摘要
目的了解海南省家长为儿童接种肺炎球菌疫苗的意愿及其影响因素,为修订接种策略提供依据。方法于2023年9至10月采用方便抽样法选择在海南省海口市、万宁市和白沙黎族自治县预防接种门诊为儿童接种疫苗的家长进行肺炎球菌疫苗接种意愿及其影响因素的问卷调查。采用SPSS 26.0进行χ^(2)检验和二元Logistic回归分析。结果有效调查的778名家长中,有696人(89.46%)愿意为儿童接种肺炎球菌疫苗,愿意接种的原因中,选择频次最多的是“肺炎球菌疫苗有预防作用”,有592人(85.06%)选择;有82人(10.54%)不愿意为儿童接种肺炎球菌疫苗,不愿意接种的原因中,选择频次最多的是“肺炎球菌疫苗费用太高”,有32人(39.02%)选择。二元Logistic回归分析显示,调查地点为基层医疗卫生机构的家长接种意愿率较低(OR=0.427,95%CI:0.220~0.830);肺炎球菌疫苗价格接受度在200~499元(OR=3.583,95%CI:1.705~7.529)和500元及以上(OR=4.236,95%CI:1.633~10.900)与家长接种意愿率呈正相关;知晓肺炎球菌疫苗有预防作用(OR=4.556,95%CI:2.696~7.697)和相信医生推荐的疫苗信息(OR=3.251,95%CI:1.577~6.705)的家长接种意愿率高(P<0.05)。结论海南省多数家长愿意为儿童接种肺炎球菌疫苗,对疫苗价格的接受度、对疫苗的正向认知和信任医生推荐等是影响接种意愿的主要因素。应进一步加强宣教,提高儿童家长的正向认知水平,进而提高接种意愿。
Objective To understand the willingness of parents to immunize their children with pneumococcal vaccine and its influencing factors in Hainan Province,and to provide basis for revising vaccination strategy.Methods From September to October 2023,a questionnaire survey was conducted among parents who vaccinated their children in preventive vaccination clinics in Haikou City,Wanning City and Baisha Li Autonomous Prefecture of Hainan Province,and who were selected by the convenience sampling method on their willingness of pneumococcal vaccination and its influencing factors.SPSS 26.0 software was used forχ^(2)test and binary Logistic regression analysis.Results Of the 778 parents effectively surveyed,696(89.46%)were willing to immunize their children with pneumococcal vaccine,and among the reasons for their willingness to be immunized,“pneumococcal vaccine has a preventive effect”was selected most frequently,with 592(85.06%)people selecting it.A total of 82(10.54%)people were not willing to immunize their children with pneumococcal vaccine,and the most frequently chosen reason for unwilling to be immunized was“the cost of pneumococcal vaccine is too high”,which was chosen by 32(39.02%)people.Binary logistic regression analysis showed that the rate of parents'willingness to vaccinate was lower among those whose survey site was a primary healthcare facility(OR=0.427,95%CI:0.220-0.830);the price acceptance of pneumococcal vaccine in the range of 200-499 yuan(OR=3.583,95%CI:1.705-7.529)and 500 yuan and above(OR=4.236,95%CI:1.633-10.900)were positively associated with the rate of parental willingness to vaccinate;the rate of parental willingness to vaccinate was high among parents who knew that pneumococcal vaccine has a preventive effect(OR=4.556,95%CI:2.696-7.697)and who believed in doctor-recommended vaccine information(OR=3.251,95%CI:1.577-6.705)(P<0.05).Conclusions Most parents in Hainan Province are willing to vaccinate their children with pneumococcal vaccine,with acceptance of the price of the vaccine,pos
作者
赵樱樱
曾雪霞
潘婷婷
田冶
关昌荣
左欣
李颖琪
梁绮晴
王义荣
刘玉梅
ZHAO Yingying;ZENG Xuexia;PAN Tingting;TIAN Ye;GUAN Changrong;ZUO Xin;LI Yingqi;LIANG Qiqing;WANG Yirong;LIU Yumei(International School of Public Health and One Health,Hainan Medical University,Haikou 571199,Hainan Province,China;Research Information Office,Hainan Center for Disease Control and Prevention,Haikou 570203,Hainan Province,China;Department of Immunization Program,Hainan Center for Disease Control and Prevention,Haikou 570203,Hainan Province,China)
出处
《预防医学情报杂志》
CAS
2024年第5期550-554,561,共6页
Journal of Preventive Medicine Information
关键词
肺炎球菌疫苗
接种意愿
儿童家长
影响因素
海南省
pneumococcal lvaccine
willingness to be vacinated
children's parents
influencing factors
Hainan Province
