Lynch Meghan, Thomas Maddi, Allin Sara
Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Can J Aging. 2022 Dec;41(4):657-666. doi: 10.1017/S0714980822000010. Epub 2022 Apr 11.
This study explored how a subsection of Canadians perceive older adults' vaccines through a qualitative analysis of comments posted in response to national online news articles. We used reflexive thematic analysis to analyse 147 comments from 31 news article comments sections published between 2015 and 2020 from five different national online news sources (CBC, National Post, Global News, Globe & Mail, and Huffington Post Canada) that focused on three older adults' diseases and vaccines: influenza, pneumococcal pneumonia, and herpes-zoster. Three themes encompassed the similarities and differences in how these three diseases were discussed: (1) the importance of personal experiences on stated stance in vaccine uptake or refusal, (2) questioning vaccine research and recommendations, and (3) criticisms of the government's unequal vaccine opportunities across different Canadian provinces. Our findings identified that perceptions regarding older adult vaccination were dependent on the vaccine type, and, therefore, we make suggestions for future researchers to build on our findings, particularly the need not to treat the research subject of "older adults' vaccines" as one entity. Gaining a better understanding of how older adults' vaccines are perceived in Canada will enable public health professionals to develop effective communication strategies that should ultimately improve vaccination rates for older adults.
本研究通过对针对全国在线新闻文章发布的评论进行定性分析，探讨了一部分加拿大人对老年人疫苗的看法。我们采用反思性主题分析法，分析了2015年至2020年间来自五个不同的全国在线新闻来源（加拿大广播公司、《国家邮报》、环球新闻、《环球邮报》和加拿大赫芬顿邮报）的31篇新闻文章评论区的147条评论，这些评论聚焦于三种老年人疾病及疫苗：流感、肺炎球菌肺炎和带状疱疹。三个主题涵盖了对这三种疾病讨论方式的异同：（1）个人经历对疫苗接种或拒绝立场的重要性；（2）对疫苗研究和建议的质疑；（3）对加拿大不同省份政府疫苗机会不平等的批评。我们的研究结果表明，对老年人疫苗接种的看法取决于疫苗类型，因此，我们为未来的研究人员提出建议，以便在我们的研究结果基础上进一步开展研究，特别是不要将“老年人疫苗”这一研究主题视为一个整体。更好地了解加拿大对老年人疫苗的看法，将使公共卫生专业人员能够制定有效的沟通策略，最终提高老年人的疫苗接种率。
