Spaan D Henri, Ruijs Wilhelmina L M, Hautvast Jeannine L A, Tostmann Alma
Public Health Service (GGD) Gelderland-Zuid, Department of Infectious Disease Control, Nijmegen, The Netherlands.
Academic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Eur J Public Health. 2017 Jun 1;27(3):524-530. doi: 10.1093/eurpub/ckw248.
The Netherlands experienced several outbreaks of vaccine preventable diseases, largely confined to an orthodox Protestant minority group. Based on religious arguments some orthodox Protestants accept vaccination, while others refuse. Their acceptance of vaccination, however, seems to be changing over time. We estimated vaccination coverage in subsequent generations of orthodox Protestants and identified determinants of the intention to vaccinate their (future) children. In 2013 orthodox Protestants in the age of 18-40 years were invited to fill out an online questionnaire on their own vaccination status, vaccination status of their parents, the vaccination status or vaccination intention for their (future) children, and possible determinants of the intention to vaccinate (future) children. Vaccination coverage of respondents' parents and respondents was compared using chi-square tests. Logistic regression was used to identify determinants associated with vaccination of (future) children. In total, 981 orthodox Protestant respondents were included in the study. Vaccination coverage among the parents of respondents was 40.1% (95% CI 37.8-42.5%), among respondents 55.3% (95% CI 52.2-58.4%). This means an increase of 15.2% in one generation ( P < 0.001). About 65% of respondents vaccinated or intends to vaccinate their (future) children. Multivariate logistic regression showed that strongest predictors for vaccinating (future) children were low or moderate level of religious conservatism (OR 10.4 [95% CI 5.7-18.9] and 4.6 [95% CI 2.9-7.4], respectively), being vaccinated themselves (OR 6.0 [95% CI 4.3-8.5]) and high educational level (OR 2.5 [95% CI 1.6-4.0]). Vaccination coverage among Dutch orthodox Protestants is increasing over time.
荷兰经历了几次疫苗可预防疾病的爆发，主要局限于一个东正教新教少数群体。基于宗教理由，一些东正教新教徒接受疫苗接种，而另一些人则拒绝。然而，他们对疫苗接种的接受程度似乎随时间而变化。我们估计了东正教新教后代的疫苗接种覆盖率，并确定了为其（未来）子女接种疫苗意愿的决定因素。2013年，邀请18至40岁的东正教新教徒填写一份关于他们自己的疫苗接种状况、父母的疫苗接种状况、其（未来）子女的疫苗接种状况或接种意愿以及为（未来）子女接种疫苗意愿的可能决定因素的在线问卷。使用卡方检验比较了受访者父母和受访者的疫苗接种覆盖率。采用逻辑回归来确定与（未来）子女接种疫苗相关的决定因素。该研究共纳入了981名东正教新教受访者。受访者父母的疫苗接种覆盖率为40.1%（95%可信区间37.8 - 42.5%），受访者为55.3%（95%可信区间52.2 - 58.4%）。这意味着一代人中增加了15.2%（P < 0.001）。约65%的受访者已为其（未来）子女接种或打算接种疫苗。多变量逻辑回归显示，为（未来）子女接种疫苗的最强预测因素是宗教保守程度低或中等（分别为比值比10.4 [95%可信区间5.7 - 18.9]和4.6 [95%可信区间2.9 - 7.4]）、自己接种过疫苗（比值比6.0 [95%可信区间4.3 - 8.5]）以及高教育水平（比值比2.5 [95%可信区间1.6 - 4.0]）。荷兰东正教新教徒的疫苗接种覆盖率随时间增加。
