Perspectives on childhood coronavirus disease vaccination in Japan and influencing factors.

IF 1 4区医学 Q3 PEDIATRICS

Pediatrics International Pub Date : 2024-01-01 DOI:10.1111/ped.15819

Madoka Lelliott, Masatsugu Sakata, Ayako Kohno, Rie Toyomoto, Ayuko Matsumoto, Toshi A Furukawa

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引用次数: 0

Abstract

Background: To support parental decision-making it is important to understand parents' perspectives on vaccination for their children and the factors that contribute to their vaccine hesitancy. There have been relatively few studies in this area in Japan, particularly with longitudinal and mixed methodologies.

Methods: We used an explanatory sequential mixed methods approach to describe longitudinal changes in vaccine acceptance and to explore factors associated with parental coronavirus 2019 (COVID-19) vaccine hesitancy. We recruited parents who had children aged 6 months to 11 years old from five facilities in Japan. Two cross-sectional online surveys and semi-structured online interviews were conducted. Logistic regression analysis was used to explore factors associated with parents' vaccine hesitancy for their children, and thematic analysis was used to analyze the interview data.

Results: In total, 134 parents responded to both online surveys and, of those, 10 participated in interviews. Acceptance rates of COVID-19 vaccination for their children were 19.4% (26/134) at the first survey and 11.2% (15/134) at the second survey. Integration of the data identified that the main factors for vaccine hesitancy included vaccine safety, vaccine effectiveness, government policy, and recommendations from people close to parents.

Conclusions: Readily available and more balanced information, and community-wide support from people close to parents and familiar health-care providers are likely to provide better support for parents' decision-making. Further investigation is required on how to provide information in an easily understood manner.

查看原文本刊更多论文

日本儿童冠状病毒病疫苗接种情况及影响因素。

背景：为了支持家长的决策，了解家长对子女接种疫苗的看法以及导致他们对疫苗犹豫不决的因素非常重要。在日本，这方面的研究相对较少，尤其是采用纵向和混合方法的研究：我们采用了一种解释性顺序混合方法来描述疫苗接受度的纵向变化，并探讨与父母对 2019 年冠状病毒（COVID-19）疫苗犹豫不决有关的因素。我们从日本的五个机构招募了有 6 个月至 11 岁儿童的家长。我们进行了两次横断面在线调查和半结构化在线访谈。我们采用逻辑回归分析法探讨了与家长对子女接种疫苗犹豫不决有关的因素，并采用主题分析法对访谈数据进行了分析：结果：共有 134 名家长回复了这两项在线调查，其中 10 名家长参加了访谈。在第一次调查中，其子女对接种 COVID-19 疫苗的接受率为 19.4%（26/134），在第二次调查中，其子女对接种 COVID-19 疫苗的接受率为 11.2%（15/134）。整合数据后发现，疫苗接种犹豫不决的主要因素包括疫苗安全性、疫苗有效性、政府政策以及父母身边人的建议：结论：可随时获得的、更均衡的信息，以及来自父母身边的人和熟悉的医疗保健提供者的全社会支持，可能会为父母的决策提供更好的支持。如何以通俗易懂的方式提供信息还需要进一步研究。

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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来源期刊

Pediatrics International 医学-小儿科

CiteScore

2.00

自引率

7.10%

发文量

519

审稿时长

12 months

期刊介绍： Publishing articles of scientific excellence in pediatrics and child health delivery, Pediatrics International aims to encourage those involved in the research, practice and delivery of child health to share their experiences, ideas and achievements. Formerly Acta Paediatrica Japonica, the change in name in 1999 to Pediatrics International, reflects the Journal''s international status both in readership and contributions (approximately 45% of articles published are from non-Japanese authors). The Editors continue their strong commitment to the sharing of scientific information for the benefit of children everywhere. Pediatrics International opens the door to all authors throughout the world. Manuscripts are judged by two experts solely upon the basis of their contribution of original data, original ideas and their presentation.