St Mary's Hospital, Imperial College Healthcare NHS Trust, London, England.
Buckinghamshire New University, Uxbridge, England.
Nurs Child Young People. 2020 Jul 14;32(4):20-25. doi: 10.7748/ncyp.2020.e1269. Epub 2020 Jun 1.
Childhood immunisations have contributed to saving millions of lives worldwide. However, a growing number of parents are declining immunisations, while other parents are choosing to delay them or opting for selective immunisations. These behaviours contribute to the reduction of herd immunity and to the possible resurgence of certain diseases. The aim of this extended literature review was to investigate factors that contribute to 'vaccine hesitancy' for childhood immunisation among parents. Seven qualitative studies were included in the review and examined using thematic analysis. The main themes identified were vaccine safety, effectiveness of vaccines and healthcare factors, which suggest that vaccine hesitancy is more complex than parents simply agreeing or disagreeing for their child to be immunised. A range of factors contribute to vaccine hesitancy and patients' decisions are highly influenced by their perceived need to research information about immunisation online. Healthcare professionals involved in childhood immunisations need to be aware of these factors and behaviours that attribute to vaccine hesitancy to enhance their professional practice.
儿童免疫接种为挽救全世界数百万人的生命做出了贡献。然而,越来越多的父母拒绝接种疫苗,而另一些父母则选择推迟接种或选择选择性接种。这些行为导致群体免疫减少,并可能导致某些疾病死灰复燃。本次扩展文献综述的目的是调查导致父母对儿童免疫接种“疫苗犹豫”的因素。本综述纳入了 7 项定性研究,并采用主题分析进行了检查。确定的主要主题包括疫苗安全性、疫苗有效性和医疗保健因素,这表明疫苗犹豫比父母简单地同意或不同意为孩子接种疫苗要复杂得多。一系列因素导致了疫苗犹豫,而患者的决定高度受到他们认为需要在线研究免疫信息的影响。参与儿童免疫接种的医疗保健专业人员需要了解这些因素和导致疫苗犹豫的行为,以增强他们的专业实践。