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为什么父母拒绝接种疫苗?

Why parents refuse immunization?

作者信息

Kajetanowicz Andrzej, Kajetanowicz Aleksandra

机构信息

Dept of Pediatrics, Dalhousie University, Neonatal Intensive Care Unit, Cape Breton Regional Hospital , Nova Scotia, Kanada, e-mail:

2Dalhousie University, Halifax, Canada - student.

出版信息

Wiad Lek. 2016;69(3 Pt 1):346-51.

PMID:27486715
Abstract

Rates of child immunization are falling in many countries, leading to the increase of morbidity and mortality from diseases controlled by vaccinations. The simplified model of the natural history of immunization follows a sequence of fear of the disease before vaccination, followed by acceptance of the vaccination until plateau, where the population forgets the morbidity and mortality of pre-immunization. Historical factors including withdrawals of vaccines, and publications regarding the true or falsified dangers of vaccines still resonate with parents. Building on these historical factors, unscientific sources such as naturopaths, homeopaths, chiropractors, celebrities and lay-people with anecdotal evidence and even scientific sources such as some universities and some medical doctors push their views on anti-vaccination, which proves to make the decision to vaccinate more difficult on parents. The main reason that parents refuse vaccination is a desire to protect their children. These parents believe that vaccination is harmful, or that not vaccinated children are healthier than vaccinated children. Scientific data often will lose with pseudoscientific, false or anecdotal data that have higher sensational and emotional impact on parents. With so many sources giving so many factors which sometimes contradict themselves, it is indeed difficult for a parent to make a clear decision for their child.

摘要

许多国家的儿童免疫接种率正在下降,这导致由疫苗控制的疾病的发病率和死亡率上升。免疫接种自然史的简化模型遵循这样一个顺序:接种疫苗前对疾病的恐惧,随后是对疫苗接种的接受,直到平稳期,此时人群忘记了免疫接种前的发病率和死亡率。包括疫苗撤市在内的历史因素,以及关于疫苗真实或虚假危险的出版物,至今仍在家长心中引起反响。基于这些历史因素,自然疗法医生、顺势疗法医生、脊椎按摩师、名人以及有轶事证据的外行人等非科学来源,甚至一些大学和一些医生等科学来源,都在宣扬他们的反疫苗观点,这使得家长们更难做出接种疫苗的决定。家长拒绝接种疫苗的主要原因是希望保护自己的孩子。这些家长认为接种疫苗有害,或者未接种疫苗的孩子比接种疫苗的孩子更健康。科学数据往往会输给对家长具有更高轰动性和情感冲击力的伪科学、虚假或轶事数据。有这么多来源给出这么多有时相互矛盾的因素,家长确实很难为自己的孩子做出明确的决定。

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Addressing Vaccine Hesitancy.应对疫苗犹豫问题。
Perm J. 2020;24. doi: 10.7812/TPP/20.216.
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Fact vs Fallacy: The Anti-Vaccine Discussion Reloaded.事实与谬论:重启反疫苗讨论。
Adv Ther. 2020 Nov;37(11):4481-4490. doi: 10.1007/s12325-020-01502-y. Epub 2020 Sep 23.
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The impact of parents' health behaviours on their preferences regarding vaccinations in Bialystok, Poland.波兰比亚韦斯托克地区父母的健康行为对其疫苗接种偏好的影响。
BMC Pediatr. 2020 Jul 25;20(1):354. doi: 10.1186/s12887-020-02235-1.