意大利患有潜在慢性疾病儿童的家长对儿童疫苗接种的犹豫态度。
Hesitancy towards Childhood Vaccinations among Parents of Children with Underlying Chronic Medical Conditions in Italy.
作者信息
Napolitano Francesco, Miraglia Del Giudice Grazia, Angelillo Silvia, Fattore Italo, Licata Francesca, Pelullo Concetta Paola, Di Giuseppe Gabriella
机构信息
Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Department of Health Sciences, University of Catanzaro ''Magna Græcia", 88100 Catanzaro, Italy.
出版信息
Vaccines (Basel). 2022 Aug 4;10(8):1254. doi: 10.3390/vaccines10081254.
BACKGROUND
This study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions.
METHODS
This cross-sectional study was conducted from June to December 2021 in three public hospitals in southern Italy. Data were collected using a face-to-face interview of parents of children up to 17 years of age with at least one chronic condition.
RESULTS
Of the 532 parents approached, 444 agreed to participate, with a response rate of 83.4%. Almost half of parents (43%) knew that children with chronic diseases are at greater risk of complications from VPDs, and 21.6% knew all the vaccinations available in Italy. Additionally, 55.9% felt that vaccine-preventable diseases (VPDs) are very dangerous for their children, and 28.7% were very worried about the side effects of vaccines. The result of the Parent Attitudes about Childhood Vaccine (PACV) score indicated that 23.2% of parents were hesitant about vaccinations. Parental vaccine hesitancy was significantly more common among parents who had female children, among those who did not know the recommended vaccinations, among those who had a higher concern of potential side effects of the vaccines, among those who believed that the administration of the vaccinations was not useful, and among who received information on recommended vaccination from the internet, social and mass media.
CONCLUSIONS
Important efforts by policy makers and healthcare providers must be implemented to counter vaccine hesitancy among parents.
背景
本研究旨在评估慢性病患儿家长的疫苗犹豫态度及行为。
方法
这项横断面研究于2021年6月至12月在意大利南部的三家公立医院进行。通过对17岁以下至少患有一种慢性病的儿童家长进行面对面访谈来收集数据。
结果
在接触的532名家长中，444名同意参与，应答率为83.4%。近一半的家长（43%）知道慢性病患儿患疫苗可预防疾病（VPDs）并发症的风险更高，21.6%的家长知道意大利所有可用的疫苗。此外，55.9%的家长认为疫苗可预防疾病对其子女非常危险，28.7%的家长非常担心疫苗的副作用。儿童疫苗家长态度（PACV）评分结果表明，23.2%的家长对疫苗接种持犹豫态度。在有女儿的家长、不知道推荐疫苗的家长、对疫苗潜在副作用关注度较高的家长、认为接种疫苗无用的家长以及从互联网、社交和大众媒体获得推荐疫苗信息的家长中，家长的疫苗犹豫现象明显更为普遍。
结论
政策制定者和医疗服务提供者必须做出重要努力，以应对家长中的疫苗犹豫现象。
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