Communicable Diseases Centre, National Institute of Public Health, Zaloška 29, 1000 Ljubljana, Slovenia.
Regional Unit Nova Gorica, National Institute of Public Health, Vipavska cesta 13, 5000 Nova Gorica, Slovenia.
Vaccine. 2018 Sep 5;36(37):5544-5550. doi: 10.1016/j.vaccine.2018.07.062. Epub 2018 Aug 1.
We conducted the first nationwide survey in Slovenia to measure and characterise vaccine confidence among mothers of young children. This survey measured confidence in routine vaccines for children <2 years of age and in the information sources about these vaccinations to provide baseline data for public health actions to maintain and improve vaccination coverage.
We randomly selected women giving birth in 2014-15 from the national perinatal information system (N = 39,497). Participants were asked to rate statements measuring vaccine confidence, including confidence in their child's paediatrician, the Slovenian healthcare system, and different paediatric vaccination information sources. We estimated vaccine confidence with 95% confidence intervals (CI), for seven socio-demographic characteristics for mothers with young children. Spearman's rank correlation coefficient was used to assess correlations between vaccine confidence and the confidence in the health system or child's paediatrician.
We sent out 3854 questionnaires, the response rate was 44.4%. While 46.8% (95% CI: 44.4-49.2%) mothers were confident in vaccines, 34.2% (95% CI: 32.0-36.6%) were undecided. We found a correlation (Spearman's rho = 0.457) between vaccine confidence and confidence in the child's paediatrician. Mothers that were confident in paediatrician were more likely to be confident in vaccines (odds ratio: 7.7; 95% CI: 5.3-11.3). Overall, the most frequently trusted information source were physicians (84.6%). In contrast, among mothers not at all confident in vaccines, 51.9% reported friends as the trusted information source.
More than half of mothers had low vaccine confidence or were undecided regarding their confidence. While vaccination coverage in Slovenia is high, these levels warrant public health intervention, particularly with the undecided mothers. Communication strategies should focus first on undecided parents and involve physicians, who for many are the most trusted vaccine information source. Different approaches will likely be required for those who are not at all confident in vaccines.
我们在斯洛文尼亚进行了首次全国性调查，以衡量和描述幼儿母亲的疫苗信心。这项调查测量了对 2 岁以下儿童常规疫苗的信心，以及对这些疫苗的信息来源的信心，为维护和提高疫苗接种率的公共卫生行动提供基线数据。
我们从国家围产期信息系统中随机选择了 2014-15 年分娩的女性（n=39497）。参与者被要求对衡量疫苗信心的陈述进行评分，包括对孩子的儿科医生、斯洛文尼亚医疗保健系统和不同儿科疫苗信息来源的信心。我们使用 95%置信区间（CI）估计了对七种社会人口特征的母亲的疫苗信心。我们使用 Spearman 秩相关系数评估了疫苗信心与对卫生系统或儿童儿科医生的信心之间的相关性。
我们发出了 3854 份问卷，回应率为 44.4%。虽然 46.8%（95%CI：44.4-49.2%）的母亲对疫苗有信心，但 34.2%（95%CI：32.0-36.6%）犹豫不决。我们发现疫苗信心与对儿童儿科医生的信心之间存在相关性（Spearman's rho=0.457）。对儿科医生有信心的母亲更有可能对疫苗有信心（优势比：7.7；95%CI：5.3-11.3）。总体而言，最常信任的信息来源是医生（84.6%）。相比之下，在对疫苗完全没有信心的母亲中，51.9%的人表示朋友是值得信任的信息来源。
超过一半的母亲对疫苗信心较低或犹豫不决。尽管斯洛文尼亚的疫苗接种率很高，但这些水平需要公共卫生干预，特别是对犹豫不决的母亲。沟通策略应首先针对犹豫不决的父母，并让医生参与其中，因为对许多人来说，医生是最值得信任的疫苗信息来源。对于那些对疫苗完全没有信心的人，可能需要采取不同的方法。
