DOI: 10.21045/2071-5021-2017-58-6-5
Moskvicheva M.G., Popov E.A., Zlakomanova O.N.
South Ural State Medical University, Ministry of Health of the Russian Federation, Chelyabinsk
Contacts: Popov Yevgeniy, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Moskvicheva M.G., http://orcid.org/0000-0001-5009-8120
Popov E.A., http://orcid.org/0000-0003-1624-3878
Zlakomanova O.N., https://orcid.org/0000-0001-6554-6248
Acknowledgments. The study had no sponsorship.
Conflicts of interests. The authors declare no conflict of interest.
Abstract
This article presents results of the adult questionnaire on adherence
to immunization of children. A number of barriers to immunization have
been identified.
Significance. High level of social,
epidemiological and economic importance of infectious diseases makes
them the most significant characteristic of health and sanitary and
epidemiological well-being of the population. Despite the ongoing
preventive immunization, new cases of infectious diseases and associated
mortality are still being registered, including among children,
therefore, the epidemiological situation requires constant analysis and
incidence control, including through immunization in line with the
National Immunization Schedule.
At present, one of the factors reducing pediatric immunization
coverage, and, therefore, effectiveness of preventive immunization, is
trend towards increased numbers of refusals from immunizing children due
to publications in mass media and appearance of people on TV who are
strongly against immunization. .
In a megalopolis, with marked migration processes and high population
density, the risk of epidemic outbreaks of infectious diseases is
extremely high, which only stresses out significance of the problem to
improve parental adherence to immunization and reduce refusals from
preventive immunization of children.
Purpose. To analyze results of the questionnaire
survey of parents whose children attend kindergartens and schools in
the city of Chelyabinsk.
Materials and methods. A survey of respondents selected
by a blind continuous sampling was conducted. A total of 934 people
took part in the survey - parents (legal representatives) of children
visiting the Children's polyclinic in the city of Chelyabinsk.
Statistical data analysis was carried out using SPSS 19.0.
Results. The parental survey identified a number
of trends in the development of adherence to preventive immunization.
Younger respondents are less aware of the importance to immunize their
children. Women turned out to be least supportive to immunization out of
all respondents.
Respondents with higher education are more loyal to immunization,
have a better understanding of the need for their children to be
immunized and a better apprehension of immunization as a means to
prevent infectious diseases.
Conclusion. Directions to improve immunization
of children have been identified, including: working with target groups
of parents to raise their awareness of the need for immunization,
strengthening the status and gravitas of doctors as a reliable source of
information on immunization.
Keywords: preventive immunization; refusal from immunization; adherence to immunization; questionnaire survey.
References
-
Baybusinova A.Zh., Musakhanova A.K., Shalgumbaeva G.M. Otnoshenie,
bar'ery i problemy vaktsinoprofilaktiki v sovremennom mire: obzor
literatury. [Attitude, barriers and problems of vaccine prevention in
the modern world. Literature review]. Nauka i zdravookhranenie 2016; (3): 123-134. (In Russian).
-
Basov A.A., Pimenova A.S., Tsvirkun O.V., et al. Epidemicheskiy
protsess koklyusha v Rossiyskoy Federatsii v usloviyakh massovoy
spetsificheskoy profilaktiki [Whooping cough epidemic process in the
Russian Federation in conditions of mass special prevention]. Epidemiologiya i vaktsinoprofilaktika 2012; 65 (4): 23-28. (In Russian).
-
Briko N.I., Lobzin YU.V., Baranov A.A., et al. Otsenka effektivnosti
vaktsinatsii: osnovnyye podkhody i spornyye voprosy [Assessment of
vaccination efficiency: the main approaches and controversial issues]. Pediatricheskaya farmakologiya 2014; 4 (11): 8-15. (In Russian).
-
Immunoprofilaktika-2011 (spravochnik) [Immunoprophylaxis-2011.
Guidelines]. Tatochenko V.K., Ozeretskovskiy N.A., Fedorov A.M.,
editors. Moscow: Izdatel'stvo Soyuza pediatrov Rossii; 2011. 198 p. (In
Russian).
-
Kazantsev A.V., Narkaytis L.I. K voprosu o problemakh
immunoprofilaktiki v Saratovskoy oblasti [About the problems of
immunoprophylaxis in Saratov region]. Byulleten' meditsinskikh internet-konferentsiy 2014; 4 (5): 611. (In Russian).
-
Knyagina O.N., Sharabakina M.A., Tsvetkova N.A. Evropeyskaya nedelya
immunizatsii: itogi i problemy [European immunization week: outcomes and
challenges]. Meditsinskiy al'manakh 2012; (3): 161-165. (In Russian).
-
Konovalov I.V., Shamsheva O.V., El'shina G.A. Bezopasnost' i
immunologicheskaya effektivnost' sochetannoy immunizatsii detey v
vozraste 6-7 let vaktsinami Natsional'nogo kalendarya profilakticheskikh
privivok [Safety and immunological efficiency of combined immunization
of children aged 6-7 years using the vaccines of the National calendar
of preventive vaccinations]. Detskiye infektsii 2013; 12 (1): 14-17. (In Russian).
