Addressing Parental Vaccine Hesitancy towards Childhood Vaccines in the United States: A Systematic Literature Review of Communication Interventions and Strategies.

Addressing Parental Vaccine Hesitancy towards Childhood Vaccines in the United States: A Systematic Literature Review of Communication Interventions and Strategies.
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DOI:
10.3390/vaccines8040590
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发表时间:
2020-10-08
期刊:
影响因子:
7.8
通讯作者:
Kumar N
Kumar N
中科院分区:
医学3区
文献类型:
--
作者:
Olson O;Berry C;Kumar N

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在美国,父母疫苗犹豫正成为一个日益重要的公共卫生问题。2020年3月,对CDC最新全国免疫调查数据的评估发现,超过三分之一的19至35个月的美国儿童没有遵循推荐的儿童早期免疫接种计划。此外,2019年的一项全国调查发现,大约四分之一的父母报告说,他们对给孩子接种疫苗感到严重担忧。疫苗犹豫现在与美国疫苗覆盖率下降和疫苗可预防疾病爆发和流行病增加有关。许多研究都集中在理解和定义新的社会医学术语,疫苗犹豫;很少有人试图总结过去和目前的健康传播干预措施和战略,成功或不成功地解决这一日益严重的现象。本系统性文献综述将试图帮助公共卫生专业人员提供一系列健康传播干预措施和策略,以最终解决和预防长期的父母疫苗犹豫。在1239个检索结果中,共有75篇文章被纳入分析,范围从系统综述、定量调查、实验设计到人种学和定性研究。为了介绍结果,使用了一种分类法,根据预期目的组织沟通干预措施。干预措施目录进一步细分为具体的组成部分和主题,这些组成部分和主题在文献中被确定为在预防和解决父母对儿童疫苗的犹豫方面的成功或失败所必需的。
Parental vaccine hesitancy is becoming an increasingly important public health concern in the United States. In March 2020, an assessment of the latest CDC National Immunization Survey data found that more than one-third of U.S. children between the ages of 19 and 35 months were not following the recommended early childhood immunization schedule. Furthermore, a 2019 national survey found that approximately 1 in 4 parents reported serious concerns towards vaccinating their children. Vaccine hesitancy is now associated with a decrease in vaccine coverage and an increase in vaccine-preventable disease outbreaks and epidemics in the United States. Many studies have focused on understanding and defining the new socio-medical term, vaccine hesitancy; few have attempted to summarize past and current health communication interventions and strategies that have been successful or unsuccessful in tackling this growing phenomenon. This systematic literature review will attempt to aid public health professionals with a catalogue of health communication interventions and strategies to ultimately address and prevent parental vaccine hesitancy in the long term. Out of 1239 search results, a total of 75 articles were included for analysis, ranging from systematic reviews, quantitative surveys, and experimental designs to ethnographic and qualitative studies. For the presentation of results, a taxonomy was used to organize communication interventions according to their intended purpose. The catalogue of interventions was further broken down into specific components and themes that were identified in the literature as essential to either the success or failure in preventing and addressing parental vaccine hesitancy towards childhood vaccines.
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