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Delays in the vaccination of infants between 2 and 18 months of age: associated factors in Chile
Indexado
WoS WOS:001075585700001
Scopus SCOPUS_ID:85172823769
DOI 10.1186/S12889-023-16769-3
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Introduction: Infant vaccination has significantly reduced the morbidity and mortality of transmittable diseases worldwide. Its coverage is high (85%); however, partial or suboptimal vaccination has been an important public health problem. This study aimed (1) to design and explore the psychometric features of a questionnaire to determine the reasons for this partial or suboptimal vaccination; and 2) to determine the factors associated with delaying Diphtheria, Tetanus, Poliomyelitis (DTaP) vaccination. Material and methods: This study contained two parts. In Part One, a questionnaire was created by the research team and then validated by a committee of experts in the field and a group of parents. It included the following contents: sociodemographic variables, features of the vaccination services, history of vaccination, and attitudes and perceptions about vaccination. Part Two was a cross-sectional study, recruiting private and public healthcare centers to explore the psychometrics features of the instrument, performing exploratory factor analysis, and determining the associated factors with DTaP vaccination delay throughout multivariable regression models. Results: Initially, six experts validated the questionnaire. For instance, on a scale of 1 to 5, the general evaluation of the questionnaire was ≥ 4 for all the experts. Additionally, five experts considered that most of the questions were easy to understand, and all thought the questionnaire had a clear and logical organization. The resulting questionnaire included the “Trust and positive attitude towards vaccination” scale, which had a good structure of items and internal consistency (α = 0.7918). Six healthcare centers were recruited in the second part of the study, and 715 people answered the questionnaire. Not being the mother who brings the child to the health center, having more than one child, and having a history of previous vaccination delays increased the risk of delaying vaccination. Attending the healthcare center for a reason other than only vaccination, obtaining information about vaccines from the Internet, and having higher trust and positive attitudes to vaccination reduced the risk of delay. Conclusions: First study during the pandemic to explore the role of different factors on the risk of DTaP vaccination delay in Latin America. The findings highlighted the importance of trust in the vaccination system. The instrument presented in this article may help the scientific community evaluate future interventions to increase trust and positive attitudes toward the vaccination process.

Revista



Revista ISSN
Bmc Public Health 1471-2458

Métricas Externas



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Disciplinas de Investigación



WOS
Public, Environmental & Occupational Health
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Leal, Paula - Universidad de Los Andes, Chile - Chile
2 GAETE-OLIVARES, JORGE EDUARDO Hombre Universidad de Los Andes, Chile - Chile
Millennium Science Initiative Program - Chile
Núcleo Milenio para Mejorar la Salud Mental de Adolescentes y Jóvenes - Chile
3 González, Cecilia - Ministerio de Salud de Chile - Chile
Ministerio de Salud - Chile
4 Burgos, Pamela Mujer Ministerio de Salud de Chile - Chile
Ministerio de Salud - Chile

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Financiamiento



Fuente
Pan American Health Organization
Clinica Santa Maria
Agencia Nacional de Investigación y Desarrollo
ANID - Millennium Science Initiative Program
Nurse Maira Acevedo Pinto
Chair of Center for Pediatric Management, Clínica Indisa

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
This research was funded by Pan American Health Organization [CON20-00014787], and by ANID – Millennium Science Initiative Program [NCS2021_081].
This research was funded by Pan American Health Organization [CON20-00014787], and by ANID - Millennium Science Initiative Program [NCS2021_081].

Muestra la fuente de financiamiento declarada en la publicación.