-
Kramar' L.V., Nevinskiy A.B. Rol' vracha pediatra v formirovanii
priverzhennosti roditeley k vaktsinatsii detey protiv grippa [The
pediatrician’s role in formation of parents’ decision to vaccinate
children against influenza]. Detskiye infektsii 2015; 14 (3): 64-67. (In Russian).
-
Litvak N., Shirokova I. Vaktsinoprofilaktika kak odna iz natsional'nykh
zadach [Vaccine prophylactics as one of the national objectives]. Remedium 2016; (4): 31-33. (In Russian).
-
Mamadzhanova G.S. Formirovaniye spetsificheskogo immuniteta k virusam
kori i krasnukhi u zdorovykh detey [Formation of specific immunity to
measles and rubella viruses in healthy children]. Zdravookhraneniye Tadzhikistana 2014; 321 (2): 68-72. (In Russian).
-
Manannikova A.D. Problema vaktsinatsii v Rossii [The vaccination problems in Russia]. Byulleten' meditsinskikh internet-konferentsiy 2016; 6 (1): 96. (In Russian).
-
Mats A.N., Cheprasova E.V. Antiprivivochnyy skepsis kak
sotsial'no-psikhologicheskiy fenomen [Anti-vaccination skepticism as a
socio-psychological phenomenon]. Epidemiologiya i vaktsinoprofilaktika 2014; 78 (5): 111-115. (In Russian).
-
Milevskaya E.V. Gal'kevich N.V. Sovremennyy vzglyad roditeley i
molodezhi na vaktsinatsiyu [A contemporary view of parents and young
people on vaccination]. In: Molodezh', nauka, meditsina, Materialy 61
Vserossiyskoy mezhvuzovskoy studencheskoy nauchnoy konferentsii s
mezhdunarodnym uchastiyem. Tver’: RIO Tverskogo GMU Minzdrava Rossii;
2015. p. 229-233. (In Russian).
-
Ozeretskovskiy N.A., Zatolochina K.E., Aleksina S.G. Natsional'nyy
kalendar' profilakticheskikh privivok – osnova sistemy
immunoprofilaktiki infektsionnykh bolezney [The national schedule of
preventive vaccinations is a basis for immunoprophylaxis of infection
diseases]. Epidemiologiya i vaktsinoprofilaktika 2013; 71 (4): 82-88. (In Russian).
-
Onishchenko G.G., Ezhova E.B., Mel'nikova A.A. Aktual'nye problemy
vaktsinoprofilaktiki v Rossiyskoy Federatsii [Actual problems of vaccine
prevention in the Russian Federation]. Zhurnal mikrobiologii, epidemiologii i immunobiologii 2014; (1): 9-19. (In Russian).
-
Organizatsiya i provedeniye serologicheskogo monitoringa sostoyaniya
kollektivnogo immuniteta k infektsiyam, upravlyayemym sredstvami
spetsificheskoy profilaktiki (difteriya, stolbnyak, koklyush, kor',
krasnukha, epidemicheskiy parotit, poliomiyelit, gepatit B):
metodicheskiye ukazaniya [Organization and carrying out of serological
monitoring of population immunity to infections managed by the means of
special prevention (diphtheria, tetanus, whooping cough, measles,
rubella, mumps, poliomyelitis, and hepatitis B. Guidelines] : MU
3.1.2943-11. Moscow. 2011. 18 p. (In Russian).
-
Otrashevskaya E. V. Sostoyaniye spetsificheskogo gumoral'nogo
immuniteta posle odnokratnoy immunizatsii parotitnoy vaktsinoy: dannyye
3-letnego nablyudeniya [The state of specific humoral immunity after a
single immunization with mumps vaccines. A 3-year analysis]. Voprosy virusologii 2011; 56 (3): 45-48. (In Russian).
-
Sazanova G.YU., Levitan A.I. Problemy profilaktiki infektsionnykh
zabolevaniy sredi naseleniya Saratovskoy oblasti [Problems of infection
disease prevention among the population of Saratov region]. Byulleten' meditsinskikh Internet-konferentsiy 2013; 3 (10):1125. (In Russian).
-
Solondayev V.K., Koneva Ye.V., Chernaya N.L. Psikhologicheskiye faktory
prinyatiya resheniya o vaktsinatsii [Psychological factors in making
the decision about vaccination]. Sibirskiy psikhologicheskiy zhurnal 2016; (59): 125-136. (In Russian).
-
Timchenko V.N., Levanovich V.V., Aleksandrova E.A., et al.
Profilakticheskiye privivki detyam: detskiye vrachi i roditeli - «Za»!
Kto - «Protiv»? [Preventive vaccination for children. Children’s doctors
and parents say “Yes”. Who is against?]. St. Petersburg: SpetsLit;
2014. (In Russian).
-
Chuprinina R. P., Alekseeva I. A. K voprosu o preimushchestvakh i
nedostatkakh tsel'nokletochnykh i beskletochnykh koklyushnykh vaktsin
[About advantage and disadvantage of whole-cell and cell-free pertussis
vaccines]. Epidemiologiya i vaktsinoprofilaktika 2012; (2): 62-69. (In Russian).
-
Shamsheva O.V., Uchaykin V.F., Medunitsyn N.V. Klinicheskaya
vaktsinologiya [Clinical vaccinology]. Moscow: GEOTAR-Media; 2016. (In
Russian).
Views: 8781
|