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Demands and expectations of parents who refuse vaccinations and perspective of health professional on the refusal to vaccinate
Demandas y expectativas de padres y madres que rechazan la vacunación y perspectiva de los profesionales sanitarios sobre la negativa a vacunar
S. Martínez-Diza,
, M. Martínez Romerob, M. Fernández-Pradac, M. Cruz Piquerasd, R. Molina Ruanoe, M.A. Fernández Sierraa
Corresponding author
a Unidad de Gestión Clínica Medicina Preventiva, Vigilancia y Promoción de la Salud, Hospital Universitario Virgen de las Nieves, Granada, Spain
b Paediatrician, Centro de Salud Albaycín, Granada, Spain
c Unidad de Gestión Clínica Medicina Preventiva, Vigilancia y Promoción de la Salud, Hospital Universitario San Cecilio, Granada, Spain
d Escuela Andaluza de Salud Pública, Granada, Spain
e Unidad de Gestión Clínica Cuidados Críticos y Urgencias, Hospital Universitario Virgen de las Nieves, Granada, Spain
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To determine the opinions and attitudes of the health professionals on the behaviour towards childhood vaccination.</p> <span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Qualitative research based on semi-structured interviews and focal groups in Granada, Spain, including parents who chose to not vaccinate their children, and healthcare professionals who can provide a technical point of view. An analysis was made of the semantic content, and answers were categorised in thematic units.</p> <span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The parents argued on the benefit of suffering vaccine-preventable diseases in a natural way, without non-natural, aggressive or toxic products. Vaccination was considered unnecessary, if given adequate hygienic-sanitary conditions, effectiveness unproven and more dangerous than the diseases they prevent, especially the polyvalent vaccines. They believed that vaccination programs are moved by biased studies and interests other than prevention. Health care professionals believe that they had fears without scientific basis, which requires improving information systems.</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Non-vaccinators are unaware of the benefit/risk ratio between the vaccination and the individual risk for preventable diseases, and ask for informed consent. Health care professionals believe that non-vaccinators’ arguments are not correctly contrasted and expose the existence of failures in actual vaccination coverage and information registration systems. It was suggested to centralise registers and compare them in schools, working with local leaders and reporting regularly on the status of vaccine-preventable diseases.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Explorar las opiniones, creencias y actitudes sobre la vacunación, de padres y madres que deciden no vacunar a sus hijos/as. Conocer las opiniones y las actitudes de profesionales sanitarios sobre el comportamiento de estas personas hacia la vacunación.</p> <span class="elsevierStyleSectionTitle" id="sect0040">Método</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Investigación cualitativa basada en entrevistas semiestructuradas y grupo focal a padres/madres de Granada que deciden no vacunar a sus hijos/as y a profesionales sanitarios implicados en la vacunación infantil. Análisis de contenido de tipo semántico con categorización de respuestas en unidades temáticas.</p> <span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Los padres argumentan el beneficio de presentar enfermedades inmunoprevenibles de un modo natural, sin productos antinaturales, tóxicos o agresivos. Consideran la vacunación innecesaria si se dan adecuadas condiciones higiénico-sanitarias, de eficacia no demostrada, y más peligrosa que las enfermedades que evitan, especialmente las vacunas polivalentes. Piensan que los programas de vacunación están movidos por estudios sesgados e intereses distintos de la prevención de perfil comercial. Los profesionales opinan que los que rechazan la vacunación tienen temores de base seudocientífica, que es necesario mejorar los sistemas de información/comunicación, tener una postura conciliadora y una sólida formación sobre seguridad vacunal.