Abstract

Background

Child care employee vaccination policies can protect children and adults from vaccine-preventable diseases (VPDs) in child care programs. We aimed to understand the prevalence and characteristics of employee immunization policies at child care facilities and support among child care administrators for statewide employee vaccination regulations.

Methods

A postal mail survey was distributed to a cross-sectional sample of 300 center-based and 300 home-based child care programs in Colorado. Programs were asked to report whether they had any type of policy requiring employee immunizations and if they would support statewide regulations mandating employee immunizations for influenza, pertussis, and measles.

Results

The response rate was 48% (288/600). About 55% of child care programs reported having an employee immunization policy. Child care centers (73%) were more likely than home-based child care programs (30%, P < .001) to report having a policy. Overall, 62% of respondents reported that they would support one or more statewide regulations requiring child care employees to be vaccinated. Home-based programs (71%) were more likely than center-based programs (53%, P = .001) to support one or more statewide child care employee immunization regulations.

Conclusions

Our findings demonstrate the variability of employee immunization policies at child care programs across Colorado. These results may be used to inform strategies to increase employee immunization uptake and reduce the incidence of VPDs, including developing comprehensive employee immunization policies at the facility and state level. Future research is needed to understand vaccination knowledge, attitudes, and behaviors among child care employees including their perspectives on employee vaccination policies and regulations.

中文翻译：

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对科罗拉多州儿童保育机构员工免疫政策的检查

 抽象的

 背景

儿童保育员工疫苗接种政策可以保护儿童和成人在儿童保育计划中免受疫苗可预防疾病 (VPD) 的侵害。我们的目的是了解托儿所员工免疫接种政策的普遍性和特点，以及托儿所管理者对全州员工疫苗接种法规的支持。

 方法

我们向科罗拉多州 300 个中心和 300 个家庭儿童保育项目的横截面样本分发了一份邮寄调查。项目被要求报告他们是否有任何类型的政策要求员工免疫接种，以及他们是否支持全州范围内要求员工接种流感、百日咳和麻疹疫苗的法规。

 结果

回应率为 48% (288/600)。大约 55% 的儿童保育计划报告制定了员工免疫政策。儿童保育中心 (73%) 比家庭儿童保育计划 (30%, P < .001) 更有可能报告制定了政策。总体而言，62% 的受访者表示他们支持一项或多项要求儿童保育员工接种疫苗的全州法规。以家庭为基础的计划 (71%) 比以中心为基础的计划 (53%, P = .001) 更有可能支持一项或多项全州儿童保育员工免疫法规。

 结论

我们的研究结果表明科罗拉多州儿童保育项目的员工免疫政策存在差异。这些结果可用于为提高员工免疫接种率和减少 VPD 发生率的策略提供信息，包括在设施和州一级制定全面的员工免疫政策。未来的研究需要了解托儿所员工的疫苗接种知识、态度和行为，包括他们对员工疫苗接种政策和法规的看法。