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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Research, to date, suggests the need for healthcare professionals to adapt their communication style to the needs and characteristics of parents when discussing childhood vaccination. Motivational interviewing (MI) has been recognized as an important communication style, based on a patient-centred model of care, leading to the responsibility and motivation to change in cases of vaccine hesitancy. The current study intended to assess the attainment of MI competencies by healthcare professionals in Portugal who may interact with vaccine-hesitant parents. The pre- and post-training survey results showed a significant increase in the participants’ scores in all three pre-defined dimensions: acquisition of knowledge, perception of skills application, and sense of confidence. Our results suggest that integrating MI training into healthcare professionals’ curriculum appears to be a promising avenue to pursue to foster their immunization-related communication skills in Portugal and elsewhere.

Os conflitos e a discordância entre porta-vozes na pandemia da covid-19 centralizaram o debate sobre a desconfiança da vacina da covid-19 no Brasil. O status de desconfiança intensificou a problemática da hesitação vacinal para o Programa Nacional de Imunizações. Este ensaio propõe a aproximação entre uma perspectiva metodológica, alicerçada na Teoria Ator-Rede, e a temática, sugerindo a cartografia da controvérsia como ferramenta para investigação. A discussão centrou-se no complexo fenômeno da hesitação vacinal, ressaltando que ele não se supera com o ato de se vacinar, e exige da política pública de saúde a recuperação da confiança na vacinação, especialmente diante de possíveis novos estados de emergência em saúde pública. Nesse sentido, o ensaio ressalta as ligações entre atores da hesitação vacinal e suas ações e sugere o desenho de uma rede para a proliferação da hesitação vacinal entre os anos 2021 e 2022.

Resumo Objetivo Analisar os fatores associados à hesitação vacinal entre os profissionais de saúde de um hospital universitário. Métodos Estudo transversal, descritivo e analítico, desenvolvido em um hospital universitário federal de Pernambuco, entre os meses de junho e novembro de 2022, com trabalhadores de saúde da instituição com formação de nível médio e superior. Foram analisadas as variáveis preditoras aspectos socioeconômicos, ocupacionais, histórico de reação vacinal, medos relativos às vacinas e aspectos das dimensões do modelo dos 3Cs (confiança, conveniência e complacência) com o desfecho hesitação vacinal, definido como atraso ou recusa da vacinação, apesar da disponibilidade desse serviço. Utilizou-se a regressão logística binária, segundo o método stepwise backward, para verificar as associações (p < 0,05). Resultados Participaram 283 trabalhadores de saúde, sendo estatisticamente associados à hesitação vacinal o medo de eventos supostamente atribuíveis à vacinação ou imunização (OR: 2,047; IC:1,165-3,595; p = 0,013), ter acontecido algo que os fizesse desacreditar na eficácia das vacinas (OR: 2,964; IC: 1,265-6,944; p = 0,012) e disponibilidade do imunobiológico na unidade de saúde no momento da atualização do cartão (OR: 0,314; IC: 0,136-0,723; p = 0,006). Conclusão Observou-se que o medo de eventos supostamente atribuíveis à vacinação ou imunização aumenta em duas vezes a chance de hesitação vacinal; que ter acontecido algo que fizesse desacreditar na eficácia das vacinas eleva em quase três vezes; e que a disponibilidade do imunobiológico na unidade de saúde no momento da atualização do cartão diminui a ocorrência desse fenômeno.

Copyright of Online Brazilian Journal of Nursing is the property of Fundacao Euclides da Cunha de Apoio Institucional a UFF and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To evaluate the psychometric properties and reliability of the Brazilian version of the tool Parent Attitudes about Childhood Vaccine (PACV-BR). Methods: The sample included 110 parents of children up to two years old served by Family Health Basic Units. The tool’s internal consistency and factor validity were respectively assessed by Cronbach’s alpha and exploratory factor analysis (EFA). The test-retest reliability was assessed by the intraclass correlation coefficient (ICC). Results: The EFA results indicated a proper structural adequacy of the PACV-BR (15 items and two factors). The reliability generated Cronbach’s alpha values between 0.715 and 0.854 for the items, of 0.918 for the tool as a whole, of 0.877 for factor 1 and of 0.825 for factor 2, in addition to an ICC of 0.984. Conclusions: The PACV-BR showed evidence of construct validity and reliability. [ABSTRACT FROM AUTHOR]

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

O artigo analisa como os marcadores raça, gênero, classe social e espacialidade se interseccionam e se refletem nas tomadas de decisão em saúde, mais especificamente na (não) vacinação infantil. Trata-se de pesquisa qualitativa conduzida nas cidades de Florianópolis (SC) e São Luís (MA), Brasil, com famílias com crianças de até seis anos de idade. Neste artigo, examinam-se, por meio de análise temática, as narrativas das/dos 19 responsáveis de Florianópolis que optaram por não vacinar total ou parcialmente a(s) criança(s) sob sua responsabilidade. Gênero revela-se um importante marcador na tomada de decisão no âmbito intrafamiliar, enquanto classe social, raça e espacialidade surgem como importantes marcadores na percepção de quem são os “nós” que não precisam das vacinas e os “outros” que precisam. Os achados são discutidos pelo referencial da interseccionalidade e de estudos teóricos sobre branquitude e parentalidade neoliberal.

