ABSTRACT Fears persist despite compelling evidence refuting associations between vaccines and autism spectrum disorder (ASD). We compared vaccine hesitancy (VH) and beliefs about illness causes among parents of children in four groups: ASD, non-ASD developmental disorders, rheumatologic conditions, and the general pediatric population. VH was 19.9% overall; parents of children with ASD reported highest VH rates (29.5%) and more frequently attributed ASD to toxins in vaccines (28.9% vs. 15.7%, p = .004). The odds of VH were increased among parents who attributed their child’s condition to diet or eating habits (aOR 4.2; 95% CI: 1.6, 11.2) and toxins found in vaccines (aOR 20, 95% CI: 7.1, 55.9). Parents who attributed the condition to chance or bad luck were less likely to be vaccine hesitant (aOR 0.1; 95% CI: 0.03, 0.5).

中文翻译：

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疫苗的犹豫和疾病感知：将自闭症谱系障碍儿童的父母与其他父母群体进行比较

摘要尽管有令人信服的证据驳斥了疫苗与自闭症谱系障碍（ASD）之间的关联，但人们的恐惧依然存在。我们比较了四组儿童父母中的疫苗犹豫（VH）和对疾病原因的看法：ASD，非ASD发育障碍，风湿病和普通儿科人群。总体VH为19.9％；患有ASD的儿童的父母报告了最高的VH发生率（29.5％），并且更经常地将ASD归因于疫苗中的毒素（28.9％vs. 15.7％，p = .004）。父母将孩子的状况归因于饮食或饮食习惯（aOR 4.2； 95％CI：1.6、11.2）和疫苗中发现的毒素（aOR 20、95％CI：7.1、55.9）的父母中，VH的几率增加。将这种情况归因于偶然或厄运的父母不太可能对疫苗犹豫不决（aOR 0.1； 95％CI：0.03，0.5）。