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儿科医生对儿童接种新冠疫苗的知识、态度和实践

Knowledge, Attitudes and Practices of Pediatricians About COVID-19 Vaccination to Children.

作者信息

Elitok Gizem Kara, Koc Aybike, Apaydin Sebnem, Dincer Busra Tetik, Bulbul Ali

机构信息

Department of Pediatrics, University of Health Sciences Türkiye, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye.

出版信息

Sisli Etfal Hastan Tip Bul. 2024 Apr 5;58(1):116-123. doi: 10.14744/SEMB.2023.46690. eCollection 2024.

Abstract

OBJECTIVES

Achieving high vaccination rates is very important in the prevention of the coronavirus disease 2019 (COVID-19) as in other infectious diseases. This study aimed to evaluate pediatricians' knowledge, attitudes and behaviours about COVID-19 vaccination of children.

METHODS

Our single-center, descriptive, cross-sectional, prospective study was conducted between September 20, 2022 and November 30, 2022. The sample consisted of 350 physicians who agreed to fill out the questionnaire voluntarily. Participants were asked 21 questions about their sociodemographic data, knowledge about COVID-19 vaccination of children, attitudes and behaviours via Google Forms.

RESULTS

A total of 350 pediatricians, 72.6% of whom were women, participated in our study. 51.4% of the participants were working in a Training and Research Hospital, and 99.1% had received COVID-19 vaccination themselves. While 65.7% (n=230) of pediatricians recommended COVID-19 vaccination for all children, 27.7% (n=97) recommended it only for children in the risk group, and 6.6% (n=23) did not recommend COVID-19 vaccination for children. The most common reasons why pediatricians did not recommend the vaccine to all children were; 56.7% lack of sufficient clinical research on vaccination in children, 50% concerns about the long-term effects of the vaccine, 27.5% vaccine-related side effects. The most risk groups for which participants recommended vaccination were asthma (chronic lung disease) 84.6%, diabetes mellitus 72%, and immunodeficiency 69.7%. 68.9% of pediatricians knew that COVID-19 vaccine was used for children aged 12 years and older in Türkiye, and 60.9% thought that COVID-19 vaccine was safe for children. Those who thought that COVID-19 vaccine was safe for children were more likely to recommend the vaccine to children (p<0.001). When the answers given to the knowledge questions were analyzed, it was found that the knowledge level of those who did not recommend vaccination to children was lower than the others (p<0.001).

CONCLUSION

In the present study, pediatricians mostly recommend COVID-19 vaccine to children. The vaccine safety and the level of knowledge about COVID-19 vaccine are effective factors in recommending the vaccine. Therefore, we conclude that trainings to be organized for pediatricians about COVID-19 vaccine will increase the rate of recommending COVID-19 vaccine to children.

摘要

目的

与其他传染病一样,实现高疫苗接种率对预防2019冠状病毒病(COVID-19)非常重要。本研究旨在评估儿科医生对儿童COVID-19疫苗接种的知识、态度和行为。

方法

我们于2022年9月20日至2022年11月30日进行了单中心、描述性、横断面、前瞻性研究。样本包括350名自愿同意填写问卷的医生。通过谷歌表单向参与者询问了21个关于他们的社会人口统计学数据、儿童COVID-19疫苗接种知识、态度和行为的问题。

结果

共有350名儿科医生参与了我们的研究,其中72.6%为女性。51.4%的参与者在培训和研究医院工作,99.1%的人自己接种了COVID-19疫苗。65.7%(n=230)的儿科医生建议所有儿童接种COVID-19疫苗,27.7%(n=97)仅建议高危组儿童接种,6.6%(n=23)不建议儿童接种COVID-19疫苗。儿科医生不向所有儿童推荐疫苗的最常见原因是:56.7%缺乏关于儿童疫苗接种的充分临床研究,50%担心疫苗的长期影响,27.5%担心疫苗相关副作用。参与者推荐接种疫苗的最常见高危人群是哮喘(慢性肺病)84.6%、糖尿病72%、免疫缺陷69.7%。68.9%的儿科医生知道在土耳其12岁及以上儿童使用COVID-19疫苗,60.9%的人认为COVID-19疫苗对儿童是安全的。那些认为COVID-19疫苗对儿童安全的人更有可能向儿童推荐疫苗(p<0.001)。在分析对知识问题的回答时发现,不向儿童推荐疫苗的人的知识水平低于其他人(p<0.001)。

结论

在本研究中,儿科医生大多向儿童推荐COVID-19疫苗。疫苗安全性和对COVID-19疫苗的知识水平是推荐疫苗的有效因素。因此,我们得出结论,为儿科医生组织的关于COVID-19疫苗的培训将提高向儿童推荐COVID-19疫苗的比例。

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Author's Reply.作者回复。
Sisli Etfal Hastan T&#305;p Bul. 2024 Dec 24;58(4):525. doi: 10.14744/SEMB.2024.00334. eCollection 2024.

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