Risk is for the rich? Childhood vaccination resistance and a Culture of Health

被引:34
作者
Berezin, Mabel [1 ,2 ]
Eads, Alicia [1 ]
机构
[1] Cornell Univ, Dept Sociol, Ithaca, NY 14850 USA
[2] Cornell Univ, 346 Uris Hall, Ithaca, NY 14853 USA
关键词
Culture; Risk; Childhood vaccination; Solidarity; Inequality; PERSONAL BELIEF EXEMPTIONS; IMMUNIZATION; COMMUNITY; VACCINES; CHILDREN; REFUSAL; AUTISM; SAFETY; MEDIA;
D O I
10.1016/j.socscimed.2016.07.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Childhood vaccination resistance has given rise to outbreaks of diseases, which had been virtually eliminated in the developed world. A parent's decision to forego vaccination for their child is a private choice that can have collective outcomes. This article takes a two-pronged approach to unraveling the puzzle of perceiving vaccines as dangerous in view of evidence that testifies to their effectiveness and relative safety. First, it draws on fifty-seven years of newspaper articles on vaccines to outline the public narratives. Second, it uses school-level data from New York and California to explore how these public narratives shape a geography of vaccination rates. We have two main findings. First, we find that while risk has always been a feature of vaccine narratives, the perception that the risks of vaccines out-weigh the benefits has grown. By the millennium, some began to view medical treatments as sources of risk rather than cure. Second, our geography of childhood vaccination reveals two distinct vaccine worlds. Affluence governs one world. Poverty governs the other. The geographic locales where vaccination rates are low enable us to contrast the difference between imagining risk, the prerogative of the affluent, and being at risk, the fate of the poor. Vaccination resistance speaks directly to a Culture of Health as it poses questions about the collective perception of risk and its relation to social inequality and solidarity. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:233 / 245
页数:13
相关论文
共 64 条
  • [61] Wang Eileen, 2014, AM J PUBLIC HEALTH
  • [62] MEASLES CONTROL IN THE UNITED-STATES - PROBLEMS OF THE PAST AND CHALLENGES FOR THE FUTURE
    WOOD, DL
    BRUNELL, PA
    [J]. CLINICAL MICROBIOLOGY REVIEWS, 1995, 8 (02) : 260 - 267
  • [63] Attitudes to vaccination: A critical review
    Yaqub, Ohid
    Castle-Clarke, Sophie
    Sevdalis, Nick
    Chataway, Joanna
    [J]. SOCIAL SCIENCE & MEDICINE, 2014, 112 : 1 - 11
  • [64] Zipprich J, 2015, MMWR-MORBID MORTAL W, V64, P153