Gesser-Edelsburg Anat, Walter Nathan, Shir-Raz Yaffa, Sassoni Bar-Lev Oshrat, Rosenblat Shira
School of Public Health, University of Haifa, Haifa, Israel.
Annenberg School for Communication and Journalism, University of Southern California, Los Angeles, CA.
Am J Infect Control. 2017 Mar 1;45(3):267-271. doi: 10.1016/j.ajic.2016.10.009. Epub 2016 Nov 14.
Vaccine compliance has long been a cause for concern for health authorities throughout the world. However very little effort has been made to examine parental discourse during the decision-making process.
An online survey was conducted (N = 437) to examine predictors of parents' attitudes regarding childhood vaccination.
Hesitant parents were 4 times more likely to conduct intrafamily discussion regarding vaccination compared with provaccination parents (Exp[B] = 4.26). There were no significant differences between hesitant and antivaccination parents with respect to intrafamily discussion. Hesitant parents were also 4 times more likely than provaccination parents to report intrafamily disagreements regarding vaccination (Exp[B] = 4.27). They were also twice as likely as antivaccination parents to express disagreements regarding vaccination within their families (Exp[B] = 2.33). Likewise, Jewish parents were significantly more likely to define themselves as vaccination-hesitant, whereas Muslim parents were significantly more likely to be provaccination.
To improve the way health organizations communicate information about vaccines and increase parental trust in immunization programs, we should not only look at the level of understanding, perceptions, and biases of different groups, but also thoroughly examine parents' decision-making processes and the discourse during this process. We must communicate risk to all groups, including the provaccination group, to improve parents' decision making and the process of informed consent.
疫苗接种的依从性长期以来一直是全球卫生当局关注的问题。然而，在决策过程中，很少有人致力于研究家长的话语。
开展了一项在线调查（N = 437），以研究家长对儿童疫苗接种态度的预测因素。
与支持疫苗接种的家长相比，持犹豫态度的家长就疫苗接种进行家庭内部讨论的可能性高出4倍（Exp[B]=4.26）。在家庭内部讨论方面，持犹豫态度的家长和反对疫苗接种的家长之间没有显著差异。与支持疫苗接种的家长相比，持犹豫态度的家长报告家庭内部在疫苗接种问题上存在分歧的可能性也高出4倍（Exp[B]=4.27）。他们在家庭中表达对疫苗接种不同意见的可能性也是反对疫苗接种家长的两倍（Exp[B]=2.33）。同样，犹太家长将自己定义为对疫苗接种持犹豫态度的可能性显著更高，而穆斯林家长支持疫苗接种的可能性显著更高。
为了改进卫生组织传播疫苗信息的方式，并增强家长对免疫规划的信任，我们不仅应关注不同群体的理解水平、认知和偏见，还应全面审视家长的决策过程以及这一过程中的话语。我们必须向所有群体，包括支持疫苗接种的群体传达风险，以改善家长的决策和知情同意过程。
