Perceptions of childhood immunization in a minority community: qualitative study
Perceptions of childhood immunization in a minority community: qualitative study
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DOI：
10.1258/jrsm.2008.070363
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发表时间：
2008-05-01
影响因子：
17.3
通讯作者：
Thorogood, Nicki
中科院分区：
文献类型：
--
作者：
Henderson, Lesley;Millett, Christopher;Thorogood, Nicki
目的探讨低摄取的原因。正统犹太人家庭中的免疫接种。设计与25名正统犹太母亲和10名当地卫生保健工作者的定性访谈。设置在北东伦敦的正统犹太人社区。主要结果措施识别正统犹太人社区中对免疫接种的看法。结果在一个被认为相对隔离于直接媒体影响的社区中，然而，口耳相传是有关疫苗接种不当的谣言的一个有力来源。这些问题的根源可能在于媒体的恐慌，这导致了对MMR的焦虑。与此同时，密切的社区凝聚力使人们对结核病有一种相对安全的感觉，因此卡介苗的摄取率较低。因此，对不同免疫接种的低吸收来自于安全感和危险感的增强。研究发现，低吸收率并不是由于与大家庭相关的实际困难，也不是由于医疗保健提供者的文化习俗被认为不敏感。结论该社区成员的观点和做法并不同质，可能会随着时间的推移而发生变化。重要的是，关于宗教信仰作用的假设不应成为提供有关免疫接种的明确信息的障碍，明确利用其社交网络传播有关免疫接种的更积极信息可能会挑战社区规范。这项研究提供了一个有用的例子，说明社交网络如何可能加强或挑战有关健康和风险的错误信息，以及有关儿童健康的决策的复杂性。
Objective To assess reasons for low uptake. of immunization amongst orthodox Jewish families.Design Qualitative interviews with 25 orthodox Jewish mothers and 10 local health care workers.Setting The orthodox Jewish community in North East London.Main outcome measures Identification of views on immunization in the orthodox Jewish community.Results In a community assumed to be relatively insulated from direct media influence, word of mouth is nevertheless a potent source of rumours about vaccination clangers. The origins of these may lie in media scares that contribute to anxieties about MMR. At the same time, close community cohesion leads to a sense of relative safety in relation to tuberculosis, with consequent low rates of BCG uptake. Thus low uptake of different immunizations arises from enhanced feelings of both safety and danger. Low uptake was not found to be due to the practical difficulties associated with large families, or to perceived insensitive Cultural practices of health care providers.Conclusions The views and practices of members of this community are not homogeneous and may change over time. It is important that assumptions concerning the role of religious beliefs do not act as an obstacle for providing clear messages concerning immunization, and community norms may be challenged by explicitly using its social networks to communicate more positive messages about immunization. The study provides a useful example of how social networks may reinforce or challenge misinformation about health and risk and the complex nature of decision making about children's health.