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为儿童接种更多疫苗?家长们的看法。

More vaccines for children? Parents' views.

作者信息

Bedford Helen, Lansley Marilyn

机构信息

Centre for Epidemiology and Biostatistics, Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK.

出版信息

Vaccine. 2007 Nov 7;25(45):7818-23. doi: 10.1016/j.vaccine.2007.08.057. Epub 2007 Sep 17.

Abstract

AIM

To investigate parents' views regarding potential new vaccines. We examined attitudes towards severity of specific infections, acceptability of potential vaccines and preferences for the number of injections they would want their child to receive on any one occasion.

DESIGN

Cross sectional survey.

METHODS

Parents of children aged 18-24 months in three Primary Care Trusts in England were asked to complete a questionnaire.

RESULTS

Of the 859 parents who responded (38%), over 90% believed that the vaccines currently on offer prevent disease always or almost always. Of those who rated meningitis as serious or very serious, 84% would accept a vaccine against meningococcal group B infection and 69% against pneumococcal infection. Only 34% of those who said their child would make a full recovery from chicken pox would accept a vaccine. Over half the respondents preferred new vaccines to be given separately. Fifty seven percent of parents would not want their child to have more than two injections per clinic visit.

CONCLUSIONS

Parents' views on the severity of illness influence their acceptance of a new vaccine. Their preference for as few injections as possible at a single clinic visit needs to be reconciled with their concerns over the use of combination vaccines.

摘要

目的

调查家长对潜在新疫苗的看法。我们研究了家长对特定感染严重程度的态度、潜在疫苗的可接受性以及他们希望孩子在任何一次接种时接受注射针数的偏好。

设计

横断面调查。

方法

邀请英格兰三个初级保健信托基金辖区内18至24个月大儿童的家长填写问卷。

结果

859名家长(38%)做出回应,其中超过90%的家长认为目前提供的疫苗总能或几乎总能预防疾病。在将脑膜炎评为严重或非常严重的家长中,84%会接受B型脑膜炎球菌感染疫苗,69%会接受肺炎球菌感染疫苗。在表示孩子患水痘能完全康复的家长中,只有34%会接受水痘疫苗。超过半数的受访者希望新疫苗单独接种。57%的家长不希望孩子每次门诊就诊时接种超过两针。

结论

家长对疾病严重程度的看法会影响他们对新疫苗的接受度。他们希望孩子每次门诊就诊时尽可能少打针的偏好,需要与他们对联合疫苗使用的担忧相协调。

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