Dubé Eve, Gagnon Dominique, Zhou Zhou, Deceuninck Genevieve
Institut National de Santé Publique du Québec, Québec, Canada; Centre de Recherche du CHU de Québec, Université Laval, Québec, Canada.
Institut National de Santé Publique du Québec, Québec, Canada.
PLoS Curr. 2016 Mar 7;8:ecurrents.outbreaks.9e239605f4d320c6ad27ce2aea5aaad2. doi: 10.1371/currents.outbreaks.9e239605f4d320c6ad27ce2aea5aaad2.
"Vaccine hesitancy" is a concept frequently used in the discourse around vaccine acceptance. This study aims to contribute to the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a knowledge, attitudes and beliefs (KAB) survey conducted among parents.
Data were collected in 2014 through a computer-assisted telephone interview survey administered to a sample of parents of children aged between 2 months and 17 years of age.
The majority of the 589 parents included in the analyses agreed on the importance of vaccination to protect their children's health and to prevent the spread of diseases in the community. The majority of the parents (81%) reported that their child had received all doses of recommended vaccines and 40% of parents indicated having hesitated to have their child vaccinated. Fear of adverse events and low perceived vulnerability of the child or severity of the disease were the most frequent reasons mentioned by these vaccine-hesitant parents. In multivariate analyses, KAB items remaining significantly associated both with an incomplete vaccination status of the child and parents' vaccine hesitancy were: not thinking that it is important to have the child vaccinated to prevent the spreading of diseases in the community; not trusting the received vaccination information and having felt pressure to have the child vaccinated.
Further researches will be needed to better understand when, how and why these beliefs are formed in order to prevent the onset of vaccine hesitancy.
“疫苗犹豫”是疫苗接受度相关讨论中经常使用的一个概念。本研究旨在通过提供一项针对家长开展的知识、态度和信念（KAB）调查结果，为当前关于疫苗犹豫的工具和指标的思考提供参考。
2014年通过计算机辅助电话访谈调查收集数据，调查对象为年龄在2个月至17岁儿童的家长样本。
纳入分析的589名家长中的大多数都认同接种疫苗对保护孩子健康以及预防疾病在社区传播的重要性。大多数家长（81%）报告称他们的孩子已接种了所有推荐剂量的疫苗，40%的家长表示在让孩子接种疫苗时曾有过犹豫。对不良事件的恐惧以及认为孩子感染疾病的可能性低或疾病严重程度低是这些犹豫接种疫苗的家长提及最多的原因。在多变量分析中，与孩子未完成疫苗接种状态和家长疫苗犹豫仍显著相关的KAB项目包括：不认为让孩子接种疫苗对预防疾病在社区传播很重要；不信任所获得的疫苗接种信息以及在让孩子接种疫苗时感到有压力。
需要进一步研究以更好地理解这些信念是何时、如何以及为何形成的，从而预防疫苗犹豫的出现。