RESUMO A decisão vacinal de profissionais de saúde tem sido observada em diferentes países, devido ao seu comportamento de hesitação frente à vacinação contra a Covid-19, que pode interferir no controle da pandemia. Pretendeu-se identificar os fatores associados à decisão vacinal de profissionais de saúde contra a Covid-19 em publicações de julho de 2020 a julho de 2022. Foi realizada uma revisão integrativa da literatura nas bases de dados PubMed, Scopus, Web of Science e Cinahl. Das 439 publicações, foram escolhidos 35 artigos para análise. As características sociodemográficas da decisão vacinal revelaram que profissionais não médicos, principalmente enfermeiros, apresentaram maior hesitação. O estudo revelou fatores associados à hesitação vacinal, tais como: dúvidas sobre a eficácia das vacinas e o processo de produção, insegurança pela escassez de estudos, medo dos efeitos colaterais e informações veiculadas em mídias sociais. Em relação à aceitação e à recomendação vacinal, ressaltam-se a vacinação prévia contra a influenza, a confiança na eficácia das vacinas e o receio pelo risco de contágio por Covid-19. A identificação dos fatores associados à decisão vacinal de profissionais de saúde contra a Covid-19 foi estratégica em relação à ampliação da cobertura vacinal, tanto para a proteção da saúde dos profissionais quanto para a da população.

Resumo: Este artigo apresenta os resultados de uma pesquisa sobre a percepção dos profissionais de saúde sobre a hesitação vacinal infantil relacionada à COVID-19. Baseado no constructo teórico da hesitação vacinal, foi realizada uma pesquisa qualitativa com 86 trabalhadores da atenção primária à saúde (APS) em quatro municípios de quatro estados brasileiros e no Distrito Federal. A análise temática foi realizada e obtiveram-se três categorias: medo, desinformação em vacina e papel dos profissionais de saúde. O medo como motivo de hesitação vacinal gerou reflexões sobre a condução da pandemia pelo Governo Federal, principalmente no que tange à governabilidade por meio desse afeto, e sobre as consequências do uso das plataformas digitais na população. O medo relacionou-se ao fato de a vacina ainda ser percebida como experimental; às possíveis reações adversas; à ausência de estudos de longo prazo; à falsa percepção de risco reduzido da COVID-19 em crianças; e às condutas do Governo Federal geradoras de insegurança nos efeitos da vacina. A desinformação em vacina relacionou-se às fake news sobre a vacina e suas reações; ao fenômeno da infodemia e desinformação; e à ausência de orientação e conhecimento sobre vacinas. Por fim, o trabalho discute o papel fundamental dos profissionais de saúde da APS no aumento da cobertura vacinal devido à confiabilidade perante a população e à proximidade com os territórios, fatores que possibilitam reverter o medo e a desinformação diante das vacinas. Ao longo do trabalho, buscou-se apresentar as convergências entre o conteúdo dos temas delineados e os determinantes da hesitação vacinal e refletir sobre possibilidades para a reconstrução da alta adesão às vacinas infantis.

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Despite the availability of vaccines, the World Health Organization (WHO), in the year 2019, declared the population's reluctance to vaccinate, threatening to reverse the progress made in the fight against preventable diseases by immunization, causing the return of already eradicated diseases. This study aimed to analyze, according to the literature, the factors related to vaccine hesitancy and refusal in Brazil. The results show that uncertainty about the reactogenicity and safety of vaccines, fear of adverse events, and lack of information/guidance were the main causes of vaccine refusal. The spread of fake news, low perception of disease risk, and distrust in science happen due to lack of information and knowledge about the importance of the vaccine. Nursing has an essential role in promoting knowledge about vaccination. It is necessary to incorporate educational actions in order to reestablish high vaccination coverage, avoiding the recrudescence of already eradicated diseases or the increase of controlled diseases. [ABSTRACT FROM AUTHOR]

