父母对儿童疫苗态度调查工具的越南语改编和应用：一项横断面研究。
Adaptation and application of the Parent Attitudes About Childhood Vaccines survey tool in the Vietnamese language: a cross-sectional study.
机构信息
Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Institute for Community Health Research, University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
出版信息
BMC Public Health. 2024 Apr 2;24(1):946. doi: 10.1186/s12889-024-18389-x.
BACKGROUND
Parental vaccine hesitancy could lead to outbreaks of vaccine-preventable diseases. Although parental vaccine hesitancy exists in the Vietnamese community, no research has directly investigated this social phenomenon in Vietnam. Among the validated measures, the 15-item Parent Attitudes About Childhood Vaccines survey tool (PACV) was reliable for predicting vaccine-hesitant parents. However, the PACV was not available in Vietnamese. This study aimed to develop a Vietnamese version of the PACV and examine factors associated with parental vaccine hesitancy in Hue city, Vietnam.
METHODS
This study was a cross-sectional study. The English PACV was translated into Vietnamese with content and face validation. Self-administered questionnaires were distributed to 400 parents at ten commune health centres in Hue city, Vietnam. The parents were asked to answer the questionnaire again after two weeks for the test-retest reliability. The Vietnamese PACV reliability was assessed using Cronbach's alpha and McDonald's omega, and the intra-class correlation (ICC) coefficients were used for the test-retest reliability. The construct validity was tested by the hypothesis that parental vaccine hesitancy would be related to the intention of getting the children vaccinated. Exploratory factor analysis was also undertaken to determine the construct validity. Bivariate and multivariable logistic regression were used to identify the factors associated with parental vaccine hesitancy.
RESULTS
The Vietnamese PACV final version (PACV-Viet) contained 14 items. Three hundred and fifteen parents returned completed questionnaires, giving a response rate of 78.8%. The Cronbach's alpha and McDonald's omega were 0.72 and 0.70, respectively. Out of 315 parents, 84 responses were returned for test-retest reliability. All ICCs were good to excellent, ranging from 0.81 to 0.99. The PACV-Viet was confirmed to have construct validity. Using the PACV-Viet, 8.9% of the parents were found hesitant to childhood vaccination. Being unemployed and having seen the news about adverse events following immunisation were associated with parental vaccine hesitancy, with AOR = 3.2 (95% CI 1.3-8.0) and AOR = 4.5 (95% CI 1.2-16.7), respectively.
CONCLUSIONS
The PACV-Viet is a valid and reliable tool. Community outreach is necessary to alleviate parents' concerns about childhood vaccination.
背景
父母对疫苗的犹豫态度可能导致可预防疾病的爆发。尽管越南社区存在父母对疫苗的犹豫态度，但尚无研究直接调查越南的这种社会现象。在经过验证的措施中，15 项父母对儿童疫苗态度调查工具（PACV）可可靠地预测对疫苗犹豫不决的父母。但是，PACV 没有越南语版本。本研究旨在开发越南语版的 PACV，并研究越南 Hue 市父母对疫苗犹豫不决的相关因素。
方法
这是一项横断面研究。用内容和表面效度验证将英文版 PACV 翻译成越南语。在越南 Hue 市的十个社区卫生中心向 400 名父母分发了自我管理的问卷。要求父母在两周后再次回答问卷，以评估测试-重测信度。使用 Cronbach's alpha 和 McDonald's omega 评估越南语版 PACV 的可靠性，使用组内相关系数（ICC）评估测试-重测信度。通过假设父母对疫苗的犹豫态度与让孩子接种疫苗的意愿有关来检验结构效度。还进行了探索性因素分析以确定结构效度。使用二元和多变量逻辑回归确定与父母对疫苗犹豫不决相关的因素。
结果
越南语 PACV 最终版本（PACV-Viet）包含 14 个项目。315 名父母返回了完整的问卷，应答率为 78.8%。Cronbach's alpha 和 McDonald's omega 分别为 0.72 和 0.70。在 315 名父母中，有 84 名父母返回了测试-重测的结果。所有 ICC 均为良好至优秀，范围为 0.81 至 0.99。PACV-Viet 被证实具有结构效度。使用 PACV-Viet，8.9%的父母对儿童疫苗接种犹豫不决。失业和看过有关疫苗接种后不良反应的新闻与父母对疫苗的犹豫有关，AOR=3.2（95%CI 1.3-8.0）和 AOR=4.5（95%CI 1.2-16.7）。
结论
PACV-Viet 是一种有效且可靠的工具。需要开展社区外展活动，以减轻父母对儿童疫苗接种的担忧。
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