Field Epidemiology
Current status of parental decision-making of childhood 13-valent pneumococcal conjugate vaccine immunization and related factors in China
Li Yuhong, Wang Wenwen, Wu Liangpeng, Du Meicui, Kou Jingyi, Peng Sihui, Liang Xiaofeng
Published 2024-09-10
Cite as Chin J Epidemiol, 2024, 45(9): 1209-1215. DOI: 10.3760/cma.j.cn112338-20240104-00003
Abstract
ObjectiveTo analyze the relationship between health belief and the stages of parental decision-making on childhood 13-valent pneumococcal conjugate vaccine (PCV13) immunization in China.
MethodsCross-sectional multistage survey sampling method was used to select study subjects. The study subjects were parents who were aged 20-45 years and had one and more children ≤5 years old in three cities in China. A self-administered questionnaire designed based on health belief model was used to collect the information. Multinomial logistic regression analysis was used to assess the relationships between perceived susceptibility, perceived severity of illness, perceived effect of PCV13 and stages of parental decision-making on childhood PCV13 immunization.
ResultsA total of 1 716 valid questionnaires were returned (89.33%). The average age of the study subjects was (35.33±4.95) years, and 79.60% of them were women. In the study subjects, 48.31% had in action, 21.79% were in contemplation and 29.90% were in pre-contemplation. The multinominal logistic regression analysis indicated that high perceived susceptibility (OR=0.14, 95%CI:0.09-0.22; OR=0.54, 95%CI:0.39-0.76), high perceived severity of illness (OR=0.55, 95%CI:0.42-0.73), and high perceived effect of PCV13 (OR=0.27, 95%CI:0.18-0.40; OR=0.51, 95%CI:0.32-0.81) were significantly lower in those who were in contemplation or pre-compared with those who had in action. For study subjects with low perceived susceptibility, high perceived effect of PCV13 might decrease the probabilities of contemplation (OR=0.53, 95%CI:0.32-0.87) and pre-contemplation (OR=0.27, 95%CI:0.18-0.41). For those with high perceived susceptibility, perceived severity of illness might decrease the probability of contemplation (OR=0.43, 95%CI:0.23-0.82).
ConclusionsChildhood PCV13 vaccination willingness and level is low in China. It is important to pay greater attention to the intervention on health belief in child parents, such as perceived effect of PCV13, perceived severity of illness, and perceived susceptibility, in health policy development and health promotion.
Key words:
13-Valent pneumococcal conjugate vaccine; Health belief model; Stages of change; Child immunization
Contributor Information
Li Yuhong
Haizhu District Maternal and Child Health Center of Guangzhou, Guangzhou 510240, China
Wang Wenwen
School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
Institute of Disease Prevention and Control, Jinan University, Guangzhou 510632, China
Wu Liangpeng
School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
Institute of Disease Prevention and Control, Jinan University, Guangzhou 510632, China
Du Meicui
Department of Medical Psychology, Yunnan Armed Police Corps Hospital, Kunming 650111, China
Kou Jingyi
School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
Peng Sihui
School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
Institute of Disease Prevention and Control, Jinan University, Guangzhou 510632, China
Liang Xiaofeng
School of Basic Medicine and Public Health, Jinan University, Guangzhou 510632, China
Institute of Disease Prevention and Control, Jinan University, Guangzhou 510632, China
