Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, No. 13 Hangkong Road, Wuhan, 430030, Hubei, China.
Songgang People's Hospital, Shenzhen, Guangdong, China.
Sci Rep. 2022 Jun 8;12(1):9467. doi: 10.1038/s41598-022-12530-9.
China has the largest number of vaccinated population around the world. However, there has been few research on the prevalence and associated factors of vaccine hesitation among parents of preschool children. Therefore, we conducted this study to evaluate the status of vaccine hesitation and its associated factors among children's parents. A cluster random sampling method was adopted to select six community health service centers in Shenzhen, and parents of preschool children who were immunized in the vaccination outpatient department of the selected community health centers were surveyed using a structured self-administered questionnaire. Vaccine hesitation was assessed by the Parent Attitudes about Childhood Vaccines (PACV) scale. A multiple linear regression analysis was used to assess the associated factors for vaccine hesitance among children's parents. A total of 1025 parents (response rate, 93.18%) filled out the questionnaires. The average score of vaccine hesitancy was 43.37 (SD = 10.34) points. 23.61% of parents wanted children to get all the recommended shots, 53.76% of them did not believe that many of the illnesses shots prevent were severe, and 75.41% of them could not guarantee the information they receive about shots. The results of multiple linear regression showed that the number of children in the family (β = -0.93, 95% CI: -1.31 to 0.54), health status of the child (β = 0.47, 95% CI: 0.07 to 0.87), education level of the parents (Father: β = -0.84, 95%CI: -1.37 to 0.31; Mother: = -1.59, 95%CI:-2.13 to -1.05), and annual family income (β = 1.64, 95%CI: 1.13-2.16) were significantly associated with vaccine hesitation. The average score of parents' vaccine hesitation in Shenzhen was 43.37. The results showed that the number of children in the family, health status of the children, education level of the parents and annual family income were important factors associated with the parents' vaccine hesitation.
中国是世界上接种疫苗人数最多的国家。然而，针对学龄前儿童家长疫苗犹豫的流行情况及其相关因素的研究较少。因此，我们开展了这项研究，以评估儿童家长的疫苗犹豫现状及其相关因素。采用整群随机抽样的方法，选取深圳市 6 家社区卫生服务中心，对在选取的社区卫生服务中心预防接种门诊接种疫苗的学龄前儿童家长进行问卷调查，采用自行设计的结构式问卷进行调查。疫苗犹豫程度采用家长对儿童疫苗接种态度量表（PACV）进行评估。采用多元线性回归分析评估儿童家长疫苗犹豫的相关因素。共回收有效问卷 1025 份（应答率 93.18%）。疫苗犹豫平均得分为 43.37（SD=10.34）分。23.61%的家长希望孩子能接种所有推荐的疫苗，53.76%的家长认为许多疫苗可预防的疾病并不严重，75.41%的家长不能保证其获得的疫苗相关信息准确。多元线性回归结果显示，家庭中儿童数量（β=-0.93，95%CI：-1.31 至 0.54）、儿童健康状况（β=0.47，95%CI：0.07 至 0.87）、家长文化程度（父亲：β=-0.84，95%CI：-1.37 至 0.31；母亲：β=-1.59，95%CI：-2.13 至 -1.05）和家庭年收入（β=1.64，95%CI：1.13-2.16）与疫苗犹豫显著相关。深圳市家长疫苗犹豫平均得分为 43.37。结果表明，家庭中儿童数量、儿童健康状况、家长文化程度和家庭年收入是与家长疫苗犹豫相关的重要因素。
