Meleo-Erwin Zoë, Basch Corey, MacLean Sarah A, Scheibner Courtney, Cadorett Valerie
a Department of Public Health , William Paterson University , Wayne , NJ , USA.
b Department of Public Health , William Paterson University , Wayne , NJ , USA.
Hum Vaccin Immunother. 2017 Aug 3;13(8):1895-1901. doi: 10.1080/21645515.2017.1321182. Epub 2017 May 8.
Although social media provides a way for people to congregate with like-minded others, it can also play a role in spreading misinformation about public health interventions. Previous research demonstrates that parents who use the Internet to gather information on vaccination are more likely to hold anti-vaccination beliefs. There has been little examination of vaccination decision-making discussions on parenting blogs. This study seeks to fill that gap. Posts and comments on the top 25 top parenting blogs were analyzed using a mixed-method approach. Comments were analyzed using deductive coding scheme that examined whether content areas of interest were present or absent in vaccination discussions. Posts were coded inductively using a thematic analysis. Posts and comments were further coded as strongly vaccine-discouraging, vaccine-ambivalent, or strongly vaccine-encouraging. Finally, posts were grouped by year of publication and comments were analyzed within each group to examine the evolution of vaccination decision-making discussions in the parenting blogosphere over the past decade. Fifty-two percent of posts were categorized as strongly vaccine-discouraging and were most commonly associated with expressions of individual liberty. Comments were nearly 3 times as likely to strongly discourage vaccination than to strongly encourage it. Comments on the oldest posts (2006-2009), were more likely to strongly discourage vaccination (p = 0.008), whereas comments on newer posts (2013-2015), were more likely to strongly encourage vaccination (p = 0.003). These findings suggest there is a need for public health professionals to understand the concerns being expressed in these forums, and develop innovative ways to dispel anti-vaccination myths, as these views may create obstacles in the meeting the goals of the public health agenda.
虽然社交媒体为人们提供了一种与志同道合的人聚集在一起的方式，但它也可能在传播有关公共卫生干预措施的错误信息方面发挥作用。先前的研究表明，使用互联网收集疫苗接种信息的父母更有可能持有反疫苗接种的信念。对于育儿博客上关于疫苗接种决策的讨论，人们几乎没有进行过研究。本研究旨在填补这一空白。采用混合方法对排名前25的育儿博客上的帖子和评论进行了分析。评论使用演绎编码方案进行分析，该方案检查了疫苗接种讨论中是否存在感兴趣的内容领域。帖子使用主题分析进行归纳编码。帖子和评论进一步被编码为强烈反对疫苗接种、对疫苗接种态度模糊或强烈支持疫苗接种。最后，按发布年份对帖子进行分组，并对每组内的评论进行分析，以研究过去十年育儿博客圈中疫苗接种决策讨论的演变。52%的帖子被归类为强烈反对疫苗接种，最常见的是与个人自由的表达相关。评论强烈反对疫苗接种的可能性几乎是强烈支持疫苗接种的3倍。对最旧帖子（2006 - 2009年）的评论更有可能强烈反对疫苗接种（p = 0.008），而对较新帖子（2013 - 2015年）的评论更有可能强烈支持疫苗接种（p = 0.003）。这些发现表明，公共卫生专业人员有必要了解这些论坛中表达的担忧，并开发创新方法来消除反疫苗接种的谣言，因为这些观点可能会在实现公共卫生议程目标的过程中造成障碍。
