Analyse des motifs de retards vaccinaux évoqués par les parents d'enfants de 2 mois à 6 ans : étude qualitative auprès de familles d'enfants suivis par des médecins de premiers recours en Gironde

Abstract : Introduction: vaccination is one of the most important public health tools ever developed. Its effectiveness is underpinned by the respect of the vaccination calendar. In recent years, the existence of vaccine delays has been demonstrated. In a context of recasting of the French vaccination policy, to study its characteristics seemed necessary. The main objective was to analyze the reasons for vaccine delays advanced by parents of children from 2 months to 6 years of age, followed by primary health care physicians from Gironde since January 2013. Method:aA observational cross-sectional qualitative study by 12 semi-directed interviews, conducted between June and November 2017, was conducted. Axial and open coding was performed using the Nvivo software according to the grounded theory method. Results: five reasons for vaccine delays were cited lack of interest and forgetfulness, shortages and supply tensions, impossibility to advance costs, intercurrent events and finally hesitation. The parents interviewed did not always have a good understanding of the pathophysiology of vaccine-preventable diseases and the functioning of vaccines and expressed increasing doubts about the orientation of the benefit / risk balance. In a climate of mistrust of industries and health authorities, where general practitioners were still cited as a trusted person, the issues of immunization effectiveness and safety were of prime concern. Conclusion: it seems necessary, facing the rising hesitation and the strong demand for information and transparency, to strengthen communication with the public but also the doctor / patient relationship. The implementation of the immunization obligation for 11 valences constitutes the immediate stake of the French vaccination policy and will have to be evaluated.
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Master Thesis
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Bérengère Grenier. Analyse des motifs de retards vaccinaux évoqués par les parents d'enfants de 2 mois à 6 ans : étude qualitative auprès de familles d'enfants suivis par des médecins de premiers recours en Gironde. Médecine humaine et pathologie. 2018. ⟨dumas-02025702⟩

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