父母准备接种儿童疫苗的决定因素：经验、信息、社会人口统计学和依从性。

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2025-10-11 DOI:10.1016/j.vaccine.2025.127809

Bo T. Hansen , Ingfrid Borlaug Østlie , Margrethe Greve-Isdahl , Rebecca Nybru Gleditsch

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引用次数: 0

摘要

背景：高儿童疫苗接种率对保障公众健康至关重要。维持高覆盖率需要有效的基础设施和提供系统，以及注意受社会、心理和环境因素影响的个人决策。为了优化吸收，疫苗接种规划必须考虑到这些影响及其相互作用。方法：为了提高对父母儿童疫苗接种准备情况的了解，并为保持高接种率提供信息，我们于2023年8月对挪威2077名符合国家儿童免疫规划（CIP）年龄的儿童（0-5岁或8-16岁）的父母进行了调查。我们使用经过验证的7C模型检查了与父母儿童接种疫苗准备相关的因素，该模型评估了接种疫苗的七个心理前因，并提供了一个总体准备分数。结果：父母儿童接种疫苗的准备程度总体较高。然而，较低的准备程度与疫苗接种服务的负面经历、在卫生诊所没有充分了解疫苗、发现疫苗接种难以获得以及社会人口因素显著相关。此外，对官方公共卫生信息来源（如儿童保健诊所、政府网站）的依赖与疫苗接种准备程度呈正相关，而对社交媒体、YouTube或宗教机构的依赖则与较低的准备程度相对应。总体准备程度也与疫苗接种行为有关：以前拒绝或推迟儿童疫苗接种的父母的疫苗接种准备程度得分明显较低。结论：这些发现表明，经验、信息和社会人口因素与父母童年接种疫苗的准备程度有关。努力改善沟通和信任，包括在父母-提供者接触方面，对于保持儿童疫苗接种规划的高和公平覆盖率可能至关重要。

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Determinants of parental readiness for childhood vaccination: experiences, information, sociodemographics and adherence

Background

High childhood vaccination coverage is critical for safeguarding public health. Sustaining high coverage requires effective infrastructure and delivery systems, as well as attention to individual decision-making, which is shaped by social, psychological and contextual factors. To optimize uptake, vaccination programmes must account for these influences and their interactions.

Methods

To advance understanding on parental childhood vaccination readiness and to inform strategies for maintaining high uptake, we conducted a survey in August 2023 among 2077 parents in Norway whose children (aged 0–5 or 8–16 years) were age-eligible for the national Childhood Immunization Programme (CIP). We examined factors associated with childhood vaccination readiness among parents using the validated 7C model, which assesses seven psychological antecedents of vaccination and provides an overall readiness score.

Results

Overall parental childhood vaccination readiness was high. However, lower readiness was significantly associated with negative experiences with vaccination services, not being sufficiently informed about vaccines at the health clinic, finding vaccination less accessible, and sociodemographic factors. Moreover, reliance on official public health information sources (e.g., child health clinics, government websites) for vaccination decision-making was positively associated with readiness, while reliance on social media, YouTube, or religious institutions corresponded with lower readiness. Overall readiness was also associated with vaccination behaviors: parents who had previously declined or postponed childhood vaccinations had substantially lower vaccination readiness scores.

Conclusion

These findings show that experiential, informational and sociodemographic factors are associated with parents' childhood vaccination readiness. Efforts to improve communication and trust, including in parent-provider encounters, may be crucial to maintaining high and equitable coverage in childhood vaccination programmes.

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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

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.