Du Fanxing, Chantler Tracey, Francis Mark R, Sun Fiona Yueqian, Zhang Xuan, Han Kaiyi, Rodewald Lance, Yu Hongjie, Tu Shiyi, Larson Heidi, Hou Zhiyuan
School of Public Health, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China.
Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.
Vaccines (Basel). 2021 Feb 28;9(3):201. doi: 10.3390/vaccines9030201.
Access to vaccination information could influence public attitudes towards vaccination. This study investigated the number and types of vaccination-related information sources, and estimated their associations with vaccine confidence and hesitancy in China. In January 2019, we conducted a cross-sectional survey in China, and 2122 caregivers with children <6 years completed self-administered questionnaires. Logistic regressions were used to assess associations between caregivers' primary information sources and vaccine confidence/hesitancy. A majority (72%) of caregivers had multiple sources of vaccination-related information. The proportions of caregivers reporting professional sources, media, and peers as primary information sources were 81%, 63%, and 26%. Internal migrants were less likely to get information from professional sources; more educated and wealthier caregivers reported more information sources and were more likely to get information from media and peers. Caregivers who reported professional information sources had significantly higher odds of being confident about the safety of vaccines and lower odds of being hesitant toward vaccination than those who did not. Caregivers who reported the media as a primary information source had significantly higher odds of being hesitant toward vaccination than those who did not. To address vaccine hesitancy, it is essential to promote universal access to professional vaccination-related information sources, and to use the media to disseminate evidence-based information and clarify misinformation. Health communication should target internal migrants, and more educated and wealthier caregivers.
获取疫苗接种信息可能会影响公众对疫苗接种的态度。本研究调查了疫苗接种相关信息来源的数量和类型，并评估了它们与中国疫苗信心和犹豫态度之间的关联。2019年1月，我们在中国进行了一项横断面调查，2122名有6岁以下儿童的照料者完成了自填式问卷。采用逻辑回归分析来评估照料者的主要信息来源与疫苗信心/犹豫态度之间的关联。大多数（72%）照料者有多种疫苗接种相关信息来源。将专业来源、媒体和同龄人作为主要信息来源的照料者比例分别为81%、63%和26%。外来务工人员从专业来源获取信息的可能性较小；受教育程度更高、更富有的照料者报告的信息来源更多，并且更有可能从媒体和同龄人那里获取信息。报告专业信息来源的照料者对疫苗安全性有信心的几率显著高于未报告者，对接种疫苗持犹豫态度的几率则低于未报告者。将媒体作为主要信息来源的照料者对接种疫苗持犹豫态度的几率显著高于未报告者。为解决疫苗犹豫问题，必须促进普遍获取专业的疫苗接种相关信息来源，并利用媒体传播基于证据的信息，澄清错误信息。健康传播应针对外来务工人员以及受教育程度更高、更富有的照料者。
