Factors influencing African-American mothers' concerns about immunization safety: a summary of focus group findings.
Factors influencing African-American mothers' concerns about immunization safety: a summary of focus group findings.
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影响非裔美国母亲对免疫安全担忧的因素：焦点小组研究结果摘要。
DOI：
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发表时间：
2005
影响因子：
3.3
通讯作者：
D. Gust
中科院分区：
文献类型：
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作者：
I. Shui;A. Kennedy;K. Wooten;B. Schwartz;D. Gust
目标
研究非裔美国母亲对疫苗安全性的担忧，尽管存在担忧，她们还是让孩子接种了疫苗。
方法
对亚特兰大地区非裔美国母亲进行了六个焦点小组，她们非常关心疫苗安全，但她们的孩子已经完全接种了疫苗。
结果
影响参与者对免疫接种担忧的主要因素包括：缺乏信息以及对医学界和政府的不信任。尽管有担忧，说服父母让孩子接种疫苗的因素包括支持免疫接种的社会规范和/或法律以及对不接种疫苗后果的恐惧。为减少担忧而提出的建议包括改进可解决他们担忧的可用信息以及提供者与患者的沟通。
结论
解决母亲对免疫接种的担忧非常重要，无论是从道德角度来看，确保她们充分了解免疫接种的风险和益处，还是从实际角度来看，减少她们决定不给孩子接种疫苗的可能性。应改变儿童免疫程序，以减少家长对疫苗安全性的担忧。可以考虑的一些改变包括改善提供者有关免疫接种的沟通以及有关疫苗的必要性和安全性的额外定制信息。
OBJECTIVE
To examine the vaccine safety concerns of African-American mothers who, despite concerns, have their children immunized.
METHODS
Six focus groups of Atlanta-area African-American mothers who were very concerned about vaccine safety but whose children were fully vaccinated were conducted.
RESULTS
Major factors influencing participants' concerns about immunizations included: lack of information and mistrust of the medical community and government. Factors that convinced parents to have their child immunized despite their concerns included social norms and/or laws supporting immunization and fear of the consequences of not immunizing. Suggestions given to reduce concerns included improving available information that addressed their concerns and provider-patient communication.
CONCLUSIONS
Addressing mothers' concerns about immunization is important both from an ethical perspective, in assuring that they are fully informed of the risks and benefits of immunizations, as well as from a practical one, in reducing the possibility that they will decide not to immunize their child. Changes in the childhood immunization process should be made to reduce parental concern about vaccine safety. Some changes that may be considered include improved provider communication about immunizations and additional tailored information about the necessity and safety of vaccines.