The Factors That Promote Vaccine Hesitancy, Rejection, or Delay in Parents
The Factors That Promote Vaccine Hesitancy, Rejection, or Delay in Parents
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DOI：
10.1177/1049732320933863
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发表时间：
2020-06-29
影响因子：
3.2
通讯作者：
Ahmad, Mobeen
中科院分区：
文献类型：
--
作者：
Majid, Umair;Ahmad, Mobeen
疫苗是减少疾病负担和死亡率的最具成本效益的公共卫生干预措施。然而，近年来，随着越来越多的父母选择不给孩子接种疫苗，卫生系统面临着越来越大的挑战。这一决定对全世界社区的健康具有重要意义，尽管有大量的研究加强了疫苗的有效性和安全性，但围绕可能鼓励父母对疫苗犹豫不决的因素仍存在不确定性。在对34项定性研究的解释性综述中，我们研究了支持疫苗犹豫、排斥和延迟的因素，并确定了这些因素之间的重叠和关系。我们使用齿轮系的比喻来描述我们的研究结果，每个齿轮代表七个因素之一：以前的经验;“自然”和“有机”生活;其他父母的看法;与医疗保健提供者互动的经验;信息来源，挑战和偏好;对卫生系统参与者的不信任;和强制性疫苗政策。
Vaccines are some of the most cost-effective public health interventions for reducing disease burden and mortality. However, in recent years, health systems have faced a growing challenge with increasing number of parents who choose not to vaccinate their children. This decision has important implications for the health of communities worldwide, and despite a considerable amount of research that reinforces vaccine effectiveness and safety, there is uncertainty surrounding the factors that may encourage vaccine hesitancy in parents. In this interpretive review of 34 qualitative studies, we examine the factors that bolster vaccine hesitancy, rejection, and delay, and identify the overlaps and relationships between these factors. We depict our findings using the metaphor of a gear train where each gear represents one of seven factors: previous experiences; "natural" and "organic" living; perceptions of other parents; experiences interacting with health care providers; information sources, challenges, and preferences; distrust in health system players; and mandatory vaccine policies.