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家长是否愿意为孩子接种 COVID-19 疫苗?基于健康信念模型的定性研究。

Are parents' willing to vaccinate their children against COVID-19? A qualitative study based on the Health Belief Model.

机构信息

Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Hum Vaccin Immunother. 2023 Dec 31;19(1):2177068. doi: 10.1080/21645515.2023.2177068. Epub 2023 Feb 8.

DOI:10.1080/21645515.2023.2177068
PMID:36755490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10054307/
Abstract

In response to the COVID-19 pandemic, several countries have started implementing voluntary or involuntary mass vaccination programs. Although vaccine acceptance is high among adults, uncertainty about whether to vaccinate children against COVID-19 remains a controversial theme. To date, few qualitative studies have explored parents' views on this topic. A qualitative descriptive study design was used to collect data and individual in-depth interviews were conducted with 50 parents in the Makkah region of Saudi Arabia. The Health Belief Model (HBM) was used as a guide in developing the interview guide. Each question was related to a construct of the HBM. The data were then analyzed using thematic content analysis and interpreted using NVivo software. Two major themes emerged: motivation to vaccinate children, which was influenced by perceived benefits, perceived severity, perceived suitability, collective responsibilities, confidence, and cues to action; and barriers to vaccination in children, which included complacency, rapid vaccine development, and uncertainty about the long-term side effects of the vaccine. The findings of this study revealed that the public is not sufficiently informed about the efficacy or side effects of the COVID-19 vaccine, increasing the awareness of which will help parents make informed decisions regarding vaccinating their children and potentially increase vaccine acceptance.

摘要

针对 COVID-19 大流行,一些国家已经开始实施自愿或非自愿的大规模疫苗接种计划。尽管成年人对接种疫苗的接受程度很高,但对于是否为儿童接种 COVID-19 疫苗仍存在不确定性,这仍然是一个有争议的话题。迄今为止,很少有定性研究探讨过父母对此主题的看法。本研究采用定性描述性研究设计来收集数据,并对沙特阿拉伯麦加地区的 50 名父母进行了个人深入访谈。健康信念模型 (HBM) 被用作制定访谈指南的指导。每个问题都与 HBM 的一个结构相关。然后使用主题内容分析法对数据进行分析,并使用 NVivo 软件进行解释。出现了两个主要主题:为儿童接种疫苗的动机,这受到感知益处、感知严重程度、感知适宜性、集体责任、信心和行动提示的影响;以及儿童疫苗接种的障碍,包括自满、疫苗快速开发以及对疫苗长期副作用的不确定性。本研究的结果表明,公众对 COVID-19 疫苗的功效或副作用了解不足,提高认识将有助于父母做出明智的决策,为儿童接种疫苗,并可能提高疫苗的接受程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f0e/10054307/44219a6f1914/KHVI_A_2177068_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f0e/10054307/44219a6f1914/KHVI_A_2177068_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f0e/10054307/44219a6f1914/KHVI_A_2177068_F0001_B.jpg

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本文引用的文献

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Front Public Health. 2022 Jun 28;10:903152. doi: 10.3389/fpubh.2022.903152. eCollection 2022.
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Parents' Perceptions and Intention to Vaccinate Their Children Against COVID-19: Results From a Cross-Sectional National Survey in India.
评估沙特阿拉伯父母对 COVID-19 疫苗的接受度:一项系统评价,调查态度、犹豫和意愿。
Front Public Health. 2024 Mar 22;12:1327944. doi: 10.3389/fpubh.2024.1327944. eCollection 2024.
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Parental Willingness and Factors Influencing COVID-19 Vaccination for Children in Saudi Arabia.沙特阿拉伯父母对儿童接种新冠疫苗的意愿及影响因素
Pediatric Health Med Ther. 2024 Jan 16;15:29-48. doi: 10.2147/PHMT.S443272. eCollection 2024.
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Trust in pharmaceuticals and vaccine hesitancy: exploring factors influencing COVID-19 immunization among Lebanese children aged 1 to 11 years.对药品的信任和疫苗犹豫:探索影响黎巴嫩 1 至 11 岁儿童 COVID-19 免疫接种的因素。
BMC Pediatr. 2023 Nov 16;23(1):570. doi: 10.1186/s12887-023-04394-3.
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