Chau Janita Pak Chun, Lo Suzanne Hoi Shan, Choi Kai Chow, Chau Matthew Hoi Kin, Tong Danny Wah Kun, Kwong Tany Kam Yuk, Thompson David R
From the *The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong; †Li Ka Shing Institute of Health Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong; ‡Hospital Authority Infectious Disease Centre, Princess Margaret Hospital, Kowloon West Cluster, Hospital Authority, Hong Kong; and §Centre for the Heart and Mind, Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia.
Pediatr Infect Dis J. 2017 Jul;36(7):e197-e202. doi: 10.1097/INF.0000000000001550.
Studies report that the influenza vaccination uptake rate among children with chronic conditions is alarmingly low. In Hong Kong, there has been no study examining parental decision making about influenza vaccination for children with chronic conditions, thereby limiting the knowledge base to inform the development of specific strategies to improve influenza vaccination rates. The aim of this study was to identify factors determining the uptake of influenza vaccination among children with chronic conditions.
We conducted a cross-sectional survey of 623 parents with children having a chronic condition recruited from pediatric wards and specialty outpatient departments of 2 acute hospitals. A questionnaire developed by Daley et al based on the Health Belief Model was used to examine parents' beliefs and attitudes toward influenza and vaccination.
The parents' and their children's mean age were 40.1 ± 8.1 and 8.0 ± 4.5 years, respectively. Among the children, the most prevalent chronic conditions were asthma, chronic respiratory disease and cardiomyopathy. One-third (33%) of the children had influenza vaccination in the past 12 months. More than one-third (39%) of parents intended to vaccinate their children against influenza in the coming influenza season. A multivariable logistic regression analysis revealed that all subscale scores except perceived severity and knowledge about influenza were independently significantly associated with uptake.
The findings indicate that parents of children with chronic conditions lack awareness of the risks of influenza and have insufficient understanding about the benefits of vaccination. These findings could inform the development of interventions to promote vaccination uptake among children with chronic conditions.
研究报告称，慢性病患儿的流感疫苗接种率低得惊人。在香港，尚无研究探讨慢性病患儿家长关于流感疫苗接种的决策情况，从而限制了用于制定提高流感疫苗接种率具体策略的知识基础。本研究的目的是确定决定慢性病患儿流感疫苗接种情况的因素。
我们对从两家急症医院的儿科病房和专科门诊招募的623名患有慢性病患儿的家长进行了横断面调查。使用戴利等人基于健康信念模型编制的问卷，来调查家长对流感和疫苗接种的信念及态度。
家长及其子女的平均年龄分别为40.1±8.1岁和8.0±4.5岁。在这些儿童中，最常见的慢性病是哮喘、慢性呼吸道疾病和心肌病。三分之一（33%）的儿童在过去12个月内接种过流感疫苗。超过三分之一（39%）的家长打算在即将到来的流感季节为子女接种流感疫苗。多变量逻辑回归分析显示，除了感知到的严重性和对流感的了解外，所有子量表得分均与接种情况独立显著相关。
研究结果表明，慢性病患儿的家长缺乏对流感风险的认识，对疫苗接种的益处了解不足。这些研究结果可为制定促进慢性病患儿接种疫苗的干预措施提供参考。
