National Institute for Public Health and the Environment (RIVM), Centre for Infectious Disease Control, PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Vaccine. 2012 Jul 6;30(32):4771-7. doi: 10.1016/j.vaccine.2012.05.034. Epub 2012 May 28.
From October 2011, The Netherlands started to vaccinate all newborns against hepatitis B. The aim of the present study was to get insight in the psychosocial factors that determine parents' intention to vaccinate their child against hepatitis B, and to test whether intention to vaccinate is a good predictor of actual vaccination behaviour. In total, 2000 parents of newborns (0-2 weeks old) received a self-report questionnaire measuring intention towards hepatitis B vaccination and its psychosocial determinants (response rate 45.6%). Participants were invited for follow-up research and subsequently offered the opportunity to have their child vaccinated against hepatitis B. The findings showed that the large majority of parents intend to vaccinate their child against hepatitis B. The intention to vaccinate was most strongly determined by parents' attitude towards hepatitis B vaccination, which in turn was positively associated with perceived benefits of the vaccination and perceptions of the child's susceptibility to hepatitis B. The majority of the 246 parents that accepted the invitation for a follow-up study had their child vaccinated (83.7%). Intention was found to be a significant predictor of vaccination behaviour although less strong than expected. It is concluded that Dutch parents were positive towards hepatitis B vaccination in terms of both intention and behaviour. To further sustain parents' positive attitudes towards hepatitis B vaccination, educational campaigns should strengthen the benefits of vaccination along with emphasizing the child's risk to hepatitis B infection.
自 2011 年 10 月起，荷兰开始为所有新生儿接种乙肝疫苗。本研究旨在深入了解决定父母为孩子接种乙肝疫苗意愿的社会心理因素，并检验接种意愿是否能很好地预测实际接种行为。共向 2000 名新生儿（0-2 周大）的父母发放了一份自我报告问卷，以测量他们对乙肝疫苗接种的意愿及其社会心理决定因素（应答率为 45.6%）。邀请参与者参加后续研究，并为他们提供为孩子接种乙肝疫苗的机会。研究结果表明，绝大多数父母都有意为孩子接种乙肝疫苗。接种意愿主要取决于父母对乙肝疫苗接种的态度，而态度又与接种的益处以及对孩子感染乙肝的易感性的认知呈正相关。在 246 名接受后续研究邀请的家长中，有 83.7%的家长为孩子接种了疫苗。研究发现，尽管接种意愿的预测力不如预期的那么强，但它仍是接种行为的一个重要预测指标。结论是，荷兰父母在接种乙肝疫苗的意愿和行为上都持积极态度。为了进一步维持父母对乙肝疫苗接种的积极态度，教育活动应加强疫苗接种的益处，同时强调孩子感染乙肝的风险。
