Underlying factors impacting vaccine hesitancy in high income countries: a review of qualitative studies

被引:164
作者
Dube, Eve [1 ,2 ]
Gagnon, Dominique [1 ]
MacDonald, Noni [3 ]
Bocquier, Aurelie [4 ,5 ]
Peretti-Watel, Patrick [4 ,5 ]
Verger, Pierre [4 ,5 ]
机构
[1] Inst Natl Sante Publ Quebec, Direct Risques Biol & Sante Travail, Quebec City, PQ, Canada
[2] Univ Laval, CHU Quebec, Axe Malad Infect & Immunitaires, Ctr Rech, Quebec City, PQ, Canada
[3] Dalhousie Univ, Dept Pediat, Halifax, NS, Canada
[4] Aix Marseille Univ, IHU Mediterranee Infect, AP HM, IRD,SSA,VITROME, Marseille, France
[5] ORS PACA, Marseille, France
关键词
Childhood vaccination; parents; qualitative research; vaccination decisions; vaccine hesitancy; vaccine refusal; PARENTAL DECISION-MAKING; PEDIATRIC VACCINATION; CHILDHOOD VACCINATION; HEALTH; MMR; ATTITUDES; COMMUNICATION; DETERMINANTS; PERCEPTIONS; RUBELLA;
D O I
10.1080/14760584.2018.1541406
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Introduction. While the scientific consensus on the benefits of vaccination is unambiguous, there is a growing proportion of the population that is skeptical about vaccination. The idea that vaccination programs are losing their momentum concerns public health agencies throughout the world. Many studies assessing determinants of vaccine acceptance have been published in the last decade. Areas covered. In this article, we review the existing qualitative literature on parents' attitudes toward childhood vaccination. Studies were included if they: (1) focused on the views, decision-making, or experiences of caregivers (hereafter, referred to as 'parents') regarding vaccinations for young children; (2) used qualitative methods for both data and data analysis; (3) were conducted in countries that ranked 'very high' on the 2016 United Nations Human Development Index; and (4) had been peer-reviewed. Twenty-two (22) studies met our inclusion criteria and were reviewed, using the socio-ecological model as a conceptual framework. Expert commentary. Parental vaccination decisions are complex and multi-dimensional. Experiences, emotions, routine ways of thinking, information sources, peers/family, risk perceptions, and trust, among other factors, inform parents' attitudes and decision-making processes. Further research is needed in order to design evidence-informed responses to vaccine hesitancy appropriate to the setting, context, and hesitant subgroups.
引用
收藏
页码:989 / 1004
页数:16
相关论文
共 100 条
[1]   THE THEORY OF PLANNED BEHAVIOR [J].
AJZEN, I .
ORGANIZATIONAL BEHAVIOR AND HUMAN DECISION PROCESSES, 1991, 50 (02) :179-211
[2]   Parental decision-making in uptake of the MMR vaccination: a systematic review of qualitative literature [J].
Allan, N. ;
Harden, J. .
JOURNAL OF PUBLIC HEALTH, 2015, 37 (04) :678-687
[3]   Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence [J].
Ames, Heather M. R. ;
Glenton, Claire ;
Lewin, Simon .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2017, (02)
[4]  
[Anonymous], 1996, Trust: human nature and the reconstitution of social order
[5]   Vaccine Rejecting Parents' Engagement With Expert Systems That Inform Vaccination Programs [J].
Attwell, Katie ;
Leask, Julie ;
Meyer, Samantha B. ;
Rokkas, Philippa ;
Ward, Paul .
JOURNAL OF BIOETHICAL INQUIRY, 2017, 14 (01) :65-76
[6]   I Immunise: An evaluation of a values-based campaign to change attitudes and beliefs [J].
Attwell, Katie ;
Freeman, Melanie .
VACCINE, 2015, 33 (46) :6235-6240
[7]   What informs parents' decision-making about childhood vaccinations? [J].
Austvoll-Dahlgren, Astrid ;
Helseth, Solvi .
JOURNAL OF ADVANCED NURSING, 2010, 66 (11) :2421-2430
[8]   Vaccine hesitancy, refusal and access barriers: The need for clarity in terminology [J].
Bedford, Helen ;
Attwell, Katie ;
Danchin, Margie ;
Marshall, Helen ;
Corben, Paul ;
Leask, Julie .
VACCINE, 2018, 36 (44) :6556-6558
[9]   Unknown Risks: Parental Hesitation about Vaccination [J].
Blaisdell, Laura L. ;
Gutheil, Caitlin ;
Hootsmans, Norbert A. M. ;
Han, Paul K. J. .
MEDICAL DECISION MAKING, 2016, 36 (04) :479-489
[10]   Socioeconomic differences in childhood vaccination in developed countries: a systematic review of quantitative studies [J].
Bocquier, Aurelie ;
Ward, Jeremy ;
Raude, Jocelyn ;
Peretti-Watel, Patrick ;
Verger, Pierre .
EXPERT REVIEW OF VACCINES, 2017, 16 (11) :1107-1118