Moreira da Cunha Nayara, Tzirita Sofia, Gobbo Elisa, Herzig van Wees Sibylle
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Front Public Health. 2025 May 14;13:1563677. doi: 10.3389/fpubh.2025.1563677. eCollection 2025.
Attitudes towards vaccination are influenced by a broad range of factors, yet little is known about the drivers shaping adolescents' vaccination beliefs. The aim of this study was to qualitatively explore the factors influencing adolescents' individual decision-making towards COVID-19 vaccination.
A systematic review was conducted using Medline, Web of Science, Sociological Abstracts, and Publicly Available Content Database. Studies on attitudes, beliefs, and perceptions of adolescents regarding COVID-19 vaccines were included. The JBI Critical Appraisal Checklist was used for quality assessment, followed by thematic synthesis of the included studies.
In total, 13 studies were included, revealing 5 key themes: (1) Limited vaccine literacy influences adolescents' attitudes towards COVID-19 vaccines; (2) Family, peers, and community strongly influence adolescents' COVID-19 vaccine decision-making; (3) Different levels of trust in vaccine providers and governments influence adolescents' attitudes towards COVID-19 vaccines; (4) Desire to go back to normality influences adolescents' COVID-19 vaccine attitudes towards vaccine acceptancy; (5) Autonomy influences adolescents' COVID-19 vaccine decision-making.
The review findings suggest that vaccine acceptance among adolescents could be improved through tailored and accessible vaccine literacy messaging, addressing structural mistrust, and empowering adolescents to make autonomous health decisions that take into account diverse contexts and populations.
https://www.crd.york.ac.uk/PROSPERO/view/CRD42024512197, identifier CRD42024512197.
对疫苗接种的态度受到广泛因素的影响，但对于塑造青少年疫苗接种信念的驱动因素知之甚少。本研究的目的是定性探索影响青少年针对新冠疫苗接种个人决策的因素。
使用Medline、科学网、社会学文摘数据库和公开可用内容数据库进行系统综述。纳入关于青少年对新冠疫苗的态度、信念和认知的研究。采用JBI批判性评价清单进行质量评估，随后对纳入研究进行主题综合分析。
共纳入13项研究，揭示了5个关键主题：（1）有限的疫苗知识影响青少年对新冠疫苗的态度；（2）家庭、同伴和社区强烈影响青少年的新冠疫苗接种决策；（3）对疫苗供应商和政府的不同信任程度影响青少年对新冠疫苗的态度；（4）恢复正常生活的愿望影响青少年对新冠疫苗接种接受度的态度；（5）自主性影响青少年的新冠疫苗接种决策。
综述结果表明，通过提供量身定制且易于理解的疫苗知识信息、解决结构性不信任问题以及赋予青少年做出考虑到不同背景和人群的自主健康决策的权力，可以提高青少年对疫苗的接受度。
https://www.crd.york.ac.uk/PROSPERO/view/CRD42024512197，标识符CRD42024512197。
