Gust D A, Woodruff R, Kennedy A, Brown C, Sheedy K, Hibbs B
Epidemiology and Surveillance Division, Data Management Division, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-61, Atlanta, GA 30333, USA.
Semin Pediatr Infect Dis. 2003 Jul;14(3):207-12. doi: 10.1016/s1045-1870(03)00035-9.
In recent years, parental concerns about vaccine safety have increased as the threat of disease has decreased. A national survey showed that, in general, parents agree that vaccines benefit their children and that their children may be at risk for contracting a disease if unvaccinated. When asked about understanding the benefits and risks of vaccines, most parents (57%) found numbers and statistics most helpful. A substantial minority (17%) of parents were somewhat or not confident in vaccine safety. Parents less confident in vaccine safety agreed less with the statement that they usually followed the advice of their child's doctor. Incomes and education levels affected responses. This positive relationship between confidence in vaccine safety and reliance on doctors for advice may indicate the need for healthcare providers to identify opportunities to (1) solicit questions about vaccine safety, (2) address vaccine safety-related questions in a way meaningful to parents, and (3) strengthen doctor-patient relationships. A parent communication tool is proposed.
近年来，随着疾病威胁的降低，家长对疫苗安全性的担忧有所增加。一项全国性调查显示，总体而言，家长们认同疫苗对孩子有益，并且认为如果孩子不接种疫苗，可能有感染疾病的风险。当被问及对疫苗益处和风险的理解时，大多数家长（57%）认为数字和统计数据最有帮助。相当一部分家长（17%）对疫苗安全性有些或完全没有信心。对疫苗安全性信心较低的家长不太认同他们通常听从孩子医生建议这一说法。收入和教育水平影响了调查结果。对疫苗安全性的信心与依赖医生建议之间的这种积极关系可能表明医疗服务提供者需要寻找机会：（1）征求有关疫苗安全性的问题；（2）以对家长有意义的方式解答与疫苗安全性相关的问题；（3）加强医患关系。本文提出了一种家长沟通工具。
