Hindi Albalawi Haia Mahdi, Rezq Khulud Ahmad
Faculty of Nursing, University of Tabuk, Tabuk, SAU.
Cureus. 2024 Dec 17;16(12):e75845. doi: 10.7759/cureus.75845. eCollection 2024 Dec.
Understanding the cultural influences on parents in Saudi Arabia regarding adherence to childhood vaccination programs is crucial for the health and safety of the whole society. This study aims to explore the impact of cultural factors on parents' attitudes toward vaccinating children before school age. A systematic review and meta-analysis were conducted on cross-sectional and interventional studies. Electronic databases were comprehensively searched using specific keywords after obtaining PROSPERO Registration ID: CRD42024517434. The inclusion criteria focused on studies that examined cultural factors influencing childhood vaccination in Saudi Arabia. Across 30 articles, we identified seven key themes: economic and political aspects, cultural values, the socio-cultural position of women, the impact of religious and philosophical factors, knowledge and education levels of parents, technological influences, and knowledge levels of health care providers. The pooled cultural factors were analyzed using random-effects meta-analysis, and we conducted meta-regression studies to explore the effects of relevant variables. The meta-analysis revealed significant associations between parental age, education level, and the number of children with vaccination compliance. Parents aged 30-40 or over 40, those with higher education levels, and those with more than four children were more likely to be compliant. Nevertheless, parental occupation did not exhibit a significant association with vaccination compliance. This study provides a comprehensive understanding of the intricate cultural factors influencing childhood vaccination in Saudi Arabia. The findings highlight the importance of tailoring public health strategies to address specific cultural nuances and promote vaccination adherence.
了解文化对沙特阿拉伯父母在坚持儿童疫苗接种计划方面的影响，对整个社会的健康和安全至关重要。本研究旨在探讨文化因素对父母在学龄前儿童疫苗接种态度上的影响。对横断面研究和干预性研究进行了系统综述和荟萃分析。在获得PROSPERO注册ID：CRD42024517434后，使用特定关键词全面搜索了电子数据库。纳入标准侧重于研究沙特阿拉伯影响儿童疫苗接种的文化因素。在30篇文章中，我们确定了七个关键主题：经济和政治方面、文化价值观、女性的社会文化地位、宗教和哲学因素的影响、父母的知识和教育水平、技术影响以及医疗保健提供者的知识水平。使用随机效应荟萃分析对汇总的文化因素进行分析，并进行荟萃回归研究以探讨相关变量的影响。荟萃分析揭示了父母年龄、教育水平和儿童疫苗接种依从性数量之间的显著关联。年龄在30至40岁或40岁以上的父母、受过高等教育的父母以及有四个以上孩子的父母更有可能依从。然而，父母的职业与疫苗接种依从性没有显著关联。本研究全面了解了影响沙特阿拉伯儿童疫苗接种的复杂文化因素。研究结果强调了调整公共卫生策略以应对特定文化细微差别并促进疫苗接种依从性的重要性。
