How Can We Communicate About Vaccines With Adolescents and Their Parents?

被引：11

作者：

Benin, Andrea L. ^{[1
]}

Wu, Ann C. ^{[3
,4
]}

Holmboe, Eric S. ^{[2
]}

Shapiro, Eugene D.

Anyan, Walter

机构：

[1] Yale Univ, Sch Med, Dept Pediat, New Haven, CT 06519 USA

[2] Amer Board Internal Med, Philadelphia, PA USA

[3] Childrens Hosp Boston, Boston, MA USA

[4] Harvard Univ, Sch Med, Boston, MA USA

来源：

CLINICAL PEDIATRICS | 2010年 / 49卷 / 04期

基金：

美国国家卫生研究院;

关键词：

vaccination; immunization; adolescent; HUMAN-PAPILLOMAVIRUS VACCINE; HEPATITIS-B VACCINATION; HEALTH-CARE; RISK/BENEFIT COMMUNICATION; PEDIATRICIANS INTENTION; HIV IMMUNIZATION; MEDICAL HOME; ACCEPTABILITY; ATTITUDES; RISK;

D O I：

10.1177/0009922809351091

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective: To describe parents' and adolescents' perceptions about vaccination. Methods: Qualitative interviews of 22 mothers/grandmothers and 25 10- to 14-year-olds. Results:Themes emerged in 3 focus areas. (a) Understanding: Both adults and adolescents had difficulty understanding concepts of risks, benefits, prevention, and vaccination. (b) Decision making:Adults saw vaccination as an opportunity to help their adolescent develop skills for transition to adulthood. Adolescents worried about being lied to (reinforced by being told "it won't hurt"), physical pain, and cleanliness. (c) Preventing sexually transmitted infections: Adults were divided between those who felt their child would not need such a vaccine and those who wanted to "be safe" to protect their child in the future. Conclusions: At the same time that even basic concepts about vaccination should be explained to both adults and adolescents, adolescence represents a time for learning about responsible decision making. Discussion regarding the risks and benefits of vaccines can be part of transitioning to adult decision making.

引用

页码：373 / 380

页数：8

共 50 条

[1] Risky business: Challenges in vaccine risk communication [J].

Ball, LK ;

Evans, G ;

Bostrom, A .

PEDIATRICS, 1998, 101 (03) :453-458

[2] Integrating epidemiology, psychology, and economics to achieve HPV vaccination targets [J].

Basu, Sanjay ;

Chapman, Gretchen B. ;

Galvani, Alison P. .

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2008, 105 (48) :19018-19023

[3] Qualitative analysis of mothers' decision-making about vaccines for infants: The importance of trust [J].

Benin, AL ;

Wisler-Scher, DJ ;

Colson, E ;

Shapiro, ED ;

Holmboe, ES .

PEDIATRICS, 2006, 117 (05) :1532-1541

[4] Adolescent immunizations and other clinical preventive services: A needle and a hook? [J].

Broder, Karen R. ;

Cohn, Amanda C. ;

Schwartz, Benjamin ;

Klein, Jonathan D. ;

Fisher, Martin M. ;

Fishbein, Daniel B. ;

Mijalski, Christina ;

Burstein, Gale R. ;

Vernon-Smiley, Mary E. ;

McCauley, Mary M. ;

Wibbelsman, Charles J. .

PEDIATRICS, 2008, 121 :S25-S34

[5] The ethics and politics of compulsory HPV vaccination [J].

Colgrove, James .

NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (23) :2389-2391

[6]

Davis Kristin, 2004, J Low Genit Tract Dis, V8, P188, DOI 10.1097/00128360-200407000-00005

[7] Childhood vaccine risk/benefit communication among public health clinics: A time-motion study [J].

Davis, TC ;

Fredrickson, DD ;

Kennen, EM ;

Arnold, C ;

Shoup, E ;

Sugar, M ;

Humiston, SG ;

Bocchini, JA .

PUBLIC HEALTH NURSING, 2004, 21 (03) :228-236

[8] Childhood vaccine risk/benefit communication in private practice office settings: A national survey [J].

Davis, TC ;

Fredrickson, DD ;

Arnold, CL ;

Cross, JT ;

Humiston, SG ;

Green, KW ;

Bocchini, JA .

PEDIATRICS, 2001, 107 (02) :E17

[9] Factors that are associated with parental acceptance of human papillomavirus vaccines: A randomized intervention study of written information about HPV [J].

Dempsey, AF ;

Zimet, GD ;

Davis, RL ;

Koutsky, L .

PEDIATRICS, 2006, 117 (05) :1486-1493

[10] Human papillomavirus vaccination: Expected impacts and unresolved issues [J].

Dempsey, Amanda F. ;

Freed, Gary L. .

JOURNAL OF PEDIATRICS, 2008, 152 (03) :305-309

← 1 2 3 4 5 →