Al-Qerem Walid, Jarab Anan, Eberhardt Judith, Alasmari Fawaz, Hammad Alaa, Hour Sarah Abu
Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman 11733, Jordan.
Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid 22110, Jordan.
Vaccines (Basel). 2024 Mar 1;12(3):262. doi: 10.3390/vaccines12030262.
There is a critical need to understand vaccine decision-making in high-risk groups. This study explored flu vaccine acceptance among Jordanian parents of diabetic children. Employing a cross-sectional approach, 405 parents from multiple healthcare centers across Jordan were recruited through stratified sampling, ensuring a broad representation of socioeconomic backgrounds. A structured questionnaire, distributed both in-person and online, evaluated their knowledge, attitudes, and acceptance of the flu vaccine for their diabetic children. The results indicated that only 6.4% of the study sample reported vaccinating their children against the flu annually, and only 23% are planning to vaccinate their children this year. A multinomial logistic regression analysis revealed notable variability in responses. Specifically, parents with a positive attitude towards the flu vaccine and those with older children had less odds to reject the vaccine (OR = 0.589, 95% CI (0.518-0.670), < 0.001 and OR = 0.846, 95% CI (0.736-0.974), = 0.02, respectively). Conversely, prevalent misconceptions regarding vaccine safety and efficacy emerged as significant barriers to acceptance. Our findings advocate for targeted educational programs that directly address and debunk these specific misconceptions. Additionally, strengthened healthcare communication to provide clear, consistent information about the flu vaccine's safety and benefits is vital to help enhance vaccine uptake among this vulnerable population, emphasizing the need to address specific concerns and misinformation directly.
迫切需要了解高危人群的疫苗决策情况。本研究探讨了约旦糖尿病儿童家长对流感疫苗的接受程度。采用横断面研究方法,通过分层抽样从约旦多个医疗中心招募了405名家长,以确保社会经济背景具有广泛代表性。通过现场发放和在线发放的结构化问卷,评估了他们对糖尿病儿童接种流感疫苗的知识、态度和接受情况。结果表明,在研究样本中,只有6.4%的家长报告每年为孩子接种流感疫苗,只有23%的家长计划今年为孩子接种疫苗。多项逻辑回归分析显示,回答存在显著差异。具体而言,对流感疫苗持积极态度的家长和孩子年龄较大的家长拒绝接种疫苗的几率较低(比值比分别为0.589,95%置信区间(0.518 - 0.670),P < 0.001和0.846,95%置信区间(0.736 - 0.974),P = 0.02)。相反,对疫苗安全性和有效性的普遍误解成为接受疫苗的重大障碍。我们的研究结果主张开展有针对性的教育项目,直接解决并破除这些具体的误解。此外,加强医疗沟通,提供关于流感疫苗安全性和益处的清晰、一致的信息,对于帮助提高这一弱势群体的疫苗接种率至关重要,强调需要直接解决具体问题和错误信息。