Jwa Sinchul, Imanishi Yousuke, Ascher Marie T, Dudley Matthew Z
Johns Hopkins Bloomberg School of Public Health, United States; Department of Pediatrics Osaka Metropolitan University Graduate School of Medicine, Japan.
Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Japan; University of California, Los Angeles, United States.
Vaccine. 2025 Aug 13;61:127401. doi: 10.1016/j.vaccine.2025.127401. Epub 2025 Jun 21.
Vaccine hesitancy among parents and caregivers is a growing issue that can lead to reduced vaccine coverage and corresponding outbreaks of disease. Different interventions to reduce vaccine hesitancy have been developed, including the use of remote online communication that has become more common during the COVID-19 pandemic, but their impacts and effectiveness are unclear. In this systematic review, we aimed to identify effective types of communication that reduce vaccine hesitancy.
Multiple online databases were searched on April 1st, 2022 as well as March 18th, 2024. Included articles studied the impact of communication interventions aiming to reduce vaccine hesitancy among parents and caregivers of young children. Interventions targeting adolescent or adult vaccines were excluded. Potential biases or limitations that may affect the results of each study were evaluated.
Out of 3873 identified articles, 33 studies were included in this review, and 25 showed effectiveness. Among the 25 effective communication interventions, 11 were in-person and interactive, 11 were neither in-person nor interactive, 3 were interactive but not in-person, and 2 were in-person but not interactive.
Communication interventions can reduce vaccine hesitancy and increase childhood vaccine coverage. Although different types of interventions can reduce vaccine hesitancy and increase childhood vaccine coverage, especially by in-person and interactive communication interventions, further research is needed to elucidate the components that make such interventions impactful in different settings. These findings are particularly relevant for clinicians and public health officials striving to reduce vaccine hesitancy and increase vaccine uptake among children.
父母和照护者对疫苗的犹豫是一个日益严重的问题,可能导致疫苗接种覆盖率降低以及相应的疾病暴发。人们已经开发了不同的干预措施来减少对疫苗的犹豫,包括使用远程在线沟通,这种方式在新冠疫情期间变得更加普遍,但其影响和效果尚不清楚。在这项系统评价中,我们旨在确定能减少对疫苗犹豫的有效沟通类型。
于2022年4月1日以及2024年3月18日检索了多个在线数据库。纳入的文章研究了旨在减少幼儿父母和照护者对疫苗犹豫的沟通干预措施的影响。针对青少年或成人疫苗的干预措施被排除。评估了可能影响每项研究结果的潜在偏倚或局限性。
在3873篇检索到的文章中,本评价纳入了33项研究,其中25项显示出有效性。在这25项有效的沟通干预措施中,11项是面对面且互动的,11项既不是面对面也不是互动的,3项是互动但非面对面的,2项是面对面但非互动的。
沟通干预措施可以减少对疫苗的犹豫并提高儿童疫苗接种覆盖率。尽管不同类型的干预措施都可以减少对疫苗的犹豫并提高儿童疫苗接种覆盖率,尤其是通过面对面且互动的沟通干预措施,但仍需要进一步研究以阐明使这些干预措施在不同环境中产生影响的因素。这些发现对于努力减少对疫苗的犹豫并提高儿童疫苗接种率的临床医生和公共卫生官员尤为重要。