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黎巴嫩父母对儿童疫苗接种的知识、态度和行为:父母与医生沟通的作用

Parents' knowledge, attitude and practice towards children's vaccination in Lebanon: role of the parent-physician communication.

作者信息

Matta Perla, El Mouallem Rayane, Akel Marwan, Hallit Souheil, Fadous Khalife Marie-Claude

机构信息

Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.

Pediatrics and Neonatology Department, Notre Dame Des Secours University Hospital, Byblos, Lebanon.

出版信息

BMC Public Health. 2020 Sep 22;20(1):1439. doi: 10.1186/s12889-020-09526-3.

Abstract

BACKGROUND

One of the most effective public health interventions in the world is immunization. However, some parents doubt its usefulness and safety. Many factors influence their decision to vaccinate, including their sociodemographic characteristics, their trust in the public health system, the parent-physician relationship, their level of knowledge and their attitudes towards vaccination. Our objective was to determine the factors, especially the parent-physician communication, associated with parental knowledge, attitudes and practices of their children's vaccination.

METHODS

Three thousand five hundred parents (father, mother or both) of children aged between 1 month and 15 years were approached by a trained personnel who performed the data collection through personal interviews (February-April 2019).

RESULTS

The response rate was 79.5%. The results of the multivariable analysis showed that a better patient-physician communication was significantly associated with higher knowledge, better attitude and practice. Better knowledge was significantly associated with better attitude, whereas better knowledge and attitude were significantly associated with better practice.

CONCLUSION

Our study shows the importance of good physician-patient communication in improving knowledge, attitude and practice of parents towards their children's vaccination.

摘要

背景

免疫接种是世界上最有效的公共卫生干预措施之一。然而,一些家长怀疑其有效性和安全性。许多因素影响他们为孩子接种疫苗的决定,包括他们的社会人口学特征、对公共卫生系统的信任、医患关系、知识水平以及对疫苗接种的态度。我们的目的是确定与家长对孩子疫苗接种的知识、态度和行为相关的因素,尤其是医患沟通。

方法

2019年2月至4月,由经过培训的人员对3500名1个月至15岁儿童的家长(父亲、母亲或父母双方)进行接触,通过个人访谈收集数据。

结果

应答率为79.5%。多变量分析结果显示,更好的医患沟通与更高的知识水平、更好的态度和行为显著相关。更好的知识水平与更好的态度显著相关,而更好的知识水平和态度与更好的行为显著相关。

结论

我们的研究表明,良好的医患沟通对于提高家长对孩子疫苗接种的知识、态度和行为具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a42/7510257/7581119cecff/12889_2020_9526_Fig1_HTML.jpg

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