Parents' and guardians' views and experiences of accessing routine childhood vaccinations during the coronavirus (COVID-19) pandemic: A mixed methods study in England
Parents' and guardians' views and experiences of accessing routine childhood vaccinations during the coronavirus (COVID-19) pandemic: A mixed methods study in England
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冠状病毒 (COVID-19) 大流行期间父母和监护人对常规儿童疫苗接种的看法和经验：英格兰的一项混合方法研究
DOI：
10.1101/2020.09.04.20186569
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
S. Mounier
中科院分区：
文献类型：
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作者：
S. Bell;R. Clarke;P. Paterson;S. Mounier
目的：探讨家长和监护人在新型冠状病毒（COVID-19）大流行期间，对英国国家卫生服务体系（NHS）常规儿童疫苗接种的看法和经验。设计图：混合方法包括在线横断面调查（于2020年4月19日至5月11日进行）和半结构化电话访谈（于2020年4月27日至5月27日进行）。参与者：1252名父母和监护人（16岁以上），他们报告说，他们与18个月或以下的孩子一起生活在英格兰，完成了调查。19名受访者参加了后续访谈。结果如下：大多数受访者（85. 7%）认为在COVID-19大流行期间，他们的孩子按时接受常规疫苗接种很重要;然而，发现了几个疫苗接种障碍。其中包括疫苗接种服务是否正常运行缺乏明确性，特别是来自低收入家庭的受访者以及自报黑人、亚裔、华裔、混血儿或其他种族的受访者;组织疫苗接种预约的困难;以及担心在参加全科医生时感染COVID-19。在获得全科医疗服务时感染COVID-19的担忧与儿童如果没有接受定期的儿童常规疫苗接种而感染疫苗可预防的疾病的担忧进行了权衡。许多家长和监护人认为，他们的孩子患上疫苗可预防疾病的风险很低，因为严格的身体距离措施（从2020年3月23日起）的实施意味着他们不会与其他人混在一起。结论：为在当前COVID-19爆发、进一步的COVID-19感染浪潮以及未来的大流行期间促进常规儿童接种疫苗，需要及时和持续的国家和全科医疗水平的沟通，以提高对疫苗接种服务持续性和及时接种疫苗重要性的认识，并需要维持疫苗接种邀请提醒系统。为了减轻对获得全科医疗服务的安全性的担忧，医疗机构应传达正在实施的预防COVID-19传播的措施。
Objective: To explore parents' and guardians' views and experiences of accessing National Health Service (NHS) general practices for routine childhood vaccinations during the coronavirus (COVID-19) pandemic in England. Design: Mixed methods approach involving an online cross-sectional survey (conducted between 19th April and 11th May 2020) and semi-structured telephone interviews (conducted between 27th April and 27th May 2020). Participants: 1252 parents and guardians (aged 16+ years) who reported living in England with a child aged 18 months or under completed the survey. Nineteen survey respondents took part in follow-up interviews. Results: The majority of survey respondents (85.7%) considered it important for their children to receive routine vaccinations on schedule during the COVID-19 pandemic; however, several barriers to vaccination were identified. These included a lack of clarity around whether vaccination services were operating as usual, particularly amongst respondents from lower income households and those self-reporting as Black, Asian, Chinese, Mixed or Other ethnicity; difficulties in organising vaccination appointments; and fears around contracting COVID-19 while attending general practice. Concerns about catching COVID-19 while accessing general practice were weighed against concerns about children acquiring a vaccine-preventable disease if they did not receive scheduled routine childhood vaccinations. Many parents and guardians felt their child's risk of acquiring a vaccine-preventable disease was low as the implementation of stringent physical distancing measures (from March 23rd 2020) meant they were not mixing with others. Conclusion: To promote routine childhood vaccination uptake during the current COVID-19 outbreak, further waves of COVID-19 infection, and future pandemics, prompt and sustained national and general practice level communication is needed to raise awareness of vaccination service continuation and the importance of timely vaccination, and invitation-reminder systems for vaccination need to be maintained. To allay concerns about the safety of accessing general practice, practices should communicate the measures being implemented to prevent COVID-19 transmission.