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Master Thesis

Déterminants de l’hésitation vaccinale : thèse qualitative auprès de patients du Sud-Ouest

Abstract : Objectives: the main objective was to identify the determinants of vaccine hesitancy among parents with children under sixteen. The secondary objectives were, first of all, to highlight their positions on the vaccination obligation, its extension to eleven vaccines and the way they would manage it. Then, it was a question of identifying the determinants of the vaccine acceptance and the parents' expectations concerning the immunization information. Method: it was a qualitative study by individual interviews, semi-directed, with a double coding and an analysis according to the grounded theory method. Results: thirteen interviews were conducted between October 2018 and March 2019. The reasons for their hesitation were: an unfavorable benefit / risk balance, questioning the benefits of certain vaccinations and the side effects deemed too important; a deep sense of distrust of pharmaceutical lobbies and, to a lesser extent, health authorities and doctors; lack of knowledge; a difficulty to learn about vaccination; a speech sometimes moralizing of some health professionals. The vaccination obligation and its extension to eleven compulsory vaccines were lived mainly as an attack on individual freedom. Vaccine adherence seems favored by the trust given to the general practitioner and / or the pediatrician, more transparency, better information and more dialogue. Conclusion: vaccine acceptance involves restoring the confidence of the public and health professionals. Authorities must fight against misinformation and affirm their commitment to vaccination, as with the temporary extension of the obligation. Vaccinology education needs to be improved and training for doctors strengthened.
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Master Thesis
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Tristan Petit. Déterminants de l’hésitation vaccinale : thèse qualitative auprès de patients du Sud-Ouest. Médecine humaine et pathologie. 2019. ⟨dumas-02507871⟩



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