况（P = 0.08）和数据收集地点（P = 0.48）与STI疫苗的可接受性无显著相关性。结论：父母接受为青少年儿童接种性病疫苗的想法。最突出的问题是感染的严重程度和疫苗的有效性，而不是性传播。家长们也倾向于接种疫苗，以治疗那些没有行为预防方法的感染。
OBJECTIVES To evaluate parental attitudes about adolescent vaccination as a function of vaccine characteristics, including whether the vaccine prevented a sexually transmitted infection (STI), and to explore possible sociodemographic predictors of acceptability of STI vaccines. DESIGN Participants were 278 parents who accompanied their children (69.1% female, aged 12-17 years) to appointments at medical clinics. By using computer-based questionnaires, parents rated 9 hypothetical vaccine scenarios, each of which was defined along 4 dimensions: mode of transmission (STI or non-STI), severity of infection (curable, chronic, or fatal), vaccine efficacy (50%, 70%, or 90%), and availability of behavioral methods for prevention (available or not available). Willingness by parents to vaccinate their adolescents under each vaccine scenario was assessed on a scale that ranged from 0 to 100. Conjoint analysis was used to determine the relative contribution of each dimension to the ratings. RESULTS The mean vaccine scenario rating was 81.3. Sexually transmitted infection vaccines (mean, 81.3) were not rated differently than non-STI vaccines (mean, 80.0). Conjoint analysis indicated that severity of infection and vaccine efficacy had the strongest influence on ratings, followed by availability of behavioral prevention. Mode of transmission had a negligible effect on ratings. Child age (P = .08) and sex (P = .77), parent age (P = .32) and education (P = .34), insurance status (P = .08), and data collection site (P = .48) were not significantly associated with STI vaccine acceptability. CONCLUSIONS Parents were accepting of the idea of vaccinating their adolescent children against STIs. The most salient issues were severity of infection and vaccine efficacy, not sexual transmissibility. Parents also favored vaccines for infections that had no method of behavioral prevention available.