支持在加拿大不列颠哥伦比亚省实施疫苗接种文件强制要求。

Support for a vaccination documentation mandate in British Columbia, Canada.

机构信息

School of Population and Public Health, University of British Columbia, Vancouver, Canada; Department of Communication, University of Massachusetts Amherst, USA.

School of Public Policy, University of California, Riverside, USA.

出版信息

Vaccine. 2022 Dec 5;40(51):7415-7425. doi: 10.1016/j.vaccine.2022.02.082. Epub 2022 Apr 29.

DOI:10.1016/j.vaccine.2022.02.082

PMID:35501180

Abstract

BACKGROUND

In recent years, Canadian provinces have been discussing, implementing, and tightening vaccination "mandate" policies for school enrolment. British Columbia (BC), Canada's westernmost province, implemented a Vaccination Status Reporting Regulation (VSRR) in September 2019, which requires the vaccination status of children in public, private, and home schooling be reported to a provincial vaccination registry and education for parents who refuse to vaccinate. Legal vaccination mandates can carry the risk of backlash, thereby making it important to monitor public attitudes across policy implementation windows. The present study aimed to evaluate public support for this new provincial mandate following implementation.

METHODS

An online panel of BC adults (n = 1301) was surveyed about 15 vaccine-promotion policy options in April 2020 following mandate implementation. Respondents were representative of the provincial population by gender, age, geographic residence, and percentage of households with children younger than 19 years of age. Poisson regression was used to estimate predictors of policy endorsement, and support for the VSRR.

RESULTS

Strong support existed for the VSRR with 88.2% of respondents agreeing or strongly agreeing that parents should be required to provide their children's immunization records at school entry, and 74.6% supporting required education sessions for parents who refuse to vaccinate their children. Overall, the sample was supportive of vaccination, and pro-vaccine attitudes were associated with strong agreement for nearly all vaccine policy options. Policies to impose rewards (e.g., tax credits) and penalties (e.g., fines) were the least likely to receive strong agreement from respondents.

CONCLUSIONS

Near the end of the first school year in British Columbia subject to the Vaccination Status Reporting Regulation, support for both the mandated documentation and mandated education elements of the policy are high, and associated with pro-vaccine attitudes. There are not marked differences in strong support based on gender, age, parenting, education level, or income.

摘要

背景

近年来，加拿大各省一直在讨论、实施和加强针对入学的疫苗“强制接种”政策。加拿大最西部的省份不列颠哥伦比亚省（BC）于 2019 年 9 月实施了《疫苗接种状况报告规定》（VSRR），要求公立、私立和家庭教育的儿童的疫苗接种状况向省级疫苗接种登记处报告，并为拒绝接种疫苗的家长提供教育。合法的疫苗接种授权可能会带来反弹的风险，因此，在政策实施过程中监测公众态度非常重要。本研究旨在评估该新省级授权在实施后的公众支持情况。

方法

在授权实施后，于 2020 年 4 月，对不列颠哥伦比亚省的成年人（n=1301）进行了一项在线小组调查，了解他们对 15 项疫苗推广政策选项的看法。受访者在性别、年龄、居住地点和有 19 岁以下子女的家庭比例方面具有代表性，与全省人口相似。使用泊松回归估计政策支持的预测因素，以及对 VSRR 的支持。

结果

对 VSRR 的支持非常强烈，88.2%的受访者同意或强烈同意家长应在入学时向学校提供其子女的免疫记录，74.6%的受访者支持为拒绝为子女接种疫苗的家长提供必要的教育课程。总体而言，样本支持接种疫苗，对疫苗的积极态度与几乎所有疫苗政策选项的强烈一致有关。对实施奖励（例如税收抵免）和惩罚（例如罚款）的政策最不可能得到受访者的强烈同意。