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考量加拿大成年人中疫苗宣传在新冠疫情中的影响:对未来疫苗接种活动经验教训的定性研究

Considering the impact of vaccine communication in the COVID-19 pandemic among adults in Canada: A qualitative study of lessons learned for future vaccine campaigns.

作者信息

Parsons Leigh Jeanna, Moss Stephana Julia, MacDonald Jade, Cherak Michal S, Stelfox Henry T, Dubé Ève, Fiest Kirsten M, Halperin Donna M, Ahmed Sofia B, MacDonald Shannon E, Straus Sharon E, Manca Terra, Ng Kamstra Josh, Soo Andrea, Halperin Scott A

机构信息

Faculty of Health, School of Health Administration, Dalhousie University, Halifax, NS, Canada.

Department of Critical Care Medicine, Dalhousie University, Halifax, NS, Canada.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2448052. doi: 10.1080/21645515.2024.2448052. Epub 2025 Jan 8.

Abstract

We aimed to understand how experiences with vaccine-related information and communication challenges during the COVID-19 pandemic impacted motivations and behaviors among Canadian adults regarding future vaccines. Semi-structured interviews were conducted with participants purposively selected to ensure diversity in age, sex at birth, self-identified gender, and region. Data were analyzed using thematic analysis; findings were mapped to the Information-Motivation-Behavioral Skills Model focusing on factors affecting vaccine hesitancy and uptake. Of 62 interviews completed, most were with woman ( = 32, 51.6%) and residents of Ontario ( = 36, 58.1%); the median age was 43.5 yr (interquartile range 23.3 yr). Themes included: 1) accessibility of information, 2) ability to assess information accuracy and validity, 3) trust in communications from practitioners and decision-makers, and 4) information seeking behaviors. Participants expressed various concerns about vaccines, including fears about potential side effects, particularly regarding the long-term effects of novel vaccinations. These concerns may reflect broader societal anxieties, which have been intensified by widespread misinformation and an overload of vaccine information. Moreover, participants highlighted a lack of trust in the information provided by government agencies and pharmaceutical companies, primarily driven by concerns regarding their underlying motives. Concerns about COVID-19 vaccine safety and effectiveness negatively impacted future vaccine attitudes and behaviors. Vaccine hesitancy studies should consider how individuals receive, perceive, and seek information within social contexts and risk profiles.

摘要

我们旨在了解在新冠疫情期间与疫苗相关的信息及沟通挑战方面的经历如何影响加拿大成年人对未来疫苗的接种动机和行为。我们对经过目的性选择的参与者进行了半结构化访谈,以确保在年龄、出生时性别、自我认定的性别和地区方面具有多样性。使用主题分析法对数据进行了分析;研究结果被映射到信息-动机-行为技能模型,重点关注影响疫苗犹豫和接种率的因素。在完成的62次访谈中,大多数受访者为女性(32人,占51.6%)和安大略省居民(36人,占58.1%);年龄中位数为43.5岁(四分位间距为23.3岁)。主题包括:1)信息的可获取性,2)评估信息准确性和有效性的能力,3)对从业者和决策者沟通的信任,以及4)信息寻求行为。参与者表达了对疫苗的各种担忧,包括对潜在副作用的恐惧,尤其是对新型疫苗长期影响的担忧。这些担忧可能反映了更广泛的社会焦虑,而广泛传播的错误信息和过量的疫苗信息加剧了这种焦虑。此外,参与者强调对政府机构和制药公司提供的信息缺乏信任,这主要是出于对其潜在动机的担忧。对新冠疫苗安全性和有效性的担忧对未来的疫苗态度和行为产生了负面影响。疫苗犹豫研究应考虑个体在社会背景和风险状况下如何接收、感知和寻求信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c83/11730367/3d08c158ac16/KHVI_A_2448052_F0001_B.jpg

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