Tickner Sarah, Leman Patrick J, Woodcock Alison
Department of Psychology, Royal Holloway, University of London, Egham, Surrey TW20 0EX, UK.
Vaccine. 2007 Oct 16;25(42):7399-409. doi: 10.1016/j.vaccine.2007.08.008. Epub 2007 Aug 24.
This qualitative study explored parental decision-making about the DTaP/IPV/Hib 'five-in-one' vaccine. Semi-structured interviews were conducted with 22 parents of babies aged between 4 and 13 weeks old, recruited from four practices in southern England. A modified Grounded Theory approach identified that although parents had some concerns, most complied with the recommended programme rather than making an informed decision. Other themes related to perceived importance of immunisation; beliefs about how immunisation works; trust; perceptions of vulnerability; feelings of guilt and responsibility; and practicalities. It is important to explore how parents' attitudes change over the preschool years and to develop ways of addressing uncertainties about immunisation, including the safety of combining antigens and the need for boosters.
这项定性研究探讨了父母关于白百破/脊灰灭活疫苗/hib“五合一”疫苗的决策过程。研究人员对22名年龄在4至13周之间婴儿的父母进行了半结构化访谈，这些父母是从英格兰南部的四家诊所招募而来的。一种经过改进的扎根理论方法表明，尽管父母们存在一些担忧，但大多数人还是遵守了推荐的疫苗接种程序，而不是做出明智的决定。其他主题包括对免疫重要性的认知；对免疫作用方式的看法；信任；对易感性的认知；内疚感和责任感；以及实际情况。探究父母在学前阶段的态度如何变化，以及开发应对免疫不确定性的方法非常重要，这些不确定性包括抗原联合的安全性以及加强针的必要性。
