Parent and provider perspectives on immunization: Are providers overestimating parental concerns?
Parent and provider perspectives on immunization: Are providers overestimating parental concerns?
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DOI：
10.1016/j.vaccine.2013.11.076
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发表时间：
2014-01-23
期刊：
影响因子：
5.5
通讯作者：
Middleman, Amy B.
中科院分区：
文献类型：
--
作者：
Healy, C. Mary;Montesinos, Diana P.;Middleman, Amy B.
目的：关于提供者是否了解父母对推荐的儿童免疫接种的态度的数据有限。我们确定了父母的态度，并评估了提供者对父母意见的准确估计。方法：对德克萨斯州休斯顿市随机选择诊所的家长和提供者（儿科医生、护士、医疗助理）进行调查。调查评估了人口统计、对免疫重要性的认识、安全性和有效性以及疫苗提供的可接受性。提供者估计家长的反应。结果：401名家长（82%为母亲，12%为父亲，6%为其他）和105名提供者参与。家长认为疫苗对健康很重要（中位数为9.5;0 =不重要，10 =非常重要），但也担心疫苗的安全性和副作用（0-10分制为8.9）。309人（77%）认为疫苗能有效预防疾病。给药途径对147人（37%）很重要，他们更喜欢注射（9.0）而不是口服（7.3）或鼻内（4.8）。虽然家长倾向于每次接种三次或更少，但在决定每次接种疫苗的次数时，预防更多的疾病（189例[47.6%]）比注射次数（167例[42.3%]）更重要。白人父母认为疫苗在预防某些疾病方面不如非白人父母重要
Objectives: Data are limited on whether providers understand parental attitudes to recommended childhood immunizations. We determined parental attitudes and assessed how accurately providers estimated parental opinions.Methods: Survey of parents and providers (pediatricians, nurses, medical assistants) in randomly selected practices in Houston, Texas. Surveys assessed demographics, perceptions of immunization importance, safety and efficacy, and acceptability of vaccine delivery. Providers estimated parental responses.Results: 401 parents (82% mothers, 12% fathers, 6% other) and 105 providers participated. Parents thought vaccines were important for health (median score 9.5; 0 = not important, 10 = extremely important) but also were concerned regarding vaccine safety and side effects (8.9 on 0-10 scale). 309 (77%) agreed that vaccines effectively prevent disease. Route of administration mattered to 147(37%), who preferred injection (9.0) over oral (7.3) or intranasal (4.8) routes. Although parents would prefer three or fewer injections per visit, preventing more diseases (189 [47.6%]) was more important than number of injections (167 [42.3%]) when deciding the number of vaccines allowed per visit. White parents rated vaccines less important in preventing some illnesses than did non-white (P