Lieu T A, Glauber J H, Fuentes-Afflick E, Lo B
Robert Wood Johnson Clinical Scholars Program, University of California-San Francisco.
Arch Pediatr Adolesc Med. 1994 Sep;148(9):921-5. doi: 10.1001/archpedi.1994.02170090035004.
To describe how parents actually use federally mandated vaccine information pamphlets and to evaluate the pamphlets' effects on parents' opinions about vaccination.
A controlled trial of vaccine information pamphlets based on a survey mailed to parents who either received (n = 140) or did not receive (n = 167) the pamphlets.
Parents of infants aged 2 to 8 months in a suburban, mainly upper-middle class private group practice in northern California.
More than 90% of parents believed that they had enough information to decide whether their child should be vaccinated, even among those who did not receive the pamphlets. Among parents who received the pamphlets, fewer than half (38%) read them thoroughly, and most (63%) said that they should be distributed only on the first visit for vaccinations. Parents who received the pamphlets did not differ from those who did not in terms of the proportions who would have liked more time to be spent discussing vaccines (34% vs 34%) or who were anxious about how the diphtheria and tetanus toxoids and pertussis vaccine would affect their child (60% vs 52%).
Vaccine information pamphlets, when used as an adjunct to discussions with physicians and nurses, have little effect on the opinions of well-educated parents. Future research and policy changes might focus on how to make the contents of the pamphlets less frightening and on allowing greater flexibility in how they are distributed.
描述家长实际如何使用联邦政府规定的疫苗信息手册，并评估这些手册对家长关于疫苗接种观点的影响。
基于一项对收到（n = 140）或未收到（n = 167）手册的家长进行邮寄调查的疫苗信息手册对照试验。
加利福尼亚州北部一个郊区主要为中上层阶级的私人团体诊所中2至8个月婴儿的家长。
超过90%的家长认为他们有足够信息来决定孩子是否接种疫苗，即使是在未收到手册的家长中。在收到手册的家长中，不到一半（38%）的家长仔细阅读了手册，大多数（63%）表示手册应仅在首次接种疫苗时发放。收到手册的家长在希望有更多时间讨论疫苗的比例（34%对34%）或对接种白喉、破伤风类毒素和百日咳疫苗如何影响孩子感到焦虑的比例（60%对52%）方面与未收到手册的家长没有差异。
疫苗信息手册作为与医生和护士讨论的辅助工具，对受过良好教育的家长的观点影响甚微。未来的研究和政策变化可能会集中在如何使手册内容不那么令人恐惧以及在发放方式上给予更大灵活性。
