The behind-the-scenes activity of parental decision-making discourse regarding childhood vaccination
The behind-the-scenes activity of parental decision-making discourse regarding childhood vaccination
复制标题
DOI：
10.1016/j.ajic.2016.10.009
复制
发表时间：
2017-03-01
影响因子：
4.9
通讯作者：
Rosenblat, Shira
中科院分区：
文献类型：
--
作者：
Gesser-Edelsburg, Anat;Walter, Nathan;Rosenblat, Shira
背景：疫苗依从性长期以来一直是全世界卫生当局关注的一个问题。然而，在决策过程中，很少有人努力检查父母的话语。方法：进行在线调查（N = 437），以检查父母对儿童疫苗接种态度的预测因素。结果：犹豫父母进行疫苗接种家庭内部讨论的可能性是接种父母的4倍（Exp[B] = 4.26）。犹豫和反对接种疫苗的父母在家庭内部讨论方面没有显著差异。犹豫不决的父母报告家庭内部对疫苗接种意见分歧的可能性也是接种疫苗父母的4倍（Exp[B] = 4.27）。与反对接种疫苗的父母相比，他们在家庭内部表达对疫苗接种意见分歧的可能性是后者的两倍（Exp[B] = 2.33）。同样，犹太父母更有可能将自己定义为接种疫苗犹豫不决，而穆斯林父母则更有可能接种疫苗。结论：为了改善卫生组织沟通疫苗信息的方式，增加父母对免疫计划的信任，我们不仅应该关注不同群体的理解水平、观念和偏见，还应该彻底检查父母的决策过程和在此过程中的话语。我们必须向包括疫苗接种组在内的所有群体传达风险信息，以改进父母的决策和知情同意过程。(C)感染控制与流行病学专业人员协会，2017；Elsevier Inc.出版。版权所有。
Background: Vaccine compliance has long been a cause for concern for health authorities throughout the world. However very little effort has been made to examine parental discourse during the decisionmaking process.Methods: An online survey was conducted (N = 437) to examine predictors of parents' attitudes regarding childhood vaccination.Results: Hesitant parents were 4 times more likely to conduct intrafamily discussion regarding vaccination compared with provaccination parents (Exp[ B] = 4.26). There were no significant differences between hesitant and antivaccination parents with respect to intrafamily discussion. Hesitant parents were also 4 times more likely than provaccination parents to report intrafamily disagreements regarding vaccination (Exp[ B] = 4.27). They were also twice as likely as antivaccination parents to express disagreements regarding vaccination within their families (Exp[ B] = 2.33). Likewise, Jewish parents were significantly more likely to define themselves as vaccination-hesitant, whereas Muslim parents were significantly more likely to be provaccination.Conclusions: To improve the way health organizations communicate information about vaccines and increase parental trust in immunization programs, we should not only look at the level of understanding, perceptions, and biases of different groups, but also thoroughly examine parents' decision-making processes and the discourse during this process. We must communicate risk to all groups, including the provaccination group, to improve parents' decision making and the process of informed consent. (C) 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.