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父亲在孕期获得的疫苗接种信息与婴儿按时接种疫苗的决定因素。

Vaccination information fathers receive during pregnancy and determinants of infant vaccination timeliness.

机构信息

Department of Paediatrics: Child and Youth Health, The University of Auckland, Auckland, New Zealand.

General Paediatrics, Starship Children's Health, Auckland, New Zealand.

出版信息

Hum Vaccin Immunother. 2021 Dec 2;17(12):5214-5225. doi: 10.1080/21645515.2021.1932212. Epub 2021 Nov 19.

Abstract

The information fathers receive about infant vaccination may influence their decision to vaccinate. We describe fathers' sources of vaccination information and paternal determinants of timely infant vaccinations. Participants were from a child cohort study in New Zealand. The child cohort was established by enrolling pregnant women and their partners. During pregnancy, fathers (n = 4017) of the cohort children born 2009-2010 described information sources that encouraged or discouraged infant vaccination. The National Immunization Register provided infant vaccination data. Independent associations of the vaccination information received by fathers with the timeliness of their infant's vaccination were determined using multivariable logistic regression. Associations were described using adjusted odds ratios and 95% confidence intervals. One-third of fathers (1430/4017 [36%]) recalled receiving vaccination information, 64% of which encouraged vaccination. Most infants (2900/4017 [72%]) received all their vaccinations on time, however only 58% of Māori infants were vaccinated on time. Paternal determinants of vaccination timeliness were the father receiving discouraging or conflicting information about vaccination, father's ethnicity, father's vaccination hesitancy, and whether the mother received vaccination information. To improve vaccination uptake and timeliness, a vaccination conversation with mothers, fathers and whānau could be included in routine antenatal care, informing and supporting decision-making, and addressing concerns. Vaccination education should address present and historic distrust of the health system. Framing vaccination within a Māori model of health and including fathers and whānau in decision-making will address vaccination inequities in New Zealand.

摘要

父亲获得的婴儿疫苗接种信息可能会影响他们的接种决策。我们描述了父亲的疫苗接种信息来源和影响及时为婴儿接种疫苗的因素。参与者来自新西兰的一项儿童队列研究。该儿童队列通过招募孕妇及其伴侣建立。在怀孕期间,2009-2010 年出生的队列儿童的父亲(n=4017)描述了鼓励或阻碍婴儿接种疫苗的信息来源。国家免疫登记处提供了婴儿疫苗接种数据。使用多变量逻辑回归确定父亲所获得的疫苗接种信息与他们婴儿疫苗接种及时性的独立关联。使用调整后的优势比和 95%置信区间描述关联。三分之一的父亲(4017 名中的 1430 名[36%])回忆收到了疫苗接种信息,其中 64%的信息鼓励接种疫苗。大多数婴儿(4017 名中的 2900 名[72%])按时接种了所有疫苗,但只有 58%的毛利婴儿按时接种了疫苗。影响疫苗接种及时性的父亲决定因素包括父亲收到有关疫苗接种的劝阻或矛盾信息、父亲的种族、父亲对接种疫苗的犹豫以及母亲是否收到疫苗接种信息。为了提高疫苗接种率和及时性,可以在常规产前护理中增加与母亲、父亲和大家庭的疫苗接种对话,提供信息并支持决策,并解决顾虑。疫苗接种教育应解决当前和历史上对卫生系统的不信任。在新西兰,将疫苗接种纳入毛利人健康模式,并让父亲和大家庭参与决策,将解决疫苗接种不公平问题。

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