Association between parental vaccine hesitancy and geographical coverage for childhood vaccination: A cross-sectional study

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2024-10-09 DOI:10.1016/j.vaccine.2024.126422

Sukriti Gera , Monsurul Hoq , Margie Danchin , Jane Tuckerman

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引用次数: 0

Abstract

Background

The aim of this study was to explore the relationship between parental vaccine hesitancy and vaccine coverage for all recommended vaccines for children under five years residing in Statistical Areas Level 3 (SA3). SA3 groupings represent clustering groups of smaller areas, such as regional towns and cities or clusters of related suburbs, which share similar regional characteristics, administrative boundaries or labour markets, and generally have populations between 30,000 and 130,000 persons.

Methods

We used parental vaccine hesitancy data from the VBAT (Vaccine Barrier Assessment Tool) study and vaccine coverage by postcode data from the Australian Immunisation Coverage Report 2020/21. Binary logistic regression analysis explored the association.

Results

There were complete data for 1110 participants. We found lower vaccine concerns in parents residing in medium coverage (adjusted odds ratio (aOR) 0.36, 95 % confidence interval (CI): 0.22 to 0.59) and high coverage (aOR 0.37, 95 % CI: 0.22 to 0.60) SA3 areas compared to low coverage geographical areas.

Conclusions

Developing effective policies to vaccinate children under five in low coverage areas will help reduce vaccine inequity in Australia. Future strategies to improve vaccine coverage should consider ways to address both access and acceptance barriers.

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父母对疫苗接种的犹豫不决与儿童疫苗接种的地域覆盖率之间的关系：一项横断面研究。

研究背景本研究旨在探讨居住在第三级统计区（SA3）的五岁以下儿童的父母疫苗接种犹豫与所有推荐疫苗接种覆盖率之间的关系。第三级统计区代表较小区域的集群，如区域城镇或相关郊区的集群，它们具有相似的区域特征、行政边界或劳动力市场，人口一般在 30,000 到 130,000 人之间：我们使用了 VBAT（疫苗障碍评估工具）研究中的父母疫苗犹豫不决数据和《2020/21 年度澳大利亚免疫覆盖率报告》中按邮编划分的疫苗覆盖率数据。二元逻辑回归分析探讨了两者之间的关联：有 1110 名参与者的完整数据。我们发现，与低覆盖率地区相比，居住在中等覆盖率（调整后的几率比（aOR）为 0.36，95 % 置信区间（CI）：0.22 至 0.59）和高覆盖率（aOR 为 0.37，95 % 置信区间（CI）：0.22 至 0.60）SA3 地区的家长对疫苗的关注度较低：制定有效政策为低覆盖率地区的五岁以下儿童接种疫苗将有助于减少澳大利亚的疫苗不公平现象。未来提高疫苗覆盖率的战略应考虑如何同时解决获得和接受疫苗的障碍。

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

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

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