Department of Pediatrics, University of Health Sciences Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Department of Microbiology and Immunology, Institute of Marine and Environmental Technology, University of Maryland School of Medicine, Baltimore, Maryland, United States.
J Infect Dev Ctries. 2022 Jun 30;16(6):1081-1088. doi: 10.3855/jidc.16085.
Although vaccines are the safest and most effective means to prevent and control infectious diseases, the increasing rate of vaccine hesitancy and refusal (VHR) has become a worldwide concern. We aimed to find opinions of parents on vaccinating their children and contribute to available literature in order to support the fight against vaccine refusal by investigating the reasons for VHR on a global scale.
In this international cross-sectional multicenter study conducted by the Infectious Diseases International Research Initiative (ID-IRI), a questionnaire consisting of 20 questions was used to determine parents' attitudes towards vaccination of their children.
Four thousand and twenty-nine (4,029) parents were included in the study and 2,863 (78.1%) were females. The overall VHR rate of the parents was found to be 13.7%. Nineteen-point three percent (19.3%) of the parents did not fully comply with the vaccination programs. The VHR rate was higher in high-income (HI) countries. Our study has shown that parents with disabled children and immunocompromised children, with low education levels, and those who use social media networks as sources of information for childhood immunizations had higher VHR rates (p < 0.05 for all).
Seemingly all factors leading to VHR are related to training of the community and the sources of training. Thus, it is necessary to develop strategies at a global level and provide reliable knowledge to combat VHR.
尽管疫苗是预防和控制传染病最安全、最有效的手段，但疫苗犹豫和拒绝率（VHR）的不断上升已成为全球关注的问题。我们旨在了解家长对儿童接种疫苗的看法，并为现有文献做出贡献，以便通过在全球范围内调查 VHR 的原因来支持对抗疫苗拒绝的斗争。
在由传染病国际研究倡议（ID-IRI）进行的这项国际横断面多中心研究中，使用了一份包含 20 个问题的问卷来确定父母对其子女接种疫苗的态度。
共有 4029 名家长参与了这项研究，其中 2863 名（78.1%）为女性。家长总体 VHR 率为 13.7%。19.3%的家长不完全遵守疫苗接种计划。高收入（HI）国家的 VHR 率较高。我们的研究表明，有残疾儿童和免疫功能低下儿童的父母、教育程度较低的父母以及将社交媒体网络作为儿童免疫信息来源的父母，其 VHR 率较高（所有 P 值均<0.05）。
导致 VHR 的各种因素似乎都与社区培训和培训来源有关。因此，有必要在全球范围内制定战略，并提供可靠的知识来对抗 VHR。
