Patterns of vaccination acceptance
Patterns of vaccination acceptance
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DOI：
10.1016/s0277-9536(99)00239-7
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发表时间：
1999-12-01
影响因子：
5.4
通讯作者：
Ramos-Jimenez, P
中科院分区：
文献类型：
--
作者：
Streefland, P;Chowdhury, AMR;Ramos-Jimenez, P
免疫接种是预防儿童发病和死亡的主要公共卫生干预措施之一。自1974年以来，扩大免疫方案在全世界范围内取得了势头。在今后几年中，该方案的疫苗范围正在扩大。在地球仪各地，疫苗接种覆盖率已经达到很高的水平，现在需要保持下去。在某种程度上，之所以能够实现免疫覆盖，是因为疫苗接种得到了广泛接受，尽管存在差异，导致完全免疫、部分免疫和未免疫的儿童构成不同。利用社会科学和免疫项目在孟加拉国、埃塞俄比亚、印度、马拉维、荷兰和菲律宾进行的研究结果，本文描述和讨论了接受和不接受疫苗接种的模式。它展示了环境如何影响疫苗接种的接受，并分析了拒绝和抵制背后的根本原因。本文还开发了概念工具，用于分析接受和不接受，并讨论了解释性的理论观点。(C)1999爱思唯尔科技有限公司。保留所有权利。
Immunization is one of the major public health interventions to prevent childhood morbidity and death. The Expanded Programme on Immunization has gathered momentum worldwide since 1974. The range of vaccines in the programme is being expanded in the years to come. All across the globe, a high level of vaccination coverage has been reached and now needs to be sustained. In part, the coverage has been made possible by the broad acceptance of vaccinations, although there are variations resulting in different configurations of fully, partially and non-immunized children. Using the results of studies carried out by the Social Science and Immunization Project in Bangladesh, Ethiopia, India, Malawi, the Netherlands and the Philippines, this article describes and discusses patterns of vaccination acceptance and non-acceptance. It shows how context affects acceptance of vaccinations, and analyses the underlying reasons behind refusal and resistance. The article also develops conceptual tools for the analysis of acceptance and non-acceptance and discusses explanatory theoretical perspectives. (C) 1999 Elsevier Science Ltd. All rights reserved.