Supporting informed decision-making about vaccination: an analysis of two official websites
Supporting informed decision-making about vaccination: an analysis of two official websites
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DOI：
10.1016/j.puhe.2019.09.007
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发表时间：
2020-01-01
期刊：
影响因子：
5.2
通讯作者：
Dube, E.
中科院分区：
文献类型：
--
作者：
Vivion, M.;Hennequin, C.;Dube, E.
目标：分析法国和魁北克两个官方法语网站的内容，这两个网站用于告知公众有关推荐疫苗的信息。研究设计：定性内容分析。方法：下载所有告知和教育父母有关儿童疫苗接种的页面，并根据循证风险沟通指标进行分析。结果：共有32个网页，14个视频和两个信息图表被纳入分析。以下是最常见的风险沟通方法：揭穿关于疫苗接种的常见误解“或”回答关于疫苗的常见问题“。“危害和益处信息主要集中在疫苗可预防疾病的风险和免疫接种后不良事件的风险上。大多数材料使用定性术语来描述风险（例如，疫苗是最安全的工具之一，不良事件很少）。很少有材料提供伤害和受益的数字可能性。当陈述数字信息时，它们仅表示疾病的风险或爆发中的病例数。用于揭穿误解的方法通常集中在神话本身，而不是正确的信息。很少有材料使用视觉辅助工具（例如，图形、图片、图标阵列等）结论：人们通常认为，网上发现的关于疫苗接种的错误信息和谣言是疫苗犹豫增加的主要原因。现有的沟通材料可加以改进，以便更好地与风险沟通方面的最佳做法保持一致。鉴于存在令人困惑和相互矛盾的疫苗叙述，至关重要的是，权威的宣传材料旨在建立信任和支持有关疫苗接种的知情选择。(C)2019年皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objective: To analyze the content of two official French-speaking websites that are used to inform the general public about recommended vaccines in France and Quebec.Study design: Qualitative content analysis.Methods: All pages that inform and educate parents regarding childhood vaccination were downloaded and analyzed according to evidence-informed risk communication metrics.Results: A total of 32 webpages, 14 videos, and two infographics were included in the analysis. The following were the most frequent risk communication approaches: debunking common misconceptions about vaccination' or `answering common questions about vaccines.' Harm and benefit information focused primarily on the risks of vaccine- preventable diseases and the risks of adverse events after immunization. Most materials used qualitative terminology to describe the risk (e.g., vaccines are among the safest tools, adverse events are rare). Very few materials provided numeric likelihood of harms and benefits. When numeric information was stated, they were only presenting the risks of the diseases or number of cases in an outbreak. The approaches used to debunk misconceptions generally focused on the myth itself rather than the correct information. Few materials used visual aids (e.g., graphics, pictures, icons arrays, etc.) to convey important information.Conclusions: It is often assumed that misinformation and rumors about vaccination found online is a leading cause of the increase in vaccine hesitancy. Existing communication materials could be improved to better align with best practices in risk communication. Given the availability of confusing and conflicting vaccine narratives, it is crucial that authoritative communication materials aim to build trust and support informed choices about vaccination. (C) 2019 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.