Determinants of parental vaccine hesitancy
Determinants of parental vaccine hesitancy
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DOI：
10.46747/cfp.6705339
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发表时间：
2021-05-01
影响因子：
3.1
通讯作者：
Goldman, Ran D.
中科院分区：
文献类型：
--
作者：
McGregor, Sophie;Goldman, Ran D.
问题我们每天都在办公室与父母讨论孩子的免疫接种问题，其中一些人对接种疫苗犹豫不决。讨论疫苗对儿童和公众的重要性，审查疫苗的安全性，并没有导致我们办公室的接受程度大幅提高。哪些因素影响父母对疫苗的看法，我们如何在实践中有效地解决这些问题？尽管疫苗在医学上被接受，而且广泛可及，但许多加拿大儿童并没有接种所有疫苗，在过去30年里，父母的犹豫有所增加。因此，家庭医生在解决父母可能对疫苗的担忧和增加疫苗接种方面发挥着重要作用。疫苗犹豫的决定因素是异质性和多因素的。影响疫苗决策的因素包括疫苗的感知风险，父母和卫生保健提供者之间的关系，以及疫苗接种的社会规范。沟通策略，如动机访谈和使用推定语言是有价值的工具，以增加疫苗接种犹豫不决的父母的孩子。
Question We engage parents on a daily basis in the office to discuss immunization for their children, and some of them are hesitant about vaccination. Discussing the importance of vaccines for the child and the public, and reviewing the safety of vaccines has not led to substantial increases in acceptance in our office. What factors influence a parent's views of vaccines, and how can we effectively address them in practice?Answer Despite medical acceptance of vaccines and widespread accessibility, many Canadian children do not receive all their vaccines, and parental hesitancy has increased in the past 30 years. Thus, family physicians play an important role in addressing concerns that parents might have about vaccines and in increasing vaccine uptake. Determinants of vaccine hesitancy are heterogeneous and multifactorial. Factors that affect vaccine decision making include the perceived risks of vaccines, the relationship between parents and health care providers, and the social norm of vaccination. Communication strategies such as motivational interviewing and using presumptive language are valuable tools to increase vaccine uptake in children with vaccine-hesitant parents.