Department of Hygiene and Public Health G, F, Ingrassia, via Santa Sofia 87, 95123, University of Catania, Catania, Italy.
BMC Public Health. 2011 May 12;11:305. doi: 10.1186/1471-2458-11-305.
Since a long time, Italy has maintained a dual system to administer childhood immunisations, that is a certain number of mandatory vaccinations and a number of recommended vaccinations. The study aimed to explore the issues surrounding parental acceptance or non-acceptance of the recommended vaccinations for children.
Parents of children aged 3-5 years of day-care centres in Sicily were asked to fill out an anonymous questionnaire. Determinants of the attitude towards recommended vaccinations and social influence on the decision-making process were assessed using logistic regression analysis.
Of the 1,500 selected parents, 81.0% participated in the study. Prior to the survey, the majority of children (97.6%) received recommended vaccines. Most parents (74.4%) received information about vaccinations from Family Paediatricians, showed a good knowledge about the side effects of the vaccines (73.1%), did not worry about their potential dangerousness (53.0%) and would have accepted their children to be vaccinated even if it was not required for day care (84.1%). The majority (79.9%) were not disposed to follow the advises of the anti-vaccination movements. Parents' background characteristics, sources of information and social influence were not significantly associated with parental acceptance of recommended vaccines for childhood.
This study suggests that health information by Family Paediatricians is significantly associated with parental acceptance of recommended vaccinations.
长期以来，意大利一直实行双重儿童免疫接种制度，即一定数量的强制性疫苗接种和一定数量的推荐性疫苗接种。本研究旨在探讨父母对儿童推荐疫苗接种的接受或不接受的问题。
西西里岛日托中心 3-5 岁儿童的家长被要求填写一份匿名问卷。使用逻辑回归分析评估对推荐疫苗接种的态度的决定因素和社会对决策过程的影响。
在所选择的 1500 名父母中，有 81.0%参与了研究。在调查之前，大多数儿童（97.6%）接受了推荐疫苗。大多数父母（74.4%）从家庭儿科医生那里获得有关疫苗接种的信息，对疫苗的副作用有很好的了解（73.1%），不担心其潜在的危险性（53.0%），即使不需要日托（84.1%）也会接受孩子接种疫苗。大多数（79.9%）不愿意听从反疫苗运动的建议。父母的背景特征、信息来源和社会影响与父母对儿童推荐疫苗接种的接受程度没有显著关联。
本研究表明，家庭儿科医生提供的健康信息与父母对推荐疫苗接种的接受程度显著相关。
