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黄热病疫苗犹豫及其与背景、个体、群体影响和疫苗特定问题的关系:范围综述。

Yellow fever vaccine hesitancy and its relationship with contextual, individual, or group influences and vaccine-specific issues: a scoping review.

机构信息

Universidade Federal de Mato Grosso. Av. Fernando Corrêa da Costa 2.367. 78060-900 Cuiabá MT Brasil.

Universidade de São Paulo. São Paulo SP Brasil.

出版信息

Cien Saude Colet. 2023 Jun;28(6):1717-1727. doi: 10.1590/1413-81232023286.13522022. Epub 2022 Nov 11.

DOI:10.1590/1413-81232023286.13522022
PMID:37255148
Abstract

Vaccine hesitancy is a phenomenon with the potential to reduce vaccination coverage rates, as observed with the yellow fever vaccine (YFV), leading to epidemics and the reintroduction of controlled immunopreventable diseases. This study, together with the scientific literature, aims to map the relationship among the lack of information, vaccine safety and adverse events, and vaccine hesitancy concerning YFV. A scoping review was conducted in the Virtual Health Library (VHL), National Library of Medicine (PubMed), SCOPUS, Embase, and Web of Science databases, using controlled (DeCS/MeSH) and uncontrolled descriptors. In this work, we selected eleven articles, published in English, Spanish, and Portuguese, with no time limits, which met the inclusion criteria. False information, inadequate knowledge about the immunizer, lack of time to take a vaccination, acceptance of the vaccine, vaccine safety, and fear of adverse events were related to vaccine hesitancy. This study reinforces the importance of access to adequate information, provides guidance on YFV safety and adverse events, and can aid in the development of public health strategies to mitigate hesitancy.

摘要

疫苗犹豫是一种可能降低疫苗接种率的现象,正如黄热病疫苗(YFV)所观察到的那样,这导致了流行病和已控制的可免疫预防疾病的再次出现。本研究与科学文献一起,旨在绘制与 YFV 相关的信息缺乏、疫苗安全性和不良事件以及疫苗犹豫之间的关系。在虚拟健康图书馆(VHL)、美国国家医学图书馆(PubMed)、SCOPUS、Embase 和 Web of Science 数据库中进行了范围审查,使用了受控(DeCS/MeSH)和非受控描述符。在这项工作中,我们选择了十一篇发表在英语、西班牙语和葡萄牙语的文章,没有时间限制,这些文章符合纳入标准。虚假信息、对免疫制剂的了解不足、没有时间接种疫苗、对疫苗的接受程度、疫苗安全性以及对不良事件的恐惧都与疫苗犹豫有关。这项研究强调了获得足够信息的重要性,提供了关于 YFV 安全性和不良事件的指导,并可以帮助制定减轻犹豫的公共卫生策略。

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