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家长在社区药房为孩子接种疫苗的意愿:一项全国性横断面调查。

Parents' intention to have their child vaccinated at a community pharmacy: A national cross-sectional survey.

出版信息

J Am Pharm Assoc (2003). 2023 Mar-Apr;63(2):511-517.e8. doi: 10.1016/j.japh.2022.10.008. Epub 2022 Oct 13.

Abstract

BACKGROUND

During the coronavirus disease 2019 pandemic, pediatric vaccination rates for routine childhood vaccines have been declining. To boost pediatric immunizations, pharmacists in the United States may order and administer age-appropriate vaccines to children of 3 years of age and older without a prescription.

OBJECTIVE

The objective of this study was to examine parents' intention to have their young children between 3 and 10 years of age vaccinated in a community pharmacy setting.

METHODS

A survey instrument was designed based on the health belief model (HBM). The cross-sectional survey was administered online via Qualtrics Panels to parents in the United States with at least 1 child between the ages of 3 and 10 years. Confirmatory factor analysis was used to estimate the correlation between each of the HBM constructs and a 3-item scale measuring parents' intention to have their children between the ages of 3 and 10 vaccinated in a community pharmacy.

RESULTS

There were 416 usable responses collected for an effective response rate of 25.95%. Most participants were white (79.09%) and female (51.44%), and many had a graduate degree (48.32%). More than half of parents (69.7%) indicated they would be willing to have their child vaccinated in a community pharmacy. Intention to have their child vaccinated in a pharmacy was most strongly corrected with health benefit beliefs (ψ 0.79 [95% CI 0.75-0.83]), (ψ 0.86 [95% CI 0.83-0.89])cues to action, and perceived convenience.(ψ 0.71 [95% CI 0.66-0.76]).

CONCLUSION

Many parents have high intention to vaccinate their young children in community pharmacies. Parents should be educated and informed about services that community pharmacies offer. Stakeholders need to engage in interventions targeted at promoting health benefits of getting vaccinations at a pharmacy and strong recommendations from health care providers.

摘要

背景

在 2019 年冠状病毒病大流行期间,常规儿童疫苗的儿科接种率一直在下降。为了提高儿科免疫率,美国的药剂师可以在没有处方的情况下为 3 岁及以上的儿童订购和接种适龄疫苗。

目的

本研究旨在调查父母是否有意让 3 至 10 岁的幼儿在社区药房接种疫苗。

方法

根据健康信念模型(HBM)设计了调查工具。通过 Qualtrics Panels 在线向美国至少有一名 3 至 10 岁儿童的父母进行了横断面调查。采用验证性因子分析来估计 HBM 各结构与衡量父母让 3 至 10 岁儿童在社区药房接种疫苗意愿的 3 项量表之间的相关性。

结果

共收集到 416 份有效回复,有效回复率为 25.95%。大多数参与者为白人(79.09%)和女性(51.44%),许多人拥有研究生学历(48.32%)。超过一半的父母(69.7%)表示他们愿意让孩子在社区药房接种疫苗。在药房接种疫苗的意愿最强的是健康效益信念(ψ0.79 [95%CI 0.75-0.83])、线索行动(ψ0.86 [95%CI 0.83-0.89])和便利性感知(ψ0.71 [95%CI 0.66-0.76])。

结论

许多父母都有很高的意愿让年幼的孩子在社区药房接种疫苗。应向家长宣传和告知社区药房提供的服务。利益相关者需要参与以促进在药房接种疫苗的健康效益和来自医疗保健提供者的强烈建议的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585c/9558631/eb92d93cf045/gr1_lrg.jpg

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