|
|
|
| Vaccine hesitancy among parents of children aged 0 to 6 years |
| HUANG Yuqin1,2, ZHANG Yan3, SHI Hongbo3, PAN Xingqiang3
|
1. School of Public Health, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China; 2. Minglou Street Community Health Service Center of Yinzhou District, Ningbo, Zhejiang 315040, China; 3. Ningbo Center for Disease Control and Prevention, Ningbo, Zhejiang 315010, China |
|
|
|
|
Abstract Objective To analyze vaccine hesitancy and its influencing factors among parents of children aged 0-6 years, so as to provide the evidence for developing targeted intervention measures. Methods From March to May 2025, a convenience sampling method was used to select parents of children aged 0-6 years who were waiting or staying for observation in vaccination clinics in Ningbo City, Zhejiang Province as survey participants. Data on age, sex, and level of vaccination knowledge were collected through a questionnaire survey. Vaccine hesitancy was assessed using the Chinese version of the 5C Psychological Antecedents of Vaccination Scale. Multivariable logistic regression model was used to analyze the influencing factors for vaccine hesitancy. Results A total of 1 071 parents of children aged 0-6 years were surveyed, including 305 fathers (28.48%) and 766 mothers (71.52%). The predominant age group was 25-<35 years, with 697 parents (65.08%). A total of 89 parents (8.31%) showed vaccine hesitancy. The results of the multivariable logistic regression analysis showed that parents aged <35 years (<25 years, OR=0.112, 95%CI: 0.025-0.504; 25-<35 years, OR=0.110, 95%CI: 0.033-0.371) had a lower likelihood of vaccine hesitancy. Parents who were unmarried/divorced/widowed (OR=4.452, 95%CI: 1.625-12.193) and those with a vaccination knowledge score <80 points (<60 points, OR=8.548, 95%CI: 2.701-27.048; 60-<80 points, OR=2.903, 95%CI: 1.725-4.885) had a higher likelihood of vaccine hesitancy. Conclusion Approximately 10% of parents of children aged 0-6 years showed vaccine hesitancy, which was associated with parental age, marital status, and vaccination knowledge score.
|
|
Received: 13 February 2026
Revised: 02 June 2026
Published: 22 June 2026
|
|
|
|
|
|
[1] 熊素娟,江湖大川,易槐明.疫苗犹豫影响因素研究进展[J].预防医学,2019,31(11):89-96. [2] MACDONALD N E,Sage Working Group on Vaccine Hesitancy.Vaccine hesitancy:definition,scope and determinants[J].Vaccine,2015,33(34):4161-4164. [3] LARSON H J,SCHULZ W S.Reverse global vaccine dissent[J/OL].Science,2019,364(6436)[2026-06-02].http://doi.org/10.1126/science.aax6172. [4] 宋祎凡,曾淇民,余文周,等.我国儿童监护人免疫规划疫苗犹豫现状及影响因素分析[J].中国预防医学杂志,2023,24(12):1303-1308. [5] 刘翰谕,赵天朔,韩冰峰,等.全球疫苗犹豫现状及影响因素研究进展[J].中国预防医学杂志,2021,22(3):233-237. [6] BETSCH C,SCHMID P,HEINEMEIER D,et al.Beyond confidence:development of a measure assessing the 5C psychological antecedents of vaccination[J/OL].PLoS One,2018,13(12)[2026-06-02].http://doi.org/10.1371/journal.pone.0208601. [7] 杨姗,祝捷,刘新辉,等.疫苗接种心理前因5C量表的修订及其效度和信度[J].中国心理卫生杂志,2024,38(10):861-866. [8] 赵天朔,刘翰谕,郑徽,等.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[J].中华流行病学杂志,2021,42(9):1615-1620. [9] 杨丹丹,王琦璋,刘文敏,等.上海市浦东新区0~6岁儿童家长对儿童疫苗接种犹豫及其影响因素调查[J].中国疫苗和免疫,2023,29(3):342-346. [10] 文小华,彭雪清,张璇,等.2024年成都市新都区儿童家长疫苗犹豫现状及影响因素分析[J].预防医学情报杂志,2025,41(8):1082-1091. [11] 许濒月,龙江,柏宁培,等.2023年重庆市0~6岁儿童监护人疫苗犹豫现状和影响因素调查[J].中国疫苗和免疫,2024,30(2):155-159. [12] 于丞丞,夏青云,李泉漫,等.疫苗犹豫量表的汉化及在我国3~17岁儿童父母中的信效度检验[J].郑州大学学报(医学版),2024,59(2):158-162. [13] LIN Y L,HU Z J,ZHAO Q J,et al.Understanding COVID-19 vaccine demand and hesitancy:a nationwide online survey in China[J/OL].PLoS Negl Trop Dis,2020,14(12)[2026-06-02].http://doi.org/10.1371/journal.pntd.0008961. [14] BADR H,ZHANG X T,OLUYOMI A,et al.Overcoming COVID-19 vaccine hesitancy:insights from an online population-based survey in the United States[J/OL].Vaccines,2021,9(10)[2026-06-02].http://doi.org/10.3390/vaccines9101100. [15] ALI OSMAN MOHAMED ELAWAD S,YAGOUB MOHAMMED A A,ALI KARAR S A,et al.Vaccination hesitancy and its impact on immunization coverage in pediatrics:a systematic review[J/OL].Cureus,2024,16(12)[2026-06-02].http://doi.org/10.7759/cureus.76472. [16] KURODA H,GOTO A,KAWAKAMI C,et al.Association between a single mother family and childhood under vaccination,and mediating effect of household income:a nationwide,prospective birth cohort from the Japan Environment and Children's Study(JECS)[J/OL].BMC Public Health,2022,22(1)[2026-06-02].http://doi.org/10.1186/s12889-022-12511-7. [17] BRAZEAU H,LEWIS N A.Within-couple health behavior trajectories:the role of spousal support and strain[J].Health Psychol,2021,40(2):125-134. [18] XU Y C,ZHANG R Y,ZHOU Z F,et al.Parental psychological distress and attitudes towards COVID-19 vaccination:a cross-sectional survey in Shenzhen,China[J].J Affect Disord,2021,292:552-558. [19] 靳雪征. 健康信念理论的建立和发展[J].中国健康教育,2007(12):945-946. [20] ZHANG H Q,CHEN L Y,HUANG Z X,et al.The effects of parent's health literacy and health beliefs on vaccine hesitancy[J].Vaccine,2023,41(13):2120-2126. |
|
|
|