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

Meng Wang, Mengying Li, Xinghui Li, Xiaoli Chen, Feng Jiang, Kezhong A, Zhiguo Wang, Liping Zhang, Yihan Lu, Wenjia Peng, Weibing Wang, Chaowei Fu () and Ying Wang ()
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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

IJERPH, 2022, vol. 19, issue 23, 1-12

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.

Keywords: pertussis; vaccination; intention; pertussis cocooning vaccination (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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