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家长对疫苗的犹豫态度:近期证据支持实施针对性沟通策略的必要性。

Parental vaccine hesitancy: Recent evidences support the need to implement targeted communication strategies.

作者信息

Cagnotta Cecilia, Lettera Nicoletta, Cardillo Mirko, Pirozzi Daniele, Catalán-Matamoros Daniel, Capuano Annalisa, Scavone Cristina

机构信息

Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, Via Costantinopoli 16, Naples 80138, Italy; Department of Experimental Medicine - Section of Pharmacology "L. Donatelli", University of Campania "Luigi Vanvitelli", Via Costantinopoli 16, Naples 80138, Italy.

Campania Regional Centre for Pharmacovigilance and Pharmacoepidemiology, Via Costantinopoli 16, Naples 80138, Italy.

出版信息

J Infect Public Health. 2025 Feb;18(2):102648. doi: 10.1016/j.jiph.2024.102648. Epub 2025 Jan 3.

Abstract

In 2018, Europe experienced a surge in measles cases, revealing the consequences of suboptimal immunization coverage. This trend was exacerbated by long-standing vaccine hesitancy. Parental attitudes toward childhood vaccines have increasingly shifted, influenced by ethical, religious, and safety concerns. Vaccines hesitancy has substantially increased after the Covid-19 pandemic. Using PubMed, we reviewed cross-sectional studies, published during years 2023-2024, related to parents' vaccine hesitancy, with the aim to provide an overview of its prevalence, underlying reasons and consequences for public health. Data summarised highlight various factors contributing to vaccine hesitancy. These include socio-demographic factors, the impact of the Covid-19 pandemic, and widespread misinformation, particularly through social media. Several cross-sectional studies show that vaccine hesitancy is often linked to lower education levels, misinformation, and decreased trust in healthcare systems. The pandemic exacerbated this issue. This article underscores the need for targeted communication strategies to address vaccine hesitancy, focusing on specific populations, such as those in low-income settings or with limited access to healthcare information. It emphasizes the importance of countering misinformation to improve vaccination rates and public health outcomes.

摘要

2018年,欧洲麻疹病例激增,暴露出免疫接种覆盖率未达最佳水平的后果。长期存在的疫苗犹豫情绪加剧了这一趋势。受伦理、宗教和安全担忧的影响,家长对儿童疫苗的态度日益转变。新冠疫情之后,疫苗犹豫情绪大幅上升。我们利用PubMed检索了2023年至2024年期间发表的与家长疫苗犹豫相关的横断面研究,旨在概述其流行情况、根本原因及其对公共卫生的影响。汇总的数据突出了导致疫苗犹豫的各种因素。这些因素包括社会人口因素、新冠疫情的影响以及广泛传播的错误信息,尤其是通过社交媒体传播的错误信息。多项横断面研究表明,疫苗犹豫往往与较低的教育水平、错误信息以及对医疗保健系统信任度降低有关。疫情加剧了这一问题。本文强调需要制定有针对性的沟通策略来解决疫苗犹豫问题,重点关注特定人群,如低收入环境中的人群或获取医疗保健信息有限的人群。文章强调了对抗错误信息对提高疫苗接种率和改善公共卫生结果的重要性。

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