关键词: COVID-19 caregiver experiences childhood immunizations immunization practices pandemic

来  源:   DOI:10.3389/frhs.2023.1242796   PDF(Pubmed)

Abstract:
UNASSIGNED: Immunizations are successful, cost-effective interventions for the control of infectious diseases and preventing mortality. Lockdown restrictions during the COVID-19 pandemic had adverse effects on child-health including access to immunizations. Our study aimed to document immunization status, describe caregiver experiences around accessing immunizations during the COVID-19 pandemic and identify any significant factors associated with immunization status.
UNASSIGNED: Caregivers, with children between the ages of 10 to 33 months, attending Tygerberg Hospital Paediatric Department were invited to complete an anonymous survey from 15th September-15th December 2022. Data was captured using a REDCap questionnaire and analysed using Stata Version 17.
UNASSIGNED: 171 caregivers completed the survey. Immunizations were up to date in 81%. Most (155, 88%) agreed it was important to immunize their child. A third of caregivers (55) felt it was unsafe to attend the clinic and 37% (62) agreed it was difficult to attend. Caregivers receiving a social grant (p = 0.023) or who felt safe attending clinic (p = 0.053) were more likely to be up to date with immunizations. Three-quarters (128, 78%) were aware of recommendations to continue immunization. These caregivers were more likely to think it was important to immunize on time (p = 0.003) and to receive family encouragement (p = 0.001). Caregivers were more likely to attend clinic if they felt it was important to vaccinate on time (p < 0.001) or felt safe attending clinic (p = 0.036).
UNASSIGNED: Immunization rates were higher than expected but below global targets. Although caregivers feel immunizations are important, unknowns still instilled fear of attending clinics. Social factors such as family support and social grants improve vaccine seeking behaviour.
摘要:
免疫接种成功,控制传染病和预防死亡的具有成本效益的干预措施。COVID-19大流行期间的封锁限制对儿童健康产生了不利影响,包括获得免疫接种。我们的研究旨在记录免疫状况,描述护理人员在COVID-19大流行期间获得免疫接种的经历,并确定与免疫状态相关的任何重要因素。
护理人员,年龄在10到33个月之间的孩子,参加Tygerberg医院儿科的应聘者于2022年9月15日至12月15日完成了一项匿名调查。使用REDCap问卷捕获数据,并使用Stata版本17进行分析。
171名护理人员完成了调查。81%的人是最新的免疫接种。大多数人(155,88%)同意对孩子进行免疫接种很重要。三分之一的护理人员(55)认为参加诊所是不安全的,而37%(62)的护理人员认为很难参加。获得社会补助金(p=0.023)或感到安全的护理人员(p=0.053)更有可能是最新的免疫接种。四分之三(128%,78%)知道继续免疫的建议。这些护理人员更有可能认为按时免疫(p=0.003)和接受家庭鼓励(p=0.001)很重要。如果护理人员认为按时接种疫苗很重要(p<0.001)或感到安全就诊(p=0.036),则护理人员更有可能参加诊所。
免疫接种率高于预期,但低于全球目标。尽管护理人员认为免疫接种很重要,未知因素仍然灌输对去诊所的恐惧。家庭支持和社会补助金等社会因素改善了寻求疫苗的行为。
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