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疫苗犹豫与新兴的父母规范:台湾的一项定性研究。

Vaccine hesitancy and emerging parental norms: A qualitative study in Taiwan.

作者信息

Kuan Chen-I

机构信息

Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.

出版信息

Sociol Health Illn. 2022 Mar;44(3):692-709. doi: 10.1111/1467-9566.13446. Epub 2022 Feb 17.

Abstract

This article reports a qualitative study on vaccine hesitancy in Taiwan. Based on its findings, this research illuminates the close relationships between expanding vaccine hesitancy and current parental norms. It answers the following questions: how do parents understand their roles and responsibilities regarding childhood vaccination under new parental norms? How do new parental norms interweave with other social contexts to shape parental practices of childhood vaccination? This research collected data from March 2018 to July 2020. This research observed lectures and activities concerning childhood vaccination organised by parental groups and interviewed 24 parents and three CDC professionals. Results show that 'uniqueness of every child', 'informed decision-making' and 'intensive parenthood' are three essential elements in contemporary parental norms that significantly influence parents' experiences regarding childhood vaccination. Under the norms, parents perceive their responsibility to inform themselves and make decisions most suitable for their children. Results also highlight the tension when health authorities failed to recognise new parental roles in childhood vaccination. The current lack of communication on childhood vaccination causes parents' anxiety even among those who comply with vaccination policy. Health authorities and professionals should pay attention to new parental norms affecting people's childhood vaccination practices and develop suitable communication strategies.

摘要

本文报道了一项关于台湾地区疫苗犹豫情况的定性研究。基于研究结果,本研究阐明了疫苗犹豫现象不断扩大与当前父母规范之间的紧密关系。它回答了以下问题:在新的父母规范下,父母如何理解他们在儿童疫苗接种方面的角色和责任?新的父母规范如何与其他社会背景相互交织,从而塑造父母的儿童疫苗接种行为?本研究于2018年3月至2020年7月收集数据。本研究观察了家长团体组织的有关儿童疫苗接种的讲座和活动,并采访了24位家长和三位疾病控制中心的专业人员。结果表明,“每个孩子的独特性”“知情决策”和“高强度育儿”是当代父母规范中的三个关键要素,它们显著影响着父母在儿童疫苗接种方面的经历。在这些规范下,父母认为自己有责任了解情况并做出最适合自己孩子的决定。结果还凸显了卫生当局未能认识到父母在儿童疫苗接种中的新角色时所产生的紧张关系。目前在儿童疫苗接种方面缺乏沟通,即使是那些遵守疫苗接种政策的父母也会感到焦虑。卫生当局和专业人员应关注影响人们儿童疫苗接种行为的新父母规范,并制定合适的沟通策略。

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