Hobson-West Pru
Institute for Science and Society, University of Nottingham, Nottingham, UK.
Sociol Health Illn. 2007 Mar;29(2):198-215. doi: 10.1111/j.1467-9566.2007.00544.x.
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.
社会学界最近对疫苗接种的兴趣有所增加,这主要是对媒体关于麻疹、腮腺炎和风疹(MMR)疫苗安全性担忧报道的回应。由此产生的一系列研究突出了风险和信任在理解父母和专业人士对接种疫苗的参与方面的重要性。迄今为止,针对反对疫苗接种政策某些方面的有组织的父母群体,人们给予的关注还很有限。本文报告了对英国当代群体的一项定性研究结果,并提出了三条主要论点。第一,这些行为体最好被分析为“疫苗批判群体”,包括激进型和改良型。第二,疫苗批判群体通过将风险建构为未知和非随机的重新框架,在话语上抵制疫苗接种。第三,作为信念的信任与因对健康和决策承担个人责任而有望带来的赋权形成负面对比。虽然这项研究对疫苗接种政策的某些方面构成了挑战,但证实这些群体参与了其他主流话语的表达和推广。这些发现对关于健康方面风险和信任的更广泛社会学辩论具有启示意义。