Zona Stefano, Partesotti Simonetta, Bergomi Andrea, Rosafio Cristiano, Antodaro Francesco, Esposito Susanna
Primary Health Care Department, Local Health Agency of Modena, 41121 Modena, Italy.
Primary Care Pediatricians, Local Health Agency of Modena, 41121 Modena, Italy.
Vaccines (Basel). 2021 Nov 10;9(11):1309. doi: 10.3390/vaccines9111309.
Vaccine hesitancy has been considered one of the most severe threats to global health, as it represents an obstacle to achieving adequate vaccination coverage. Recent research studies aimed at investigating the propensity for anti-COVID vaccination among adults have found a high prevalence of vaccine hesitancy, but few data are available on parental vaccine hesitancy. We therefore built an anonymous online survey to investigate the factors related to the vaccine hesitancy of parents of adolescents between 12 and 17 years of age, with a special focus on demographic factors and the domains of confidence and complacency. The online survey was conducted by using the Crowd Signal platform from 15 July to 16 August 2021, in Italy. A total of 1799 analyzable questionnaires were analyzed. Overall, Favorable and Doubtful parents declared a higher level of confidence on safety and efficacy of pediatric vaccines and on confidence in health institutions than Hesitant/Reluctant ones (-values < 0.001). The univariate multinomial logistic regression analysis and the multivariate multinomial logistic regression analysis showed that the Hesitant/Reluctant parents were younger than 40 years of age, with a secondary-school or three-year degree, free-lance, with a family income below €28,000, with an erroneous perception of the risk of COVID-19 as disease and with fear of anti-COVID vaccination. These results, which should be confirmed in a larger population and in different geographical areas, should lead Institutions and stakeholders to identify targeted communication tools to improve trust in health institutions, especially by younger parents.
疫苗犹豫被认为是对全球健康最严重的威胁之一，因为它是实现足够疫苗接种覆盖率的障碍。最近旨在调查成年人接种新冠疫苗倾向的研究发现，疫苗犹豫现象普遍存在，但关于父母疫苗犹豫的数据却很少。因此，我们开展了一项匿名在线调查，以研究12至17岁青少年父母疫苗犹豫的相关因素，特别关注人口统计学因素以及信心和自满等方面。该在线调查于2021年7月15日至8月16日在意大利通过Crowd Signal平台进行。共分析了1799份可分析问卷。总体而言，持支持和怀疑态度的父母对儿科疫苗的安全性和有效性以及对医疗机构的信心，比持犹豫/不情愿态度的父母更高（P值<0.001）。单因素多项逻辑回归分析和多因素多项逻辑回归分析表明，持犹豫/不情愿态度的父母年龄在40岁以下，具有中学或三年制学历，为自由职业者，家庭收入低于28000欧元，对新冠病毒疾病风险存在错误认知，且害怕接种新冠疫苗。这些结果应在更大规模人群和不同地理区域得到证实，它们应促使机构和利益相关者确定有针对性的沟通工具，以提高对医疗机构的信任，尤其是年轻父母对其的信任。
