荷兰的摩洛哥移民如何决定是否接种新冠疫苗？一项探索性定性研究。
How did Moroccan immigrants in the Netherlands decide with regard to their COVID-19 vaccine uptake? An exploratory qualitative study.
作者信息
Hamdiui Nora, de Vries Marion, Stein Mart L, Crutzen Rik, Hintaran Putri, van den Muijsenbergh Maria, Timen Aura
机构信息
Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
出版信息
BMC Infect Dis. 2025 Apr 25;25(1):602. doi: 10.1186/s12879-025-11003-4.
BACKGROUND
In the Netherlands, a low COVID-19 vaccination uptake was reported among Moroccan immigrants. This population also faced a higher risk of contracting COVID-19, as well as severe morbidity and mortality, compared to native Dutch. We aimed to explore the COVID-19 vaccination decision-making process and the process from vaccination intention to uptake among Moroccan immigrants in the Netherlands.
METHODS
Between April and June 2022, an exploratory qualitative study was performed among Moroccan immigrants in the Netherlands (n = 29). Participants were recruited through community centres, mosques, and social media. Interviews were transcribed verbatim and thematically analysed.
RESULTS
Seven themes were generated: (1) Attitudes shifted over time and the vaccination decision was postponed, (2) A personal multi-faceted risk-benefit assessment, rather than feelings of social responsibility, resulted in a decision to vaccinate or not, (3) Feelings of decisional or anticipated regret that accompanied the personal risk-benefit assessment influenced the vaccination decision, (4) Used information sources, (5) A perceived lack of trustworthiness of the information disclosed by the government and media had a direct or indirect negative influence on the decision-making process, (6) The social environment and its norms as support or burden in the decision-making process, and (7) Religious beliefs and values holding back and encouraging in the decision-making process.
CONCLUSIONS
Many participants described the COVID-19 vaccination decision as a personal risk-benefit assessment, rather than a social responsibility. Many participants experienced lack of transparency of information from the government and the media, inhibiting them from making a good decision. We recommend providing clear and transparent information that explains possible contradictions and acknowledges uncertainties and potential adverse effects. Religious beliefs and values, and the strong influence of children and parents in making the vaccination decision should also be carefully considered in communication strategies.
CLINICAL TRIAL NUMBER
Not applicable.
背景
在荷兰，据报道摩洛哥移民群体的新冠疫苗接种率较低。与荷兰本土居民相比，这一群体感染新冠病毒的风险更高，且出现重症和死亡的几率也更高。我们旨在探究荷兰摩洛哥移民的新冠疫苗接种决策过程以及从接种意愿到实际接种的过程。
方法
2022年4月至6月，对荷兰的摩洛哥移民（n = 29）进行了一项探索性定性研究。通过社区中心、清真寺和社交媒体招募参与者。访谈内容逐字转录并进行主题分析。
结果
共产生了七个主题：（1）态度随时间转变，疫苗接种决定被推迟；（2）个人多方面的风险效益评估而非社会责任感导致了接种或不接种的决定；（3）个人风险效益评估过程中伴随的决策或预期遗憾情绪影响了疫苗接种决定；（4）所使用的信息来源；（5）认为政府和媒体披露的信息缺乏可信度对决策过程产生了直接或间接的负面影响；（6）社会环境及其规范在决策过程中起到支持或阻碍作用；（7）宗教信仰和价值观在决策过程中既有阻碍作用也有激励作用。
结论
许多参与者将新冠疫苗接种决定描述为个人风险效益评估，而非社会责任。许多参与者经历了政府和媒体信息缺乏透明度的情况，这阻碍了他们做出明智的决定。我们建议提供清晰透明的信息，解释可能存在的矛盾之处，并承认不确定性和潜在的不良影响。在沟通策略中，还应仔细考虑宗教信仰和价值观，以及儿童和父母在做出疫苗接种决定时的强大影响力。
临床试验编号
不适用。
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