Shibli Rana, Shemer Rivka, Lerner-Geva Liat, Rishpon Shmuel
Haifa District Health Office, Government Complex, Palyam Ave. 15a, P.O. Box 800, Haifa 31999, Israel.
Haifa District Health Office, Government Complex, Palyam Ave. 15a, P.O. Box 800, Haifa 31999, Israel.
Vaccine. 2017 Jan 23;35(4):633-638. doi: 10.1016/j.vaccine.2016.12.005. Epub 2016 Dec 30.
A recommendation by pediatric healthcare providers (HCPs) is a major factor influencing parents' decision to vaccinate their children. Consequently, it is important to understand the motives behind the HCPs' recommendations to vaccinate children according to the routine immunization program.
To study the association of pediatric HCPs' knowledge about and attitudes towards childhood vaccinations and of their professional and demographic characteristics, with two variables: 1. Their recommendations to parents regarding adherence to the routine immunization program. 2. Their choices concerning routine immunization of their own children.
We conducted a cross-sectional study of pediatric nurses and physicians working at Mother-Child Health Clinics (MCHCs) in Haifa and Tel-Aviv districts and at a hospital in Hadera City, Israel.
A structured, anonymous self-administered questionnaire was used.
The overall response rate was 60%, totaling 218 participants. 92% of whom were nurses. Misconceptions related to vaccine safety were found among a high percentage of the participants. The HCPs knowledge level was associated with the HCPs vaccinating their own children according to the recommended immunization program (OR=1.32; CI95% 1.06-1.64), but not with their recommendation to parents to adhere to the program. No association was found between attitudes and these variables. Workplace (MCHCs versus hospital) correlated with the above mentioned two dependent variables (OR=1.89; CI95% 1.21-2.97 and OR=2.42; CI95% 1.73-3.4, respectively).
Amplifying the knowledge of HCPs and addressing their concern about vaccinations can improve their adherence to the routine immunization program regarding their own children. This may lead to better adherence of other parents who are frequently interested in the HCPs' behavior and consider them as a role model. In general, there is a need to emphasize the HCP's responsibility for the successful implementation of the immunization program in the community and at hospitals.
儿科医疗服务提供者（HCPs）的建议是影响父母决定为孩子接种疫苗的主要因素。因此，了解HCPs根据常规免疫计划建议儿童接种疫苗背后的动机很重要。
研究儿科HCPs对儿童疫苗接种的知识和态度以及他们的专业和人口统计学特征与两个变量之间的关联：1. 他们对父母遵守常规免疫计划的建议。2. 他们对自己孩子常规免疫的选择。
我们对在以色列海法和特拉维夫地区的母婴健康诊所（MCHCs）以及哈代拉市一家医院工作的儿科护士和医生进行了横断面研究。
使用结构化、匿名的自填问卷。
总体回复率为60%，共有218名参与者。其中92%是护士。在高比例的参与者中发现了与疫苗安全相关的误解。HCPs的知识水平与HCPs根据推荐的免疫计划为自己的孩子接种疫苗有关（OR = 1.32；95%CI 1.06 - 1.64），但与他们对父母遵守该计划的建议无关。在态度与这些变量之间未发现关联。工作场所（MCHCs与医院）与上述两个因变量相关（分别为OR = 1.89；95%CI 1.21 - 2.97和OR = 2.42；95%CI 1.73 - 3.4）。
增加HCPs的知识并解决他们对疫苗接种的担忧可以提高他们对自己孩子遵守常规免疫计划的程度。这可能会导致其他经常关注HCPs行为并将他们视为榜样的父母更好地遵守。总体而言，需要强调HCPs在社区和医院成功实施免疫计划方面的责任。
