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EN
In the current context of the Covid-19 pandemic, health systems worldwide have been subjected to hitherto unknown challenges. Public health policy makers are urged to find the best solutions to mitigate the effects of the pandemic. Vaccination is seen, more than ever, as the main medical solution to save lives, although in recent times many countries have seen an increase in their citizens’ hesitation to get vaccinated. The aim of our research is to analyse Europeans’ attitudes towards vaccination and the factors that influence this attitude, both in terms of individual profile and differences between groups of people and between countries. The results confirmed that a positive attitude towards vaccination increases an individual's chances of getting vaccinated and that the vaccination depends on the socio-demographic characteristics of the individual.
EN
One of the most common factors underlying delaying or refusing childhood vaccination is concerned about vaccine safety. Parents often struggle with conflicting information about their adverse effects, vaccine-preventable diseases, and also with emotions such as fear or distress. Paediatricians are in a privileged position to facilitate parental decision-making related to vaccination, but can also tip hesitant parents towards vaccine refusal, especially if they do not communicate effectively. This qualitative study explores the decision-making processes of Slovak paediatricians in choosing communication strategies facilitating parental decisions about vaccination. We conducted literature search to identify recommendations about effective and ineffective communication strategies related to childhood vaccination, as well as in-depth interviews with 15 paediatricians. The results show that paediatricians typically lack formal training in communication with parents, but use a large number of effective communicative strategies that they have acquired during their clinical experience. However, often these decisions are not being made explicitly, and some paediatricians struggle with specific situations and types of parents. We conclude that implementing formal communication training in relation to childhood vaccination would make paediatricians’ daily work more efficient and less emotionally taxing.
EN
The primary aim of our study was to examine the role of COVID-19 conspiracy beliefs in predicting outcomes that could potentially worsen the course of the pandemic: preventive behaviour, vaccination intentions and willingness to share COVID-19 related opinions. Structural equation modelling was performed on a Slovenian sample (N = 490). Analysis showed that COVID-19 conspiracy beliefs predicted all three health-related outcomes when sociodemographic variables were controlled for. Further, a perceived coronavirus threat was identified as an important mediating factor between conspiracy beliefs, preventive behaviour and vaccination intentions. Conspiracy beliefs were also positively associated with age, female gender, religiosity, and share of COVID-19 information from social media, while they were negatively associated with level of education. The results suggest that COVID-19 conspiracy beliefs may be an important barrier to achieving pandemic management goals and highlight some risk factors for their occurrence.
EN
Although the complex reasons underlying parents’ decision whether to vaccinate their children have been largely unraveled a socio-cognitive perspective on the representational field of vaccination is missing. This study is a contribution to fill such a gap. A sample of 309 Portuguese mothers with children aged 0-6 years answered a self-administered questionnaire. Results show that psychosocial variables such as the number of children modulate mothers’ representations of vaccination as a matter of freedom of choice and preference for natural immunity, while age of children and having (or not) searched for information influence their confidence in vaccines. Also, results show that representations related to freedom of choice, preference for natural immunity, and conspiracy theories are positively predicted by individualism values and a dependent decision-making style, whereas confidence in vaccines is positively associated with universalism values and a rational decision-making style. We discuss the implications of the socio-cognitive dynamics organizing mothers’ representations about vaccines and vaccination for the understanding of behaviours about vaccines and the development of tailored measures for vaccination promotion.
EN
What determines whether people perceive helping refugees as risky? Based on the predictions of the Cultural Theory of Risk, we experimentally investigated whether people’s perception of risk depends on their value orientations and whether presenting balanced arguments affects risk assessments. The participants (N = 1004) indicated the level of risk they see in the possibility of their country accepting refugees in the 2015 refugee crisis in Europe, as well as in a less polarizing topic of mandatory MMR vaccination for comparison. Half of the sample read balanced arguments about these topics before risk assessment and the other half did not. Contrary to our predictions, balanced arguments did not influence how people perceived risks in either domain. Rather, risk assessment was affected by their worldviews: those who held fundamentalist values and believed in a strong state, tended to see helping refugees as risky. Mandatory vaccination was threatening for those in favour of fundamentalist values, but opposed to state interventions. Moreover, the subjective feeling of being knowledgeable of the refugee crisis, regardless of the accuracy of this knowledge, increased risk perception; for vaccination, more information was associated with decreased risk. The results suggest that risk assessment is influenced by people’s worldviews and the perceived urgency of the respective issues.
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