农村初级保健临床医生接种小儿 COVID-19 疫苗的经验、做法和态度。

IF 3 3区 医学 Q1 PEDIATRICS Academic Pediatrics Pub Date : 2024-09-13 DOI:10.1016/j.acap.2024.09.002
David M Higgins, Amanda M Skenadore, Cathryn Perreira, Anna Furniss, Sarah E Brewer, Jessica R Cataldi, Andrea L Nederveld, Laura D Scherer, Rachel Severson, Heather Roth, Sean T O'Leary
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引用次数: 0

摘要

目标:农村地区小儿 COVID-19 疫苗接种率仍然很低。临床医生的强烈推荐可提高疫苗接种率,但农村初级保健临床医生的儿科 COVID-19 疫苗推荐做法尚未见报道。我们的目标是描述科罗拉多州农村地区儿科临床医生的情况:1)与流感疫苗和入学所需疫苗相比,COVID-19 疫苗的推荐方法;2)个人态度:从 2023 年 7 月到 10 月,通过邮件和电子邮件向科罗拉多州免疫信息系统指定为农村县的儿科疫苗提供者的科罗拉多州农村地区临床医生发放了调查问卷:在 89 名调查对象中,37% 的临床医生强烈推荐为 6 个月至 5 岁儿童接种 COVID-19 疫苗,而流感疫苗的推荐比例为 79%(P=0.05),入学所需疫苗的推荐比例为 92%(P=0.04)。对于 6-11 岁和 12-17 岁的儿童,分别有 43% 和 44% 的临床医生强烈推荐接种 COVID-19 疫苗,而对于流感,则分别有 71% 和 70% 的临床医生强烈推荐接种 COVID-19 疫苗(P=0.05):与流感疫苗和入学所需疫苗相比,大多数科罗拉多州农村地区的临床医生并不强烈推荐接种小儿 COVID-19 疫苗。为提高小儿 COVID-19 疫苗的接种率,应加强临床医生对这些疫苗的推荐。
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Pediatric Coronavirus Disease 2019 Vaccine Experiences, Practices, and Attitudes in Rural Primary Care Clinicians.

Objective: Pediatric coronavirus disease 2019 (COVID-19) vaccination rates remain low in rural areas. A strong clinician recommendation improves vaccine uptake, but the pediatric COVID-19 vaccine recommendation practices of rural primary care clinicians have not been reported. Our objectives were to describe, among rural Colorado pediatric clinicians: 1) recommendation practices for COVID-19 vaccine compared to influenza and school-entry required vaccines, and 2) personal attitudes.

Methods: From July to October 2023, surveys were distributed to clinicians in rural Colorado identified as pediatric vaccine providers in counties designated as rural through the Colorado Immunization Information System using mail and email.

Results: Of 89 survey respondents, 37% of clinicians strongly recommended COVID-19 vaccines for children 6 months-5 years old, compared to 79% for influenza (P = 0.05) and 92% for school-entry required vaccines (P = 0.04). For children 6-11 and 12-17 years old, 43% and 44% of clinicians strongly recommended COVID-19 vaccines, respectively, compared to 71% and 70% for influenza (P < 0.01), and 91% for school-entry required vaccines (P < 0.01). Forty four percent of clinicians agreed that COVID-19 vaccines are important for pediatric patients. The most common clinician-perceived challenges to discussing pediatric COVID-19 vaccines included a lack of parent interest in more information (76% "somewhat" or "strongly" agree), lack of ability to change parents' minds (71%), and concerns that the vaccines are too political (40%).

Conclusions: Most rural Colorado clinicians do not strongly recommend pediatric COVID-19 vaccines compared to influenza and school-entry required vaccines. Efforts to improve pediatric COVID-19 vaccine uptake should aim to strengthen clinicians' recommendations of these vaccines.

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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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