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Intention and Attitude to Accept a Pertussis Cocooning Vaccination among Chinese Children’s Guardians: A Cross-Sectional Survey

Author

Listed:
  • Meng Wang

    (School of Public Health, Key Laboratory of Public Health Safety, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China)

  • Mengying Li

    (School of Public Health, Key Laboratory of Public Health Safety, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China)

  • Xinghui Li

    (Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China)

  • Xiaoli Chen

    (School of Public Health, Key Laboratory of Public Health Safety, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China)

  • Feng Jiang

    (Institute of Expanded Programme on Immunization, Guizhou Provincial Center for Disease Control and Prevention, Guiyang 550004, China)

  • Kezhong A

    (Institute of Immunization, Qinghai Provincial Center for Disease Control and Prevention, Xining 810007, China)

  • Zhiguo Wang

    (Department of Expanded Programmed on Immunization, Jiangsu Provincial Centre of Disease Control and Prevention, Nanjing 210009, China)

  • Liping Zhang

    (Minhang Center for Disease Control and Prevention, Shanghai 201101, China)

  • Yihan Lu

    (Department of Epidemiology, Ministry of Education Key Laboratory of Public Health Safety, School of Public Health, Fudan University, Shanghai 200032, China)

  • Wenjia Peng

    (Department of Epidemiology, Ministry of Education Key Laboratory of Public Health Safety, School of Public Health, Fudan University, Shanghai 200032, China)

  • Weibing Wang

    (Department of Epidemiology, Ministry of Education Key Laboratory of Public Health Safety, School of Public Health, Fudan University, Shanghai 200032, China)

  • Chaowei Fu

    (School of Public Health, Key Laboratory of Public Health Safety, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China)

  • Ying Wang

    (School of Public Health, Key Laboratory of Public Health Safety, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China)

Abstract

Objective: to assess Chinese children’s guardians’ intentions and attitudes toward accepting a pertussis cocooning vaccination and its determinants. Methods: a self-administered questionnaire was designed based on a theoretical framework that originated mainly from the reasoned action approach. Associations between questionnaire variables and outcomes were assessed using univariate and multivariate analyses with odds ratios (OR), regression coefficients (β), and their 95% confidence intervals (CIs). Results: among 762 eligible participants, most (80.71%) reported a positive intention to accept a pertussis cocooning vaccination. The guardians’ positive intention was related to the children’s pertussis vaccination experience (OR = 2.483, 95% CI: 1.340–4.600). Guardians who had a positive attitude towards pertussis vaccination (OR = 1.554, 95% CI: 1.053–2.296), higher subjective norms (OR = 1.960, 95% CI: 1.371–2.802) and better perceived behavioral control (OR = 7.482, 95% CI: 4.829–11.591) stated a higher intention to receive a pertussis cocooning vaccination. The mean attitude score was 3.88 ± 0.863. Greater risk perception about pertussis (β = 0.390, 95% CI: 0.298–0.483), stronger obligation from moral norms (β = 0.355, 95% CI: 0.279–0.430), and good knowledge (β = 0.108, 95% CI: 0.070–0.146) were significantly related to positive attitude toward pertussis cocooning vaccination among guardians. Conclusions: Chinese children’s guardians held positive intentions and attitudes toward accepting a pertussis cocooning vaccination. The current findings described the determinants of such intention and attitude and provided knowledge based on improving guardians’ intentions for policymakers if cocooning vaccinations or related immunization strategies are implemented in China in the future.

Suggested Citation

  • Meng Wang & Mengying Li & Xinghui Li & Xiaoli Chen & Feng Jiang & Kezhong A & Zhiguo Wang & Liping Zhang & Yihan Lu & Wenjia Peng & Weibing Wang & Chaowei Fu & Ying Wang, 2022. "Intention and Attitude to Accept a Pertussis Cocooning Vaccination among Chinese Children’s Guardians: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(23), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16282-:d:994082
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    References listed on IDEAS

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    1. Yulan Lin & Zhijian Hu & Qinjian Zhao & Haridah Alias & Mahmoud Danaee & Li Ping Wong, 2020. "Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(12), pages 1-22, December.
    2. Vicki S. Freimuth & Amelia Jamison & Gregory Hancock & Donald Musa & Karen Hilyard & Sandra Crouse Quinn, 2017. "The Role of Risk Perception in Flu Vaccine Behavior among African‐American and White Adults in the United States," Risk Analysis, John Wiley & Sons, vol. 37(11), pages 2150-2163, November.
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