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

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          Abstract

          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 hospi- tals ( 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.

          Abstract

          【摘要】 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疫苗纳人计划免疫范畴里。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% CI =0.47~0.92)的儿童 EV71 疫苗接种率低, 班级为托班 ( OR = 2.55, 95% CI =1.18~5.52)、小班 ( OR = 2.24, 95% CI = 1.54~3.24)、中班 ( OR = 1.51, 95% CI = 1.05~2.15)的儿童 EV71 疫苗接种率高 ( P 值均 <0.05)。 结论 辖区幼 托儿童EV71疫苗接种率较高, 学校性质、母亲户籍、年级及家长对疫苗价格评价是影响幼托儿童EV71疫苗接种的主要 因素。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 May 2020
          01 May 2020
          : 41
          : 5
          : 684-688
          Affiliations
          [1] 1DongMing Community Health Service Center, Pudong New Area, Shanghai (200123), China
          Author notes
          *Corresponding author: WANG Ping, E-mail: romantic0haha@ 123456126.com
          Article
          j.cnki.1000-9817.2020.05.014
          10.16835/j.cnki.1000-9817.2020.05.014
          c4283612-1dd0-4623-96b3-18ce1625a6f1
          © 2020 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Legal guardians,Vaccines,Hand, foot and mouth disease,Regression analysis,Child,Cognition,Vaccination

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