Peng Weijun, Fang Yuan, Chen Hongbiao, Zhang Minjie, Lin Yadi, Wang Zixin
Longhua District Centre for Disease Control and Prevention, Shenzhen 518000, China.
Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, China.
Vaccines (Basel). 2025 Jul 30;13(8):810. doi: 10.3390/vaccines13080810.
BACKGROUND/OBJECTIVES: Chickenpox is an ongoing health threat for young children. This study aimed to investigate varicella vaccination uptake among children and its determinants at both the individual and interpersonal levels.
A cross-sectional survey of parents of children aged 0-15 years and with administrative health records was conducted between September and October 2024 in Shenzhen, China. Participants were recruited through multistage random sampling. This analysis was based on a subsample of 996 parents whose children were 1-10 years old and without a prior history of chickenpox. Multivariate logistic regression models were fitted.
Among the participants, 47.0% reported that their children had received a varicella vaccination. Parents who believed that chickenpox was highly contagious (adjusted odds ratios [AOR]: 1.62, 95% confidence interval [CI]: 1.23, 2.13), perceived more benefits (AOR: 1.22, 95% CI: 1.05, 1.41) and cues to action (AOR: 1.33, 95% CI: 1.04, 1.69), and exhibited greater self-efficacy (AOR: 1.40, 95% CI: 1.09, 1.80) related to children's varicella vaccination reported higher varicella vaccination uptake for their children. Greater perceived barriers related to vaccination (AOR: 0.89, 95% CI: 0.83, 0.95) and dysfunctional interactions with children (AOR: 0.97, 95% CI: 0.94, 0.99) were associated with lower varicella vaccination uptake for children. In addition, higher exposure to information encouraging parents to vaccinate their children against chickenpox (AOR: 1.24, 95%CI: 1.08, 1.41) and thoughtful consideration of the veracity of the information were associated with higher varicella vaccination uptake among children (AOR: 1.19, 95% CI: 1.05, 1.36).
There is a strong need to promote varicella vaccination for children in China.
背景/目的：水痘对幼儿的健康构成持续威胁。本研究旨在调查儿童水痘疫苗接种情况及其在个体和人际层面的决定因素。
2024年9月至10月在中国深圳对0至15岁儿童的家长进行了一项横断面调查，并收集了行政健康记录。参与者通过多阶段随机抽样招募。本分析基于996名家长的子样本，这些家长的孩子年龄在1至10岁之间，且无前水痘病史。拟合了多变量逻辑回归模型。
在参与者中，47.0%报告其孩子接种了水痘疫苗。认为水痘具有高度传染性（调整后的优势比[AOR]：1.62，95%置信区间[CI]：1.23，2.13）、感知到更多益处（AOR：1.22，95%CI：1.05，1.41）和行动提示（AOR：1.33，95%CI：1.04，1.69），以及在儿童水痘疫苗接种方面表现出更高自我效能感（AOR：1.40，95%CI：1.09，1.80）的家长，报告其孩子的水痘疫苗接种率更高。与疫苗接种相关的更高感知障碍（AOR：0.89，95%CI：0.83，0.95）以及与孩子的功能失调互动（AOR：0.97，95%CI：0.94，0.99）与儿童较低的水痘疫苗接种率相关。此外，更高程度地接触鼓励家长为孩子接种水痘疫苗的信息（AOR：1.24，95%CI：1.08，1.41）以及对信息真实性的深思熟虑与儿童更高的水痘疫苗接种率相关（AOR：1.19，95%CI：1.05，1.36）。
在中国，迫切需要促进儿童水痘疫苗接种。
