School of Nursing, University of California, 700 Tiverton Ave, Los Angeles, CA 90095, United States of America; Department of Research & Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, Pasadena, CA 91101, United States of America.
Department of Occupational Therapy, California State University, Dominguez Hills, 1000 E. Victoria Street, Carson, CA 90747, United States of America.
J Pediatr Nurs. 2022 Mar-Apr;63:108-110. doi: 10.1016/j.pedn.2021.11.019. Epub 2021 Nov 24.
The purpose of this study was to investigate associations between parent vaccine confidence and intention to have their child with autism vaccinated against COVID-19.
A cross-sectional, web-based survey was conducted from May to July 2021 with parents of children with autism spectrum disorder (N = 322) who were members of an integrated healthcare system in Southern California.
Approximately 35% of parents intended to vaccinate their child against COVID-19. In adjusted models, positive vaccine beliefs-but not belief in vaccine harm, healthcare provider trust, or parent vaccination status-were associated with intention to vaccinate.
Though parents usually trust recommendations from pediatric healthcare providers to make decisions about their child's health, these findings suggest that relying on trusted relationships alone may not be sufficient when discussing COVID-19 vaccines and that additional education to bolster vaccine confidence may be needed.
Pediatric healthcare providers should reinforce the benefits of vaccines for parents who are undecided about COVID-19 vaccines for their children and provide education and evidence-based recommendations to parents who hold erroneous vaccine beliefs about risks, benefits, and current evidence, especially those related to autism.
本研究旨在调查父母对疫苗的信心与让自闭症儿童接种 COVID-19 疫苗的意愿之间的关联。
2021 年 5 月至 7 月，对加利福尼亚州南部一个综合医疗保健系统的自闭症谱系障碍儿童的父母（N=322）进行了一项横断面、基于网络的调查。
约 35%的父母打算为孩子接种 COVID-19 疫苗。在调整后的模型中，积极的疫苗信念——而不是对疫苗危害、医疗保健提供者信任或父母接种疫苗状况的信念——与接种疫苗的意愿相关。
尽管父母通常信任儿科医疗保健提供者的建议来做出有关孩子健康的决定，但这些发现表明，仅依靠可信赖的关系可能不足以在讨论 COVID-19 疫苗时使用，并且可能需要额外的教育来增强疫苗信心。
儿科医疗保健提供者应向对为孩子接种 COVID-19 疫苗犹豫不决的父母强调疫苗的益处，并向对疫苗风险、益处和当前证据持有错误信念的父母提供教育和基于证据的建议，特别是与自闭症相关的建议。
