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疫苗犹豫:秘鲁人群中儿童疫苗接种拒绝行为的特征

Vaccine Hesitancy: Characteristics of the Refusal of Childhood Vaccination in a Peruvian Population.

作者信息

Chung-Delgado Kocfa, Valdivia Venero Javier E, Vu Tuong M

机构信息

School of Health and Related Research, University of Sheffield, Sheffield, GBR.

Faculty of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, PER.

出版信息

Cureus. 2021 Mar 25;13(3):e14105. doi: 10.7759/cureus.14105.

Abstract

Understanding the determinants of vaccine hesitancy is paramount to reinstate confidence in immunizations. The objective of this investigation was to explore the characteristics of the vaccination decision-making process that may result in the refusal of childhood immunization in Peru, during February-June 2020. A descriptive, cross-sectional study involving telephone interviews was executed in Peru. The Parents Attitudes about Childhood Vaccines (PACV) survey was used. A demographic analysis was done, followed by an unadjusted exploratory subgroup analysis. Out of 552 subjects, 9.8% were considered vaccine hesitant, 70.3% had purposively delayed vaccination, 88.4% thought fewer vaccines were better and 52.2% were concerned about vaccine safety. The level of hesitancy was inversely proportional to the level of education and the number of children at home. Mothers and subjects aged ≤29 years showed a greater level of vaccine hesitancy. This population displays a vaccine-hesitant conduct. Vaccine safety and the number of vaccines to administer are important determining factors. This behavior could be influenced by variables such as level of education, number of children at home, parental relationship, and age. These results help understand local vaccination behaviors. More studies are encouraged to confirm and validate these findings.

摘要

了解疫苗犹豫的决定因素对于恢复对免疫接种的信心至关重要。本调查的目的是探讨2020年2月至6月期间秘鲁可能导致儿童免疫接种拒绝的疫苗接种决策过程的特征。在秘鲁开展了一项涉及电话访谈的描述性横断面研究。采用了《家长对儿童疫苗的态度》(PACV)调查。进行了人口统计学分析,随后进行了未经调整的探索性亚组分析。在552名受试者中,9.8%被认为对疫苗犹豫,70.3%故意推迟接种,88.4%认为疫苗越少越好,52.2%担心疫苗安全。犹豫程度与教育水平和家中子女数量成反比。母亲和年龄≤29岁的受试者表现出更高的疫苗犹豫程度。这一人群表现出疫苗犹豫行为。疫苗安全性和要接种的疫苗数量是重要的决定因素。这种行为可能受到教育水平、家中子女数量、父母关系和年龄等变量的影响。这些结果有助于了解当地的疫苗接种行为。鼓励开展更多研究来证实和验证这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ee/8067775/ba69bbfe4727/cureus-0013-00000014105-i01.jpg

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