"It's Like 1998 Again": Why Parents Still Refuse and Delay Vaccines.

"It's Like 1998 Again": Why Parents Still Refuse and Delay Vaccines.
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DOI:
10.1177/2333794x211042331
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发表时间:
2021
影响因子:
2.2
通讯作者:
Opel DJ
Opel DJ
中科院分区:
其他
文献类型:
--
作者:
Ugale JL;Spielvogle H;Spina C;Perreira C;Katz B;Pahud B;Dempsey AF;Robinson JD;Garrett K;O'Leary ST;Opel DJ

文献摘要

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我们在 2018 年至 2019 年进行了一项定性研究,以更新美国父母拒绝或推迟接种疫苗的原因。在华盛顿和科罗拉多州进行了四个焦点小组和 4 次半结构化访谈,涉及 33 名初级保健儿科提供者。进行了主题分析,以确定与父母拒绝或拖延原因相关的主题。确定了五个主要主题:(1) 疫苗安全性,(2) 信息来源、决策者和时机的相对影响,(3) 感染疫苗可预防疾病的感知风险较低,(4) 缺乏信任,以及 (5) 宗教反对。疫苗安全是提供者最常提及的主题(N = 45 次,26 名提供者提及),宗教反对疫苗接种的提及最少(N = 6 次,6 名提供者)。提供者报告的 2018 年至 2019 年父母拒绝或延迟儿童疫苗接种的原因与之前的研究报告的原因仍然相似。
We conducted a qualitative study from 2018 to 2019 to update the reasons why US parents’ refuse or delay vaccines. Four focus groups and 4 semi-structured interviews involving 33 primary care pediatric providers were conducted in Washington and Colorado. A thematic analysis was conducted to identify themes related to reasons for parental refusal or delay. Five predominant themes were identified: (1) vaccine safety, (2) relative influence of information sources, decision-makers, and timing, (3) low perceived risk of contracting vaccine-preventable disease, (4) lack of trust, and (5) religious objection. Vaccine safety was the theme mentioned most frequently by providers (N = 45 times by 26 providers) and religious objection to vaccination was referred to the least (N = 6 times by 6 providers). Provider-reported reasons for parental refusal or delay of childhood vaccines in 2018 to 2019 remain similar to those reported in previous studies.