What Matters to Parents Regarding Immunization of Their Children Systematic Analysis of Expert Advice to Parents in an Internet Forum
What Matters to Parents Regarding Immunization of Their Children Systematic Analysis of Expert Advice to Parents in an Internet Forum
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DOI：
10.1097/inf.0000000000002509
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发表时间：
2020-02-01
影响因子：
3.6
通讯作者：
Heininger, Ulrich
中科院分区：
文献类型：
--
作者：
Imahorn, Noemi;Heininger, Ulrich
背景：世界卫生组织将疫苗犹豫列为2019年全球健康十大威胁之一。虽然在互联网上寻找健康主题信息的人数不断增加，但互联网上有关免疫的信息往往不准确且具有误导性。我们的目的是确定父母在互联网上寻求哪些信息，以做出有关孩子免疫接种的决策。方法：我们调查了互联网疫苗论坛的帖子，家长可以从疫苗专家那里获得有关疫苗类型和问题内容的个性化建议。 2001 年 9 月至 2018 年 12 月期间共审查了 1620 份咨询（4896 个问题）。其中，1386 个问题（包括 4000 个问题）与用户孩子的免疫接种有关。咨询日期、用户性别和居住国家、孩子年龄；根据以下类别分析了疫苗的种类和问题主题：疫苗接种时间表、安全性、有效性、必要性、疫苗应用、血清学、不同疫苗类型和品牌的互换性、母体获得性免疫力、报销和疫苗产品相关。结果：大多数问题涉及婴儿（47.7%），并涉及麻疹疫苗（28.9%）和白喉-破伤风-百日咳联合疫苗（25.3%）。家长主要关注疫苗的接种时间表（33.8%）、疫苗的安全性（26.6%）和有效性（17.8%）。随着时间的推移，与安全相关的问题减少，而与有效性相关的问题增加。疾病爆发或新推出的疫苗和接种疫苗暂时引起了人们的兴趣。从2011年起，大多数问题都与麻疹成分疫苗有关。结论：我们的研究结果将帮助医疗保健专业人员和政策制定者准备有针对性的信息活动，以解决问题并消除疫苗犹豫。
Background: World Health Organization announced vaccine hesitancy among the top 10 threats to global health in 2019. While the number of persons looking for information on health topics on the internet is increasing, information regarding immunization on the internet is often inaccurate and misleading. We aimed to determine the kind of information parents seek on the internet for decision-making regarding immunizations for their children. Methods: We investigated threads of an internet vaccine forum, where parents can get personalized advice from a vaccine expert, with regard to the types of vaccines and content of the questions. One thousand six hundred twenty consultations (4896 questions) between September 2001 and December 2018 were examined. Of these, 1386, including 4000 questions, were related to immunizations of the user's child. Date of consultation, user gender and country of residence, age of the child; kind of vaccine(s), and topic of the question according to the following categories were analyzed: Vaccination schedule, safety, effectiveness, necessity, vaccine application, serology, exchangeability of different vaccine types and brands, maternally acquired immunity, reimbursement, and vaccine product related. Results: Most questions concerned infants (47.7%) and regarded measles-component (28.9%) and diphtheria-tetanus-pertussis combination vaccines (25.3%). Parents were mainly interested in vaccination schedule (33.8%), safety (26.6%), and effectiveness (17.8%) of vaccines. Over time, safety-related questions decreased, and effectiveness related questions increased. Disease outbreaks or newly introduced vaccines and vaccinations temporarily raised interest. From 2011 onwards, most questions regarded measles-component vaccines. Conclusions: Our findings will assist health care professionals and policy makers in preparing targeted information campaigns to address questions and counteract vaccine hesitancy.