Resumo: A vacinação tem papel relevante para conter os avanços da pandemia de COVID-19. No entanto, a hesitação vacinal com os imunizantes que agem contra o SARS-CoV-2 tem causado preocupação em âmbito global. Esta revisão de escopo tem como objetivo mapear a literatura científica sobre a hesitação vacinal contra a COVID-19 na América Latina e África sob uma perspectiva da Saúde Global, observando as particularidades do Sul Global e o uso de parâmetros validados pela Organização Mundial da Saúde (OMS). O relato da revisão segue as recomendações do protocolo PRISMA para Revisões de Escopo (PRISMA-ScR). O levantamento foi realizado nas bases de dados PubMed, Scopus, Web of Science e Biblioteca Virtual em Saúde (BVS), selecionando estudos publicados entre 1º de janeiro de 2020 e 22 de janeiro de 2022, os quais indicam que a hesitação vacinal contra a COVID-19 envolve fatores como o cenário político, a disseminação de desinformação, diferenças regionais referentes ao acesso à Internet, falta de acesso à informação, o histórico de resistência à vacinação, falta de informações sobre a doença e a vacina, preocupação com eventos adversos, eficácia e segurança dos imunizantes. Quanto ao uso dos referenciais conceituais e metodológicos da OMS sobre hesitação vacinal, poucos estudos (apenas 6 de 94) utilizam instrumentos de pesquisa baseado neles. Desta forma, a replicação de parâmetros conceituais e metodológicos elaborados por expertises do Norte Global em contextos do Sul Global tem sido criticada pela perspectiva da Saúde Global, em decorrência da possibilidade de não considerar as especificidades políticas e socioculturais, as diferentes nuances de hesitação vacinal e questões de acesso às vacinas.

Baseando-se nos conceitos de “desordens informativas” propostos por Claire Wardle e Hossein Derakhshan, este trabalho propõe-se a observar o fenômeno de hesitação vacinal e a opinião pública em relação à vacina CoronaVac contra a covid-19, a partir da análise de falas públicas do presidente Jair Bolsonaro sobre esse imunizante produzido pelo Instituto Butantan em parceria com a biofarmacêutica chinesa Sinovac. As falas em questão foram proferidas no período de julho de 2020 a janeiro de 2021. Através de uma pesquisa de abordagem qualitativa, com finalidades exploratórias e descritivas, o trabalho analisou o conteúdo de dez pronunciamentos do então presidente sobre as vacinas no contexto do primeiro ano da pandemia de covid-19 no Brasil e observou desordens informativas dos seguintes tipos: má informação (17,6%), informação incorreta (47,1%) e desinformação (35,3%) em todas as falas. As desordens informativas propagadas contribuíram para os sentimentos de desconfiança e as posturas coletivas de hesitação vacinal relacionadas à covid-19, principalmente em relação à CoronaVac.

A vacinação/imunização de rotina é intrínseca à prática da Atenção Primária à Saúde em todo o Brasil. Nos últimos anos, o país vem enfrentando questões como a queda e a heterogeneidade da cobertura vacinal, motivadas por determinantes diversos, um deles a hesitação vacinal. Este artigo de perspectiva pretende oferecer às/aos profissionais da Atenção Primária à Saúde outro olhar sobre o fenômeno da hesitação vacinal, com lentes múltiplas e específicas ao contexto, que permitam compreendê-lo em sua complexidade.

Objective. This study aimed to describe and critically evaluate the COVID-19 vaccination program for high-risk children in Curacao and provide information about important factors such as parents' vaccination hesitancy and effective strategies for communicating and delivering information about vaccination. Methods. This was a cross-sectional study. It was important to identify children aged 12--17 years who were at high risk of severe COVID-19 infection because of the limited medical facilities on the island; children considered to be at high risk were those with diseases such as obesity, hypertension or diabetes mellitus type 2. These children or their caregivers were invited by their pediatricians to be vaccinated as part of a program run by the Public Health Department of Curacao. These high-risk patients were vaccinated between 30 May 2021 and 25 February 2022 in designated child-friendly spaces, with a pediatrician present for guidance and reassurance. Children received the Pfizer-BioNTech COVID-19 vaccine at the recommended dose for their age. The primary outcome was a description and evaluation of the attendance for vaccination. The secondary outcomes were side effects after vaccination for the age groups 12--15 years and 16--17 years. Reasons for refusal or nonadherence were also registered. Results. Altogether 51% (24/47) of those aged 16--17 years who were invited were vaccinated compared with 42% (26/69) of those aged 12--15 years who were invited. Altogether, 46% of these high-risk children were vaccinated compared with 48% of children aged 12--17 years without risk factors. In our population, most patients did not experience any side effects and if they did, the side effects were mild. No cases of myocarditis or pericarditis were observed. A lack of trust in the vaccine and a lack of prioritization of vaccination when scheduling daily activities were important factors in refusal and nonadherence. Conclusions. To organize a successful vaccination program in a small community with limited resources for treating high-risk children it is crucial for medical professionals to provide reliable information. Public health initiatives should focus on assuaging parents' fears about vaccines. In addition, ensuring there is good cooperation between doctors and the Public Health Department can help to make implementation successful. Finally, involving pediatricians and using dedicated areas for vaccinating children can help build trust with parents and caregivers. [ABSTRACT FROM AUTHOR]

