Annenberg School for Communication, University of Pennsylvania, Philadelphia, USA.
Department of Public Relations, University of Florida, Gainesville, USA.
Patient Educ Couns. 2023 Sep;114:107842. doi: 10.1016/j.pec.2023.107842. Epub 2023 Jun 7.
This study seeks to comparatively examine parents' intention to vaccinate their children for three infectious diseases, including COVID-19, HPV, and monkeypox.
Utilizing a mixed-design survey and multilevel structural equation models, we investigated if perception of the diseases and vaccines explained the variance in parents' vaccine-specific decision-making and population difference in vaccination intention.
Compared with the COVID-19 vaccine, parents were more willing to get an HPV vaccine for their children due to greater perceived benefit and lower perceived barrier. Concerns about vaccine safety and lower disease risk perception were associated with lower intention to get a monkeypox vaccine. Parents of color, less educated, and lower-income parents were less willing to get vaccines for their children due to low benefit perception and high perceived barriers.
Parents were motivated by different social and psychological factors when deciding whether to get a COVID-19, HPV, and monkeypox vaccine for their children.
Vaccine promotion should be tailored to the characteristics of the target population and the vaccines. Underprivileged communities may be better approached with information about vaccine benefit and barriers, and vaccines for unfamiliar diseases may be better communicated with disease risk information.
本研究旨在比较性地考察父母对三种传染病（包括 COVID-19、HPV 和猴痘）为子女接种疫苗的意愿。
本研究采用混合设计调查和多层次结构方程模型，以考察疾病和疫苗的认知是否能解释父母疫苗决策的差异，并分析不同人群对疫苗接种的意愿差异。
相较于 COVID-19 疫苗，父母更愿意为子女接种 HPV 疫苗，因为他们认为 HPV 疫苗的益处更大，而障碍更小。对疫苗安全性的担忧以及对疾病风险认知较低，与接种猴痘疫苗的意愿较低有关。有色人种父母、受教育程度较低的父母和收入较低的父母，由于对疫苗益处的认知较低和障碍感知较高，对为子女接种疫苗的意愿较低。
父母在决定是否为子女接种 COVID-19、HPV 和猴痘疫苗时，受到不同的社会和心理因素的驱动。
疫苗推广应根据目标人群和疫苗的特点进行调整。对于弱势群体，可能需要提供更多关于疫苗益处和障碍的信息，而对于不熟悉的疾病疫苗，可能需要提供更多关于疾病风险的信息。
