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“我们一直希望能针对它进行疫苗接种,现在我们可以了”:西澳大利亚州珀斯市原住民儿童照料者对呼吸道合胞病毒疾病及免疫接种的看法

"We've wanted to vaccinate against it and now we can": views of respiratory syncytial virus disease and immunisation held by caregivers of Aboriginal children in Perth, Western Australia.

作者信息

Carlson Samantha J, Holland Charlie, Swift Valerie, Hughes Catherine, Richmond Peter, Moore Hannah C

机构信息

Wesfarmers Centre of Vaccines and Infectious Diseases, The Kids Research Institute Australia, University of Western Australia, Perth, Western Australia, Australia; School of Social Sciences, The University of Western Australia, Australia.

Wesfarmers Centre of Vaccines and Infectious Diseases, The Kids Research Institute Australia, University of Western Australia, Perth, Western Australia, Australia; School of Population Health, Curtin University, Perth, Western Australia, Australia.

出版信息

Aust N Z J Public Health. 2025 Feb;49(1):100216. doi: 10.1016/j.anzjph.2024.100216. Epub 2025 Jan 9.

Abstract

OBJECTIVE

Respiratory syncytial virus (RSV) is a major cause of respiratory infection with a higher burden in Aboriginal and Torres Strait Islander infants and children. We conducted a pilot qualitative study identifying disease knowledge and willingness to immunise following the changing immunisation landscape for infant RSV in 2024.

METHODS

Yarning groups were held with a convenience sample of parents/carers of Aboriginal children attending playgroup at a metropolitan Aboriginal Health Service in Western Australia. Data collected in the form of notes were thematically analysed.

RESULTS

We heard from nine parents/carers over two yarns in March/April 2024. Level of RSV awareness largely depended on lived experience of an RSV infection with some participants only first hearing of RSV following announcement of the immunisation program. Most participants were willing to accept immunisation. There was a strong preference for information on disease and immunisation safety coming from a 'trusted Aboriginal voice', but the level of information varied.

CONCLUSIONS

This pilot study provides initial insights into community views of RSV disease and immunisation. More RSV disease awareness is needed in the Indigenous community.

IMPLICATIONS FOR PUBLIC HEALTH

These findings will help inform current and future RSV immunisation programs for Aboriginal and Torres Strait Islander populations.

摘要

目的

呼吸道合胞病毒(RSV)是呼吸道感染的主要病因,在原住民及托雷斯海峡岛民的婴幼儿中造成的负担更重。我们开展了一项定性试点研究,以确定在2024年婴儿RSV免疫格局变化后,人们对该疾病的了解情况以及免疫接种意愿。

方法

与西澳大利亚州一家大都市原住民健康服务机构中参加游戏小组的原住民儿童的家长/照料者组成的便利样本进行了围坐交谈。对以笔记形式收集的数据进行了主题分析。

结果

在2024年3月/4月的两次围坐交谈中,我们听取了9位家长/照料者的意见。RSV的知晓程度很大程度上取决于RSV感染的实际经历,一些参与者是在免疫计划宣布后才首次听说RSV。大多数参与者愿意接受免疫接种。他们强烈倾向于从“值得信赖的原住民声音”获取有关疾病和免疫安全性的信息,但信息水平各不相同。

结论

这项试点研究初步洞察了社区对RSV疾病和免疫接种的看法。原住民社区需要更多地了解RSV疾病。

对公共卫生的启示

这些发现将有助于为当前及未来针对原住民及托雷斯海峡岛民群体的RSV免疫计划提供参考。

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