患有囊性纤维化儿童的家庭接触者与健康儿童的流感疫苗接种情况。
Influenza vaccination among household contacts of children with cystic fibrosis and healthy children.
作者信息
Kam Karen, McConnell Athena
机构信息
Section of Respiratory Medicine, Alberta Children's Hospital, Calgary, Alberta;
Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan.
出版信息
Paediatr Child Health. 2013 Nov;18(9):e55-8.
BACKGROUND
It is recommended that household contacts of children with cystic fibrosis and household contacts of children <2 years of age receive annual influenza vaccinations. There is little information documenting whether this recommendation is being followed.
METHODS
A 20-question survey was distributed to caregivers of children with cystic fibrosis and to caregivers of healthy children <17 years of age seen in a Saskatoon (Saskatchewan) tertiary care centre. Survey questions addressed the influenza vaccination status of the child and household contacts. Respondents were also asked to rate the influence of various factors on the decision to vaccinate, using a 5-point Likert scale.
RESULTS
Reported vaccination rates were 21%, 25% and 7% among household contacts of children with cystic fibrosis, children <2 years of age and children ≥2 years of age, respectively. Advice from their physician, belief that they were too healthy, and inconvenient times and locations of vaccination centres were significant influences when compared among the three groups. Other main deterrents to vaccination were belief that the vaccine does not prevent influenza and belief that its side effects are greater than its benefits.
CONCLUSION
By understanding motivators and barriers to vaccination among household contacts of children with cystic fibrosis, effective strategies may be implemented to improve vaccination coverage against influenza. Strong recommendations by clinicians and improved access to vaccination centres are essential components in improving influenza vaccination coverage.
背景
建议囊性纤维化患儿的家庭接触者以及2岁以下儿童的家庭接触者每年接种流感疫苗。几乎没有信息记录这一建议是否得到遵循。
方法
向在萨斯卡通（萨斯喀彻温省）一家三级护理中心就诊的囊性纤维化患儿的照料者以及17岁以下健康儿童的照料者发放了一份包含20个问题的调查问卷。调查问题涉及儿童及其家庭接触者的流感疫苗接种状况。还要求受访者使用5分李克特量表对各种因素对接种疫苗决定的影响进行评分。
结果
囊性纤维化患儿的家庭接触者、2岁以下儿童和2岁及以上儿童的报告疫苗接种率分别为21%、25%和7%。在三组之间比较时，医生的建议、认为自己过于健康以及疫苗接种中心时间和地点不方便是显著影响因素。其他主要的疫苗接种阻碍因素包括认为疫苗不能预防流感以及认为其副作用大于益处。
结论
通过了解囊性纤维化患儿家庭接触者接种疫苗的动机和障碍，可以实施有效的策略来提高流感疫苗接种覆盖率。临床医生的强烈建议以及改善疫苗接种中心的可及性是提高流感疫苗接种覆盖率的重要组成部分。
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