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父母对 COVID-19 疫苗的犹豫态度在不同社区:一项全国性调查。

Parental COVID-19 Vaccine Hesitancy in Diverse Communities: A National Survey.

机构信息

Division of Pediatric Infectious Diseases, Department of Pediatrics, UCLA Mattel Children's Hospital, University of California at Los Angeles (AdS Maurice).

Departments of Political Science and African American Studies, Penn State University (R Block), University Park, Pa.

出版信息

Acad Pediatr. 2022 Nov-Dec;22(8):1399-1406. doi: 10.1016/j.acap.2022.06.016. Epub 2022 Jul 5.

Abstract

OBJECTIVE

We surveyed a diverse group of US participants to understand parental coronavirus disease 2019 (COVID-19) vaccine hesitancy.

METHODS

We administered a telephone and online survey from May 7 to June 7, 2021 using stratified sampling to ensure robust sample sizes of racial and ethnic minorities. Of the 20,280 contacted, 12,288 respondents completed the survey (response rate 61%). We used chi-square tests and adjusted risk ratios to compare results by racial/ethnic group.

RESULTS

Overall, 23% of parents stated that they plan to (or have) vaccinated their children; 30% said that they would not vaccinate their children, and 25% were unsure. Latino/a, Native American, and Asian American-Pacific Islander (AAPI) parents were generally more likely to vaccinate their children than Black or White parents. After adjusting for demographic factors, AAPI parents were significantly more likely to vaccinate their children than were others. Of parents who said that they would not vaccinate their child, 55% stated it was due to insufficient research. However, over half of parents stated that they would follow their child's health care provider's recommendations. After adjusting for demographic factors, trust in their primary care doctor was significantly lower among AAPI, Black, and Native American parents than White parents.

CONCLUSIONS

Parental vaccine hesitancy was similar overall, but drivers of hesitancy varied by racial/ethnic groups. While the perception that vaccines had been "insufficiently researched" was a major concern among all groups, we found that parents are generally inclined to follow health providers' recommendations. Health professionals can play an important role in COVID-19 vaccine education and should provide access to vaccines.

摘要

目的

我们调查了美国的一个多元化群体,以了解父母对 2019 年冠状病毒病(COVID-19)疫苗的犹豫态度。

方法

我们于 2021 年 5 月 7 日至 6 月 7 日通过电话和在线调查,采用分层抽样,以确保少数族裔的样本量充足。在联系的 20280 人中,有 12288 名受访者完成了调查(回应率为 61%)。我们使用卡方检验和调整后的风险比来比较不同种族/族裔群体的结果。

结果

总体而言,23%的父母表示计划(或已经)为孩子接种疫苗;30%表示不会为孩子接种疫苗,25%表示不确定。拉丁裔/美洲原住民和亚裔/太平洋岛民(AAPI)父母通常比黑人和白人父母更有可能为孩子接种疫苗。在调整人口统计学因素后,AAPI 父母为孩子接种疫苗的可能性明显高于其他人。对于表示不会为孩子接种疫苗的父母,55%表示这是因为研究不足。然而,超过一半的父母表示他们会听从孩子的医疗保健提供者的建议。在调整人口统计学因素后,与白人父母相比,AAPI、黑人和美洲原住民父母对初级保健医生的信任度明显较低。

结论

总体而言,父母对疫苗的犹豫程度相似,但犹豫的驱动因素因种族/族裔群体而异。虽然所有群体都认为疫苗“研究不足”是一个主要问题,但我们发现父母通常倾向于听从医疗保健提供者的建议。医疗保健专业人员可以在 COVID-19 疫苗教育中发挥重要作用,应提供疫苗接种。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13cc/9254650/c75c357a3b51/gr1_lrg.jpg

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