Attitude and awareness of Indian parents from Kerala state towards children’s vaccination at the COVID-19 pandemic background

Sureshkumar Ajitha Aaromal, E. Novikova, Suprasannan Abhiramy, Krishna Maniyan Girija Manu, A. S. Vanyarkinа, E. Moskaleva, E. D. Kazantseva, A. Petrova, L. V. Rychkova
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Abstract

Background. Vaccination coverage of children in India is not sufficient since the COVID-19 pandemic (less than 90 %). This may lead to low adherence of parents to children’s vaccination.The aim. To study parental attitudes and awareness towards children vaccination programs in India at the COVID-19 pandemic background.Methods. Two hundred and fourteen participants from Kerala state (India) took part in the descriptive cross-sectional study via survey method. The survey was prepared with Google form according the principles of anonymity.Results. Indian parents demonstrated good adherence towards children’s vaccination, 98.6 % (95% confidence interval (CI): 95.9–99.5) of them vaccinated their child, and if vaccination appointment had to be rescheduled 84.6 % (95% CI: 79.1–88.8) of  them vaccinated children after. Most of Indians (68.7  %; 95%  CI: 62.1–74.5) preferred to vaccinate children in state clinics, however, 28.5 % (95% CI: 22.8–34.8) chose private clinics. Information about diseases that vaccines can prevent, vaccine safety, and side effects 47.2 % (95% CI: 40.6–53.8) of parents got from public pediatricians, 50.9 % (95% CI: 44.2–57.5) – from private pediatricians, and 10.3 % (95% CI: 6.8–15.0) – from complementary and alternative medicine practitioners. Over 80 % of Indians were informed about vaccination through mass media (83.6%; 95% CI: 78.1–87.9). Indian parents showed low awareness about vaccination, because 63.1 % (95% CI: 56.4–69.2) of parents wanted to know more about vaccination. Moreover, before vaccination 21.5 % (95% CI: 16.5–27.4) of them were not informed by a doctor about health benefits and possible risks for their children.Conclusion. In the COVID-19 pandemic Indian parents showed good attitude towards vaccination and low awareness in vaccination questions.
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印度喀拉拉邦家长在 COVID-19 大流行背景下对儿童疫苗接种的态度和认识
背景。自 COVID-19 大流行以来,印度儿童的疫苗接种覆盖率不足(低于 90%)。这可能会导致家长对儿童疫苗接种的依从性较低。研究在 COVID-19 大流行背景下印度家长对儿童疫苗接种计划的态度和认识。来自印度喀拉拉邦的 214 名参与者通过调查方法参与了这项描述性横断面研究。根据匿名原则,调查采用谷歌表格。印度家长对儿童疫苗接种的依从性较好,98.6%(95% 置信区间:95.9-99.5)的家长为子女接种了疫苗,如果疫苗接种预约需要重新安排,84.6%(95% 置信区间:79.1-88.8)的家长在重新预约后为子女接种了疫苗。大多数印第安人(68.7%;95% CI:62.1-74.5)选择在国立诊所为孩子接种疫苗,但也有 28.5%(95% CI:22.8-34.8)的印第安人选择在私人诊所接种疫苗。关于疫苗可预防的疾病、疫苗安全性和副作用的信息,47.2%(95% CI:40.6-53.8)的家长从公立儿科医生处获得,50.9%(95% CI:44.2-57.5)的家长从私立儿科医生处获得,10.3%(95% CI:6.8-15.0)的家长从补充和替代医学从业者处获得。超过 80% 的印度人通过大众媒体了解疫苗接种(83.6%;95% CI:78.1-87.9)。印度家长对疫苗接种的认知度较低,因为 63.1%(95% CI:56.4-69.2)的家长希望了解更多有关疫苗接种的信息。此外,在接种疫苗前,21.5%(95% CI:16.5-27.4)的家长没有从医生那里了解过对孩子健康的益处和可能存在的风险。在 COVID-19 大流行中,印度家长对疫苗接种的态度良好,但对疫苗接种问题的认识不足。
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