Humiston Sharon G, Lerner E Brooke, Hepworth Elizabeth, Blythe Taura, Goepp Julius G
Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
Arch Pediatr Adolesc Med. 2005 Feb;159(2):108-12. doi: 10.1001/archpedi.159.2.108.
Parent and caregiver opinions on the feasibility of routine influenza vaccinations for infants and toddlers are unknown.
To assess among English-speaking caregivers of children aged 6 to 23 months opinions about childhood influenza vaccination and potential knowledge, attitudinal, and demographic factors that might influence such opinions.
A structured, interviewer-administered survey of knowledge, attitudes, and beliefs about the influenza vaccine among parents and caregivers of children at the ambulatory pediatric clinic or the pediatric emergency department of a large tertiary care teaching hospital. The dependent measure was respondents' expressed intentions to have their eligible children immunized against influenza in the upcoming season.
We interviewed 153 caregivers. One hundred nineteen (78%) expressed intent to immunize. Safety was reported by 70 respondents (46%) as their most important concern, followed by the belief that the influenza vaccine could itself cause influenza (31 respondents, 20%). Respondents who believed that influenza was serious, that the influenza vaccine does not cause disease, or that all babies should be immunized had greater intent to immunize than those who did not (85%, 87%, and 96% vs 66%, 66%, and 49%, respectively). Those who believed that vomiting was a symptom of influenza, who did not name any vaccine adverse effect, or who had high school or lower educational levels also had greater intent to immunize (87%, 89%, and 83% vs 66%, 69%, and 69%, respectively).
Knowledge, attitudes, beliefs, and educational levels each had an independent influence on parents' intentions to vaccinate the child, whereas demographic factors other than education did not.
父母及照顾者对于婴幼儿常规接种流感疫苗的可行性的看法尚不清楚。
在6至23个月大儿童的说英语的照顾者中，评估他们对儿童流感疫苗接种的看法，以及可能影响这些看法的潜在知识、态度和人口统计学因素。
在一家大型三级护理教学医院的门诊儿科诊所或儿科急诊科，对儿童的父母及照顾者进行了一项关于流感疫苗知识、态度和信念的结构化访谈式调查。因变量是受访者表示在即将到来的季节为其符合条件的孩子接种流感疫苗的意向。
我们采访了153名照顾者。119名（78%）表示有接种意向。70名受访者（46%）报告称安全性是他们最主要的担忧，其次是认为流感疫苗本身可能会导致流感（31名受访者，20%）。认为流感严重、流感疫苗不会导致疾病或所有婴儿都应接种疫苗的受访者比不这样认为的受访者有更强的接种意向（分别为85%、87%和96%对66%、66%和49%）。那些认为呕吐是流感症状、未提及任何疫苗不良反应或教育程度为高中及以下的人也有更强的接种意向（分别为87%、89%和83%对66%、69%和69%）。
知识、态度、信念和教育水平各自对父母为孩子接种疫苗的意向有独立影响，而除教育程度外的人口统计学因素则没有。
