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Outline
To explore the influencing factors and pathways of 13-valent pneumococcal conjugate vaccine (PCV13) vaccination intention among parents of eligible children in China.
A multi-stage stratified random sampling method was used to conduct an electronic questionnaire survey among parents of age-eligible children in China. Based on the Behavioral and Social Drivers(BeSD)framework, descriptive statistics, univariate χ2 test, Wilcoxon rank-sum test, analysis of variance, multivariable logistic regression, and partial least squares structural equation modeling(PLS-SEM) were applied to analyze vaccination intention, its determinants, and the pathways through which these determinants influence vaccination intention.
The PCV13 vaccination intention rate among parents was 64.0%. Notably, 29.8% of parents believed vaccination could impair immune function, and 51.4% perceived the newer PCV13 as riskier than PCV7. Binary Logistic regression and PLS-SEM identified the following promoting factors: single-child families, prior influenza vaccination in the past three years, higher parental knowledge and education, stronger perceived disease susceptibility and severity, social recommendations (from healthcare providers or peers), and greater perceived benefits of vaccination and sense of responsibility. PLS-SEM showed that perceived benefits and parental responsibility exhibited the strongest direct effects on vaccination intention.
Parental distrust in vaccine safety persists. Perceived benefits and responsibility are the most critical drivers of vaccination intention, while external social influences (e.g., peer behavior) outweigh internal factors (e.g., education level) in shaping decision-making.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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