解决疫苗接受障碍：概述。
Addressing barriers to vaccine acceptance: an overview.
机构信息
a Department of Paediatrics , Dalhousie University, Canadian Centre for Vaccinology, IWK Health Centre , Halifax , Nova Scotia , Canada.
b Division of Communicable Diseases , Health Security and Environment, WHO Regional Office for Europe , Copenhagen Ø , Denmark.
出版信息
Hum Vaccin Immunother. 2018 Jan 2;14(1):218-224. doi: 10.1080/21645515.2017.1394533. Epub 2017 Nov 29.
Abstract
Addressing the drivers of vaccine hesitancy and the barriers to vaccine acceptance is a complex but important task. While the percentage of hesitant does vary from country to country and in time few, if any, countries are ever free from this problem. Overcoming hesitancy requires detection, diagnosis and tailored intervention as there is no simple strategy that can address all of the barriers to vaccine acceptance. Immunization program managers and health care workers need to become adept at recognizing and tackling hesitancy in all of its incarnations if high levels of vaccine acceptance are to be achieved but must also actively support immunization acceptors in order to build and support vaccine acceptance resiliency. This paper presents evidence-informed strategies to achieve these goals.
摘要
解决疫苗犹豫的驱动因素和疫苗接受的障碍是一项复杂但重要的任务。虽然犹豫的比例因国家和时间而异，但很少有国家能够完全避免这个问题。克服犹豫需要检测、诊断和针对性的干预，因为没有一种简单的策略可以解决所有疫苗接受的障碍。免疫规划管理人员和卫生保健工作者需要熟练地识别和解决所有形式的犹豫，如果要实现高水平的疫苗接受率，但也必须积极支持免疫接受者，以建立和支持疫苗接受的弹性。本文提出了实现这些目标的循证策略。
相似文献
1
Addressing barriers to vaccine acceptance: an overview.解决疫苗接受障碍：概述。
Hum Vaccin Immunother. 2018 Jan 2;14(1):218-224. doi: 10.1080/21645515.2017.1394533. Epub 2017 Nov 29.
2
Factors influencing vaccine acceptance and hesitancy in three informal settlements in Lusaka, Zambia.影响赞比亚卢萨卡三个非正规住区疫苗接种接受度和犹豫情况的因素。
Vaccine. 2018 Sep 5;36(37):5617-5624. doi: 10.1016/j.vaccine.2018.07.042. Epub 2018 Aug 4.
3
Communication and basic health counselling skills to tackle vaccine hesitancy.应对疫苗犹豫的沟通与基本健康咨询技巧。
Ann Ist Super Sanita. 2019 Apr-Jun;55(2):195-199. doi: 10.4415/ANN_19_02_12.
4
Vaccine hesitancy communication: What counts as evidence.疫苗犹豫沟通：什么才是证据。
Vaccine. 2018 Oct 22;36(44):6529-6530. doi: 10.1016/j.vaccine.2017.09.064. Epub 2017 Oct 4.
5
Countering vaccine hesitancy through immunization information systems, a narrative review.通过免疫信息系统应对疫苗犹豫：叙事性综述。
Hum Vaccin Immunother. 2019;15(11):2508-2526. doi: 10.1080/21645515.2019.1599675. Epub 2019 Jun 21.
6
Navigating vaccine hesitancy: Strategies and dynamics in healthcare professional-parent communication.疫苗犹豫应对策略：医疗专业人员与家长沟通中的策略与动态。
Hum Vaccin Immunother. 2024 Dec 31;20(1):2361943. doi: 10.1080/21645515.2024.2361943. Epub 2024 Jun 10.
7
Influences on Immunization Decision-Making among US Parents of Young Children.美国幼儿家长免疫接种决策的影响因素
Matern Child Health J. 2017 Dec;21(12):2178-2187. doi: 10.1007/s10995-017-2336-6.
8
Vaccine hesitancy, refusal and access barriers: The need for clarity in terminology.疫苗犹豫、拒绝和获取障碍：术语明晰性的必要性。
Vaccine. 2018 Oct 22;36(44):6556-6558. doi: 10.1016/j.vaccine.2017.08.004. Epub 2017 Aug 19.
9
Caregivers' hesitancy and outright refusal toward children's COVID-19 vaccination in the Democratic Republic of Congo: A community-based cross-sectional study.刚果民主共和国看护人对接种儿童 COVID-19 疫苗的犹豫和直接拒绝：一项基于社区的横断面研究。
Hum Vaccin Immunother. 2024 Dec 31;20(1):2422686. doi: 10.1080/21645515.2024.2422686. Epub 2024 Nov 13.
10
Identifying and addressing vaccine hesitancy.识别并应对疫苗犹豫情绪。
Pediatr Ann. 2015 Apr;44(4):e71-5. doi: 10.3928/00904481-20150410-07.
引用本文的文献
1
Knowledge, Attitudes, and Practices Regarding Herpes Zoster Vaccination Among Primary Healthcare Physicians: A Cross-sectional Survey in Jazan, Saudi Arabia.沙特阿拉伯吉赞地区基层医疗医生对带状疱疹疫苗的知识、态度和实践：一项横断面调查
Oman Med J. 2025 Mar 31;40(2):e729. doi: 10.5001/omj.2025.70. eCollection 2025 Mar.
2
A cross-sectional study of the predictors of COVID-19 vaccine hesitancy in Pakistan.一项关于巴基斯坦新冠疫苗犹豫因素的横断面研究。
Hum Vaccin Immunother. 2025 Dec;21(1):2549164. doi: 10.1080/21645515.2025.2549164. Epub 2025 Aug 27.
