Forster Alice S, Rockliffe Lauren, Chorley Amanda J, Marlow Laura A V, Bedford Helen, Smith Samuel G, Waller Jo
Health Behaviour Research Centre, UCL, Gower Street, London WC1E 6BT, United Kingdom.
Institute of Child Health, UCL, 30 Guilford Street, London WC1N 1EH, United Kingdom.
SSM Popul Health. 2016 Dec;2:603-612. doi: 10.1016/j.ssmph.2016.07.005.
High uptake of vaccinations is crucial for disease prevention. Although overall uptake of childhood immunisations is high in the United Kingdom (UK), pockets of lower uptake remain. Novel systematic methods have not been employed when reviewing the qualitative literature examining parents' vaccination decisions.
We aimed to conduct a qualitative systematic review of studies in the UK to understand factors influencing parental decisions to vaccinate a child.
On 12/2/14 we searched PsycINFO, MEDLINE, CINAHL plus, Embase, Social Policy and Practice and Web of Science for studies using qualitative methods and reporting reasons why parents in the UK had or had not immunised their child. Participant quotes and authors' interpretations of qualitative data were extracted from the results of articles. Thematic synthesis was used to develop higher-order themes (conducted in 2015).
34 papers were included. Two types of decision-making had been adopted: non-deliberative and deliberative. With non-deliberative decisions parents felt they had no choice, were happy to comply and/or relied on social norms. Deliberative decisions involved weighing up the risks and benefits, considering others' advice/experiences and social judgement. Emotions affected deliberative decision-making. Trust in information and vaccine stakeholders was integral to all decision-making. Practical issues affected those who intended to vaccinate.
Parents adopted two different approaches to decision-making about childhood vaccinations. By understanding more about the mechanisms underpinning parents' vaccination behaviour, in collaboration with vaccine stakeholders, we can better design interventions to enhance informed uptake.
高疫苗接种率对疾病预防至关重要。尽管在英国儿童免疫接种的总体接种率较高，但仍存在接种率较低的地区。在回顾研究父母疫苗接种决策的定性文献时，尚未采用新颖的系统方法。
我们旨在对英国的研究进行定性系统综述，以了解影响父母为孩子接种疫苗决策的因素。
2014年2月12日，我们在PsycINFO、MEDLINE、CINAHL plus、Embase、社会政策与实践以及科学网中搜索使用定性方法并报告英国父母为孩子接种或未接种疫苗原因的研究。从文章结果中提取参与者的引述和作者对定性数据的解释。采用主题综合法来形成高阶主题（于2015年进行）。
纳入了34篇论文。父母采用了两种决策方式：非深思熟虑型和深思熟虑型。对于非深思熟虑型决策，父母觉得他们别无选择，乐于遵从并且/或者依赖社会规范。深思熟虑型决策涉及权衡风险和益处、考虑他人的建议/经验以及社会评判。情绪影响深思熟虑型决策。对信息和疫苗相关利益者的信任是所有决策的关键。实际问题影响了那些打算接种疫苗的人。
父母在儿童疫苗接种决策上采用了两种不同的方法。通过与疫苗相关利益者合作，更多地了解支撑父母疫苗接种行为的机制，我们可以更好地设计干预措施以提高明智的接种率。
