中国3个地区儿童家长对国家免疫规划类疫苗犹豫现状研究

目的:了解我国儿童家长对国家免疫规划类疫苗犹豫发生率和影响因素，并探索不同种类疫苗的犹豫现状。方法:在北京市通州区、四川省成都市及甘肃省白银市进行横断面调查，采用成比例概率抽样和便利抽样的方法选取符合标准的研究对象进行问卷调查。结果:共纳入研究对象3 592人，38.22%的家长完全接受所有疫苗，59.35%的家长给儿...

Hesitancy of parents towards vaccines in national immunization program in three regions in China: a cross-sectional study

Objective To investigate the incidence and determinants of vaccine hesitancy towards national immunization program in China and understand the current status of parents'' hesitancy to different vaccines used in national immunization program. Methods A cross-sectional survey was conducted in Beijing, Sichuan and Gansu. The methods of proportional probability sampling and convenience sampling were used to select the eligible study subjects for questionnaire surveys. Results A total of 3 592 parents were enrolled in the study, in whom 38.22% fully accepted all the vaccines, 59.35% agreed to let their children to receive all the vaccines but showed slight concern, and 2.42% had hesitancy to the vaccines. The vaccine with the most hesitancy was polio vaccine (0.89%), followed by diphtheria pertussis tetanus vaccine (0.70%) and hepatitis A vaccine (0.64%). The dominant reason for vaccine hesitancy was the risk-benefit perception of vaccination (31.03%), followed by the low awareness of the parents (21.84%) and the inconvenience caused by distance and time (21.84%). Conclusions The incidence of vaccine hesitancy towards national immunization program was low in parents in China, but over 50% of the parents showed concern to the vaccines. It is essential to improve the service quality of national immunization program and strengthen the health education about the vaccination to reduce the incidence of vaccine hesitancy in parents.