Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado and Children's Hospital Colorado, Anschutz Medical Campus, Aurora.
Departments of Family Medicine.
Pediatrics. 2024 Oct 1;154(4). doi: 10.1542/peds.2024-066819.
Studies note a high prevalence of pediatric coronavirus disease 2019 (COVID-19)-specific vaccine hesitancy in the United States. Our objective was to assess whether clinicians perceive a spillover effect of COVID-19 vaccine hesitancy onto other vaccines, and the impact of this spillover on their general recommendation behavior.
We conducted semistructured interviews with pediatricians in California and Colorado pediatric practices (January-March 2023). We transcribed, coded, and analyzed interviews using content analysis.
We interviewed 21 pediatricians (10 in California, 11 in Colorado). Clinicians observed some spillover effect of vaccine-favorable changes among some parents and greater hesitancy among others regarding the risks and benefits of childhood vaccination in general. This spillover was informed by 2 divergent patterns of parental trust in health systems and individual clinicians caused by the COVID-19 pandemic. Factors driving perceived changes included media coverage, greater knowledge about vaccination, and misinformation. Some clinicians felt that their approach to vaccine recommendations became more patient-centered, whereas others reported declining engagement in persuading hesitant parents about vaccination.
Clinicians described a hardening of parental views toward vaccines in both directions, which impacted their recommendation behavior. There is a need for vaccine hesitancy monitoring and better training and support for clinicians facing vaccine hesitant parents.
研究表明，美国儿童对 2019 年冠状病毒病（COVID-19）特异性疫苗的犹豫率很高。我们的目的是评估临床医生是否认为 COVID-19 疫苗犹豫会对其他疫苗产生溢出效应，以及这种溢出效应对他们一般推荐行为的影响。
我们在加利福尼亚州和科罗拉多州的儿科诊所进行了半结构化访谈（2023 年 1 月至 3 月）。我们使用内容分析方法对访谈进行了转录、编码和分析。
我们采访了 21 名儿科医生（加利福尼亚州 10 名，科罗拉多州 11 名）。临床医生观察到一些父母对疫苗的有利变化存在一定的溢出效应，而其他父母对儿童疫苗接种的风险和益处普遍持犹豫不决的态度。这种溢出效应是由 COVID-19 大流行引起的两种父母对健康系统和个别临床医生信任模式的分歧造成的。导致感知变化的因素包括媒体报道、对疫苗接种的更多了解和错误信息。一些临床医生认为他们的疫苗推荐方法变得更加以患者为中心，而另一些人则报告说，他们对犹豫不决的父母进行疫苗接种的说服工作有所减少。
临床医生描述了父母对疫苗的看法在两个方向上都变得更加坚定，这影响了他们的推荐行为。需要对疫苗犹豫进行监测，并为面临疫苗犹豫父母的临床医生提供更好的培训和支持。
