2019年部分地区父母对儿童接种水痘疫苗的犹豫现状调查  

A survey of hesitancy of parents to vaccinate children with varicella vaccine in selected areas in 2019

作　　者：刘翰谕 赵天朔 韩冰峰 杜娟 刘雅琼[2] 刘贝 卢庆彬[2] 崔富强[2,3] Liu Hanyu;Zhao Tianshuo;Han Bingfeng;Du Juan;Liu Yaqiong;Liu Bei;Lu Qingbin;Cui Fuqiang(Department of Epidemiology and Health Statistics,School of Public Health,Peking University,Beijing 100191,China;Department of Hygiene Laboratory Science,School of Public Health,Peking University,Beijing 100191,China;Vaccine Research and Evaluation Center,School of Public Health,Peking University,Beijing 100191,China)

机构地区：[1]北京大学公共卫生学院流行病与卫生统计学系,北京100191 [2]北京大学公共卫生学院卫生检验学系,北京100191 [3]北京大学公共卫生学院疫苗研究评价中心,北京100191

出　　处：《中国疫苗和免疫》2021年第3期302-306,共5页Chinese Journal of Vaccines and Immunization

基　　金：北京大学医学部人才启动经费(BMU20170607)。

摘　　要：目的了解父母对儿童接种水痘疫苗(Varicella vaccine,VarV)的犹豫现状及其影响因素。方法于2019年7-10月采用便利抽样在3个地区12所幼儿园和小学选择<14岁儿童的父母开展问卷调查,分析父母对儿童接种VarV的犹豫比例和影响因素。结果调查地区父母对儿童接种VarV的犹豫比例为51.20%(1849/3611);多因素Logistic回归分析显示,文化程度高、年轻的父母的犹豫比例更高。决定因素矩阵分析显示,疫苗犹豫的原因主要为个人/群体因素(75.99%),其中以认为没有感染水痘风险(41.27%)为主。结论调查地区父母对儿童接种VarV的犹豫现象较普遍;亟待制定改善父母疫苗犹豫的策略,提高适龄儿童VarV接种率。Objective To explore hesitancy of parents to vaccinate their children with varicella vaccine(VarV)and factors influencing hesitancy.Methods We used a convenience sampling method to select parents of<14-year-old children in 12 kindergartens and primary schools of 3 areas for a questionnaire-based survey conducted from July to October 2019.We analyzed the proportion of parents’hesitancy toward VarV vaccination for children and its influencing factors.Results The proportion of parents hesitant toward VarV vaccination of children was 51.20%(1849/3611).Multivariate logistic regression analysis showed that parents with higher education levels or of younger age were more likely to be hesitant.Determinant matrix analysis showed that vaccine hesitancy was mainly associated with individual/group factors(75.99%),among which subjects’belief that varicella infection poses no risk was predominant(41.27%).Conclusions Hesitancy toward childhood varicella vaccination was common.We should develop strategies to decrease parental vaccine hesitancy to improve VarV coverage among age-eligible children.

关 键 词：水痘疫苗 疫苗犹豫 接种 父母 

分 类 号：R186[医药卫生—流行病学]