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孟加拉国父母对常规免疫计划中预防肺炎球菌肺炎的肺炎球菌结合疫苗的认知情况。

Awareness Among Parents About Pneumococcal Conjugate Vaccine in Routine Immunization Program to Prevent Pneumococcal Pneumonia in Bangladesh.

作者信息

Luies Sharmin K, Hossain Md Tarek, Sarma Haribondu

机构信息

Infectious Diseases Division, International Centre for Diarrhoeal Disease Research, Dhaka, BGD.

Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, BGD.

出版信息

Cureus. 2019 Nov 6;11(11):e6082. doi: 10.7759/cureus.6082.

Abstract

Introduction This study was conducted in two purposively selected slums of Dhaka to assess parents' awareness of pneumococcal conjugate vaccine (PCV) in reducing the occurrence of death due to pneumococcal pneumonia. Methods Using a semi-structured questionnaire, face-to-face interviews were conducted with 150 parents. Data were analyzed using Statistical Package for the Social Sciences (SPSS), version 20 (IBM Corp., Armonk, NY) and Chi-square (χ2) test performed to determine associations. Results About 35% of parents were found to be aware of PCV; of them, 92.5% were informed by health service providers, and 81.1% mentioned benefits of PCV. Most parents were unaware of the PCV vaccination status of children, and no significant association was found between vaccination status and parents' socioeconomic status. Aware parents vaccinated their children, and the association of awareness with vaccination status was statistically significant for PCV-1 (= 0.04) and PCV-2 (< 0.001). Although 7.4% of parents did not vaccinate their child with PCV-3 due to a child's sickness or other priorities in household work, the association was significant (= 0.01). Conclusion Strengthened efforts by health service providers, prioritizing dissemination of key messages on PCV, its benefits, and side-effects, can motivate parents and reduce dropout rates.

摘要

引言 本研究在达卡两个经过有目的选择的贫民窟中开展,以评估父母对肺炎球菌结合疫苗(PCV)在降低肺炎球菌肺炎所致死亡发生率方面的认知情况。方法 使用半结构化问卷,对150名父母进行面对面访谈。数据采用社会科学统计软件包(SPSS)20版(IBM公司,纽约州阿蒙克)进行分析,并进行卡方(χ2)检验以确定关联性。结果 约35%的父母知晓PCV;其中,92.5%是从卫生服务提供者处得知,81.1%提到了PCV的益处。大多数父母不了解孩子的PCV疫苗接种状况,且在疫苗接种状况与父母社会经济地位之间未发现显著关联。知晓情况的父母为孩子接种了疫苗,对于PCV-1(=0.04)和PCV-2(<0.001),知晓情况与疫苗接种状况之间的关联具有统计学意义。尽管7.4%的父母因孩子生病或家务中的其他优先事项而未给孩子接种PCV-3,但这种关联具有显著性(=0.01)。结论 卫生服务提供者加大力度,并优先传播关于PCV及其益处和副作用的关键信息,可激励父母并降低疫苗接种率。

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