Effect of a vaccine information statement (VIS) on immunization status and parental knowledge, attitudes, and beliefs regarding infant immunization in Japan

被引:4
|
作者
Saitoh, Aya [2 ]
Saitoh, Akihiko [1 ,3 ]
Katsuta, Tomohiro [1 ,4 ]
Mine, Mahito [1 ,5 ]
Kamiya, Hajime [1 ,6 ]
Miyairi, Isao [1 ,7 ]
Ishiwada, Naruhiko [1 ,8 ]
Oshiro, Makoto [1 ,9 ]
Kira, Ryutaro [1 ,10 ]
Shimizu, Naoki [1 ,4 ]
Suga, Shigeru [1 ,11 ,12 ]
Tsugawa, Takeshi [1 ,13 ]
Fujioka, Masashi [1 ,14 ]
Miyazaki, Chiaki [1 ,15 ]
Morioka, Ichiro [1 ,16 ]
Korematsu, Seigo [1 ,17 ]
Nakano, Takashi [1 ,18 ]
Tanaka-Taya, Keiko [1 ,6 ]
Yoshikawa, Tetsushi [1 ,19 ]
Iwata, Satoshi [1 ,20 ]
Kusuhara, Koichi [1 ,21 ]
Azuma, Hiroshi [1 ,22 ]
Moriuchi, Hiroyuki [1 ,23 ]
Okabe, Nobuhiko [1 ,24 ]
Hosoya, Mitsuaki [1 ,25 ]
Tsutsumi, Hiroyuki [1 ,13 ]
Okada, Kenji [1 ,26 ]
机构
[1] Japan Pediat Soc, Comm Immunizat & Infect Dis, Tokyo, Japan
[2] Niigata Univ, Grad Sch Med & Dent Sci, Dept Nursing, Niigata, Japan
[3] Niigata Univ, Grad Sch Med & Dent Sci, Dept Pediat, Niigata, Japan
[4] St Marianna Univ, Sch Med, Dept Pediat, Kawasaki, Kanagawa, Japan
[5] Mine Pediat Clin, Saitama, Japan
[6] Natl Inst Infect Dis, Infect Dis Surveillance Ctr, Tokyo, Japan
[7] Natl Ctr Child Hlth & Dev, Div Infect Dis, Tokyo, Japan
[8] Chiba Univ, Med Mycol Res Ctr, Dept Infect Dis, Chiba, Japan
[9] Japanese Red Cross Nagoya Daiichi Hosp, Dept Neonatol, Nagoya, Aichi, Japan
[10] Fukuoka Childrens Hosp, Dept Pediat Neurol, Fukuoka, Japan
[11] Natl Hosp Org Mie Hosp, Infect Dis Ctr, Tsu, Mie, Japan
[12] Natl Hosp Org Mie Hosp, Dept Clin Res, Tsu, Mie, Japan
[13] Sapporo Med Univ, Sch Med, Dept Pediat, Sapporo, Hokkaido, Japan
[14] Fujioka Pediat, Osaka, Japan
[15] Fukuoka Welf Ctr Disabled, Fukuoka, Japan
[16] Nihon Univ, Sch Med, Dept Pediat & Child Hlth, Tokyo, Japan
[17] Univ Fac Med, Dept Pediat, Oita, Japan
[18] Kawasaki Med Sch, Dept Pediat, Okayama, Japan
[19] Fujita Hlth Univ, Sch Med, Dept Pediat, Toyoake, Aichi, Japan
[20] Keio Univ, Sch Med, Dept Infect Dis, Tokyo, Japan
[21] Univ Occupat & Environm Hlth, Dept Pediat, Fukuoka, Japan
[22] Asahikawa Med Univ, Dept Pediat, Asahikawa, Hokkaido, Japan
[23] Nagasaki Univ, Dept Pediat, Nagasaki, Japan
[24] Kawasaki City Inst Publ Hlth, Kawasaki, Kanagawa, Japan
[25] Fukushima Med Univ, Dept Pediat, Fukushima, Japan
[26] Fukuoka Nursing Coll, Div Basic Nursing, Fukuoka, Japan
关键词
Vaccine information statement; Parents; Infants; Knowledge; Attitudes; Immunization; Japan; Vaccine hesitancy; PROGRAM;
D O I
10.1016/j.vaccine.2020.10.049
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: Because of the overabundance of vaccination information on the internet, in the media, and on social media, providing clear and correct information on immunization is critical for parental decision-making. In 2018, the Japan Pediatric Society created and distributed a Vaccine Information Statement (VIS) to provide appropriate immunization information to caregivers. The objectives of the present study were to evaluate the effect of the VIS on immunization rates, adherence to schedule, and parental understanding of immunization in Japan. Methods: This cross-sectional study was conducted at 18 centers in 2 prefectures in Japan. Caregivers were assigned to an intervention group, which received the VIS and a questionnaire when their child reached the age of 1 month, and a control group, which received only the questionnaire. Using the selfreported questionnaires, we evaluated vaccination rates and schedule adherence at age 2 months, and parental knowledge, attitudes, and beliefs regarding immunization. Three months later, the questionnaires were returned, and the findings were compared between the 2 groups. Results: We contacted 422 and 428 persons in the intervention and control groups, respectively, and 111/422 (26.3%) and 119/428 (27.8%) returned the surveys. Vaccination rates and adherence rates for the first dose of 4 recommended vaccines did not differ significantly (P 0.25); however, there were some positive effects on items related to vaccine knowledge (P = 0.03), perceived benefits (P = 0.02), perceived barriers (P < 0.001), and perceived behavioral control (P = 0.01). Conclusion: The VIS improved parent comprehension of infant immunization. Future studies should examine if the effects of such an intervention persist and affect vaccine uptake throughout childhood. (C) 2020 Published by Elsevier Ltd.
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页码:8049 / 8054
页数:6
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