Iova Camelia Florina, Daina Lucia Georgeta, Ilea Codrin Dan Nicolae, Domnariu Horaţiu Paul, Ghitea Timea Claudia, Daina Mădălina Diana
Faculty of Medicine and Pharmacy, Doctoral School, University of Oradea, Oradea, Romania.
Doctoral School, University of Medicine and Pharmacy "Iuliu Haţieganu" Cluj Napoca, Cluj-Napoca, Romania.
In Vivo. 2025 Jan-Feb;39(1):509-523. doi: 10.21873/invivo.13855.
BACKGROUND/AIM: Vaccine refusal or delay remains a significant public health concern, leading to lower vaccination rates and increasing the risk of preventable diseases.
The study included 404 mothers and 413 children, assessing vaccination coverage and conducting telephone interviews with mothers who declined vaccines to understand their reasons.
Children of mothers who supported vaccination were more likely to be fully immunized compared to those with hesitant mothers. Among the incompletely vaccinated or unvaccinated children, 73.08% had mothers from the hesitant group (GNV). However, 90.05% of hesitant mothers still vaccinated their children with all recommended vaccines, while 9.95% maintained their refusal. Only 3.22% of the total sample, all from the GNV group, refused vaccination entirely. The primary reasons for refusal included fear of side effects, lack of trust in vaccines or the healthcare system, negative vaccination experiences, and influence from media or social platforms.
While vaccination behaviors may improve as a child grows, a significant proportion of hesitant parents continue to exist across different population groups, contributing to suboptimal vaccination coverage rates. The consistent implementation of unified, nationwide strategies aimed at increasing trust in vaccines and the vaccination process is essential for achieving protective vaccination rates.
背景/目的：疫苗拒绝或延迟接种仍是一个重大的公共卫生问题，导致疫苗接种率降低，并增加了可预防疾病的风险。
该研究纳入了404名母亲和413名儿童，评估疫苗接种覆盖率，并对拒绝接种疫苗的母亲进行电话访谈，以了解其原因。
与母亲对疫苗接种持犹豫态度的儿童相比，母亲支持疫苗接种的儿童更有可能获得全程免疫。在未完全接种或未接种疫苗的儿童中，73.08%的儿童母亲来自犹豫组（GNV）。然而，90.05%的犹豫母亲仍为其子女接种了所有推荐疫苗，而9.95%的母亲仍拒绝接种。在全部样本中，只有3.22%（均来自GNV组）的母亲完全拒绝疫苗接种。拒绝接种的主要原因包括担心副作用、对疫苗或医疗系统缺乏信任、负面的接种经历以及来自媒体或社交平台的影响。
虽然随着孩子长大，疫苗接种行为可能会有所改善，但不同人群中仍有相当比例的犹豫家长，这导致了疫苗接种覆盖率不理想。持续实施旨在增强对疫苗和接种过程信任的统一全国性策略，对于实现保护性疫苗接种率至关重要。
