Institut national de santé publique du Québec, Québec, Canada.
Health Educ Res. 2012 Dec;27(6):1069-80. doi: 10.1093/her/cys088. Epub 2012 Aug 20.
Rotavirus disease is a common cause of health care utilization and almost all children are affected by the age of 5 years. In Canada, at the time of this survey (2008-09), immunization rates for rotavirus were <20%. We assessed the determinants of a parent's acceptance to have their child immunized against rotavirus. The survey instruments were based on the Theory of Planned Behavior. Data were collected in two phases. In all, 413 and 394 parents completed the first and second interviews, respectively (retention rate 95%). Most parents (67%) intended to immunize their child against rotavirus. Factors significantly associated with parental intentions (Phase 1) were as follows: perception of the moral correctness of having their child immunized (personal normative belief) and perception that significant others will approve of the immunization behavior (subjective norm), perceived capability of having their child immunized (perceived behavioral control) and household income. At Phase 2, 165 parents (42%) reported that their child was immunized against rotavirus. The main determinant of vaccination behavior was parental intention to have their child vaccinated, whereas personal normative beliefs influenced both intention and behavior. The acceptability of the rotavirus vaccine will be higher if health promotion addresses parental knowledge, attitudes and beliefs regarding the disease and the vaccine.
轮状病毒疾病是医疗保健利用的常见原因，几乎所有儿童在 5 岁之前都会受到影响。在加拿大，在本次调查（2008-09 年）时，轮状病毒疫苗的接种率<20%。我们评估了父母接受为孩子接种轮状病毒疫苗的决定因素。调查工具基于计划行为理论。数据分两个阶段收集。共有 413 名和 394 名父母分别完成了第一次和第二次访谈（保留率为 95%）。大多数父母（67%）打算为孩子接种轮状病毒疫苗。与父母意愿相关的因素（第 1 阶段）如下：对为孩子接种疫苗的道德正确性的看法（个人规范信念）和对重要他人会认可免疫行为的看法（主观规范）、认为有能力为孩子接种疫苗（感知行为控制）和家庭收入。在第 2 阶段，165 名父母（42%）报告他们的孩子已接种轮状病毒疫苗。疫苗接种行为的主要决定因素是父母为孩子接种疫苗的意愿，而个人规范信念则同时影响意愿和行为。如果健康促进活动解决了父母对疾病和疫苗的知识、态度和信念问题，轮状病毒疫苗的可接受性将会更高。
