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事实与谬论:重启反疫苗讨论。

Fact vs Fallacy: The Anti-Vaccine Discussion Reloaded.

机构信息

NEMA Research, Inc., Naples, FL, USA.

Department of Physical Medicine and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

Adv Ther. 2020 Nov;37(11):4481-4490. doi: 10.1007/s12325-020-01502-y. Epub 2020 Sep 23.

DOI:10.1007/s12325-020-01502-y
PMID:32965654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7509825/
Abstract

In the light of the COVID-19 pandemic, anti-vaccine sentiments have been on the rise, with a recent seminal study on the development of anti-vaccine views in social media even making its way into Nature Communications. Yet, with the current scientific consensus being in overwhelming agreement over the safety and efficacy of vaccines, many scientists lose their grasp on the fears, concerns, and arguments that the opposition may hold. This paper discusses and evaluates vaccine-hesitant individuals on a socioeconomic, historical, and philosophical landscape. It also provides an analysis of common argumentative patterns and the psychological impact that these arguments may have on undecided individuals. The discussion also explores why anti-vaccine sentiments are on the rise, and how members of the scientific and medical community require a more structured approach to communicating key arguments. This is particularly important if vaccination rates and herd immunity are to be sustained. No longer is it sufficient to win arguments based on a factual and scientific basis, but rather scientists and medical practitioners have to focus on conveying confidence and reassurance on both an informative and emotional level to those with doubts and fears.

摘要

鉴于 COVID-19 大流行,反疫苗情绪不断上升,最近在社交媒体上对反疫苗观点发展的开创性研究甚至发表在《自然通讯》上。然而,由于当前科学界对疫苗的安全性和有效性达成压倒性共识,许多科学家无法理解反对者可能持有的恐惧、担忧和论点。本文从社会经济、历史和哲学的角度讨论和评估了对疫苗犹豫不决的人。它还分析了常见的论证模式以及这些论点对犹豫不决的个人可能产生的心理影响。讨论还探讨了为什么反疫苗情绪在上升,以及为什么科学和医疗界的成员需要更有组织的方法来传达关键论点。如果要维持疫苗接种率和群体免疫,这一点尤为重要。仅仅基于事实和科学依据赢得争论已经不够了,而是科学家和医疗从业者必须专注于在信息和情感层面上向有疑虑和恐惧的人传达信心和保证。

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本文引用的文献

1
An mRNA Vaccine against SARS-CoV-2 - Preliminary Report.mRNA 疫苗对 SARS-CoV-2 的作用-初步报告。
N Engl J Med. 2020 Nov 12;383(20):1920-1931. doi: 10.1056/NEJMoa2022483. Epub 2020 Jul 14.
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The online competition between pro- and anti-vaccination views.支持和反对疫苗接种观点的在线竞争。
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Vaccine hesitancy is strongly associated with distrust of conventional medicine, and only weakly associated with trust in alternative medicine.疫苗犹豫与对传统医学的不信任密切相关,而与对替代医学的信任关系较弱。
Soc Sci Med. 2020 Jun;255:113019. doi: 10.1016/j.socscimed.2020.113019. Epub 2020 May 5.
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Talk to Patients About: Vaccine Immunity vs. Natural Immunity.与患者谈论:疫苗免疫与自然免疫。
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No evidence that omission and confirmation biases affect the perception and recall of vaccine-related information.没有证据表明遗漏和确认偏差会影响对疫苗相关信息的感知和回忆。
PLoS One. 2020 Mar 4;15(3):e0228898. doi: 10.1371/journal.pone.0228898. eCollection 2020.
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Association of cognitive biases with human papillomavirus vaccine hesitancy: a cross-sectional study.认知偏差与人类乳头瘤病毒疫苗犹豫的关联:一项横断面研究。
Hum Vaccin Immunother. 2020 May 3;16(5):1018-1023. doi: 10.1080/21645515.2019.1698243. Epub 2019 Dec 20.
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A meta-synthesis study of the key elements involved in childhood vaccine hesitancy.儿童疫苗犹豫关键因素的元综合研究。
Public Health. 2020 Mar;180:38-45. doi: 10.1016/j.puhe.2019.10.027. Epub 2019 Dec 12.
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Impact of disease risk on the narrative bias in vaccination risk perceptions.疾病风险对疫苗接种风险认知中的叙述偏见的影响。
Psychol Health. 2020 Mar;35(3):346-365. doi: 10.1080/08870446.2019.1630561. Epub 2019 Sep 3.
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Anti-Vaccine Decision-Making and Measles Resurgence in the United States.美国的反疫苗决策与麻疹疫情卷土重来
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A deliberate choice? Exploring factors related to informed decision-making about childhood vaccination among acceptors, refusers, and partial acceptors.是有意为之?探究与接受者、拒绝者和部分接受者有关儿童疫苗接种知情决策的相关因素。
Vaccine. 2019 Sep 3;37(37):5637-5644. doi: 10.1016/j.vaccine.2019.07.060. Epub 2019 Aug 2.