School absenteeism, parental work loss, and acceptance of childhood influenza vaccination
School absenteeism, parental work loss, and acceptance of childhood influenza vaccination
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DOI：
10.1097/00000441-200103000-00004
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发表时间：
2001-03-01
影响因子：
3.1
通讯作者：
Chafin, C
中科院分区：
文献类型：
--
作者：
Nettleman, MD;White, T;Chafin, C
背景：流感会导致学校缺勤，并可能导致家长因照顾生病的孩子而缺勤。然而，尚不清楚这些因素是否会影响父母对儿童疫苗接种的接受程度。方法：向 3 所小学的 1805 名儿童的家长邮寄了一份调查问卷。其中包括有关留在家里照顾生病孩子的成年人的缺勤和就业状况的问题。家长被问及是否会考虑为孩子接种针对常见冬季呼吸道病毒的疫苗。结果：在返回的 972 份调查中（返回率为 54%），其中 954 份可以进行分析。只有13%的受访者表示不会考虑为孩子接种疫苗。 69% 的儿童因非哮喘呼吸道疾病而缺课，每个孩子平均缺课 2.54 天。孩子曾缺课的受访者中，有33%肯定会考虑接种疫苗，而孩子没有缺课的受访者则有24%会考虑接种疫苗（P < 0.01）。随着孩子们缺课的时间增多，疫苗的接受度也随之增加。在 53% 的家庭中，成年人不得不缺勤来照顾生病的孩子。如果成年看护人因孩子生病而不得不耽误工作，则对疫苗的接受度会更高（35% 与非工作看护人的 25%，P < 0.01）。结论：疫苗接受度与上一年因呼吸系统疾病导致的缺勤量密切相关。那些不得不缺勤来照顾生病孩子的父母比其他父母更能接受疫苗。
Background: influenza causes school absenteeism and may cause parents to miss work to care for sick children. However, it is not known whether these factors influence parental acceptance of childhood vaccination. Methods: A survey was mailed to parents of 1805 children attending 3 elementary schools. It included questions about school absenteeism and employment status for adults who stayed home to care for an ill child. Parents were asked if they would consider vaccinating their child against a common wintertime respiratory virus. Results: Of the 972 surveys returned (54% return rate), 954 could be analyzed. Only 13% of respondents stated that they would not consider vaccination for their child. Sixty-nine percent of children had been absent from school because of a nonasthma respiratory illness, with an average of 2.54 days missed per child. Among respondents whose child had missed any school, 33% would definitely consider vaccination compared with 24% of respondents whose child had not missed school (P < 0.01). As children missed more school days, vaccine acceptance increased. In 53% of families, an adult had to miss work to care for the ill child. Vaccine acceptance was higher if an adult caretaker had to lose time from work because of a child's illness (35% versus 25% for non-working caretakers, P < 0.01). Conclusion: Vaccine acceptance was closely linked with the amount of absenteeism caused by respiratory illness in the previous year. Parents who had to miss work to care for an ill child were more accepting of the vaccine than were other parents.