3
Using the CARD system for university-based pop-up vaccination clinics: A two-stage hybrid effectiveness-implementation study.在大学临时接种诊所中使用CARD系统：一项两阶段混合效果-实施研究。
Hum Vaccin Immunother. 2025 Dec;21(1):2509484. doi: 10.1080/21645515.2025.2509484. Epub 2025 Aug 7.
4
Factors Associated with Acceptance of Vaccination Against Human Papillomavirus in eThekwini District of South Africa.南非伊泰夸尼地区人乳头瘤病毒疫苗接种接受度的相关因素
Vaccines (Basel). 2025 Jul 6;13(7):732. doi: 10.3390/vaccines13070732.
5
Immunity Awareness-Strategies to Improve the Degree of Acceptance of Vaccines: A Systematic Review.免疫意识——提高疫苗接受度的策略：一项系统综述
Vaccines (Basel). 2025 Jun 7;13(6):618. doi: 10.3390/vaccines13060618.
6
Factors influencing COVID-19 vaccine acceptability among household heads in northern Nigeria: a community-based cross-sectional study.影响尼日利亚北部户主对新冠疫苗接受度的因素：一项基于社区的横断面研究。
BMJ Open. 2025 Jan 9;15(1):e083470. doi: 10.1136/bmjopen-2023-083470.
7
Vaccine Adherence: From Vaccine Hesitancy to Actual Vaccination and Reasons for Refusal of Childhood Vaccines in a Group of Postpartum Mothers.疫苗接种依从性：从疫苗犹豫到实际接种以及一组产后母亲拒绝儿童疫苗接种的原因
In Vivo. 2025 Jan-Feb;39(1):509-523. doi: 10.21873/invivo.13855.
8
[Not Available].[无可用内容]
J Prev Med Hyg. 2024 Jun 30;65(2 Suppl 1):E1-E159. doi: 10.15167/2421-4248/jpmh2024.65.2s1. eCollection 2024 Sep.
9
Moral foundations messaging to improve vaccine attitudes: An online randomized experiment from Argentina.用于改善疫苗态度的道德基础信息传递：来自阿根廷的一项在线随机实验。
PLOS Glob Public Health. 2024 Nov 15;4(11):e0003276. doi: 10.1371/journal.pgph.0003276. eCollection 2024.
10
The Effectiveness of Interventions Targeting Adolescents in HPV Vaccination-A Scoping Review.干预措施在 HPV 疫苗接种中针对青少年的效果：范围综述。
Medicina (Kaunas). 2024 Sep 22;60(9):1550. doi: 10.3390/medicina60091550.
本文引用的文献
1
Inoculating the Public against Misinformation about Climate Change.让公众免受关于气候变化的错误信息的影响。
Glob Chall. 2017 Jan 23;1(2):1600008. doi: 10.1002/gch2.201600008. eCollection 2017 Feb 27.
2
Assessments of global drivers of vaccine hesitancy in 2014-Looking beyond safety concerns.2014年疫苗犹豫全球驱动因素评估——超越安全担忧
PLoS One. 2017 Mar 1;12(3):e0172310. doi: 10.1371/journal.pone.0172310. eCollection 2017.
3
Knowledge and recommendation regarding routine childhood vaccinations among pediatric healthcare providers in Israel.以色列儿科医疗服务提供者关于儿童常规疫苗接种的知识与建议。
Vaccine. 2017 Jan 23;35(4):633-638. doi: 10.1016/j.vaccine.2016.12.005. Epub 2016 Dec 30.
4
School-Located Influenza Vaccinations: A Randomized Trial.学校流感疫苗接种：一项随机试验。
Pediatrics. 2016 Nov;138(5). doi: 10.1542/peds.2016-1746.
5
School Entry Requirements and Coverage of Nontargeted Adolescent Vaccines.入学要求及非针对性青少年疫苗接种覆盖率
Pediatrics. 2016 Dec;138(6). doi: 10.1542/peds.2016-1414. Epub 2016 Nov 8.
6
The behind-the-scenes activity of parental decision-making discourse regarding childhood vaccination.关于儿童疫苗接种的父母决策话语的幕后活动。
Am J Infect Control. 2017 Mar 1;45(3):267-271. doi: 10.1016/j.ajic.2016.10.009. Epub 2016 Nov 14.
7
Commentary to: How to respond to vocal vaccine deniers in public.对《如何在公众场合回应反对疫苗接种者》的评论
Vaccine. 2018 Jan 4;36(2):196-198. doi: 10.1016/j.vaccine.2016.09.065. Epub 2016 Oct 13.
8
Vaccine Delays, Refusals, and Patient Dismissals: A Survey of Pediatricians.疫苗延迟、拒绝和患者解雇：儿科医生调查。
Pediatrics. 2016 Sep;138(3). doi: 10.1542/peds.2016-2127.
9
The Silver Lining of Shame: Framing HPV to Influence Vaccination Intentions.耻辱的一线曙光：HPV 框架对疫苗接种意愿的影响。
Health Commun. 2017 Aug;32(8):987-994. doi: 10.1080/10410236.2016.1196420. Epub 2016 Jul 27.
10
Strategies for Improving Vaccine Delivery: A Cluster-Randomized Trial.改善疫苗接种策略：一项集群随机试验。
Pediatrics. 2016 Jun;137(6). doi: 10.1542/peds.2015-4603. Epub 2016 May 10.
Zotero 插件