影响家长对学龄前儿童接种EV71疫苗意愿的因素  

Influencing Factors of Parents’ Willingness to Vaccinate Preschool Children with EV71 Vaccine

作　　者：张小雪 杨亚星[1] 王珂 ZHANG Xiaoxue;YANG Yaxing;WANG Ke(Minghu Community Health Service Center,the Seventh People’s Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院明湖社区卫生服务中心,河南郑州450000

出　　处：《河南医学研究》2023年第3期517-521,共5页Henan Medical Research

摘　　要：目的 分析家长对学龄前儿童接种肠道病毒71型(EV71)疫苗意愿的影响因素。方法 前瞻性选取郑州市第七人民医院2022年1—5月就诊的136例学龄前儿童家长作为研究对象,通过调查问卷方式,统计家长的接种疫苗意愿情况,并分析影响因素。结果 136例家长中同意小儿接种者81例(59.56%);不同受教育程度、家庭年收入、获得育儿信息途径、手足口病为严重传染性疾病认知状况、知道EV71疫苗能预防EV71引发首手足口病状况、知道EV71疫苗状况、孩子患手足口病状况、孩子过敏体质状况、疫苗安全担忧状况、疫苗自费状况、疫苗不良反应状况、疫苗预防疾病认可状况的学龄前儿童家长EV71疫苗接种意愿不同(P<0.05);经logistic回归模型分析结果显示,家长高中及以下受教育程度、家庭年收入<5万、孩子过敏体质、有疫苗安全担忧、疫苗自费、疫苗有不良反应、不认可疫苗预防疾病为学龄前儿童家长EV71疫苗接种意愿的独立危险因素,而家长从手机APP获得育儿信息、知道手足口病为严重传染疾病、知道EV71疫苗能预防EV71引发手足口病、知道EV71疫苗、孩子有患手足口病史为学龄前儿童家长EV71疫苗接种意愿的保护因素(P<0.05)。结论 学龄前儿童家长EV71疫苗接种意愿有待提高,且受家长受教育程度、家庭年收入、家长获得育儿信息途径、手足口病为严重传染性疾病认知状况、知道EV71疫苗能预防EV71引发手足口病状况、知道EV71疫苗状况、孩子过敏体质、有疫苗安全担忧、疫苗自费、疫苗有不良反应、不认可疫苗预防疾病、孩子有手足口病史等因素影响。Objective To analyze the influencing factors of parents’ willingness to vaccinate preschool children with enterovirus 71(EV71) vaccine.Methods Prospectively select 136 parents of preschool children who visited the Seventh People’s Hospital of Zhengzhou from January to May 2022 as the research objects. Through the questionnaire, statistics the parents’ willingness to vaccinate was counted, and the influencing factors were analyzed.Results A total of 81 cases of 136(59.56%) parents agreed to vaccinate their children. Different education level, annual family income, access to childcare information, cognition of HFMD as a serious infectious disease, knowing that EV71 vaccine can prevent EV71 from causing hand-feet-mouth disease, knowing EV71 vaccine status, children suffering from hand-feet-mouth disease, children’s allergic constitution, vaccine safety concerns, vaccine self-payment status, vaccine adverse reaction status parents of preschool children with the status of recognition of vaccine prevention diseases had different willingness to vaccinate EV71(P<0.05). Logistic regression model analysis results show that parents’ education level in high school and below, annual family income less than 50 000 yuan, children’s allergies, vaccine safety concerns, vaccines at their own expense, adverse reactions of vaccines, and disapproval of vaccine prevention diseases were independent risk factors for preschool children’s parents’ willingness to vaccinate EV71 vaccine, while parents obtain childcare information from mobile phone APP and know that hand-feet-mouth disease is a serious infectious disease, knowing that EV71 vaccine can prevent hand-feet-mouth disease caused by EV71, knowing that EV71 vaccine, knowing children’s history of hand-feet-mouth disease were protective factors for parents of preschool children’s EV71 vaccination willingness(P<0.05).Conclusion Parents of preschool children need to improve their willingness to vaccinate EV71, and their parents’ education level, annual family incom

关 键 词：学龄前儿童家长 EV71疫苗 接种意愿 影响因素 

分 类 号：R186[医药卫生—流行病学]