'Trusting blindly can be the biggest risk of all': organised resistance to childhood vaccination in the UK

'Trusting blindly can be the biggest risk of all': organised resistance to childhood vaccination in the UK
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DOI:
10.1111/j.1467-9566.2007.00544.x
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发表时间:
2007-03-01
影响因子:
2.9
通讯作者:
Hobson-West, Pru
Hobson-West, Pru
中科院分区:
医学2区
文献类型:
--
作者:
Hobson-West, Pru

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社会学对疫苗接种的兴趣最近有所增加,这主要是因为媒体报道了对MMR(麻疹、腮腺炎和风疹)疫苗安全性的担忧。由此产生的研究机构强调了风险和信任在理解父母和专业人员参与接种疫苗方面的重要性。到目前为止,人们只对反对疫苗接种政策的有组织的父母团体给予了有限的关注。本文报告了对英国当代群体的定性研究结果,并展开了三条主线的论证。首先,这些参与者最好被分析为“疫苗关键群体”,其中包括激进和改革派。其次,疫苗关键群体通过将风险构建为未知和非随机的重组来抵制疫苗接种。第三,作为信念的信任与承诺通过承担个人对健康和决策的责任而带来的赋权形成了负面对比。虽然对疫苗接种政策的某些方面提出了挑战,但这项研究证实,这些群体参与了其他主导话语的表达和推广。这些发现对更广泛的关于风险和信任与健康相关的社会学辩论具有影响。
Sociological interest in vaccination has recently increased, largely in response to media coverage of concerns over the safety of the MMR (measles, mumps and rubella) vaccine. The resulting body of research highlights the importance of risk and trust in understanding parental and professional engagement with vaccination. To date, only limited attention has been paid to organised parental groups that campaign against aspects of vaccination policy. This paper reports findings from a qualitative study of contemporary groups in the UK, and develops three main lines of argument. First, these actors are best analysed as 'Vaccine Critical groups' and include Radical and Reformist types. Second, Vaccine Critical groups discursively resist vaccination through a reframing that constructs risk as unknown and non-random. Third, trust as faith is negatively contrasted with the empowerment that is promised to result from taking personal responsibility for health and decision-making. Whilst representing a challenge to aspects of vaccination policy, this study confirms that the groups are involved in the articulation and promotion of other dominant discourses. These findings have implications for wider sociological debates about risk and trust in relation to health.