Woodruff B A, Unti L, Coyle K, Boyer-Chuanroong L
Hepatitis Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Pediatrics. 1996 Sep;98(3 Pt 1):410-3.
As part of a larger hepatitis B vaccination program in San Francisco, hepatitis B vaccine is offered to seventh-grade students in selected middle schools. We investigated attitudes and beliefs about hepatitis B, hepatitis B vaccine, and school-based vaccination among parents of eligible students.
A survey was conducted of random samples of parents who consented, refused, or did not respond to a request for vaccination consent.
A larger proportion of persons who signed a vaccination consent or refusal form were biological parents and were Asian or white than parents who did not return a signed form. The most common reason for refusing vaccination, given by 84% of refusing parents, was that their children had already been vaccinated against hepatitis B. These parents recognized the severity and duration of hepatitis B virus infection as much as parents consenting to vaccination. About one third of parents who refused vaccination did not agree that schools were good places to vaccinate children. Overall, 116 parents (40%) consulted someone before deciding to consent or refuse; 95 (33%) spoke with a health professional. Most parents not returning signed consent or refusal forms reported that they never received forms from their children or that they returned signed forms to their children, who never delivered them to school.
Most parents accepted school-based vaccination, and obtaining parental consent for school-based vaccination was possible. Nonetheless, new approaches may be needed for those students and parents who do not comply with the consent process.
作为旧金山一项规模更大的乙肝疫苗接种计划的一部分，在选定的中学为七年级学生提供乙肝疫苗。我们调查了符合条件学生的家长对乙肝、乙肝疫苗以及学校接种疫苗的态度和看法。
对同意、拒绝或未回复疫苗接种同意请求的家长随机样本进行了调查。
签署疫苗接种同意或拒绝表格的人中，亲生父母以及亚裔或白人的比例高于未返还签署表格的家长。84%拒绝接种的家长给出的最常见拒绝原因是他们的孩子已经接种过乙肝疫苗。这些家长对乙肝病毒感染的严重性和持续时间的认识与同意接种疫苗的家长一样。约三分之一拒绝接种的家长不同意学校是给孩子接种疫苗的好地方。总体而言，116名家长（40%）在决定同意或拒绝之前咨询了他人；95名（33%）与健康专业人员交谈过。大多数未返还签署的同意或拒绝表格的家长报告说，他们从未从孩子那里收到表格，或者他们已将签署的表格返还给孩子，但孩子从未将其交给学校。
大多数家长接受学校接种疫苗，并且有可能获得家长对学校接种疫苗的同意。尽管如此，对于那些未遵守同意程序的学生和家长，可能需要新的方法。
