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高学历母亲对哈萨克斯坦儿童疫苗接种犹豫不决的看法:主题分析。

Highly Educated Mother's Perception of Childhood Vaccination Hesitancy in Kazakhstan: A Thematic Analysis.

机构信息

Department of Medicine, School of Medicine, Nazarbayev University, Astana, Kazakhstan.

Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.

出版信息

Int J Community Based Nurs Midwifery. 2024 Apr 1;12(2):86-97. doi: 10.30476/IJCBNM.2024.100940.2393. eCollection 2024 Apr.

DOI:10.30476/IJCBNM.2024.100940.2393
PMID:38650958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11032417/
Abstract

BACKGROUND

Vaccine hesitancy among parents directly affects the child's vaccination status since they are the legal decision-makers regarding vaccinating their children. The study aimed to describe the perceptions of highly educated Kazakhstani mothers about childhood vaccination hesitancy.

METHODS

The study utilized a thematic analysis to explore the mothers' perceptions. A sample of 95 participants comprehensively answered the free-text questions in an online questionnaire from January to February 2023. The analysis of the free-text responses followed a semantic thematic analysis approach. The data were coded manually.

RESULTS

From the in-depth analysis of the data, 285 initial codes were extracted. The combination of similar meanings and concept codes led to 14 sub-themes and finally yielded four significant themes: misconceptions about childhood vaccination, fear of the effect of vaccine on children, distrust of the healthcare system, and social learning factors.

CONCLUSION

The perceptions of Kazakh mothers about childhood vaccination hesitancy may lead to behaviors of delaying and refusing some or all childhood vaccines. Therefore, motivational and educational strategies can be used by healthcare providers to instill trust in parents about childhood vaccines and their safety and effectiveness.

摘要

背景

父母对接种疫苗的犹豫会直接影响到孩子的接种状况,因为他们是为孩子接种疫苗的合法决策者。本研究旨在描述哈萨克斯坦高学历母亲对儿童疫苗犹豫的看法。

方法

本研究采用主题分析方法来探索母亲的看法。从 2023 年 1 月到 2 月,95 名参与者通过在线问卷全面回答了自由文本问题。对自由文本回复的分析遵循语义主题分析方法。数据采用人工编码。

结果

通过对数据的深入分析,提取了 285 个初始代码。将相似含义和概念代码组合起来,得出了 14 个子主题,最终产生了四个重要主题:儿童疫苗接种的误解、对疫苗对儿童影响的恐惧、对医疗保健系统的不信任以及社会学习因素。

结论

哈萨克斯坦母亲对儿童疫苗接种犹豫的看法可能导致一些或全部儿童疫苗接种的延迟和拒绝。因此,医疗保健提供者可以使用激励和教育策略,让父母对儿童疫苗及其安全性和有效性产生信任。

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本文引用的文献

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The 100 Most-Cited Articles in COVID-19 Vaccine Hesitancy Based on Web of Science: A Bibliometric Analysis.基于科学网的新冠疫苗犹豫领域被引频次最高的100篇文章:一项文献计量分析
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Education level modifies parental hesitancy about COVID-19 vaccinations for their children.教育程度会改变父母对接种新冠疫苗的犹豫态度。
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Parental childhood vaccine hesitancy and predicting uptake of vaccinations: a systematic review.家长对儿童疫苗的犹豫态度及其对接种疫苗的预测:系统综述。
Prim Health Care Res Dev. 2022 Nov 4;23:e68. doi: 10.1017/S1463423622000512.
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Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature.社交媒体与对新冠疫苗接种的态度:文献系统综述
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Association between risk perception and influenza vaccine hesitancy for children among reproductive women in China during the COVID-19 pandemic: a national online survey.新冠疫情期间中国育龄期女性对儿童的风险认知与流感疫苗犹豫的相关性:一项全国性在线调查。
BMC Public Health. 2022 Feb 23;22(1):385. doi: 10.1186/s12889-022-12782-0.
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The myth of vaccination and autism spectrum.疫苗与自闭症谱系相关的误解。
Eur J Paediatr Neurol. 2022 Jan;36:151-158. doi: 10.1016/j.ejpn.2021.12.011. Epub 2021 Dec 22.
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Association among trust in health care providers, friends, and family, and vaccine hesitancy.信任医疗服务提供者、朋友和家人与疫苗犹豫之间的关联。
Vaccine. 2021 Sep 24;39(40):5737-5740. doi: 10.1016/j.vaccine.2021.08.035. Epub 2021 Aug 26.
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