Vaccine preventable diseases and immunisations: a qualitative study of mothers' perceptions of severity, susceptibility, benefits and barriers
Vaccine preventable diseases and immunisations: a qualitative study of mothers' perceptions of severity, susceptibility, benefits and barriers
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DOI：
10.1111/j.1467-842x.1998.tb01411.x
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发表时间：
1998-06-01
影响因子：
3.5
通讯作者：
Carlin, J
中科院分区：
文献类型：
--
作者：
Bond, L;Nolan, T;Carlin, J
这项研究调查了母亲对疫苗可预防疾病和相关疫苗的看法，包括易感性、严重性、益处和障碍。有目的的抽样策略被用来选择母亲的唯一或最小的孩子是完全，不完全（落后于推荐的免疫接种计划）或部分（父母选择或建议不进行特定的免疫接种）免疫或没有免疫接种。半结构化访谈发现，完全免疫接种者认为疫苗的风险低于疾病的风险，并且感染这些疾病的可能性很低。不完全免疫者认为疫苗在预防疾病方面效果较差，并且经常混淆疫苗可以预防哪种疾病。非免疫接种者更关心的是疫苗未知的长期副作用，而不是疾病。许多接种疫苗的母亲认为，预防疾病并不总是可能的，例如麻疹、腮腺炎和风疹。这并不总是必要的，也不总是可取的。疫苗被认为是对免疫系统的压力，而不是加强它。重要的主题有关的免疫决定的障碍是缺乏“平衡”，详细的信息和医疗服务提供者和父母之间的沟通不畅。及时、适龄免疫接种的主要障碍是目标儿童或家庭出现轻微疾病。这项研究发现，许多母亲正在平衡接种疫苗的风险与不接种疫苗的风险，这必须考虑到，沿着获得免疫接种的困难等因素。
This study investigated mothers' perceptions of vaccine-preventable diseases and associated vaccines in terms of perceived susceptibility, severity, benefits and barriers. A purposive sampling strategy was used to choose mothers whose only or youngest child was completely, incompletely (behind the recommended immunisation schedule) or partially (parents chose or advised not to have a specific immunisation) immunised or had no immunisations. Semi-structured interviews found that complete immunisers believed the risk of vaccines was lower than the risk from disease and that the likelihood of contracting many of these diseases was low. Incomplete immunisers perceived vaccines to be less effective in preventing disease and were often confused about which disease the vaccines would protect against. Non-immunisers were more concerned about unknown, long-term side effects of vaccines than the diseases. Many mothers who did immunise believed that preventing diseases was not always possible and for diseases such as measles, mumps and rubella. It was not always necessary nor desirable. Vaccines were perceived as placing stress on the immune system rather than strengthening it. Important themes relating to barriers to the decision to immunise were lack of 'balanced', detailed information and poor communication between health providers and parents. The major barrier to timely, age-appropriate immunisations was the occurrence of minor illnesses in the target child or the family. This study found that many mothers were balancing the risks of immunising with the risks of not immunising and this must be taken into account, along with factors such as difficulties in obtaining immunisations.