Office of the Associate Director for Science, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Acad Pediatr. 2012 Sep-Oct;12(5):375-83. doi: 10.1016/j.acap.2012.06.007. Epub 2012 Aug 22.
The purpose of this study was to assess respondents' self-reported choices for vaccinating their young children; knowledge, attitudes, and beliefs (KABs) about vaccination; and communication with their child's vaccination provider.
A national telephone survey of 1500 parents of children aged 6 to 23 months was conducted in 2010. We calculated proportions of parents who had chosen-or planned-to refuse or delay 1 or more recommended vaccines, and proportions for responses to KABs and communication questions, stratified by vaccination choice (ie, refuse or delay).
The response rate was 46%. Among the 96.6% of respondents (95% confidence interval [CI], 95.5%-97.4%; weighted n = 1453) who had chosen for their child to receive at least 1 vaccine, 80.6% (95% CI, 78.8%-83.0%) reported that their child had received all vaccines when recommended and 86.5% (95% CI, 84.7%-88.2%) reported that their child would receive remaining vaccines when recommended. Respondents who considered not following recommendations, but ultimately did, cited the physician's recommendation as the reason for vaccinating. Most vaccinators who reported past or planned deviations from recommendations cited only 1 vaccine that they would refuse and/or delay; all vaccines were mentioned. These parents reported approaching vaccination with serious concerns, while believing other parents did not. All parents cited "vaccine side effects" as their top question or concern. Almost all parents talked to a doctor or nurse about vaccines and, overall, satisfaction with communication was high.
Communication about vaccines is important to most parents, but may be challenging for providers, because parental choices vary; thus, efforts to improve and support vaccine communication by providers should continue.
本研究旨在评估受访者对为其年幼子女接种疫苗的自我报告选择；对疫苗接种的知识、态度和信念（KAB）；以及与子女疫苗接种提供者的沟通。
2010 年进行了一项针对 1500 名 6 至 23 个月大儿童父母的全国性电话调查。我们计算了选择或计划拒绝或延迟接种一种或多种推荐疫苗的父母的比例，以及按疫苗接种选择（即拒绝或延迟）对 KAB 和沟通问题的回答比例。
应答率为 46%。在 96.6%的受访者中（95%置信区间[CI]，95.5%-97.4%；加权 n=1453），他们为孩子选择至少接种 1 种疫苗，80.6%（95% CI，78.8%-83.0%）报告说他们的孩子已按推荐接种所有疫苗，86.5%（95% CI，84.7%-88.2%）报告说他们的孩子将按推荐接种剩余疫苗。考虑不遵循建议但最终接种疫苗的受访者将医生的建议列为接种疫苗的原因。大多数报告过去或计划偏离建议的疫苗接种者仅提到 1 种他们将拒绝和/或延迟的疫苗；所有疫苗都被提及。这些父母表示，他们对疫苗接种持严重关切，而认为其他父母则没有。所有父母都提到“疫苗副作用”是他们最关心的问题或担忧。几乎所有父母都与医生或护士谈论过疫苗接种问题，总体而言，对沟通的满意度很高。
疫苗接种沟通对大多数父母很重要，但对提供者来说可能具有挑战性，因为父母的选择存在差异；因此，提供者应继续努力改善和支持疫苗接种沟通。
