浦东新区东明社区幼托儿童家长手足口病疫苗认知及接种影响因素

目的了解幼托儿童家长对手足口病(EV71)疫苗相关认知、子女接种情况及影响因素,为做好疫苗的接种工作提供科学依据。方法采用现况调查(普查)的方法对上海市浦东新区东明社区辖区内全部12所幼儿园的2 783名幼儿家长进行问卷调查,分析幼儿家长对EV71疫苗的相关认知及疫苗接种的影响因素。结果有1 843名儿童家长调查前听说过EV71疫苗,家长对EV71疫苗的总体知晓率为51.9%,EV71疫苗相关信息的主要获取途径有887名为医院,其次有752名通过学校获得。接种了EV71疫苗的儿童有1 014名,选择接种EV71疫苗的主要原因是认为疫苗可以有效预防手足口病(76.1%),未接种EV71疫苗的主要原因是不知道有预防手足口病的疫苗(31.7%)。有2 478名儿童家长认为应该将EV71疫苗纳入计划免疫范畴里。多因素Logistic回归分析显示,学校为公办(OR=0.72,95%CI=0.59～0.89)、母亲户籍为本市(OR=0.76,95%CI=0.64～0.90)、对EV71疫苗不知晓(OR=0.42,95%CI=0.35～0.49)及家长认为EV71疫苗价格高(OR=0.66,95%C...

Cognitive and willngness to EV71 vacci natior among parents for children in Dongming District of Pudong

Objective To understand cognition and willingness of EV71 vaccination among parents of children, so as to provide scientific basis for vaccination. Methods A cross-sectional survey( census) was adopted. A questionnaire survey was conducted among parents of 2 783 preschool children from 12 kindergartens to analyze the parents’ cognition towards EV71 vaccine and willingness of vaccination of EV71 vaccine. Results Among the 2 783 parents surveyed, 1 843 heard of EV71 vaccine. The parents’ awareness rate of EV71 vaccine was 51.9%. The main source of EV71 vaccine-related information was obtained through hospitals( n = 887), followed by schools( n = 752). 1 014 received EV71 vaccine. The main reason of EV71 vaccination was that vaccine was believed to be effective in preventing hand,foot and mouth disease( HFMD)( 76.1%), while the main reason for unwillingness for vaccination was lack of knowledge( 31.7%). And 2 478 considered that EV71 vaccine should be included in planned immunization. Multivariate Logistic regression analysis showed that children in public schools( OR = 0.72, 95%CI = 0.59-0.89), mothers from urban residents( OR = 0.76, 95%CI = 0.64-0.90), parents lack of EV71 vaccine awareness( OR = 0.42,95% CI = 0.35-0.49), and perceived high price of EV71 vaccine( OR = 0.66, 95%CI = 0.47-0.92) had a low vaccination rate. Higher EV71 vaccination rate was related to children’ status as baby class( OR = 2.55,95%CI = 1.18-5.52),bottom class( OR = 2.24,95% CI = 1.54-3.24) and middle class( OR = 1.51, 95%CI = 1.05-2.15)( P<0.05). Conclusion EV71 vaccination in preschool children in our jurisdiction was relatively high. School type, mother’ s household registration, children’ s grade and the parental percption of EV71 vaccine price are the main factors influencing EV71 vaccine vaccination in preschool children.