Factors Determining the Uptake of Influenza Vaccination Among Children With Chronic Conditions
Factors Determining the Uptake of Influenza Vaccination Among Children With Chronic Conditions
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DOI：
10.1097/inf.0000000000001550
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发表时间：
2017-07-01
影响因子：
3.6
通讯作者：
Thompson, David R.
中科院分区：
文献类型：
--
作者：
Chau, Janita Pak Chun;Lo, Suzanne Hoi Shan;Thompson, David R.
背景：研究报告称，慢性病儿童的流感疫苗接种率低得惊人。在香港，尚无研究调查家长对患有慢性病的儿童接种流感疫苗的决策，从而限制了为制定提高流感疫苗接种率的具体策略提供信息的知识库。本研究的目的是找出影响慢性病儿童接种流感疫苗的因素。方法：我们对从两家急症医院的儿科病房和专科门诊招募的 623 名慢性病儿童家长进行了横断面调查。 Daley等人根据健康信念模型开发了一份问卷，用于调查父母对流感和疫苗接种的信念和态度。结果：父母和孩子的平均年龄分别为40.1+/-8.1和8.0+/-4.5岁。在儿童中，最常见的慢性病是哮喘、慢性呼吸道疾病和心肌病。三分之一 (33%) 的儿童在过去 12 个月内接种过流感疫苗。超过三分之一（39%）的家长打算在即将到来的流感季节为孩子接种流感疫苗。多变量逻辑回归分析显示，除了感知的严重程度和对流感的了解之外，所有子量表得分均与接种率独立显着相关。结论：研究结果表明，慢性病儿童的父母缺乏对流感风险的认识，并且对疫苗接种的好处了解不足。这些发现可以为制定干预措施提供信息，以促进患有慢性病的儿童接种疫苗。
Background: Studies report that the influenza vaccination uptake rate among children with chronic conditions is alarmingly low. In Hong Kong, there has been no study examining parental decision making about influenza vaccination for children with chronic conditions, thereby limiting the knowledge base to inform the development of specific strategies to improve influenza vaccination rates. The aim of this study was to identify factors determining the uptake of influenza vaccination among children with chronic conditions.Methods: We conducted a cross-sectional survey of 623 parents with children having a chronic condition recruited from pediatric wards and specialty outpatient departments of 2 acute hospitals. A questionnaire developed by Daley et al based on the Health Belief Model was used to examine parents' beliefs and attitudes toward influenza and vaccination.Results: The parents' and their children's mean age were 40.1 +/- 8.1 and 8.0 +/- 4.5 years, respectively. Among the children, the most prevalent chronic conditions were asthma, chronic respiratory disease and cardiomyopathy. One-third (33%) of the children had influenza vaccination in the past 12 months. More than one-third (39%) of parents intended to vaccinate their children against influenza in the coming influenza season. A multivariable logistic regression analysis revealed that all subscale scores except perceived severity and knowledge about influenza were independently significantly associated with uptake.Conclusions: The findings indicate that parents of children with chronic conditions lack awareness of the risks of influenza and have insufficient understanding about the benefits of vaccination. These findings could inform the development of interventions to promote vaccination uptake among children with chronic conditions.