Brigham Young University, Provo, Utah 84602, USA.
Public Health Nurs. 2010 Jan-Feb;27(1):25-31. doi: 10.1111/j.1525-1446.2009.00823.x.
To determine why parents in a Utah community hesitated in immunizing their children.
Cross-sectional descriptive study. Data were collected from a convenience sample of 86 parents of under-immunized children in the county health department and local pediatric and family practice offices.
Participants were asked to complete an immunization hesitancy survey including questions regarding why parents hesitated to immunize their children, parental concerns regarding immunizations, and what advice they would give to a friend or family member who had concerns about childhood vaccines. Parents could also write in any other comment, concern, or suggestion they had regarding childhood immunizations.
2 major themes were identified: concerns regarding immunization safety and lack of perceived need. The most commonly reported concerns regarding immunization safety included autism, immune system overload, and other adverse reactions. Many parents did not recognize the need for childhood immunizations, especially multiple immunizations given simultaneously on a strict timeline.
The manner in which immunization information is shared with hesitant parents can be particularly important. There is a need for health care providers to assess and increase parental knowledge regarding immunizations.
确定犹他州一个社区的家长为何对给孩子接种疫苗犹豫不决。
横断面描述性研究。在县卫生部门和当地儿科及家庭诊所，从 86 名未充分免疫儿童的家长中随机抽取了部分参与者进行数据收集。
要求参与者完成一份疫苗犹豫调查问卷，其中包括父母为何不愿给孩子接种疫苗、父母对疫苗接种的担忧，以及他们会给有顾虑的朋友或家人什么建议。父母也可以在调查问卷中写下有关儿童疫苗接种的任何其他意见、担忧或建议。
确定了 2 个主要主题：对疫苗安全性的担忧和对疫苗需求的认知不足。报告最多的疫苗安全性相关担忧包括自闭症、免疫系统过载和其他不良反应。许多家长没有意识到儿童免疫接种的必要性，尤其是在严格的时间安排下同时接种多种疫苗。
与犹豫不决的家长分享疫苗接种信息的方式可能特别重要。卫生保健提供者需要评估并提高家长对疫苗接种的认识。
