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美国低收入、不同种族和族裔的父母对 COVID-19 疫苗的犹豫。

COVID-19 vaccine hesitancy among low-income, racially and ethnically diverse US parents.

机构信息

Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL, USA.

出版信息

Patient Educ Couns. 2022 Aug;105(8):2771-2777. doi: 10.1016/j.pec.2022.03.023. Epub 2022 Mar 30.

DOI:10.1016/j.pec.2022.03.023
PMID:35393230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8966372/
Abstract

OBJECTIVE

Examine factors impacting U.S. parents' intention to vaccinate their children against COVID-19.

METHODS

Data were collected February-May 2021 from parents living in six geographically diverse locations. The COVID-19 Exposure and Family Impact Survey assessed perceived susceptibility and severity to adverse outcomes from the pandemic. Semi-structured interviews assessed perceptions about benefits and risks of vaccinating children.

RESULTS

Fifty parents of 106 children (newborn-17 years) were included; half were Spanish-speaking and half English-speaking. 62% were hesitant about vaccinating their children against COVID-19. Efficacy and safety were the main themes that emerged: some parents perceived them as benefits while others perceived them as risks to vaccination. Parent hesitancy often relied on social media, and was influenced by narrative accounts of vaccination experiences. Many cited the lower risk of negative outcomes from COVID-19 among children, when compared with adults. Some also cited inaccurate and constantly changing information about COVID-19 vaccines.

CONCLUSION

Main drivers of parent hesitancy regarding child COVID-19 vaccination include perceived safety and efficacy of the vaccines and lower severity of illness in children.

PRACTICE IMPLICATIONS

Many vaccine-hesitant parents may be open to vaccination in the future and welcome additional discussion and data.

摘要

目的

探讨影响美国父母为子女接种 COVID-19 疫苗意愿的因素。

方法

2021 年 2 月至 5 月,在六个地理位置不同的地区收集了父母的数据。COVID-19 暴露和家庭影响调查评估了对大流行不良后果的感知易感性和严重程度。半结构化访谈评估了对为儿童接种疫苗的益处和风险的看法。

结果

共纳入了 106 名儿童(新生儿至 17 岁)的 50 名父母;一半是西班牙语,一半是英语。62%的父母对接种儿童 COVID-19 疫苗犹豫不决。有效性和安全性是主要出现的主题:一些父母认为它们是益处,而另一些父母则认为它们是接种疫苗的风险。父母的犹豫往往依赖于社交媒体,并受到接种疫苗经历的叙述性描述的影响。许多人指出,与成年人相比,儿童感染 COVID-19 的负面后果风险较低。有些人还提到了有关 COVID-19 疫苗的不准确且不断变化的信息。

结论

父母对接种儿童 COVID-19 疫苗犹豫不决的主要原因包括对疫苗的安全性和有效性的看法以及儿童患病严重程度较低。

实践意义

许多对疫苗犹豫不决的父母将来可能会接受接种疫苗,并欢迎进一步的讨论和数据。

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N Engl J Med. 2021 Jun 24;384(25):e100. doi: 10.1056/NEJMp2106137. Epub 2021 May 5.
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