van Lier Alies, Tostmann Alma, Harmsen Irene A, de Melker Hester E, Hautvast Jeannine L A, Ruijs Wilhelmina L M
Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), P.O. Box 1 (internal P.O. Box 75), 3720 BA, Bilthoven, The Netherlands.
Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
BMC Infect Dis. 2016 Mar 15;16:127. doi: 10.1186/s12879-016-1442-1.
Prior to introduction of universal varicella vaccination, it is crucial to gain insight into the willingness to vaccinate among the population. This is because suboptimal national vaccination coverage might increase the age of infection in children, which will lead to higher complication rates. We studied the attitude and intention to vaccinate against varicella among Dutch public health professionals who execute the National Immunisation Programme (NIP), and parents.
Medical doctors and nurses of regional public health services (RPHS) and child health clinics (CHC), and a random sample of parents received an internet survey on varicella vaccination. Separate logistic regression models were used to identify determinants for a positive attitude (professionals) or a positive intention (parents) to vaccinate against varicella within the NIP (free of charge).
The questionnaire was completed by 181 RPHS professionals (67%), 260 CHC professionals (46%), and 491 parents (33%). Of professionals, 21% had a positive attitude towards universal varicella vaccination, while 72% preferred to limit vaccination to high-risk groups only. Of parents, 28% had a positive intention to vaccinate their child against varicella within the NIP. The strongest determinant for a positive attitude or intention to vaccinate against varicella among professionals and parents was the belief that varicella is a disease serious enough to vaccinate against.
We showed that a majority of the Dutch public health professionals and parents in this study have a negative attitude or low intention to vaccinate universally against varicella, as a result of the perceived low severity of the disease. Most participating professionals support selective vaccination to prevent varicella among high-risk groups.
在普遍接种水痘疫苗之前，深入了解人群的接种意愿至关重要。这是因为全国疫苗接种覆盖率不理想可能会提高儿童的感染年龄，进而导致更高的并发症发生率。我们研究了执行国家免疫规划（NIP）的荷兰公共卫生专业人员以及家长对水痘疫苗接种的态度和意愿。
地区公共卫生服务机构（RPHS）和儿童健康诊所（CHC）的医生和护士，以及随机抽取的家长接受了关于水痘疫苗接种的网络调查。使用单独的逻辑回归模型来确定在NIP（免费）范围内对水痘疫苗接种持积极态度（专业人员）或积极意愿（家长）的决定因素。
181名RPHS专业人员（67%）、260名CHC专业人员（46%）和491名家长（33%）完成了问卷。在专业人员中，21%对普遍接种水痘疫苗持积极态度，而72%更倾向于仅将疫苗接种限制在高危人群。在家长中，28%有在NIP范围内为孩子接种水痘疫苗的积极意愿。专业人员和家长对水痘疫苗接种持积极态度或意愿的最强决定因素是认为水痘是一种严重到足以接种疫苗的疾病。
我们发现，由于认为该疾病严重程度较低，本研究中的大多数荷兰公共卫生专业人员和家长对普遍接种水痘疫苗持消极态度或意愿较低。大多数参与的专业人员支持选择性接种疫苗以预防高危人群中的水痘。 。