</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Los no vacunadores han perdido la percepción del balance beneficio de la vacunación frente al riesgo individual de presentar enfermedades inmunoprevenibles y plantean la necesidad del consentimiento informado. Los profesionales consideran poco contrastadas las argumentaciones de los no vacunadores y exponen la existencia de fallos en las coberturas reales de vacunación y en los sistemas de registro de la información. Como mejoras se plantea centralizar los registros, compararlos con los listados de educación, trabajar con líderes locales e informar periódicamente sobre la situación de las enfermedades inmunoprevenibles.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martínez-Diz S, Martínez Romero M, Fernández-Prada M, Cruz Piqueras M, Molina Ruano R, Fernández Sierra MA. Demandas y expectativas de padres y madres que rechazan la vacunación y perspectiva de los profesionales sanitarios sobre la negativa a vacunar. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 9 | 13 |
| 2024 October | 46 | 39 | 85 |
| 2024 September | 62 | 44 | 106 |
| 2024 August | 71 | 84 | 155 |
| 2024 July | 53 | 34 | 87 |
| 2024 June | 48 | 35 | 83 |
| 2024 May | 42 | 37 | 79 |
| 2024 April | 43 | 33 | 76 |
| 2024 March | 40 | 27 | 67 |
| 2024 February | 37 | 31 | 68 |
| 2024 January | 37 | 28 | 65 |
| 2023 December | 34 | 23 | 57 |
| 2023 November | 40 | 24 | 64 |
| 2023 October | 26 | 21 | 47 |
| 2023 September | 27 | 27 | 54 |
| 2023 August | 24 | 16 | 40 |
| 2023 July | 20 | 26 | 46 |
| 2023 June | 36 | 36 | 72 |
| 2023 May | 30 | 22 | 52 |
| 2023 April | 31 | 18 | 49 |
| 2023 March | 30 | 26 | 56 |
| 2023 February | 21 | 16 | 37 |
| 2023 January | 23 | 17 | 40 |
| 2022 December | 43 | 32 | 75 |
| 2022 November | 37 | 36 | 73 |
| 2022 October | 35 | 46 | 81 |
| 2022 September | 30 | 40 | 70 |
| 2022 August | 37 | 71 | 108 |
| 2022 July | 29 | 40 | 69 |
| 2022 June | 25 | 39 | 64 |
| 2022 May | 31 | 42 | 73 |
| 2022 April | 33 | 45 | 78 |
| 2022 March | 40 | 63 | 103 |
| 2022 February | 36 | 30 | 66 |
| 2022 January | 44 | 53 | 97 |
| 2021 December | 34 | 54 | 88 |
| 2021 November | 42 | 53 | 95 |
| 2021 October | 41 | 62 | 103 |
| 2021 September | 23 | 49 | 72 |
| 2021 August | 23 | 50 | 73 |
| 2021 July | 22 | 43 | 65 |
| 2021 June | 22 | 33 | 55 |
| 2021 May | 39 | 38 | 77 |
| 2021 April | 123 | 69 | 192 |
| 2021 March | 47 | 38 | 85 |
| 2021 February | 21 | 31 | 52 |
| 2021 January | 28 | 19 | 47 |
| 2020 December | 31 | 25 | 56 |
| 2020 November | 30 | 44 | 74 |
| 2020 October | 15 | 20 | 35 |
| 2020 September | 13 | 13 | 26 |
| 2020 August | 14 | 14 | 28 |
| 2020 July | 13 | 18 | 31 |
| 2020 June | 22 | 6 | 28 |
| 2020 May | 38 | 17 | 55 |
| 2020 April | 29 | 21 | 50 |
| 2020 March | 19 | 19 | 38 |
| 2020 February | 14 | 17 | 31 |
| 2020 January | 11 | 16 | 27 |
| 2019 December | 35 | 26 | 61 |
| 2019 November | 20 | 17 | 37 |
| 2019 October | 18 | 21 | 39 |
| 2019 September | 28 | 23 | 51 |
| 2019 August | 43 | 19 | 62 |
| 2019 July | 23 | 29 | 52 |
| 2019 June | 22 | 22 | 44 |
| 2019 May | 75 | 33 | 108 |
| 2019 April | 39 | 21 | 60 |
| 2019 March | 28 | 26 | 54 |
| 2019 February | 44 | 17 | 61 |
| 2019 January | 44 | 40 | 84 |
| 2018 December | 38 | 35 | 73 |
| 2018 November | 48 | 40 | 88 |
| 2018 October | 76 | 22 | 98 |
| 2018 September | 36 | 22 | 58 |
| 2018 August | 2 | 0 | 2 |
| 2018 July | 1 | 0 | 1 |
| 2018 June | 2 | 0 | 2 |
| 2018 May | 2 | 0 | 2 |
| 2018 April | 35 | 0 | 35 |
| 2018 March | 13 | 0 | 13 |
| 2018 February | 10 | 0 | 10 |
| 2018 January | 8 | 0 | 8 |
| 2017 December | 10 | 0 | 10 |
| 2017 November | 15 | 0 | 15 |
| 2017 October | 6 | 0 | 6 |
| 2017 September | 9 | 0 | 9 |
| 2017 August | 8 | 0 | 8 |
| 2017 July | 18 | 1 | 19 |
| 2017 June | 25 | 21 | 46 |
| 2017 May | 24 | 13 | 37 |
| 2017 April | 23 | 23 | 46 |
| 2017 March | 7 | 7 | 14 |
| 2017 February | 13 | 20 | 33 |
| 2017 January | 5 | 6 | 11 |
| 2016 December | 26 | 7 | 33 |
| 2016 November | 60 | 7 | 67 |
| 2016 October | 51 | 17 | 68 |
| 2016 September | 42 | 11 | 53 |
| 2016 August | 34 | 14 | 48 |
| 2016 July | 18 | 10 | 28 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 January | 1 | 0 | 1 |
| 2014 December | 4 | 0 | 4 |
| 2014 November | 2 | 0 | 2 |
| 2014 October | 1 | 0 | 1 |
| 2014 September | 2 | 0 | 2 |
| 2014 August | 1 | 0 | 1 |
| 2014 July | 4 | 0 | 4 |
| 2014 June | 13 | 1 | 14 |
Show all
