Parental knowledge, attitudes, and practices associated with not receiving hepatitis a vaccine in a demonstration project in Butte County, California
Parental knowledge, attitudes, and practices associated with not receiving hepatitis a vaccine in a demonstration project in Butte County, California
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DOI：
10.1542/peds.112.4.e269
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发表时间：
2003-10-01
期刊：
影响因子：
8
通讯作者：
Yusuf, H
中科院分区：
文献类型：
--
作者：
Bardenheier, B;González, IM;Yusuf, H
Objective.目的探讨儿童甲型肝炎疫苗接种率及未接种甲型肝炎疫苗的相关因素。2000年，对加州比尤特县上幼儿园的儿童的父母进行了随机整群抽样调查。由于有复发性流行病史，在本研究进行期间，正在进行积极的甲型肝炎疫苗接种计划。接种1剂或2剂甲型肝炎疫苗进行了研究。在发送的896份调查中，完成了648份（72%）。至少接种1剂甲型肝炎疫苗的接种率为398人（62%），接种2剂的接种率为272人（42%）。与未接种疫苗相关的因素包括缺乏提供者的建议（与有推荐;比值比[OR]：7.8; 95%置信区间[CI]：4.9-12.2），没有听说过疫苗（OR：2.4; 95%CI：1.2-4.9），且父母未察觉孩子患甲型肝炎的可能性较大（vs认为孩子可能患病; OR：2.1; CI：1.6-2.9）。尽管在该社区积极开展了疫苗接种工作，但未成年人的疫苗接种覆盖率没有达到高水平（即>90%）。缺乏提供者的建议和缺乏家长对甲型肝炎疫苗的认识是2个最重要的因素与未能接受疫苗。这些发现将有助于为建议接种甲型肝炎疫苗的社区制定疫苗接种策略。
Objective. To determine hepatitis A vaccination coverage and factors associated with not receiving hepatitis A vaccine among children.Methods. A random cluster sample survey was conducted of parents of children who attended kindergarten in Butte County, California, in 2000. Because of a history of recurrent epidemics, an aggressive hepatitis A vaccination program was ongoing during the time this study was conducted. Receipt of 1 or 2 doses of hepatitis A vaccine was studied.Results. Of 896 surveys sent, 648 (72%) were completed. The vaccination coverage for at least 1 dose of hepatitis A vaccine was 398 (62%) and for 2 doses was 272 (42%). Factors associated with not receiving the vaccine included lack of provider recommendation ( vs having recommendation; odds ratio [OR]: 7.8; 95% confidence interval [CI]: 4.9-12.2), not having heard of the vaccine (OR: 2.4; 95% CI: 1.2-4.9), and parent's not perceiving child is likely to get hepatitis A ( vs perceiving child might get disease; OR: 2.1; CI: 1.6-2.9).Conclusions. Vaccination coverage among kindergartners did not reach high levels (ie, >90%), despite aggressive vaccination efforts in this community. Lack of provider recommendation and lack of parental awareness of hepatitis A vaccine were the 2 most significant factors associated with failure to receive vaccine. These findings will facilitate the development of vaccination strategies for communities in which hepatitis A vaccination is recommended.