贝宁（西非）城市地区父母对疫苗接种态度迟疑的决定因素。
Determinants of parents' reticence toward vaccination in urban areas in Benin (West Africa).
作者信息
Fourn Léonard, Haddad Slim, Fournier Pierre, Gansey Roméo
机构信息
National University of Benin, Cotonou, Benin.
出版信息
BMC Int Health Hum Rights. 2009 Oct 14;9 Suppl 1(Suppl 1):S14. doi: 10.1186/1472-698X-9-S1-S14.
BACKGROUND
Despite the efforts of health authorities, vaccination coverage of targeted child populations is still poor in many regions. Parents' reticence has been identified as one cause of this situation. However, there is little data to explain the phenomenon that could support decision-making.
OBJECTIVE
The objective of the study was to uncover the determinants of this reticence toward vaccination among the religious population of the cities of Parakou and Cotonou in Benin.
METHODS
This was an exploratory study using a qualitative survey of 12 pastors and 30 faithful from churches that are vaccination-reticent and a control group of the same number of faithful belonging to other churches, all Christian. Individual and group interviews were carried out in the local language using a pre-established and pre-tested guide. The data collected underwent discourse content analysis focused on specific themes.
RESULTS
Analysis of the data reveals an erroneous perception of child vaccination. Those who are reticent say vaccination goes against the will of God, that it is a poison from the "white witch doctor", and that those who vaccinate their children are committing a sin. Members of the control group argued against this, but without conviction. They adhere to the principle of obedience to authority, a biblical precept invoked when the vaccinators oblige them to vaccinate their children. Other factors were identified that could explain the reticence, such as the tactlessness of the vaccinators, parents' previous experiences and false rumours about vaccination.
CONCLUSION
The reasons for reticence are mainly related to parents' beliefs in religious principles that are sometimes poorly understood. To limit the spread of this phenomenon, more detailed information and negotiation between the health authorities and the pastors of these churches are essential. ABSTRACT IN FRENCH: See the full article online for a translation of this abstract in French.
背景
尽管卫生当局做出了努力，但许多地区目标儿童群体的疫苗接种覆盖率仍然很低。父母的沉默被认为是造成这种情况的一个原因。然而，几乎没有数据可以解释这一现象以支持决策。
目的
本研究的目的是揭示贝宁帕拉库和科托努市宗教人群中对疫苗接种保持沉默的决定因素。
方法
这是一项探索性研究，对来自对接种疫苗持沉默态度的教会的12名牧师和30名信徒以及来自其他基督教教会的相同数量信徒组成的对照组进行了定性调查。使用预先制定并经过预测试的指南，以当地语言进行个人和小组访谈。收集的数据进行了侧重于特定主题的话语内容分析。
结果
数据分析揭示了对儿童疫苗接种的错误认知。持沉默态度的人表示，疫苗接种违背了上帝的意志，是“白人巫医”的毒药，给孩子接种疫苗的人在犯罪。对照组的成员对此表示反对，但没有说服力。他们坚持服从权威的原则，这是接种人员要求他们给孩子接种疫苗时引用的一条圣经戒律。还确定了其他可以解释这种沉默态度的因素，例如接种人员的不得体、父母以前的经历以及关于疫苗接种的虚假谣言。
结论
沉默态度的原因主要与父母对宗教原则的信仰有关，而这些原则有时并未得到很好的理解。为了限制这种现象的传播，卫生当局与这些教会的牧师之间进行更详细的信息交流和协商至关重要。法文摘要：可在网上查看本文全文以获取法文摘要的翻译。
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