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Background <p>As China expands its national immunization program, it is essential to understand parents’ beliefs about pediatric vaccination programs and the translation into actual vaccination decision-making for their children. This study aims to characterize parents pediatric vaccination program preferences and assess the association between parents’ reported vaccination preferences and their children’s vaccination status.</p> Methods <p>In a prospective cohort study in Shanghai, China, we linked parents’ survey responses about their preferences for pediatric vaccine programs when the child was ≤ 3 months in 2017 to their children’s immunization records in 2020. We classified parents by their vaccination program preferences through a latent class analysis (LCA). Logistic regression analysis was used to explore the association between immunization patterns and respondents’ LCA results.</p> Results <p>The 469 parents were split into four classes: governmental clinic advocates (20%), careful deciders (45%), convenience-focused (19%), and prefer less co-administration (16%). Among the children 66% received combination vaccines, 91% had received at least one imported vaccine, and the average number of office visits by the age of six months was 7.</p> Conclusions <p>There were no associations between parents’ reported preference categories and children’s vaccination patterns. The high acceptance of combination vaccines and tolerance of co-administration gives parents choices for vaccination and impart increased confidence in including new vaccines in the vaccination program.</p>

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Longitudinal association between parents’ reported vaccination program preferences and children’s actual immunization patterns in Shanghai, China

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月14日

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  • Zhuoying Huang,
  • Mengdi Ji,
  • Matthew L. Boulton,
  • Jia Ren,
  • Xiaodong Sun,
  • Abram L. Wagner

摘要

Background

As China expands its national immunization program, it is essential to understand parents’ beliefs about pediatric vaccination programs and the translation into actual vaccination decision-making for their children. This study aims to characterize parents pediatric vaccination program preferences and assess the association between parents’ reported vaccination preferences and their children’s vaccination status.

Methods

In a prospective cohort study in Shanghai, China, we linked parents’ survey responses about their preferences for pediatric vaccine programs when the child was ≤ 3 months in 2017 to their children’s immunization records in 2020. We classified parents by their vaccination program preferences through a latent class analysis (LCA). Logistic regression analysis was used to explore the association between immunization patterns and respondents’ LCA results.

Results

The 469 parents were split into four classes: governmental clinic advocates (20%), careful deciders (45%), convenience-focused (19%), and prefer less co-administration (16%). Among the children 66% received combination vaccines, 91% had received at least one imported vaccine, and the average number of office visits by the age of six months was 7.

Conclusions

There were no associations between parents’ reported preference categories and children’s vaccination patterns. The high acceptance of combination vaccines and tolerance of co-administration gives parents choices for vaccination and impart increased confidence in including new vaccines in the vaccination program.