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早产出生的3至7岁儿童新冠疫苗接种现状及影响因素

The Status and Influencing Factors of COVID-19 Vaccination for 3-7-Year-Old Children Born Prematurely.

作者信息

Shi Jingyun, Zhao Fangping, Yang Wanyin, Zhu Yuru, Wang Min, Yi Bin

机构信息

Department of NICU, Gansu Provincial Maternal and Child Care Hospital (Gansu Provincial Central Hospital), Lanzhou City, Gansu, 730050, People's Republic of China.

Department of NICU, Gansu University of Chinese Medicine, Lanzhou City, Gansu, 730050, People's Republic of China.

出版信息

Patient Prefer Adherence. 2024 Mar 29;18:787-796. doi: 10.2147/PPA.S451654. eCollection 2024.

Abstract

OBJECTIVE

To explore the status and influencing factors of COVID-19 vaccination for 3-7-year-old children born prematurely.

METHODS

A questionnaire was administered to parents of preterm infants born between 1 January 2016 and 31 December 2019 in Gansu Maternal and Child Health Hospital using convenience sampling.

RESULTS

It was found that 96.81% of 282 parents had known about COVID-19 vaccines and acquired COVID-19- and vaccine-related knowledge primarily through WeChat (104/282, 36.88%) and TikTok (91/282, 32.27%). Most parents of the group whose children were vaccinated with a COVID-19 vaccine believed that this approach was effective in preventing COVID-19 (49.75%), whereas most parents of the group whose children were not vaccinated were worried about the adverse reaction and safety of the vaccine (45.88%). According to the regression analysis, the risk factors of children born prematurely receiving a COVID-19 vaccine were no vaccination against COVID-19 in the mothers (odds ratio []=48.489, : 6.524-360.406) and in younger children (=12.157, : 6.388-23.139). Previous history of referral (=0.229, : 0.057-0.920), history of diseases (=0.130, : 0.034-0.503) and high educational level of guardians (=0.142, : 0.112-0.557) were protective factors for children born prematurely to receive COVID-19 vaccination.

CONCLUSION

There is a relatively high proportion of children born prematurely receiving COVID-19 vaccination, but some people still have concerns. Publicity in the later stage can be conducted through WeChat, TikTok and other social media platforms, with special attention paid to the populations with lower education levels.

摘要

目的

探讨早产出生的3至7岁儿童新冠病毒疫苗接种现状及影响因素。

方法

采用便利抽样法,对2016年1月1日至2019年12月31日在甘肃省妇幼保健院出生的早产婴儿的家长进行问卷调查。

结果

发现282名家长中,96.81%知晓新冠病毒疫苗,获取新冠病毒及疫苗相关知识主要通过微信(104/282,36.88%)和抖音(91/282,32.27%)。接种新冠病毒疫苗组的多数家长认为该方法能有效预防新冠病毒(49.75%),而未接种疫苗组的多数家长担心疫苗不良反应及安全性(45.88%)。回归分析显示,早产儿童接种新冠病毒疫苗的危险因素为母亲未接种新冠病毒疫苗(比值比[]=48.489,:6.524 - 360.406)及儿童年龄较小(=12.157,:6.388 - 23.139)。既往转诊史(=0.229,:0.057 - 0.920)、疾病史(=0.130,:0.034 - 0.503)及监护人高学历(=0.142,:0.112 - 0.557)是早产儿童接种新冠病毒疫苗的保护因素。

结论

早产儿童接种新冠病毒疫苗比例相对较高,但仍有人存在顾虑。后期宣传可通过微信、抖音等社交媒体平台进行,尤其关注低学历人群。

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