Objectives. To identify the factors contributing to coronavirus disease 2019 (COVID-19) vaccine hesitancy in Grenada. Methods. A phenomenological study was conducted using semi-structured interviews at vaccination and pop-up testing clinics during a spike in COVID-19 cases on the island. Interview questions were developed using the health belief model related to perceived threat of COVID-19, perceived benefits of and barriers to COVID-19 vaccination, and cues to action. Data were analyzed using a deductive approach to identify themes, categories, and subcategories. Results. Twenty-five interviews were transcribed and coded. In all, 68% of participants were unvaccinated, 12% were partially vaccinated, and 20% were fully vaccinated. Data analysis revealed two main themes: facilitators and barriers. Factors more likely to encourage vaccination (facilitators) included trust in medical advice and vaccine efficacy, social responsibility, and vaccine mandates for travel, employment, and social activities. Factors hindering vaccination (barriers) included: perceived low threat of COVID-19; preference for natural remedies; concerns about contraindications because of underlying health conditions; fear; mistrust of vaccines and related messaging; vaccine accessibility; and the many different information sources. Conclusions. Overcoming vaccine hesitancy is key to combating the detrimental effects of COVID-19 in Grenada. Public health interventions and policies that address barriers and capitalize on facilitators can increase vaccine uptake. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to assess attitudes, concerns, information and knowledge about vaccines among parents of preschool children attending kindergartens in a city in the interior of São Paulo, Brazil, using a self-administered questionnaire. Methods: Cross-sectional, questionnaire-based study of knowledge and attitudes regarding vaccination among parents of children aged up to 72 months from public and private schools, between 2018 and 2019. Results: Among the 2,528 questionnaires, 1,261 were answered and grouped by respondents’ educational level. According to information, 96.6% of the children were up to date with vaccines. The prevalence of vaccine hesitancy was 5.0%. The lower the educational level, the lower was the income, the larger the number of household members, and the greater the lack of knowledge about vaccines. The higher the educational level, the lower was the vaccine hesitancy, and the greater the dissatisfaction with the information received. Conclusions: Generally, parents consider vaccines to be important for preventing diseases and to be safe, with their benefits outweighing the risks. Positive comments were accompanied by doubts, concerns, hesitancy, and inconsistencies. The level of educational attainment makes a difference in the access to information, medical care provided by pediatricians, and the feeling of obligation to vaccinate. Parents have vaccinated and still intend to vaccinate their children, but ensuring adequate levels of vaccination coverage will be a post-pandemic challenge. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira de Políticas Públicas is the property of Revista Brasileira de Politicas Publicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Jornal de Pediatria is the property of Sociedade Brasileira de Pediatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Scientia Medica is the property of EDIPUCRS - Editora Universitaria da PUCRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of RIIS: Revista de Investigação & Inovação em Saúde is the property of RIIS: Revista de Investigacao & Inovacao em Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Opposition to vaccines is not a new event, and appeared soon after the introduction of the smallpox vaccine in the late 18th century. The purpose of this review is to educate healthcare professionals about vaccine hesitancy and refusal, its causes and consequences, and make suggestions to address this challenge., Source of Data: A comprehensive and non-systematic search was carried out in the PubMed, LILACS, and ScieLo databases from 1980 to the present day, using the terms "vaccine refusal," "vaccine hesitancy," and "vaccine confidence." The publications considered as the most relevant by the author were critically selected., Synthesis of Data: The beliefs and arguments of the anti-vaccine movements have remained unchanged in the past two centuries, but new social media has facilitated the dissemination of information against vaccines. Studies on the subject have intensified after 2010, but the author did not retrieve any published studies to quantify this behavior in Brazil. The nomenclature on the subject (vaccine hesitancy) was standardized by the World Health Organization in 2012. Discussions have been carried out on the possible causes of vaccine hesitancy and refusal, as well as on the behavior of families and health professionals. Proposals for interventions to decrease public doubts, clarify myths, and improve confidence in vaccines have been made. Guides for the health care professional to face the problem are emerging., Conclusions: The healthcare professional is a key element to transmit information, resolve doubts and increase confidence in vaccines. They must be prepared to face this new challenge., (Copyright © 2018 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.)