Understanding Vaccine Hesitancy in Canada: Results of a Consultation Study by the Canadian Immunization Research Network
Understanding Vaccine Hesitancy in Canada: Results of a Consultation Study by the Canadian Immunization Research Network
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DOI：
10.1371/journal.pone.0156118
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发表时间：
2016-06-03
期刊：
影响因子：
3.7
通讯作者：
MacDougall, Heather
中科院分区：
文献类型：
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作者：
Dube, Eve;Gagnon, Dominique;MacDougall, Heather
“疫苗犹豫”是一个经常在疫苗接种话语中使用的概念。这一概念在学术界和公共卫生界越来越受欢迎，这对以前认为个人接种态度和行为是接受或拒绝的简单二分法的观点提出了挑战。一项咨询研究旨在评估专家和卫生专业人员对加拿大疫苗犹豫的定义、范围和原因的意见。我们向两个小组（1-疫苗接种专家和2-一线疫苗提供者）发送了在线调查。每个小组完成了两份问卷，第一份问卷的数据为第二份问卷的问题提供了信息。我们的参与者将疫苗犹豫定义为一种态度（怀疑，担忧）以及一种行为（拒绝一些/许多疫苗，延迟接种）。我们的研究结果还表明，疫苗专家和一线疫苗提供者都认为疫苗接种率一直在下降，并认为疫苗犹豫是加拿大需要解决的重要问题。与会者认为，网上传播负面信息和缺乏疫苗知识是疫苗犹豫的主要原因。研究人员、公共卫生专家、政策制定者和卫生保健提供者对疫苗犹豫的共同理解将更好地指导干预措施，更有效地解决加拿大境内的疫苗犹豫问题。
"Vaccine hesitancy" is a concept now frequently used in vaccination discourse. The increased popularity of this concept in both academic and public health circles is challenging previously held perspectives that individual vaccination attitudes and behaviours are a simple dichotomy of accept or reject. A consultation study was designed to assess the opinions of experts and health professionals concerning the definition, scope, and causes of vaccine hesitancy in Canada. We sent online surveys to two panels (1-vaccination experts and 2-front-line vaccine providers). Two questionnaires were completed by each panel, with data from the first questionnaire informing the development of questions for the second. Our participants defined vaccine hesitancy as an attitude (doubts, concerns) as well as a behaviour (refusing some / many vaccines, delaying vaccination). Our findings also indicate that both vaccine experts and front-line vaccine providers have the perception that vaccine rates have been declining and consider vaccine hesitancy an important issue to address in Canada. Diffusion of negative information online and lack of knowledge about vaccines were identified as the key causes of vaccine hesitancy by the participants. A common understanding of vaccine hesitancy among researchers, public health experts, policy-makers and health care providers will better guide interventions that can more effectively address vaccine hesitancy within Canada.