THE ATTITUDE OF PARENTS OF PRESCHOOL CHILDREN TO VACCINATION ACCORDING TO EPIDEMIC INDICATIONS AND THE REASONS FOR REFUSING VACCINATIONS

Mokeev A.G., Kurshina M.V., Kapishnikov P.A., Popova A.K., Shubenkova E.P., Sorochkina M.G.
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Abstract

Despite the stability of global vaccination coverage, more than 19 million children worldwide are currently not receiving basic vaccines. Over the past few years, there has been a sharp decline in vaccinated children. The increase in the number of unvaccinated children is probably due to parents' concerns about the alleged negative impact of vaccines on health, as well as the presence of false information disseminated by the anti-vaccination movement. The purpose of our study was to assess the attitude of parents to preventive vaccinations according to epidemic indications, to identify the main reasons for refusals to vaccinate children. An anonymous survey was conducted of 250 parents of preschool children attending the children's polyclinic department of the medical and diagnostic complex (LDC "MedGard"), medical and rehabilitation centers "MedGard" (LRC "MedGard") in Samara in the period from September 2022 to March 2023. The study analyzed the knowledge of parents about preventive vaccinations for epidemic indications (against meningococcal infection, influenza, human papillomavirus, chickenpox, tick-borne encephalitis virus, rotavirus, hepatitis A). The article presents data on the sources of obtaining information about vaccination from parents, about the side effects of previously administered vaccines in this category of children. The study revealed the relationship between the source of knowledge and knowledge about preventive vaccinations in respondents. It is concluded that people who receive knowledge directly and from reliable sources, i.e. from medical personnel, demonstrate a higher level of knowledge and are less likely to worry about vaccination compared to those who receive information from other sources. Thus, the lack of sufficient information about preventive vaccinations often explains the distrust of vaccination programs for children, and the lack of knowledge about the etiology of infectious diseases contributes to the development of so-called anti-vaccination movements.
学龄前儿童家长对按流行指征接种疫苗的态度及拒绝接种的原因
尽管全球疫苗接种覆盖率稳定,但目前全世界有1 900多万儿童没有接种基本疫苗。在过去几年中,接种疫苗的儿童数量急剧下降。未接种疫苗的儿童人数增加,可能是因为父母担心疫苗对健康的负面影响,以及反对接种疫苗运动传播的虚假信息。本研究的目的是评估家长对流行病指征预防接种的态度,找出儿童拒绝接种疫苗的主要原因。在2022年9月至2023年3月期间,对在萨马拉医疗和诊断中心(LDC "MedGard")儿童综合门诊部和医疗和康复中心"MedGard" (LRC "MedGard")就诊的250名学龄前儿童的父母进行了匿名调查。本研究分析了家长对流行病指征(预防脑膜炎球菌感染、流感、人乳头瘤病毒、水痘、蜱传脑炎病毒、轮状病毒、甲型肝炎)预防性疫苗接种的知识。文章介绍了从家长那里获得疫苗接种信息的来源,以及这类儿童以前接种疫苗的副作用的数据。该研究揭示了知识来源与受访者关于预防性疫苗接种的知识之间的关系。结论是,与从其他来源获得信息的人相比,直接从可靠来源(即从医务人员那里)获得知识的人表现出更高的知识水平,并且不太可能担心接种疫苗。因此,缺乏关于预防性疫苗接种的足够信息往往解释了对儿童疫苗接种计划的不信任,而缺乏对传染病病因的了解导致了所谓的反疫苗接种运动的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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