Al-Iede Montaha, Aljahalin Mohammad, Fashho Eva, Sweis Sami, Mesmeh Rahaf, Hamad Loai Bani, Abuzaid Leen, Sa'ed Jana Al, Elbetar Yasmeen, Alabdali Aya Yaseen Mahmood, Al-Nawaiseh Shahed, Al-Ani Abdallah
Division of Pediatric Pulmonology and Sleep Medicine, Department of Pediatrics, Jordan University Hospital, Amman 11942, Jordan.
The School of Medicine, The University of Jordan, Amman 11942, Jordan.
Vaccines (Basel). 2024 Aug 22;12(8):945. doi: 10.3390/vaccines12080945.
We aimed to examine vaccine hesitancy and knowledge towards influenza vaccines among Jordanian parents. Data were collected via an online questionnaire distributed between October 2023 and March 2024. They included sections on demographics, parental attitudes towards childhood vaccines (PACVs), and knowledge and practices towards influenza vaccines. Associations were examined using the chi-squared test. A binary logistic regression model was utilized to determine predictors of vaccine usage. A total of 3208 participants were included, of which 9.3% were vaccine hesitant per the PACV categorization. Fathers were more likely to be vaccine hesitant (OR: 1.40; 95CI: 1.07-1.85). Similarly, divorced parents (OR: 1.80; 95CI: 1.05-3.12) were significantly more vaccine hesitant compared to their married counterparts. Conversely, higher monthly income (OR: 0.66; 95CI: 0.48-0.92), working in healthcare settings (OR: 0.71; 95CI: 0.51-0.98), and adherence to national vaccination policies (OR: 0.07; 95CI: 0.04-0.13) were significantly associated with a lower likelihood of vaccine hesitancy. Multivariate analysis shows that a healthcare-related occupation (OR: 0.62; 95CI: 0.44-0.87), semi-compliance (OR: 0.37; 95CI: 0.22-0.64), full compliance (OR: 0.08; 95CI: 0.05-0.13) with national vaccine guidelines, and knowledge scores of influenza and vaccines (OR: 0.79; 95CI: 0.75-0.84) were the only independent factors influencing vaccine hesitancy. Finally, non-hesitant participants were significantly more likely to give the influenza vaccine to their children at the present or future time (OR: 2.07; 95CI: 1.53-2.80). Our findings highlight the complexity of vaccine hesitancy and underscore the importance of tailored interventions. Cultural, socioeconomic, and individual factors play significant roles in shaping attitudes toward vaccination. An understanding of the aforementioned among Jordanian parents provides insights for public health initiatives. Compliance with national vaccination guidelines and addressing concerns about vaccine safety are essential for improving childhood vaccination rates in Jordan.
我们旨在调查约旦父母对流感疫苗的犹豫态度和认知情况。数据通过2023年10月至2024年3月期间分发的在线问卷收集。问卷包括人口统计学、父母对儿童疫苗的态度（PACV）以及对流感疫苗的认知和行为等部分。使用卡方检验来检验关联性。采用二元逻辑回归模型来确定疫苗使用的预测因素。总共纳入了3208名参与者，根据PACV分类，其中9.3%的人对疫苗接种持犹豫态度。父亲更有可能对疫苗接种持犹豫态度（比值比：1.40；95%置信区间：1.07 - 1.85）。同样，与已婚父母相比，离异父母（比值比：1.80；95%置信区间：1.05 - 3.12）对疫苗接种的犹豫程度明显更高。相反，月收入较高（比值比：0.66；95%置信区间：0.48 - 0.92）、在医疗保健机构工作（比值比：0.71；95%置信区间：0.51 - 0.98）以及遵守国家疫苗接种政策（比值比：0.07；95%置信区间：0.04 - 0.13）与疫苗犹豫可能性较低显著相关。多因素分析表明，与医疗保健相关的职业（比值比：0.62；95%置信区间：0.44 - 0.87）、部分遵守（比值比：0.37；95%置信区间：0.22 - 0.64）、完全遵守（比值比：0.08；95%置信区间：0.05 - 0.13）国家疫苗指南以及流感和疫苗的知识得分（比值比：0.79；95%置信区间：0.75 - 0.84）是影响疫苗犹豫的唯一独立因素。最后，不犹豫的参与者在当前或未来给孩子接种流感疫苗的可能性显著更高（比值比：2.07；95%置信区间：1.53 - 2.80）。我们的研究结果凸显了疫苗犹豫的复杂性，并强调了针对性干预措施的重要性。文化、社会经济和个体因素在塑造疫苗接种态度方面发挥着重要作用。了解约旦父母的上述情况为公共卫生举措提供了见解。遵守国家疫苗接种指南并解决对疫苗安全性的担忧对于提高约旦儿童疫苗接种率至关重要。
