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理解疫苗接种拒绝率上升的原因:认知、恐惧及影响因素。

Understanding the rise of vaccine refusal: perceptions, fears, and influences.

作者信息

Uğrak Uğur, Aksungur Abide, Akyüz Selahattin, Şen Harika, Seyhan Fırat

机构信息

University of Health Sciences, Gülhane Vocational School of Health Services, Ankara, Türkiye, Turkey.

Ankara Provincial Health Directorate, Altındağ District Health Directorate, Ankara, Türkiye, Turkey.

出版信息

BMC Public Health. 2025 Jul 29;25(1):2574. doi: 10.1186/s12889-025-23754-5.

Abstract

OBJECTIVE

This study aims to examine individuals' justifications and experiences regarding vaccine refusal in Türkiye. The findings of this study are expected to provide significant insights into policies for preventing vaccine refusal and hesitancy.

METHOD

This phenomenological qualitative study involved in-depth interviews with 23 participants. The participants were selected via purposive and snowball sampling methods. The interview data were analyzed via content, quotation, and thematic analysis techniques. Qualitative analyses were performed with NVivo 10 software.

RESULTS

The thematic analysis identified four main themes: Justifications (23/23), Perceived Social Implications (20/23), Social Interaction (17/23), and Information Sources (23/23). The participants were determined to refrain from vaccination due to concerns about the ingredients in vaccines and their potential adverse health effects. Additionally, institutional distrust toward vaccine manufacturers, accompanied by conspiracy theories, has emerged as another significant justification for vaccine refusal. Furthermore, this study revealed that sources of information, such as the Internet, social media, books, and articles, play crucial roles in shaping vaccine refusal attitudes.

CONCLUSION

The findings of this study highlight that vaccine-related decision-making is shaped not only by scientific and economic factors but also by psychological, sociocultural, and political factors. These findings underscore the need for further research and the development of strategic policies to increase vaccine acceptance and trust.

摘要

目的

本研究旨在考察土耳其民众拒绝接种疫苗的理由及经历。预计本研究结果将为预防疫苗拒绝和犹豫的政策提供重要见解。

方法

本现象学定性研究对23名参与者进行了深入访谈。参与者通过目的抽样和滚雪球抽样方法选取。访谈数据通过内容、引用和主题分析技术进行分析。定性分析使用NVivo 10软件进行。

结果

主题分析确定了四个主要主题:理由(23/23)、感知的社会影响(20/23)、社会互动(17/23)和信息来源(23/23)。参与者因担心疫苗成分及其潜在的健康不良影响而决定不接种疫苗。此外,对疫苗制造商的机构不信任,伴随着阴谋论,已成为拒绝接种疫苗的另一个重要理由。此外,本研究表明,互联网、社交媒体、书籍和文章等信息来源在塑造疫苗拒绝态度方面发挥着关键作用。

结论

本研究结果表明,与疫苗相关的决策不仅受科学和经济因素影响,还受心理、社会文化和政治因素影响。这些发现强调了进一步研究以及制定战略政策以提高疫苗接受度和信任度的必要性。

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