The relationship between parental source of information and knowledge about measles/measles vaccine and vaccine hesitancy
The relationship between parental source of information and knowledge about measles/measles vaccine and vaccine hesitancy
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DOI：
10.1016/j.vaccine.2020.09.044
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发表时间：
2020-10-27
期刊：
影响因子：
5.5
通讯作者：
Berkowitz, Oren
中科院分区：
文献类型：
--
作者：
Ashkenazi, Shai;Livni, Gilat;Berkowitz, Oren
目的：基于信息来源可能影响知识和疫苗接受的假设，我们的目标是研究关于麻疹/麻疹疫苗的父母特征和信息来源及其与正确知识和接种麻疹疫苗的关系。背景：尽管根除麻疹有可能实现，但在2018-2019年，麻疹和麻疹引起的死亡在全球范围内死灰复燃。主要驱动因素是不完全或未接种疫苗，称为疫苗犹豫（VH）。方法：对分布在全国各地的399人进行横断面调查。研究助理用一份包含20个问题的调查问卷对家长进行了采访。问卷包括四个部分：人口统计、麻疹/麻疹疫苗的主要信息来源、麻疹/麻疹疫苗知识和儿童疫苗接种状况。单变量和多变量分析探讨了正确知识与VH之间的关系。结果：大多数受访者年龄在25-39岁之间（62%）。其中，309名（77%）儿童及时接种了麻疹疫苗，32名（8%）疫苗接种不完整，58名（15%）未接种疫苗，总VH为23%。< 30岁的父母和只有一个孩子的父母接种疫苗的频率较低（分别p < 0.001和p = 0.002）。互联网和社交媒体是32%关于麻疹/麻疹疫苗和49%关于麻疹爆发的主要信息来源；这两种来源与正确知识呈负相关（p < 0.001）。在多变量分析中，知识与及时接种疫苗独立相关（p < 0.001），互联网或社交媒体作为较高VH的来源（or分别为2.52,95%CI 1.18-5.37和or 2.44, 95%CI 1.01-5.91）。结论：社交媒体和互联网是麻疹/麻疹疫苗（可能还有其他疫苗）的常见信息来源，并且往往与错误的知识相关，这与VH有很大关系。医疗保健专业人员应该意识到这种普遍的行为，并在社交网络专家的帮助下，在这些平台上做出相应的反应。(C) 2020 Elsevier Ltd.版权所有。
Objectives: Based on the hypothesis that sources of information might affect knowledge and vaccine acceptance, our objectives were to study parental characteristics and sources of information regarding measles/measles vaccine, its relationship to correct knowledge and to administration of the measles vaccine.Background: Although measles eradication is potentially achievable, in 2018-2019 a worldwide resurgence of measles and measles-caused deaths occurred. The main driver was incomplete or no vaccination, designated as vaccine hesitancy (VH).Methods: A cross-sectional survey of 399 individuals dispersed all over the country was conducted. Research assistants interviewed parents with a 20-question survey which was previously validated. The questionnaire included four sections: demographics, major sources of information on measles/ measles vaccine, knowledge about measles/measles vaccine, and status of child's vaccination. Univariate and multivariate analyses explored associations between correct knowledge and VH.Results: The majority of respondents were between the ages of 25-39 (62%). Of these, 309 (77%) vaccinated their children against measles on time, 32 (8%) vaccinations were incomplete, and 58 (15%) did not vaccinate, for a total VH of 23%. Parents < 30 years-old and those with a single-child vaccinated less frequently (p < 0.001 and p = 0.002, respectively). Internet and social-media were the major source of information for 32% regarding measles/measles vaccine and for 49% regarding the measles outbreak; both sources were negatively associated with correct knowledge (p < 0.001). In the multivariate analysis, knowledge was independently associated with timely vaccine administration (p < 0.001) and internet or social-media as sources with higher VH (OR 2.52, 95%CI 1.18-5.37 and OR 2.44, 95%CI 1.01-5.91, respectively).Conclusions: Social-media and internet are a common source of information on measles/measles vaccine (probably on other vaccines as well), and often associated with incorrect knowledge, which relates significantly to VH. Healthcare professionals should be aware of this prevailing behavior and respond accordingly in these platforms, with the aid of experts in social-networking. (C) 2020 Elsevier Ltd. All rights reserved.