Municipal Public Health Service Rotterdam-Rijnmond, 3000 LP Rotterdam, The Netherlands.
Vaccine. 2012 May 14;30(23):3369-75. doi: 10.1016/j.vaccine.2012.03.056. Epub 2012 Apr 1.
This study examines patient's reasons for accepting Q fever vaccination, including risk perception, feelings of doubt, social influence, information-seeking behavior, preventive measures taken, and perceptions regarding received information and governmental action. Data was obtained from exit interviews conducted after Q fever vaccination, between January and April 2011. A total of 413 patients with specific cardiovascular conditions in the Netherlands participated in exit interviews; 70% were older than 60 years. Most reported reasons for accepting Q fever vaccination were: "I am at an increased risk for developing (chronic) Q fever" (69%) and "my general practitioner recommends Q fever vaccination for me" (34%). The majority (86%) reported a high perceived severity of Q fever, and only 6% felt vulnerable to Q fever after vaccination. One-third had doubts about getting vaccinated, primarily related to fears of side effects and practical barriers. Fifty-two percent solicited advice from their social networks; of these, 67% reported influence on their vaccination decision. General practitioners and family were the most reported sources of advice. Thirty percent actively sought information about Q fever vaccination. Twenty-two percent of all respondents had taken other preventive measures, such as avoiding contact with goats and sheep (74%), and cancelling or postponing visits to Q fever-affected areas (36%). Almost one-half of all respondents reported negative feelings regarding governmental action to control Q fever. Significant differences were observed regarding feelings of doubt, information-seeking behavior, perceived vulnerability, preventive measures taken, and perceptions regarding received information and governmental action regarding gender, age, educational level, and/or employment status. Vaccination decision-making may differ among socio-demographic subgroups. When preparing future vaccination campaigns, it is important to obtain greater insight into these differences and take these aspects into account in risk communication strategies by tailoring information to specific target groups.
本研究考察了患者接受 Q 热疫苗接种的原因，包括风险感知、疑虑感、社会影响、信息搜索行为、采取的预防措施以及对所收到信息和政府行动的看法。数据来自 2011 年 1 月至 4 月期间 Q 热疫苗接种后的退出访谈。荷兰共有 413 名患有特定心血管疾病的患者参加了退出访谈；70%的人年龄超过 60 岁。大多数人报告接受 Q 热疫苗接种的原因是：“我有患（慢性）Q 热的风险增加”（69%）和“我的全科医生建议我接种 Q 热疫苗”（34%）。大多数人（86%）报告 Q 热的严重程度很高，只有 6%的人在接种疫苗后感到易感染 Q 热。三分之一的人对接种疫苗有疑虑，主要与对副作用和实际障碍的担忧有关。52%的人向他们的社交网络寻求建议；其中，67%的人表示这对他们的接种决定有影响。全科医生和家人是最常被提及的建议来源。30%的人主动寻找有关 Q 热疫苗接种的信息。22%的受访者采取了其他预防措施，如避免接触山羊和绵羊（74%），以及取消或推迟前往 Q 热疫区的行程（36%）。几乎一半的受访者对政府控制 Q 热的行动表示不满。在疑虑感、信息搜索行为、感知脆弱性、采取的预防措施以及对所收到信息和政府行动的看法方面，性别、年龄、教育水平和/或就业状况存在显著差异。疫苗接种决策可能因社会人口统计学亚组而异。在为未来的疫苗接种活动做准备时，重要的是要更深入地了解这些差异，并在风险沟通策略中考虑到这些方面，根据特定目标群体定制信息。
