Parents' cognition on children’s non-immunization program vaccination choices and influencing factors
JIA Ru1, GU Fen2, LIU Ping3, YU Qun3, JIANG Liping3
1. Department of Pediatric Respiratory Medicine, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092 , China; 2. Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China; 3. Department of Nursing, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Abstract：Objective To explore parents’ cognition on children’s non-immunization program vaccination choices and the influencing factors. Methods Parents of children receiving normal physical examinations in a child care clinic were investigated by using a uniformly designed general information questionnaire and a non-immunization program vaccination questionnaire. The relevant data were statistically analyzed. Results A total of 789 valid questionnaires were collected, with 460 children（58.3%）receiving non-immunization program vaccines. Among the parents, 331（42.0%） preferred imported vaccines. The non-immunization program vaccines with the highest levels of awareness among parentswere the influenza vaccine（17.25%）, the 13-valent pneumococcal polysaccharide conjugate vaccine（14.43%）, andthe human papillomavirus vaccine（14.33%）. The vaccines with the highest vaccination rates were the varicella vaccine
（22.43%）, the rotavirus vaccine（22.11%）, and the influenza vaccine（20.44%）. Mothers and parents with a bachelor’s degree or higher were more willing to vaccinate their children with non-immunization program vaccines（P<0.05）. Parents with a postgraduate degree and an annual household income exceeding 500 000 yuan were more inclined to choose imported vaccines（P<0.05）. Conclusion Awareness of non-immunization program vaccines among parents and vaccination rates among children are relatively low. Parents show a preference to imported vaccines. There is a need to strengthen the promotion and education of non-immunization program vaccines, particularly those that are domestically produced.
