Indecisión a las vacunas: una revisión sistemática para abordar el fenómeno en Latinoamérica

Bernal Vaquera BM, Morales Jinez A, Moreno P´erez NE. Vaccine hesitancy: A review to address the phenomenon in Latin America . SANUS Rev Enf [Internet]. 2021 Jul. 20 [cited 2024 Nov. 21];6(17):e182. Available from: https://sanus.unison.mx/index.php/Sanus/article/view/182

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Abstract

Introduction: In recent years there have been movements of people, usually parents, who reject or are undecided about the use of vaccines due to the lack of awareness of its risks and the severity of diseases that can be prevented by vaccination, as well as the dissemination of false news about the safety and efficacy of vaccines in the social networks. Research in countries in Europe and North America have come up with a term to study this phenomenon, this term is Vaccine Hesitancy. However, this research is scarce in Latin America. Objective: The objective of this review is to identify potentially valid and reliable instrument that can be adapted and modified both to Spanish and to the Latin America context, related to the indecision to use vaccines within parents. Methodology: A search was conducted on three PubMed, EBSCOhost and BVS databases; with the descriptive terms of health sciences: "vaccine hesitancy", "parents", and "vaccination refusal". The results yielded 394 articles of which 19 were chosen for the assessment. Results: The main tools identified to measure vaccine hesitancy were the questionnaires named "Parental Attitudes about Childhood Vaccines" and "Vaccine Hesitancy Scale". Conclusion: “The Parent Attitudes on Childhood Vaccines” questionnaire is the most widely used and validated tool in different languages to measure vaccine hesitancy.

https://doi.org/10.36789/sanus.vi1.182

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References

OMS: Organización Mundial de la Salud [Internet] Suiza. 2019. [Citado 2019 Nov 06]. Organización Mundial de la Salud Cobertura Vacunal. [aprox. 1 pantalla]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/immunization-coverage

Organización Panamericana de la Salud. Inmunización en las Américas, Resumen 2019. [Internet]. Washington: Inmunización Integral de la Familia, Familia, Promoción de la Salud y Curso de Vida; 2019 [Citado 2019 Nov 06]. Disponible en: https://www.paho.org/hq/index.php?option=com_docman&view=download&category_slug=folleto-inmunizaciones-2646&alias=50554-inmunizacion-en-las-americas-resumen-2019&Itemid=270&lang=es

Lopera Pareja EH. El movimiento antivacunas. Argumentos, causas y consecuencias. [Internet] Madrid: Catarata, 2016 [Citado 2019 Nov 06]. Disponible en: https://www.oei.es/historico/divulgacioncientifica/IMG/pdf/antivacunas_tripas.pdf

Cuesta Cambra U, Gaspar Herrero S. La “reputación online” de la información de vacunas en internet. Historia y Comunicación Social. 2014 [Citado 2019 Nov 06];19:15-29. Disponible en: http://dx.doi.org/10.5209/rev_HICS.2014.v19.45007

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 43 sanitarios sobre la negativa a vacunar. An Pediatr. [Internet] 2014 [Citado 2019 Nov 06];80(6):370-378. Disponible en: http://www.sciencedirect.com/science/article/pii/S1695403313003779

Véliz L, Campos C, Vega P. Conocimiento y actitudes de los padres en relación a la vacunación de sus hijos. Rev. chil. infectol. [Internet]. 2016 [Citado 2019 Nov 06];33(1):30-37. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0716-

Cruz Piqueras M, García de Cortazar AR, Hortal Carmona J, Padilla Bernaldez. Reticencia vacunal: análisis del discurso de madres y padres con 44 rechazo total o parcial a las vacunas. Gac. Sanit. [Internet] 2019 [Citado 2019 Nov 06];33(1):53-59. Disponible en: https://www.sciencedirect.com/science/article/pii/S0213911117301838?via%20%3Dihub

Guadarrama Orozco JH, Vargas López G, Viesca Treviño C. Decisiones de los padres que no arriesgan la vida de sus hijos, pero que los exponen a daños serios: no a las vacunas. Bol. Med. Hosp. Infant. Mex. [Internet] 2015 [Citado 2019 Nov 06];72(5):353-357. Disponible en: http://dx.doi.org/10.1016/j.bmhimx.2015.09.007

Domínguez A. Astray J, Castilla J,Godoy P, Tuells J, Barrabeig I. Falsas creencias sobre vacunas. Aten Primaria. [Internet] 2019 [Citado 2019 Nov 06];51(1):40-46. Disponible en: https://doi.org/10.1016/j.aprim.2018.05.004

MacDonald NESAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. [Internet] 2015 [Citado 2019 Nov 06] 2015;33(34):4161-4. Disponible en: https://doi.org/10.1016/j.vaccine.2015.04.036

Diccionario Inglés/Español. Barcelona: Editorial Océano. p 199.

Gagneur A, et al. Promoting vaccination in maternity wards motivational interview technique reduces hesitancy and enhances intention to vaccinate, results from a multicentre non-controlled pre- and post-intervention RCT-nested study, Quebec, March 2014 to February 2015. Euro Surveill. [Internet] 2019. [Citado 2019 Oct 11];24(36). Disponible en: https://doi.org/10.2807/1560-7917.ES.2019.24.36.1800641.

Luyten J, Bruyneel L, van Hoek AJ. Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine. [Internet] 2019. [Citado 2019 Oct 11];37(18):2494-2501. Disponible en: https://doi.org/10.1016/j.vaccine.2019.03.041.

Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, Schuster M, MacDonald NE, Wilson R. Measuring vaccine hesitancy: The development of a survey tool. Vaccine. [Internet] 2015. [Citado 2019 Oct 14]:33(34):4165-4175. Disponible en: https://doi.org/10.1016/j.vaccine.2015.04.037.

Dubé È, et al. Overview of knowledge, attitudes, beliefs, vaccine hesitancy and vaccine acceptance among mothers of infants in Quebec, Canada. Hum Vaccin Immunother. [Internet] 2019. [Citado 2019 Oct 14];15(1):113–120. Disponible en: https://doi.org/10.1080/21645515.2018.1509647

Cunningham RM, et al. Development of a Spanish version of the parent attitudes about childhood vaccines survey. Hum Vaccin Immunother. [Internet] 2019. [Citado 2019 Oct 15];15(5):1106-1010. Disponible en: https://doi.org/10.1080/21645515.2019.1578599

Yu Hu, Yaping Chen, Hui Liang, Ying Wang. Reliability and validity of a survey to identify vaccine hesitancy among parents in Changxing county, Zhejiang province. Hum Vaccin Immunother. [Internet] 2019. [Citado 2019 Oct 15];15(5):1092-1099. Disponible en http://doi.org/10.1080/21645515.2019.1572409

Roberts JR, et al. Vaccine hesitancy among parents of adolescents and its association with vaccine uptake. Vaccine. [Internet] 2015. [Citado 2019 Oct 16];33(14):1748-1755. Disponible en: https://doi.org/10.1016/j.vaccine.2015.01.068

Henrickson NB, et al. Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial. Pediatrics. [Internet] 2015. [Citado 2019 Oct 17];136(1):70-19. Disponible en: https://doi.org/10.1542/peds.2014-3199

Henrikson NB, Anderson ML, Opel DJ, Dunn J, Marcuse EK, Grossman DC. Longitudinal Trends in Vaccine Hesitancy in a Cohort of Mothers Surveyed in Washington State, 2013-2015. Public Health Reports. [Internet] 2017. [Citado 2019 Oct 21];132(4):451-454. Disponible en: https://doi.org/10.1177/0033354917711175

Opel DJ, Henrikson N, Lepere K, et al. Previsit Screening for Parental Vaccine Hesitancy: A Cluster Randomized Trial. Pediatrics. [Internet] 2019 [Citado 2019 Oct 21];144(5). Disponible en: https://doi.org/10.1542/peds.2019-0802

Abd Halim H, Abdul-Razak S, Md Yasin M, Isa MR. Validation study of the Parent Attitudes About Childhood Vaccines (PACV) questionnaire: The Malay version. Hum Vaccin Immunother. [Internet] 2019 [Citado 2019 Oct 22]. Disponible en: https://doi.org/10.1080/21645515.2019.1674112

Oladejo O, Allen K, Amin A, Frew PM, Bednarczyk RA, Omer SB. Comparative analysis of the Parent Attitudes about Childhood Vaccines (PACV) short scale and the five categories of vaccine acceptance identified by Gust et al. [Internet] Vaccine. 2016. [Citado 2019 Oct 24];34(41):4964-4968. Disponible en: https://doi.org/10.1016/j.vaccine.2016.08.046

Domek GJ. Measuring vaccine hesitancy: Field testing the WHO SAGE Working Group on Vaccine Hesitancy survey tool in Guatemala. Vaccine. [Internet] 2018. [Citado 2019 Oct 25];36(35):5273-5281. Disponible en: https://doi.org/10.1016/j.vaccine.2018.07.046

Mohd Azizi FS, Kew Y, Moy FM. Vaccine hesitancy among parents in a multi-ethnic country, Malaysia. Vaccine [Internet]. 2017 May 19 [Citado 2019 Oct 25];35(22):2955–2961. Disponible en: https://doi.org/10.1016/j.vaccine.2017.04.010.

Connors JT, Hodges EA, D’auria J, Windham L. Implementing vaccine hesitancy screening for targeted education. J Am Acad Nurse Pract. 2018. [Internet]. 2018 [Citado 2019 Oct 28];30(8):450–459. Disponible en: https://doi.org/10.1097/JXX.0000000000000056

Hofstetter AM, et al. Parental Vaccine Hesitancy and Declination of Influenza Vaccination Among Hospitalized Children. HOSPITAL PEDIATRICS. [Internet] 2018. [Citado 2019 Oct 29];8(10):6628-6635. Disponible en: https://doi.org/10.1542/hpeds.2018-0025

Rey D, Fressard L, Cortaredona S, Bocquier A, Gautier A, Peretti-Watel P, Verger P, on behalf of the Baromètre santé 2016 group. Vaccine hesitancy in the French population in 2016, and its association with vaccine uptake and perceived vaccine risk–benefit balance. Euro Surveill. [Internet] 2018 [Citado 2019 Oct 30];23(17):pii=17-00816. Disponible en: https://doi.org/10.2807/1560-7917.ES.23.17.17-00816

Napolitano F, D'Alessandro A, Angelillo IF. Investigating Italian parents' vaccine hesitancy: A cross-sectional survey. Hum Vaccin Immunother. [Internet] 2018. [Citado 2019 Nov 04];14(7):1558-1565. Disponible en: https://doi.org/10.1080/21645515.2018.146394

Cunningham, Rachel M. et al. Prevalence of Vaccine Hesitancy Among Expectant Mothers in Houston, Texas. Academic Pediatrics. [Internet] 2018 [Citado 2019 Nov 04];18(2):154-160. Disponible en: https://doi.org/10.1016/j.acap.2017.08.003 0.1016/j.acap.2017.08.003