School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
Am J Infect Control. 2018 Nov;46(11):1278-1283. doi: 10.1016/j.ajic.2018.04.219. Epub 2018 May 24.
Despite recommendations from health care authorities, reports of severe influenza occur yearly among unvaccinated infants and children.
This study investigated influenza vaccine coverage and predictive factors for vaccination status among pediatric patients during the 2016-2017 winter influenza season.
A cross-sectional survey was conducted among parents of our study population identified through a major pediatric outpatient clinic in Hong Kong. Parents with a child aged 6 months to 17 years were invited to complete a questionnaire that assessed the current influenza vaccine status of the child and the parents' understanding and beliefs regarding influenza and its vaccine. A backward logistic regression was conducted to determine predictive factors and adjusted odds ratios associated with influenza vaccine uptake.
Our study included 348 parents and 405 pediatric patients. Of these, 142 pediatric patients (35.1%) received full vaccination. Predictive factors associated with the child's positive influenza vaccine status include a "very good" parental understanding of influenza and its vaccine (adjusted odds ratio, 6.7; 95% confidence interval, 2.1-21.5), a child with chronic medical condition and a "high" cue to action (adjusted odds ratio, 5.7; 95% confidence interval, 2.8-11.6), and a "high" perceived susceptibility toward influenza (adjusted odds ratio, 4.8; 95% confidence interval, 2.1-10.8).
This study reflects the low influenza vaccine coverage among pediatric patients. Interventions focusing on parental knowledge and understanding of influenza and its vaccine may improve future vaccine uptake among the pediatric population.
尽管卫生保健部门提出了建议，但每年仍有未接种疫苗的婴儿和儿童报告出现严重流感。
本研究调查了 2016-2017 年冬季流感季节期间儿科患者的流感疫苗接种率和疫苗接种状况的预测因素。
通过香港一家主要儿科门诊对我们的研究人群的父母进行了横断面调查。邀请有 6 个月至 17 岁儿童的父母完成一份问卷，评估儿童当前的流感疫苗状况以及父母对流感及其疫苗的理解和信念。进行向后逻辑回归以确定与流感疫苗接种率相关的预测因素和调整后的优势比。
我们的研究包括 348 名父母和 405 名儿科患者。其中，有 142 名儿科患者（35.1%）接受了全程疫苗接种。与儿童积极流感疫苗状况相关的预测因素包括父母对流感及其疫苗的“非常好”理解（调整后的优势比，6.7；95%置信区间，2.1-21.5）、患有慢性疾病和“高”提示行动的儿童（调整后的优势比，5.7；95%置信区间，2.8-11.6），以及对流感的“高”感知易感性（调整后的优势比，4.8；95%置信区间，2.1-10.8）。
本研究反映了儿科患者中流感疫苗接种率低。针对父母对流感及其疫苗的知识和理解的干预措施可能会提高儿科人群未来的疫苗接种率。
