Addressing Parental Vaccine Concerns: Engagement, Balance, and Timing.
Addressing Parental Vaccine Concerns: Engagement, Balance, and Timing.
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DOI：
10.1371/journal.pbio.1002227
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发表时间：
2015-08
期刊：
影响因子：
9.8
通讯作者：
Daley MF
中科院分区：
文献类型：
--
作者：
Glanz JM;Kraus CR;Daley MF
最近美国的麻疹疫情引发了另一场关于儿童接种疫苗的有争议的全国性讨论。越来越多的父母表达了对疫苗安全性的担忧，这往往是由来自互联网、书籍和其他非医疗来源的错误信息助长的。其中许多忧心忡忡的父母选择拒绝或推迟儿童疫苗接种，使他们的孩子和周围社区面临严重疾病的风险，而接种疫苗几乎可以100%预防这些疾病。10%到15%的父母要求医生确定疫苗接种的时间，这经常给医生带来道德困境。这一趋势反映了个人自由和公共卫生之间的紧张关系，因为父母努力控制影响孩子健康的决定，公共卫生官员努力保持较高的免疫接种率，以防止疫苗可预防疾病的爆发。需要采取干预措施来解决这一新出现的公共卫生问题。我们描述了一个框架，通过它，基于网络的干预可以用来帮助父母做出关于儿童疫苗接种的循证决定。疫苗拯救了生命，但在美国，越来越多的父母对给孩子接种疫苗犹豫不决。这一观点提出，需要采取干预战略来解决这一公共卫生问题。
The recent United States measles epidemic has sparked another contentious national discussion about childhood vaccination. A growing number of parents are expressing concerns about the safety of vaccines, often fueled by misinformation from the internet, books, and other nonmedical sources. Many of these concerned parents are choosing to refuse or delay childhood vaccines, placing their children and surrounding communities at risk for serious diseases that are nearly 100% preventable with vaccination. Between 10% and 15% of parents are asking physicians to space out the timing of vaccines, which often poses an ethical dilemma for physicians. This trend reflects a tension between personal liberty and public health, as parents fight to control the decisions that affect the health of their children and public health officials strive to maintain high immunization rates to prevent outbreaks of vaccine-preventable diseases. Interventions to address this emerging public health issue are needed. We describe a framework by which web-based interventions can be used to help parents make evidence-based decisions about childhood vaccinations. Vaccines save lives, yet an increasing number of parents in the US are hesitant to vaccinate their children. This Perspective proposes that intervention strategies to address this public health issue are needed.