Division for Epidemiology of Communicable Diseases, Croatian Institute of Public Health, Rockefeller Street 7, 10 000 Zagreb, Croatia; European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Department of Public Health Gerontology, Andrija Stampar Teaching Institute of Public Health, Mirogojska 16, 10 000 Zagreb, Croatia; Faculty of Medicine, University of Rijeka, Braće Branchetta 20/1, 51 000 Rijeka, Croatia.
Vaccine. 2018 Nov 26;36(49):7530-7535. doi: 10.1016/j.vaccine.2018.10.055. Epub 2018 Oct 23.
The Croatian Immunization Programme is a mandatory prevention programme in which vaccines are offered free of charge and little is known about parental vaccine-related beliefs and attitudes. We aimed to describe beliefs and attitudes towards childhood vaccination of parents in Zagreb, estimate the proportion of parents with positive attitudes towards vaccination, and to identify the possible predictors of positive attitudes. Using a self-administered questionnaire, we performed a cluster sampling survey among parents of 6-years-old children in Zagreb. In total 542 questionnaires were collected, 80% (n = 430/542) of respondents were mothers. Even though 72.6% (n = 385/531; 95%CI: 69-76) respondents feel that childhood vaccination should remain mandatory, 36.3% (n = 192/528; 95%CI: 58.3-65.3) considered that simultaneous administration of vaccines can have negative effect to their child's health. In addition, 38% (n = 202/532; 95%CI: 33.2-43.1%) feared that vaccines may harm their child. Of total, parents mostly reported positive attitude towards vaccination (61.8%; 95% CI: 34.7-42). Parents with positive attitudes were more likely to state their child experienced mild or no adverse reaction after vaccination, report not delaying vaccination and provide additional non-mandatory vaccines to their child (p < 0.05). Gender, age, education and marital status of parent were not significantly associated with the positive attitude towards vaccination. Our results suggest the need for educational interventions and communication strategies that could foster better knowledge on immunization with a focus on parental misconceptions, perceived constraints and safety issues about vaccine.
克罗地亚免疫计划是一项强制性预防计划，其中疫苗免费提供，但人们对父母与疫苗相关的信仰和态度知之甚少。我们旨在描述萨格勒布父母对儿童疫苗接种的信念和态度，估计对疫苗持积极态度的父母比例，并确定积极态度的可能预测因素。我们使用自我管理的问卷，对萨格勒布 6 岁儿童的父母进行了聚类抽样调查。共收集了 542 份问卷，80%（n=430/542）的受访者为母亲。尽管 72.6%（n=385/531；95%CI：69-76）的受访者认为儿童疫苗接种应继续强制进行，但 36.3%（n=192/528；95%CI：58.3-65.3）认为同时接种疫苗可能对孩子的健康产生负面影响。此外，38%（n=202/532；95%CI：33.2-43.1%）的人担心疫苗可能会伤害他们的孩子。总的来说，父母对疫苗接种的态度大多是积极的（61.8%；95%CI：34.7-42）。对疫苗持积极态度的父母更有可能表示其孩子在接种疫苗后经历了轻微或无不良反应，报告不延迟接种疫苗，并为其孩子提供额外的非强制性疫苗（p<0.05）。父母的性别、年龄、教育程度和婚姻状况与对疫苗接种的积极态度无显著相关性。我们的研究结果表明，需要开展教育干预和沟通策略，以增强对免疫接种的了解，重点关注父母对疫苗的误解、感知到的限制和安全性问题。
