DOI QR코드

DOI QR Code

Survey on the Effects of Educational Intervention in Parents' Perceptions and Decisions Regarding Influenza Vaccination for Their Children Aged 6-59 Months

6-59개월 미만 자녀를 가진 보호자에게 홍보물 교육 유무에 따른 인플루엔자 및 인플루엔자 백신접종에 관련한 인식도 조사

  • Kim, Yoon Mo (Department of Pediatrics, Korea Cancer Center Hospital) ;
  • Lim, Jung Sub (Department of Pediatrics, Korea Cancer Center Hospital) ;
  • Kim, Yun Kyung (Department of Pediatrics, Korea University Ansan Hospital) ;
  • Eun, Byung Wook (Department of Pediatrics, Nowon Eulji Medical Center) ;
  • Jo, Dae Sun (Department of Pediatrics, Chonbuk National University Hospital) ;
  • Kim, Dong Ho (Department of Pediatrics, Korea Cancer Center Hospital)
  • 김윤모 (원자력병원 소아청소년과) ;
  • 임중섭 (원자력병원 소아청소년과) ;
  • 김윤경 (고려대학교 안산병원 소아청소년과) ;
  • 은병욱 (을지대학교 서울병원 소아청소년과) ;
  • 조대선 (전북대학교병원 소아청소년과) ;
  • 김동호 (원자력병원 소아청소년과)
  • Received : 2019.06.19
  • Accepted : 2019.10.30
  • Published : 2020.04.25

Abstract

Purpose: To compare differences and changes in the parents' awareness regarding influenza and influenza vaccination for their children according to educational intervention. Methods: This study involved 1,034 parents with children aged 6-59 months, who lived in five areas in northern Seoul and Gyeonggi Province in 2015; the study was conducted using the questionnaire survey method. Survey items included awareness regarding influenza and influenza vaccination for children and future intentions of influenza vaccination and the underlying reasons. The participants were divided into 3 groups and differences according to education (group A: no education, group B: provided education) and the changes before and after education (group C) were analyzed. Results: Differences according to education between groups A and B were seen in the recognition of high-risk of influenza in their children, effectiveness of influenza vaccination, and cost of the influenza vaccine. Changes before and after education in group C were seen in the recognition of high-risk of influenza in their children, safety of influenza vaccination, cost of the influenza vaccine, and negativity toward the influenza vaccine. Conclusions: Educated parents were more aware regarding influenza and influenza vaccination for their children aged 6-59 months.

목적: 부모의 소아 자녀에 대한 인플루엔자 및 인플루엔자 백신 관련한 인식도 차이 및 변화를 홍보물 교육 유무에 따라 비교 분석하였다. 방법: 2015년 서울, 경기 북부 5개 지역 거주자 중 생후 6개월부터 59개월까지의 자녀가 있는 보호자 1,034명을 대상으로, 설문지 조사를 시행하였다. 설문내용은 인플루엔자 및 인플루엔자 백신에 대한 인식 및 변화 및 인플루엔자 예방접종 의향 및 이유 등을 포함하였다. 부모는 3군으로 나누어 교육 유무(A군: 교육받지 않음, B군: 교육받음)에 따른 인식도 차이와 교육 전후(C군)의 인식도 변화를 분석하였다. 결과: A군과 B군 간 교육에 따른 인식도 차이 중 의미 있는 항목은 '자녀가 고위험군임을 인식함', '독감 예방접종은 효과적', '독감 예방접종은 비쌈' 등이었다. C군에서 교육 전후에 따른 인식도 변화 중 의미 있는 항목은 '자녀가 고위험군임을 인식함', '독감 예방접종은 안전함', '독감 예방접종은 비쌈', '독감 예방접종을 부정적으로 인식함' 등이었다. 결론: 인플루엔자와 인플루엔자 예방접종에 대한 부모의 인식은 홍보물 교육 이후 긍정적인 효과를 보였다.

Keywords

References

  1. Jefferson T, Rivetti A, Di Pietrantonj C, Demicheli V. Vaccines for preventing influenza in healthy children. Cochrane Database Syst Rev 2018:CD004879.
  2. Szilagyi PG, Fairbrother G, Griffin MR, Hornung RW, Donauer S, Morrow A, et al. Influenza vaccine effectiveness among children 6 to 59 months of age during 2 influenza seasons: a case-cohort study. Arch Pediatr Adolesc Med 2008;162:943-51. https://doi.org/10.1001/archpedi.162.10.943
  3. Mauskopf J, Klesse M, Lee S, Herrera-Taracena G. The burden of influenza complications in different high-risk groups: a targeted literature review. J Med Econ 2013;16:264-77. https://doi.org/10.3111/13696998.2012.752376
  4. Ki HO, Kim IH, Cho EH, Kang MG, Chu H, Lee JY. Korean influenza sentinel surveillance report, 2014-2015. Public Health Wkly Rep 2015;8:1096-106.
  5. Marchetti M, Kuhnel UM, Colombo GL, Esposito S, Principi N. Cost-effectiveness of adjuvanted influenza vaccination of healthy children 6 to 60 months of age. Hum Vaccin 2007;3:14-22. https://doi.org/10.4161/hv.3.1.3657
  6. Ruf BR, Knuf M. The burden of seasonal and pandemic influenza in infants and children. Eur J Pediatr 2014;173:265-76. https://doi.org/10.1007/s00431-013-2023-6
  7. Korean Statistical Information Service (KOSIS). Trends in the prevention of influenza in children and adolescent [Internet]. Daejeon: KOSIS; 2019 [cited 2019 Sep 5]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N084.
  8. Malosh R, Ohmit SE, Petrie JG, Thompson MG, Aiello AE, Monto AS. Factors associated with influenza vaccine receipt in community dwelling adults and their children. Vaccine 2014;32:1841-7. https://doi.org/10.1016/j.vaccine.2014.01.075
  9. Daley MF, Crane LA, Chandramouli V, Beaty BL, Barrow J, Allred N, et al. Misperceptions about influenza vaccination among parents of healthy young children. Clin Pediatr (Phila) 2007;46:408-17. https://doi.org/10.1177/0009922806298647
  10. Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q 1984;11:1-47. https://doi.org/10.1177/109019818401100101
  11. Hwang JH, Lim CH, Kim DH, Eun BW, Jo DS, Song YH, et al. A survey of parental perception and pattern of action in response to influenza-like illness in their children: including healthcare use and vaccination in Korea. J Korean Med Sci 2017;32:204-11. https://doi.org/10.3346/jkms.2017.32.2.204
  12. Ramprasad C, Zachariah R, Steinhoff M, Simon A. Parental attitudes towards influenza vaccination for children in South India. World J Pediatr 2017;13:84-90. https://doi.org/10.1007/s12519-016-0053-7
  13. Ewig CLY, Tang KM, Leung TF, You JHS. Influenza vaccine coverage and predictive factors associated with influenza vaccine uptake among pediatric patients. Am J Infect Control 2018;46:1278-83. https://doi.org/10.1016/j.ajic.2018.04.219
  14. Choi A, Kim DH, Kim YK, Eun BW, Jo DS. The impact of an educational intervention on parents' decisions to vaccinate their <60-month-old children against influenza. Korean J Pediatr 2017;60:254-60. https://doi.org/10.3345/kjp.2017.60.8.254