Ie Kenya, Kushibuchi Mio, Tsuchida Tomoya, Motohashi Iori, Hirose Masanori, Albert Steven M, Kimura Miyako
Department of General Internal Medicine St. Marianna University School of Medicine Kawasaki-shi Japan.
Department of General Internal Medicine Kawasaki Municipal Tama Hospital Kawasaki-shi Japan.
J Gen Fam Med. 2023 Apr 11;24(4):215-222. doi: 10.1002/jgf2.623. eCollection 2023 Jul.
Studies have shown that a usual source of care increases the receipt of child preventive care; however, the relationship between having a usual source of primary care and COVID-19 parental vaccine hesitancy has not been fully investigated. The aims of this study were to elucidate the characteristics of mothers with a primary care physician, and to explore the relationship between having a usual source of primary care and COVID-19 parental vaccine hesitancy among mothers in Japan.
This cross-sectional survey-based study included 4516 mothers. Using a chi-square test, the characteristics of mothers with and without a primary care physician were compared. Poisson regression was applied to evaluate the relationship between having a usual source of primary care and parental COVID-19 vaccine hesitancy.
Mothers with a usual source of primary care had higher education, lower mental distress, had younger children, and were less hesitant toward the child's COVID-19 vaccination. Vaccine hesitancy was observed in 39.8% of mothers with a usual source of primary care and 45.5% of those without. Poisson regression analysis showed that mothers with a primary care physician were less vaccine-hesitant (IRR = 0.90, 95% CI = 0.84-0.96) after adjusting for potential confounders.
This study suggested that having a usual source of primary care may contribute to lower parental COVID-19 vaccine hesitancy. However, the high vaccine hesitancy rate, even among mothers with a usual source of primary care, warrants healthcare providers to be equipped to help parents make informed decisions about vaccination through the continuity of care.
研究表明，有常规的医疗保健来源会增加儿童预防性保健的接受率；然而，拥有常规的初级保健来源与新冠病毒父母疫苗犹豫之间的关系尚未得到充分研究。本研究的目的是阐明有初级保健医生的母亲的特征，并探讨在日本母亲中，拥有常规的初级保健来源与新冠病毒父母疫苗犹豫之间的关系。
这项基于横断面调查的研究纳入了4516名母亲。使用卡方检验比较了有和没有初级保健医生的母亲的特征。应用泊松回归来评估拥有常规的初级保健来源与父母对新冠病毒疫苗的犹豫之间的关系。
有常规初级保健来源的母亲受教育程度更高，心理困扰更少，孩子年龄更小，并且对孩子接种新冠病毒疫苗的犹豫程度更低。在有常规初级保健来源的母亲中，39.8%存在疫苗犹豫，而在没有常规初级保健来源的母亲中这一比例为45.5%。泊松回归分析显示，在调整潜在混杂因素后，有初级保健医生的母亲疫苗犹豫程度更低（风险比=0.90，95%置信区间=0.84-0.96）。
本研究表明，拥有常规的初级保健来源可能有助于降低父母对新冠病毒疫苗的犹豫程度。然而，即使在有常规初级保健来源的母亲中，疫苗犹豫率也很高，这就要求医疗保健提供者有能力通过持续的护理帮助父母做出关于接种疫苗的明智决定。
