Maternal Attitudes and Other Factors Associated with Infant Vaccination Status in the United States, 2011-2014.
Maternal Attitudes and Other Factors Associated with Infant Vaccination Status in the United States, 2011-2014.
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2011-2014 年美国母亲态度和与婴儿疫苗接种状况相关的其他因素。
DOI：
10.1016/j.jpeds.2017.02.012
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
StudyofAttitudesandFactorsEffectingInfantCare(SAFE)study
中科院分区：
文献类型：
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作者：
Fadel,CicelyW;Colson,EveR;Corwin,MichaelJ;Rybin,Denis;Heeren,TimothyC;Wang,Colin;Moon,RachelY;StudyofAttitudesandFactorsEffectingInfantCare(SAFE)study
目的评估母亲的态度和其他因素与婴儿疫苗接种status.Study designData报告的疫苗接种状态的作用进行了分析，从一个全国代表性的前瞻性调查的母亲的2- 6个月大的婴儿。进行了加权单变量和多元Logistic回归分析。潜伏特征分析的母亲报告未接种疫苗的婴儿确定不同的群体，结果3268名母亲，2820（加权86.2%），311（9.1%），137（4.7%），分别报告他们的婴儿接受了所有，一些，或没有推荐的疫苗接种年龄。年龄较小的婴儿和母亲年龄较小的婴儿更有可能没有接种疫苗。对疫苗接种持中立态度和消极态度的母亲报告其婴儿未接种疫苗的可能性分别为>3倍（aOR 3.66，95% CI 1.80-7.46）和43倍（aOR 43.23，95% CI 20.28-92.16）。确定了两个亚组的母亲报告说，他们的婴儿没有接受疫苗接种：A组（52.5%）有不到积极的态度和不到积极的主观规范的疫苗接种（即，感知的社会压力，从他人）;组B（47.5%）有积极的态度和积极的主观规范。A组母亲更可能是白色人（76.1%vs48.3%，P = 0.002），受教育程度更高（43.5%vs35.4%，P= 0.02），并且完全母乳喂养（74.9%vs27.3%，P <0.001）。提高疫苗接种率的战略必须侧重于改善获得疫苗的机会和更好地了解产妇态度的基本因素。
ObjectiveTo assess the role of maternal attitudes and other factors associated with infant vaccination status.Study designData on reported vaccination status were analyzed from a nationally representative prospective survey of mothers of 2- to 6-month-old infants. Weighted univariate and multiple logistic regression analyses were conducted. Latent profile analysis of mothers reporting nonimmunized infants identified distinct groups,ResultsOf 3268 mothers, 2820 (weighted 86.2%), 311 (9.1%), and 137 (4.7%), respectively, reported their infant had received all, some, or no recommended vaccinations for age. Younger infants and infants with younger mothers were more likely to have received no vaccinations. Mothers with neutral and negative attitudes toward vaccination were >3 (aOR 3.66, 95% CI 1.80-7.46) and 43 times (aOR 43.23, 95% CI 20.28-92.16), respectively, more likely than mothers with positive attitudes to report their infants had received no vaccinations. Two subgroups of mothers reporting that their infants had received no vaccinations were identified: group A (52.5%) had less than positive attitudes and less than positive subjective norms about vaccination (ie, perceived social pressure from others); group B (47.5%) had positive attitudes and positive subjective norms. Group A mothers were more likely to be white (76.1% vs 48.3%,P= .002), more educated (43.5% vs 35.4% college or higher,P= .02), and to exclusively breastfeed (74.9% vs. 27.3%,P< .001).ConclusionsAlthough access barriers can result in nonvaccination, less than positive maternal attitude toward vaccination was the strongest predictor. Strategies to improve vaccination rates must focus on both improved access and better understanding of factors underlying maternal attitudes.