"To each his own": Discussions of vaccine decision-making in top parenting blogs
"To each his own": Discussions of vaccine decision-making in top parenting blogs
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DOI：
10.1080/21645515.2017.1321182
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发表时间：
2017-01-01
影响因子：
4.8
通讯作者：
Cadorett, Valerie
中科院分区：
文献类型：
--
作者：
Meleo-Erwin, Zoe;Basch, Corey;Cadorett, Valerie
虽然社交媒体为人们提供了一种与志同道合的人聚集在一起的方式，但它也可以在传播有关公共卫生干预措施的错误信息方面发挥作用。先前的研究表明，使用互联网收集疫苗接种信息的父母更有可能持有反疫苗接种的信念。在育儿博客上，几乎没有关于疫苗接种决策讨论的研究。本研究旨在填补这一空白。文章和评论的前25名顶级育儿博客进行了分析使用混合方法的方法。使用演绎编码方案分析评论，检查疫苗接种讨论中是否存在感兴趣的内容领域。使用主题分析对帖子进行归纳编码。帖子和评论被进一步编码为强烈反对疫苗，疫苗矛盾或强烈鼓励疫苗。最后，文章按出版年份分组，并分析每组内的评论，以检查过去十年中育儿博客圈中疫苗接种决策讨论的演变。52%的帖子被归类为强烈反对接种疫苗，最常见的是与个人自由的表达有关。强烈反对接种疫苗的评论是强烈鼓励接种疫苗的评论的近3倍。最老的帖子（2006-2009）的评论更有可能强烈反对接种疫苗（p = 0.008），而新帖子（2013-2015）的评论更有可能强烈鼓励接种疫苗（p = 0.003）。这些研究结果表明，公共卫生专业人员需要了解这些论坛上表达的关切，并制定创新方法来消除反疫苗接种的神话，因为这些观点可能会在实现公共卫生议程的目标方面造成障碍。
Although social media provides a way for people to congregate with like-minded others, it can also play a role in spreading misinformation about public health interventions. Previous research demonstrates that parents who use the Internet to gather information on vaccination are more likely to hold anti-vaccination beliefs. There has been little examination of vaccination decision-making discussions on parenting blogs. This study seeks to fill that gap. Posts and comments on the top 25 top parenting blogs were analyzed using a mixed-method approach. Comments were analyzed using deductive coding scheme that examined whether content areas of interest were present or absent in vaccination discussions. Posts were coded inductively using a thematic analysis. Posts and comments were further coded as strongly vaccine-discouraging, vaccine-ambivalent, or strongly vaccine-encouraging. Finally, posts were grouped by year of publication and comments were analyzed within each group to examine the evolution of vaccination decision-making discussions in the parenting blogosphere over the past decade. Fifty-two percent of posts were categorized as strongly vaccine-discouraging and were most commonly associated with expressions of individual liberty. Comments were nearly 3times as likely to strongly discourage vaccination than to strongly encourage it. Comments on the oldest posts (2006-2009), were more likely to strongly discourage vaccination (p = 0.008), whereas comments on newer posts (2013-2015), were more likely to strongly encourage vaccination (p = 0.003). These findings suggest there is a need for public health professionals to understand the concerns being expressed in these forums, and develop innovative ways to dispel anti-vaccination myths, as these views may create obstacles in the meeting the goals of the public health agenda.