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家庭决策者对儿童接种新冠疫苗的犹豫对其他家庭成员的影响:中国台州的一项基于家庭的研究

Impact of household decision makers' hesitancy to vaccinate children against COVID-19 on other household members: A family-based study in Taizhou, China.

作者信息

Deng Jing-Shan, Ying Chen-Qian, Lin Xiao-Qing, Huang Chun-Lian, Zhang Mei-Xian, Tung Tao-Hsin, Zhu Jian-Sheng

机构信息

Department of Infectious Diseases, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000, China.

Evidence-based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000, China.

出版信息

SSM Popul Health. 2023 Sep 21;24:101517. doi: 10.1016/j.ssmph.2023.101517. eCollection 2023 Dec.

DOI:10.1016/j.ssmph.2023.101517
PMID:37767519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10520923/
Abstract

BACKGROUND

Vaccination is the most effective means of preventing outbreaks of infectious diseases, and family ;decision makers play an important role in decision-making regarding family matters and may influence other family members to take an active role in vaccinating children against COVID-19.

PURPOSE

This study examined the influence of family decision makers on the hesitation of other family members to vaccinate their children against COVID-19.

METHODS

A population-based, self-administered online questionnaire was administered in Taizhou, China, from September 1, 2021, to September 15, 2021. The questionnaire included demographic information, knowledge, attitudes, and perceptions about the COVID-19 vaccine as well as hesitation regarding the use of the COVID-19 vaccination in children. In total, 490 respondents were included in this study. Logistic regression was used to assess the factors associated with vaccine hesitancy.

RESULTS

In total, 490 respondents from 190 households were interviewed. Of the 190 family decision makers, 43.7% (83/190) were hesitant to vaccinate their children against COVID-19. When family decision makers were hesitant to vaccinate children against COVID-19, 65.1% (82/126) of the other family members expressed similar hesitancy regarding vaccination. When family decision makers were not hesitant to vaccinate children, only 21.3% (37/174) of other family members were hesitant to do so. In the regression analysis, family decision makers' hesitation to vaccinate their children was associated with other family members' hesitation (OR=6.264, 95% CI:3.132-12.526). In addition, decision makers' perceptions of the safety of the vaccine (OR=0.422, 95% CI:0.215-0.826) and hesitation to vaccinate themselves (OR=8.967, 95% CI:4.745-16.948) influenced their hesitation to vaccinate their children.

CONCLUSION

The present study found that family decision makers' hesitation to vaccinate children against COVID-19 influenced other family members' hesitation to vaccinate children. In addition, family decision makers' perceptions of the safety of the vaccine and their hesitation to vaccinate themselves influenced other family members' hesitation to vaccinate their children.

摘要

背景

接种疫苗是预防传染病爆发的最有效手段,而家庭决策者在家庭事务决策中发挥着重要作用,可能会影响其他家庭成员积极参与为儿童接种新冠疫苗。

目的

本研究探讨家庭决策者对其他家庭成员为其子女接种新冠疫苗的犹豫态度的影响。

方法

2021年9月1日至9月15日在中国泰州进行了一项基于人群的自填式在线问卷调查。问卷包括人口统计学信息、对新冠疫苗的知识、态度和认知,以及对儿童接种新冠疫苗的犹豫态度。本研究共纳入490名受访者。采用逻辑回归分析评估与疫苗犹豫相关的因素。

结果

共对来自190个家庭的490名受访者进行了访谈。在190名家庭决策者中,43.7%(83/190)对为其子女接种新冠疫苗犹豫不决。当家庭决策者对为子女接种新冠疫苗犹豫不决时,65.1%(82/126)的其他家庭成员对疫苗接种也表现出类似的犹豫态度。当家庭决策者对为子女接种疫苗不犹豫时,只有21.3%(37/174)的其他家庭成员犹豫是否接种。在回归分析中,家庭决策者对为子女接种疫苗的犹豫与其他家庭成员的犹豫相关(OR=6.264,95%CI:3.132-12.526)。此外,决策者对疫苗安全性的认知(OR=0.422,95%CI:0.215-0.826)和自身接种疫苗的犹豫(OR=8.967,95%CI:4.745-16.948)影响了他们为子女接种疫苗的犹豫程度。

结论

本研究发现,家庭决策者对为子女接种新冠疫苗的犹豫态度影响了其他家庭成员为子女接种疫苗的犹豫程度。此外,家庭决策者对疫苗安全性的认知以及他们自身接种疫苗的犹豫态度影响了其他家庭成员为子女接种疫苗的犹豫程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f21f/10520923/9e4dc14fa245/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f21f/10520923/f0e25508e6b8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f21f/10520923/9e4dc14fa245/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f21f/10520923/f0e25508e6b8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f21f/10520923/9e4dc14fa245/gr2.jpg

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BMC Public Health. 2023 Mar 27;23(1):571. doi: 10.1186/s12889-023-15158-0.
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COVID-19 vaccine hesitancy between family decision-makers and non-decision-makers among college teachers.
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Investigate Non-EPI Vaccination Recommendation Practice from a Socio-Ecological Perspective: A Mixed-Methods Study in China.从社会生态视角调查非扩大免疫规划疫苗接种推荐实践:一项在中国开展的混合方法研究
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