Investigating Italian parents' vaccine hesitancy: A cross-sectional survey

Investigating Italian parents' vaccine hesitancy: A cross-sectional survey
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DOI:
10.1080/21645515.2018.1463943
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发表时间:
2018-01-01
影响因子:
4.8
通讯作者:
Angelillo, Italo Francesco
Angelillo, Italo Francesco
中科院分区:
医学3区
文献类型:
--
作者:
Napolitano, Francesco;D'Alessandro, Alessia;Angelillo, Italo Francesco

文献摘要

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这项横断面调查旨在评估疫苗犹豫的流行程度,并在随机选择的父母样本中确定相关因素。2017年10月至12月,研究人员对意大利那不勒斯地区随机选择的五所幼儿园的2至6岁儿童的父母进行了问卷调查。在入选的727名家长中,有437名家长回复了问卷,回复率为60.1%。家长对儿童疫苗接种态度调查(PACV)得分中位数为45.8分,其中141名家长(34.7%)得分>= 50,对儿童疫苗接种存在犹豫。疫苗犹豫是更常见的在那些担心,那些不确定任何一个童年的照片可能不安全,在那些担心他们的孩子可能有严重的副作用,在那些担心一枪不可能防止疾病,至少在那些推迟,拒绝给孩子注射疫苗,和那些不确定和不确定的儿科医生。超过一半的家长(53.8%)表示希望获得有关儿童疫苗接种的更多信息。那些不确定和不确定遵循推荐的注射时间表对他们的孩子来说是一个好主意的父母和那些第一个孩子的父母更可能需要额外的信息。本研究发现,疫苗犹豫在家长中普遍存在,这表明在免疫规划中有必要实现儿科医生与社区之间更高质量的关系。
This cross-sectional survey was designed to assess the prevalence of vaccine hesitancy and to identify factors associated among a randomly selected sample of parents. A questionnaire was self-administered from October to December 2017 to a sample of parents of children aged 2 to 6 years attending five randomly selected pre-schools in the geographic area of Naples, Italy. Out of the 727 selected parents, 437 returned the questionnaires for a response rate of 60.1%. The median of Parent Attitudes about Childhood Vaccines Survey (PACV) score among participants was 45.8 with a total of 141 parents (34.7%) scored a value >= 50 and were defined hesitant about the childhood vaccinations. Vaccine hesitancy was significantly more common among those who were concerned and among those were not sure that any one of the childhood shots might not be safe, among those who were concerned that their children might have a serious side effect from a shot, among those who were concerned that a shot might not prevent the disease, among those who delayed and refused at least a shot of vaccine for their children, and in those who are not sure and uncertain in the pediatrician. More than half of parents (53.8%) expressed a desire to receive additional information about the childhood vaccinations. Parents who were not sure and uncertain that to follow the recommended shot schedule is a good idea for their children and those who were parents of first-born children were more likely to need additional information. This study finds a high prevalence of vaccine hesitancy among parents suggesting that in the immunization program is necessary to achieve a higher quality of the relationship between pediatricians and the community.