Shono Aiko, Kondo Masahide
Department of Public Health and Epidemiology, Faculty of Pharmaceutical Sciences, Meiji Pharmaceutical University, 2-522-1 Noshio, Kiyose, Tokyo 204-8588, Japan.
Department of Health Care Policy and Health Economics, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8577, Japan.
Vaccine. 2015 Mar 10;33(11):1406-11. doi: 10.1016/j.vaccine.2014.12.014. Epub 2014 Dec 18.
Some important vaccinations are not included in the routine childhood immunization schedule in Japan. Voluntary vaccinations are usually paid as an out-of-pocket expense. Low voluntary vaccination coverage rates and high target disease incidence are assumed to be a consequence of voluntary vaccination. Therefore, this study aimed to explore factors associated with voluntary vaccination patterns in children. We conducted an online survey of 1243 mothers from a registered survey panel who had at least one child 2 months to <3 years of age. The voluntary vaccination mainly correlated positively with annual household income and mothers' positive opinions about voluntary vaccinations, but negatively with number of children. Financial support, especially for low income households and households with more than one child, may motivate parents to vaccinate their children. Communication is also an important issue. More opportunities for education and information about voluntary vaccinations should be provided to mothers without distinguishing between voluntary and routine vaccination.
一些重要的疫苗接种未被纳入日本儿童常规免疫接种计划。自愿接种疫苗通常需自掏腰包付费。低自愿接种覆盖率和高目标疾病发病率被认为是自愿接种疫苗的结果。因此，本研究旨在探讨与儿童自愿接种模式相关的因素。我们对来自一个注册调查小组的1243名母亲进行了在线调查，这些母亲至少有一个年龄在2个月至不满3岁的孩子。自愿接种疫苗主要与家庭年收入以及母亲对自愿接种疫苗的积极看法呈正相关，但与孩子数量呈负相关。财政支持，特别是对低收入家庭和有多个孩子的家庭，可能会促使父母为孩子接种疫苗。沟通也是一个重要问题。应该为母亲们提供更多关于自愿接种疫苗的教育和信息机会，而不区分自愿接种和常规接种。
