Vaccine beliefs of parents who oppose compulsory vaccination

Vaccine beliefs of parents who oppose compulsory vaccination
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DOI:
10.1177/003335490512000306
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发表时间:
2005-05-01
影响因子:
3.3
通讯作者:
Gust, DA
Gust, DA
中科院分区:
医学4区
文献类型:
--
作者:
Kennedy, AM;Brown, CJ;Gust, DA

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目标。我们的目标如下:(1)描述与父母反对强制接种相关的社会人口学因素、疫苗信念和行为,以及(2)确定父母居住州是否存在哲学上的豁免与父母反对强制接种有关。分析了2002年HealthStyles调查的数据。卡方分析被用来确定信仰和行为问题与反对强制入学接种疫苗之间的显著关联。使用双变量分析中的显著变量进行多因素Logistic回归分析,以确定被调查父母中反对强制接种的独立预测因素。在至少有一个孩子年龄:18岁的受访者中(n=1527),12%的人反对强制接种疫苗。调查结果表明,父母对入学强制接种疫苗的信念与疫苗的安全性和实用性以及让最小的孩子完全接种疫苗的意图显著相关。居住在允许哲学上免除接种疫苗的州也与父母反对强制入学接种疫苗显著相关。向父母提供有关疫苗和疫苗可预防疾病的基本信息,可能有助于通过加强儿童常规疫苗接种的安全性和重要性,减少对强制接种疫苗的反对。
Objectives. Our objectives were the following: (1) to describe the socio-demographic factors, vaccine beliefs, and behaviors that are associated with parental opposition to compulsory vaccination, and (2) to determine if the availability of a philosophical exemption in a parent's state of residence is associated with parental opposition to compulsory vaccination.Methods. Data from the 2002 HealthStyles survey were analyzed. Chi-square analysis was used to identify significant associations between belief and behavior questions and opposition to compulsory vaccination for school entry. Multivariate logistic regression was conducted using significant variables from the bivariate analysis to identify independent predictors of opposition to compulsory vaccination among surveyed parents.Results. Of respondents with at least one child aged : 18 years living in the household (n=1,527), 12% were opposed to compulsory vaccination. Survey results indicate that a parent's belief regarding compulsory vaccination for school entry is significantly associated with beliefs in the safety and utility of vaccines, as well as intention to have the youngest child fully vaccinated. Residence in a state that permits philosophical exemption to vaccination also was significantly associated with a parent's opposition to compulsory vaccination for school entry.Conclusions. Providing basic information to parents regarding vaccines and vaccine-preventable diseases may help reduce opposition to compulsory vaccination by reinforcing the safety and importance of routine childhood vaccinations.