Department of Community Medicine, Babcock University, Ilisan, Ogun State, Nigeria.
Department of Community Medicine and Primary Care, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria.
West Afr J Med. 2022 Jul 31;39(7):747-755.
ACKGROUND/OBJECTIVES: Vaccine-preventable diseases (VPDs) have been shown to account for one-fifth of deaths among under-fives. Father's knowledge and attitude greatly influence the approval and uptake of childhood vaccination in patriarchal communities. This study aimed to assess and compare fathers' knowledge and attitude to childhood vaccination in urban and rural communities of Ogun State, Nigeria.
Four hundred and forty men each were interviewed in rural and urban areas. An interviewer-administered questionnaire was used to elicit data which were analyzed with IBM SPSS version 20. Mean ages of respondents were compared using T-test while chisquare was used in testing association between categorical variables. Results were presented in tables and P < 0.05 was considered statistically significant.
There was no statistically significant difference in the mean ages of residents in the urban and rural areas (t = -1.82, p= 0.07). A greater proportion of rural participants (51.4%) had an overall good knowledge of childhood vaccination as against 45.2% of urban men but this difference was not statistically significant with p = 0.069. A greater percentage of participants in the urban area (58.0%) had an overall positive attitude to male participation in childhood vaccination compared to 54.1% of rural men. However, this difference was not statistically significant (p= 0.204).
CONCLUSION/RECOMMENDATION: There was better knowledge of childhood vaccination among rural participants. In contrast, attitude towards childhood vaccination was better among urban residents. There is a need for educational interventions that may positively influence the attitude of men towards childhood vaccinations, particularly in rural areas to be conducted by the government, health workers, and other stakeholders through various communication media and adopting diverse health education methods.
背景/目的：疫苗可预防疾病（VPD）占五岁以下儿童死亡人数的五分之一。父亲的知识和态度极大地影响了父权制社区对儿童疫苗接种的认可和接受程度。本研究旨在评估和比较尼日利亚奥贡州城乡社区父亲对儿童疫苗接种的知识和态度。
在农村和城市地区分别采访了 440 名男性。使用访谈者管理的问卷收集数据，使用 IBM SPSS 版本 20 进行分析。使用 T 检验比较受访者的平均年龄，使用卡方检验检验分类变量之间的关联。结果以表格形式呈现，P<0.05 被认为具有统计学意义。
城乡居民的平均年龄无统计学差异（t=-1.82，p=0.07）。农村参与者（51.4%）对儿童疫苗接种的总体知识较好，而城市男性为 45.2%，但差异无统计学意义（p=0.069）。城市地区（58.0%）的参与者对男性参与儿童疫苗接种的总体态度较好，而农村男性为 54.1%。然而，这一差异无统计学意义（p=0.204）。
结论/建议：农村参与者对儿童疫苗接种的知识更好。相比之下，城市居民对儿童疫苗接种的态度更好。需要通过各种沟通媒体，由政府、卫生工作者和其他利益相关者，采用多样化的健康教育方法，开展可能对男性对儿童疫苗接种的态度产生积极影响的教育干预措施，特别是在农村地区。
