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卢旺达母亲对儿童疫苗接种的知识和信任。

Knowledge and trust of mothers regarding childhood vaccination in Rwanda.

机构信息

Centre of Infectious Diseases, Division of Infectious Disease and Tropical Medicine, Universität Heidelberg, Heidelberg, Germany.

College of Medicine and Health Sciences, School of Public, Health- University of Rwanda, Kigali, Rwanda.

出版信息

BMC Public Health. 2024 Apr 17;24(1):1067. doi: 10.1186/s12889-024-18547-1.

Abstract

INTRODUCTION

Knowledge and trust are some of the contributing factors to vaccine acceptance(VA) and Vaccine hesitancy (VH) is one of the top threats to global health. A significant drop in childhood vaccination has been observed in recent years. One important reason that influences mothers' choice to either postpone or avoid children's vaccinations is knowledge and trust in childhood vaccines. This study aimed to assess mothers' knowledge and trust on vaccination of their children, and to examine the association between vaccination knowledge and selected socio-demographic factors.

METHODS

A cross-sectional survey was conducted from January 2022 to March 2022 to assess the knowledge and trust of mothers regarding childhood vaccination. Data was collected with self-administered questionnaires. Multivariable logistic regression analysis was employed to assess factors associated with childhood vaccine knowledge and trust.

RESULTS

Of the 2,126 Rwandan parents who participated in the study, the proportions with good knowledge of - and good trust in childhood vaccination were 95.5% and 91.4%, respectively. The popular sources of information about childhood vaccination were health care professionals (91.8%) and mass media (28.9%). Multinomial logistic regression analysis showed that good knowledge of - and trust in childhood vaccination were associated with the relationship with child(ren), education, occupation, and monthly income. The Multinomial logistic regression also revealed that the determinants of good knowledge of - and trust in childhood vaccination were; caregiver (p = 4.0 × 10, adjusted Odds Ratio (aOR); 1.7, 95%C.I; 1.3 - 2.3), no formal educational status (p = 3.3 × 10, aOR; 1.7, 95%C.I; 1.0 - 3.0), the unemployed occupational status (p = 2.4 × 10, aOR; 1.2, 95%C.I; 1.0 - 1.4), and persons on more than $401 per month (p = 2.0 × 10, aOR; 3.5, 95%C.I; 1.8 - 6.8).

CONCLUSION

The majority of parents in Rwanda had both good knowledge of-and good trust regarding childhood vaccination. Public health strategies to promote vaccination, education programmes as well as improved communication tools between health care professionals/traditional leaders/religious leaders and parents need to be considered to achieve favourable vaccination attitudes and practices for all parents in Rwanda.

摘要

简介

知识和信任是疫苗接种接受度的影响因素之一,而疫苗犹豫是全球健康的最大威胁之一。近年来,儿童疫苗接种率显著下降。影响母亲选择推迟或避免儿童接种疫苗的一个重要原因是对儿童疫苗的知识和信任。本研究旨在评估母亲对儿童疫苗接种的知识和信任程度,并研究疫苗接种知识与选定社会人口因素之间的关联。

方法

本横断面研究于 2022 年 1 月至 2022 年 3 月期间进行,旨在评估母亲对儿童疫苗接种的知识和信任程度。数据通过自填式问卷收集。采用多变量逻辑回归分析评估与儿童疫苗知识和信任相关的因素。

结果

在参与研究的 2126 名卢旺达父母中,对儿童疫苗具有良好知识和信任的比例分别为 95.5%和 91.4%。了解儿童疫苗接种的热门信息来源是医疗保健专业人员(91.8%)和大众媒体(28.9%)。多分类逻辑回归分析显示,对儿童疫苗的良好知识和信任与与儿童的关系、教育、职业和月收入有关。多分类逻辑回归还表明,儿童疫苗良好知识和信任的决定因素是:照料者(p=4.0×10,调整后的优势比(aOR);1.7,95%置信区间(CI);1.3-2.3),没有正规教育程度(p=3.3×10,aOR;1.7,95%CI;1.0-3.0),失业职业状况(p=2.4×10,aOR;1.2,95%CI;1.0-1.4),以及每月收入超过 401 美元的人(p=2.0×10,aOR;3.5,95%CI;1.8-6.8)。

结论

卢旺达大多数父母对儿童疫苗接种既有良好的知识,也有良好的信任。需要考虑采取公共卫生策略来促进疫苗接种、教育计划以及改善医疗保健专业人员/传统领袖/宗教领袖与父母之间的沟通工具,以实现卢旺达所有父母对疫苗接种的有利态度和实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d31d/11022416/3fe4d5cdaa8d/12889_2024_18547_Fig1_HTML.jpg

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