|摘要: ||背景與目的：2009年度起3歲至國小入學前之幼兒已納入公費接種對象，2016年接種率不到七成，2017年秋，三價公費流感疫苗預測失準，造成2018年初B型流感大流行，衛福部考慮將公費流感疫苗從三價升級為四價，保護力涵蓋更廣，可降低與流行病毒株不吻合的風險，本研究為在2018年流感疫苗尚未開打前，探討幼兒家長對其子女接種四價流感疫苗意願之相關因素。研究方法：本研究對象為南部某行政區幼兒園家長，發放問卷計 520份，有效問卷共計 435份，回收率為 83.7%，問卷資料以SPSSfor Windows22.0進行資料統計分析，探討家長對其子女接種四價流感疫苗意願之影響因子。
Background and purpose: Since 2009, children between the ages of 3 to an elementary school before admission have been enrolled in the public-funded vaccination. The vaccination rate in 2016 is less than 70%. In the autumn of 2017, the trivalent public fee influenza vaccine is predicted to be inaccurate, resulting in influenza B in early 2018. The Ministry of Health and Welfare considers upgrading the public flu vaccine from trivalent to quaternary, with broader protection and reducing the risk of non-conformity with the epidemic strain. This study is to explore the influence factors of parents' willingness to vaccinate their children with tetravalent influenza vaccine before the 2018 flu vaccine has been announced.
Research method: This study is for parents of kindergartens in a southern Taiwan’s administrative district, and 520 copies of questionnaires are distributed. The total number of valid questionnaires is 435, and the recovery rate is 83.7%. The questionnaire data was analyzed by SPSS for Windows 22.0, and to explore the influence factors of parents' willingness to vaccinate their children with tetravalent influenza vaccine.
The results of the study: In the aspect of influenza episodes of cognitive cognition and severity, nearly 60% of the parents do not think that their children are at high risk and that children infected with flu can cause serious illness; In the aspect of obstacle cognitive, more than 40% of parents believe that vaccine’s effect is not 100%, and up to 65% of parents feel that the safety of the flu vaccine is still not reassuring. In the aspect of vaccinated barrier cognitive, parents in public schools have significantly higher concerns and concerns about vaccine safety than private schools; It shows that for safety concerns of vaccines, mothers who have college degree are significantly higher than those of high school’s degree; For the willingness to vaccinate their children, mothers who owned a Master or Ph.D. degree is significantly higher than those mothers who was graduated from junior high school; For the safety of vaccination concern, the married and single-parent groups is significantly higher than in other groups (children separated by parents, not living with their parents, and parents are not sure whether their parents have divorced.) Self-efficacy has the greatest positive influence on vaccination intentions.
Conclusions and recommendations: Self-efficacy is the biggest influencing factor. Only through various ways of action clues can improve parents’ confidence in the safety and effectiveness of their children's vaccination against tetravalent influenza vaccines, so that parents can eliminate doubts about vaccination and improve self-efficacy. Parents have higher self-efficacy, lower vaccination barriers, and stronger situational feelings have a positive influence on their children's willingness to vaccinate with tetravalent influenza vaccines. This will increase the vaccination rate of influenza vaccines. Public policies can be concretely implemented to truly achieve the effectiveness of epidemic prevention.