Li Y H, Wang W W, Wu L P, Du M C, Kou J Y, Peng S H, Liang X F
Haizhu District Maternal and Child Health Center of Guangzhou, Guangzhou 510240, China.
School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China Institute of Disease Prevention and Control, Jinan University, Guangzhou 510632, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2024 Sep 10;45(9):1209-1215. doi: 10.3760/cma.j.cn112338-20240104-00003.
To analyze the relationship between health belief and the stages of parental decision-making on childhood 13-valent pneumococcal conjugate vaccine (PCV13) immunization in China. Cross-sectional multistage survey sampling method was used to select study subjects. The study subjects were parents who were aged 20-45 years and had one and more children ≤5 years old in three cities in China. A self-administered questionnaire designed based on health belief model was used to collect the information. Multinomial logistic regression analysis was used to assess the relationships between perceived susceptibility, perceived severity of illness, perceived effect of PCV13 and stages of parental decision-making on childhood PCV13 immunization. A total of 1 716 valid questionnaires were returned (89.33%). The average age of the study subjects was (35.33±4.95) years, and 79.60% of them were women. In the study subjects, 48.31% had in action, 21.79% were in contemplation and 29.90% were in pre-contemplation. The multinominal logistic regression analysis indicated that high perceived susceptibility (=0.14, 95%:0.09-0.22; =0.54, 95%:0.39-0.76), high perceived severity of illness (=0.55, 95%:0.42-0.73), and high perceived effect of PCV13 (=0.27, 95%:0.18-0.40; =0.51, 95%:0.32-0.81) were significantly lower in those who were in contemplation or pre-compared with those who had in action. For study subjects with low perceived susceptibility, high perceived effect of PCV13 might decrease the probabilities of contemplation (=0.53, 95%:0.32-0.87) and pre-contemplation (=0.27, 95%:0.18-0.41). For those with high perceived susceptibility, perceived severity of illness might decrease the probability of contemplation (=0.43, 95%:0.23-0.82). Childhood PCV13 vaccination willingness and level is low in China. It is important to pay greater attention to the intervention on health belief in child parents, such as perceived effect of PCV13, perceived severity of illness, and perceived susceptibility, in health policy development and health promotion.
分析中国儿童13价肺炎球菌结合疫苗（PCV13）免疫中健康信念与父母决策阶段之间的关系。采用横断面多阶段调查抽样方法选取研究对象。研究对象为中国三个城市中年龄在20 - 45岁且有一个及以上5岁及以下儿童的父母。使用基于健康信念模型设计的自填式问卷收集信息。采用多项逻辑回归分析评估感知易感性、感知疾病严重程度、PCV13感知效果与父母对儿童PCV13免疫决策阶段之间的关系。共回收有效问卷1716份（89.33%）。研究对象的平均年龄为（35.33±4.95）岁，其中79.60%为女性。在研究对象中，48.31%已采取行动，21.79%处于考虑阶段，29.90%处于未考虑阶段。多项逻辑回归分析表明，与已采取行动的父母相比，处于考虑或未考虑阶段的父母中，高感知易感性（=0.14，95%：0.09 - 0.22；=0.54，95%：0.39 - 0.76）、高感知疾病严重程度（=0.55，95%：0.42 - 0.73）和高PCV13感知效果（=0.27，95%：0.18 - 0.40；=0.51，95%：0.32 - 0.81）显著较低。对于感知易感性低的研究对象，高PCV13感知效果可能会降低处于考虑阶段（=0.53，95%：0.32 - 0.87）和未考虑阶段（=0.27，95%：0.18 - 0.41）的概率。对于感知易感性高的父母，感知疾病严重程度可能会降低处于考虑阶段的概率（=0.43，95%：0.23 - 0.82）。中国儿童PCV13疫苗接种意愿和水平较低。在卫生政策制定和健康促进中，更加关注对儿童父母健康信念的干预，如PCV13感知效果、感知疾病严重程度和感知易感性，非常重要。
