Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Level 8, 235 Jones St, Ultimo, NSW 2007, Australia.
Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Vaccine. 2018 Feb 1;36(6):866-872. doi: 10.1016/j.vaccine.2017.12.036. Epub 2018 Jan 3.
Vaccination rates have remained steady for a number of years in Australia, however geographical areas of lower vaccine coverage remains a day-to-day challenge. The study explores parental attitudes, beliefs and intentions in relation to vaccination and examines the early effects of recent No Jab No Pay legislation.
A national survey of was conducted, using an online questionnaire. Parents from all states in Australia with at least one child aged <6 years were invited to participate.
A total of 429 parents participated in the study. The substantial majority of participants reported having their youngest child's vaccination status up to date (n = 401, 93.5%). A child's vaccinations were more likely to be up to date if they had consulted a paediatrician in the previous 12-months (OR 5.01; 95%CI 1.05, 23.92; p = .043). Conversely they were less likely to be vaccinated if they were influenced by information from a complementary medicine (CM) practitioner (OR 0.03; 95%CI 0.01, 0.15; p < .001) or had visited a CM-practitioner (OR 0.09; 95%CI 0.02, 0.33; p < .001) in the previous 12-months. A total of 2.6% of parents had immunised their child as a result of the No Jab No Pay legislation, while 3.9% stated the legislation had no effect, and 1.2% said it had made them less likely to vaccinate. A further 1.2% of parents stated they are considering vaccination as a result of the legislative changes.
Parents who have not vaccinated their children appear to trust non-mainstream sources of information such as CM-practitioners. Further research is required to determine how to manage the challenges and opportunities of CM-practitioners as a source of vaccine information.
在澳大利亚，多年来疫苗接种率一直保持稳定，但疫苗接种覆盖范围较低的地区仍然是日常挑战。本研究探讨了父母在疫苗接种方面的态度、信念和意图，并研究了最近《无疫苗无补贴》立法的早期影响。
采用在线问卷对澳大利亚所有州的父母进行了全国性调查，邀请至少有一名<6 岁儿童的父母参加。
共有 429 名父母参加了这项研究。绝大多数参与者报告称，他们最小的孩子的疫苗接种情况是最新的（n=401，93.5%）。如果孩子在过去 12 个月内咨询过儿科医生（OR5.01；95%CI1.05，23.92；p=0.043），他们的疫苗接种就更有可能是最新的。相反，如果他们受到来自补充医学（CM）从业者的信息（OR0.03；95%CI0.01，0.15；p<0.001）或在过去 12 个月内看过 CM 从业者（OR0.09；95%CI0.02，0.33；p<0.001），他们的疫苗接种就不太可能进行。总共有 2.6%的父母因《无疫苗无补贴》立法为孩子接种了疫苗，而 3.9%的父母表示该立法没有影响，1.2%的父母表示该立法使他们不太可能接种疫苗。另有 1.2%的父母表示，由于立法的变化，他们正在考虑接种疫苗。
没有为孩子接种疫苗的父母似乎信任 CM 从业者等非主流信息来源。需要进一步研究如何应对 CM 从业者作为疫苗信息来源所带来的挑战和机遇。
