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信息来源对疫苗犹豫和实践的影响。

Influence of information sources on vaccine hesitancy and practices.

机构信息

Santé Publique France, 12, rue du Val d'Osne, 94410 Saint-Maurice, France.

Santé Publique France, 12, rue du Val d'Osne, 94410 Saint-Maurice, France.

出版信息

Med Mal Infect. 2020 Nov;50(8):727-733. doi: 10.1016/j.medmal.2020.01.010. Epub 2020 Feb 14.

Abstract

INTRODUCTION

Many factors influence vaccination practices and attitudes. This study aimed to identify vaccine information sources used by parents of children aged 1-15 years to get a better understanding of the relation between vaccine information sources, practices for two vaccines (MMR, HBV), vaccine acceptance, and vaccine hesitancy.

METHODS

A total of 3938 parents, drawn by random sampling, were interviewed by telephone as part of the "2016 health barometer" survey. Vaccine information sources were described and analyzed according to socio-demographic variables. Multivariate logistic regression models were then built to explain vaccine information sources usage, vaccination practices and attitudes.

RESULTS

Healthcare professionals (HCP), the Internet, and relatives were the three main vaccine information sources. Vaccination practices and acceptance were better when parents were getting information from HCPs compared with parents getting information from the Internet or relatives. Besides, getting information from the three different types of sources was associated with the highest rate of vaccine hesitancy: 70.9% (OR=4.6; P<0.0001) versus 34.6% among parents getting information from HCPs only.

CONCLUSION

Those results suggest an interest in providing quality information about vaccination on the Internet. The primary role of HCPs in vaccination decision is once again demonstrated.

摘要

简介

许多因素会影响疫苗接种的实践和态度。本研究旨在确定 1-15 岁儿童家长使用的疫苗信息来源,以更好地了解疫苗信息来源与两种疫苗(MMR、HBV)的接种实践、疫苗接受度和疫苗犹豫之间的关系。

方法

共有 3938 名家长通过随机抽样接受了电话访谈,这是“2016 年健康晴雨表”调查的一部分。根据社会人口统计学变量对疫苗信息来源进行了描述和分析。然后建立多变量逻辑回归模型来解释疫苗信息来源的使用、接种实践和态度。

结果

医疗保健专业人员(HCP)、互联网和亲戚是三个主要的疫苗信息来源。与从互联网或亲戚处获取信息的家长相比,从 HCP 处获取信息的家长其疫苗接种实践和接受程度更好。此外,从这三种不同类型的来源获取信息与最高的疫苗犹豫率相关:70.9%(OR=4.6;P<0.0001),而仅从 HCP 处获取信息的家长疫苗犹豫率为 34.6%。

结论

这些结果表明人们有兴趣在互联网上提供有关疫苗接种的高质量信息。HCP 在疫苗接种决策中的主要作用再次得到证实。

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