[Trust in vaccination and its influencing factors among parents of children aged 0-6 years].

Objective: To analyze the trust in vaccination and its influencing factors in parents of children aged 0-6 years. Methods: In June 2021, a cross-sectional survey was conducted to collect the basic information of parents of children aged 0-6 years, including their trust in vaccination and their attitudes towards vaccination. The χ2 test was used to compare the difference between different groups, and logistic regression was used to analyze the influencing factors. Results: A total of 10 916 parents of children aged 0-6 years were investigated in this study, and their trust in vaccine was 67.20%, of which safety (55.80%) was the key factor limiting the trust in vaccination. 37.94% (4 142/10 916) of the parents were willing to vaccinate more than two kinds of vaccines at the same time, and 85.07% (9 286/10 916) of the parents feared that abnormal reactions would occur after vaccination. The parents' age, education level and annual family income were the promoting factors of their trust in vaccination (P<0.05). Obtaining vaccine knowledge through vaccination APP or official account (OR=1.330, 95%CI: 1.188-1.489) and popular science leaflets distributed by vaccination clinics (OR=1.120, 95%CI: 1.020-1.228) were the promoting factors of parents' trust in vaccination. Young children and parents, high family income and education level were the promoting factors for parents to be willing to vaccinate at the same time (P<0.05), and young children and parents, low family income and education level were the inducing factors for fear of abnormal reaction after vaccination (P<0.05). Parents of children in the central region had a high acceptance of simultaneous vaccination for children, while parents of children in the western region had a low degree of concern about abnormal reactions after vaccination (P<0.05). Parents of children who read books and got vaccine knowledge online (OR=1.257, 95%CI: 1.153-1.371), urban residents (OR=1.173, 95%CI: 1.062-1.295) and with jobs (OR=1.109, 95%CI: 1.015-1.212) were more willing to vaccinate at the same time. The choice of imported vaccine was a promoting factor for parents to worry about abnormal reactions after vaccination (P<0.05). Conclusion: There is room for parents of children aged 0-6 years to further improve their trust in vaccination. At this stage, it is necessary to innovate the way of health education and health promotion, and pay attention to the publicity of vaccine safety knowledge, so as to improve parents' trust in vaccination.目的： 分析0~6岁儿童家长对疫苗信任度及其影响因素。 方法： 于2021年6月通过线上自填式问卷，开展我国0~6岁儿童家长的基本情况、疫苗的信任度及接种态度的横断面调查，采用χ2检验比较儿童家长对疫苗信任度、同时接种态度以及接种疫苗后发生异常反应态度不同组间的差异，并采用logistic回归分析其影响因素。 结果： 本研究共调查了10 916名0~6岁儿童家长，其对疫苗的信任度为67.20%，其中安全性（55.80%）是限制疫苗信任度的关键因素。37.94%（4 142/10 916）的儿童家长愿意同时接种两种以上疫苗，85.07%（9 286/10 916）的儿童家长担心接种疫苗后会发生异常反应。家长年龄大、文化程度和家庭年收入高是儿童家长对疫苗信任的促进因素（P<0.05）；通过接种APP或公众号（OR=1.330，95%CI：1.188~1.489）以及接种门诊派发的科普传单（OR=1.120，95%CI：1.020~1.228）获得疫苗知识是儿童家长疫苗信任度的促进因素。儿童年龄小和家长年轻、家庭年收入和文化程度高是儿童家长愿意同时接种的促进因素（P<0.05），儿童年龄小和家长年轻、家庭年收入和文化程度低是担心接种疫苗后发生异常反应的诱发因素（P<0.05）；中部地区儿童家长为儿童同时接种的接受度高，西部地区儿童家长担心接种疫苗后发生异常反应的程度低（P<0.05）；自己看书上网获取疫苗知识（OR=1.257，95%CI：1.153~1.371）、城市居民（OR=1.173，95%CI：1.062~1.295）、有工作（OR=1.109，95%CI：1.015~1.212）的儿童家长同时接种的意愿更高；选择接种进口疫苗是儿童家长担心接种疫苗后发生异常反应的促进因素（P<0.05）。 结论： 0~6岁儿童家长对疫苗的信任度有进一步提升的空间，现阶段创新健康教育和健康促进的方式，重视疫苗安全性知识的宣传，对提高儿童家长疫苗信任度十分必要。.