Future pandemics and vaccination: Public opinion and attitudes across three European countries
Future pandemics and vaccination: Public opinion and attitudes across three European countries
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DOI：
10.1016/j.vaccine.2015.12.035
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发表时间：
2016-02-03
期刊：
影响因子：
5.5
通讯作者：
Korfage, Ida J.
中科院分区：
文献类型：
--
作者：
Determann, Domino;de Bekker-Grob, Esther W.;Korfage, Ida J.
背景：了解公众对疫苗接种的意见和态度对于欧洲层面的成功疫情管理和有效沟通至关重要。方法：我们通过在荷兰、波兰和瑞典进行焦点小组讨论来探讨国家差异。讨论是使用行为模型中的概念进行的。结果：主题分析显示，参与者将根据疫苗的感知益处和障碍之间的权衡来做出疫苗接种决定，同时考虑到新疫情爆发的严重性。除患有慢性病的人外，参与者预期感染风险较低，导致接种疫苗的意愿较低。有关病例健康状况的信息被认为很重要，因为这可能会改变感知的易感性。由于在新冠大流行的严峻形势下生产和测试疫苗的时间有限，与会者对疫苗的安全性表示担忧。瑞典参与者提到他们倾向于做正确的事并遵守规则，以及由于与其他公民的团结和社会影响而接种疫苗。对于荷兰和波兰参与者来说，这一点似乎不那么突出。然而，瑞典参与者表示，他们在 2009 年甲型 H1N1 流感大流行期间的负面经历降低了他们对未来疫苗接种的接受度。波兰参与者对其国家（公共卫生）卫生系统和政府缺乏信任，因此对波兰疫苗的供应和质量持怀疑态度。结论：尽管参与者总体上表达了类似的考虑，但国家之间的重要差异仍然突出，例如以前的疫苗接种经验、对社会规范的遵守程度以及对卫生当局的信任程度。 (C) 2016 年作者。由爱思唯尔有限公司出版
Background: Understanding public opinion and attitudes regarding vaccination is crucial for successful outbreak management and effective communication at the European level.Methods: We explored national differences by conducting focus group discussions in The Netherlands, Poland and Sweden. Discussions were structured using concepts from behavioural models.Results: Thematic analysis revealed that participants would base their vaccination decision on trade-offs between perceived benefits and barriers of the vaccine also taking into account the seriousness of the new outbreak. Except for those having chronic diseases, participants expected a low infection risk, resulting in a low willingness to get vaccinated. Information about the health status of cases was considered important since this might change perceived susceptibility. Participants displayed concerns about vaccine safety due to the limited available time to produce and test vaccines in the acute situation of a new pandemic. Swedish participants mentioned their tendency of doing the right thing and following the rules, as well as to get vaccinated because of solidarity with other citizens and social influences. This appeared much less prominent for the Dutch and Polish participants. However, Swedish participants indicated that their negative experiences during the Influenza A/H1N1 2009 pandemic decreases their acceptance of future vaccinations. Polish participants lacked trust in their national (public) health system and government, and were therefore sceptical about the availability and quality of vaccines in Poland.Conclusions: Although participants overall expressed similar considerations, important differences between countries stand out, such as previous vaccination experiences, the degree of adherence to social norms, and the degree of trust in health authorities. (C) 2016 The Authors. Published by Elsevier Ltd.