Martinelli Domenico, Tafuri Silvio, Fortunato Francesca, Cozza Vanessa, Germinario Cinzia A, Prato Rosa
a Department of Medical and Surgical Sciences; University of Foggia; Foggia, Italy.
Hum Vaccin Immunother. 2015;11(1):146-9. doi: 10.4161/hv.34417. Epub 2014 Nov 1.
In Italy, vaccination against diphtheria, tetanus, polio and hepatitis B is compulsory for infants countrywide, except in Veneto region where since 2007 Health Authorities have experimented the suspension of mandatory vaccination. In light of the recent discussion on the potential abrogation in other regions, we explored the opinion of family pediatricians who play a crucial role in promoting immunization programmes in Italy. In November 2009, we interviewed by phone the family pediatricians working in Puglia region using a standardised, ad hoc and piloted questionnaire. Of the 596 contacted, 502 (84.2%) completed the questionnaire (54% female, median age = 52 y). Among the respondents, 72 (14.3%) would agree on the hypothesis of abrogation. This judgment was associated with having a good opinion on the level of awareness of the importance of vaccinations in the general public (OR = 6.6; 95% CI: 3.6-12.1) and having the perception of adequate organization of Vaccination Services in supporting the abrogation (OR = 3.6; 95% CI: 1.7-5.9). Family pediatricians appeared really sceptical about the abrogation of compulsory vaccination that could be hypothesized only increasing public awareness, communication skills and capability of Vaccination Services personnel in offering vaccinations.
在意大利，全国范围内婴儿必须接种白喉、破伤风、脊髓灰质炎和乙型肝炎疫苗，但威尼托地区除外，自2007年以来，该地区卫生当局一直在试验暂停强制接种疫苗。鉴于最近关于其他地区可能废除强制接种疫苗的讨论，我们探讨了在意大利促进免疫计划中发挥关键作用的家庭儿科医生的意见。2009年11月，我们通过电话采访了普利亚地区的家庭儿科医生，使用的是一份标准化、专门设计并经过试点的问卷。在联系的596名医生中，502名（84.2%）完成了问卷（女性占54%，年龄中位数 = 52岁）。在受访者中，72名（14.3%）会同意废除强制接种疫苗的假设。这一判断与对公众对疫苗接种重要性的认识水平有良好评价（比值比 = 6.6；95%置信区间：3.6 - 12.1）以及认为疫苗接种服务在支持废除方面组织得当（比值比 = 3.6；95%置信区间：1.7 - 5.9）有关。家庭儿科医生似乎对废除强制接种疫苗持非常怀疑的态度，认为只有提高公众意识、沟通技巧以及疫苗接种服务人员提供疫苗接种的能力，才可以假设废除强制接种疫苗。
