Espeleta Hannah C, Beasley Lana O, Ridings Leigh E, Smith Tyler J, Shields Jennifer D
1 Oklahoma State University, Stillwater, OK, USA.
2 Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Clin Pediatr (Phila). 2017 Oct;56(11):1032-1039. doi: 10.1177/0009922817701173. Epub 2017 Apr 12.
Vaccinations are considered one of public health's greatest accomplishments. Despite evidence for vaccine effectiveness, uptake levels are still well below the Centers for Disease Control and Prevention's guidelines. The immunization decision-making process for parents is complex and depends on factors associated with knowledge and experiences. This qualitative study sought to expand on a previous decision-making model for immunizations by examining how individuals receive vaccination information, determining the role of experience in influencing decisions, and understanding how young adults might locate vaccination information in the future. Three focus groups were conducted with 29 undergraduate students without children. Results suggest that young adults exhibit an awareness of information regarding vaccine use and effectiveness, value doctor opinions and recommendations, and desire more robust research on vaccinations. Implications of these results include the importance of (1) disseminating vaccination education to young adults, (2) enhancing consistency/trust between medical professionals and youth, and (3) expanding public policy to increase vaccine uptake.
疫苗接种被视为公共卫生领域最伟大的成就之一。尽管有证据表明疫苗有效，但接种率仍远低于疾病控制与预防中心的指导方针。父母的免疫决策过程很复杂，取决于与知识和经验相关的因素。这项定性研究旨在通过研究个体如何获取疫苗接种信息、确定经验在影响决策中的作用以及了解年轻人未来如何获取疫苗接种信息，来扩展先前的免疫决策模型。对29名没有孩子的本科生进行了三个焦点小组访谈。结果表明，年轻人对疫苗使用和有效性的信息有所了解，重视医生的意见和建议，并希望对疫苗接种进行更深入的研究。这些结果的影响包括：（1）向年轻人传播疫苗接种教育的重要性；（2）加强医疗专业人员与年轻人之间的一致性/信任；（3）扩大公共政策以提高疫苗接种率。
