'Rhyme or reason?' Saying no to mass vaccination: subjective re-interpretation in the context of the A(H1N1) influenza pandemic in Sweden 2009-2010.
Identifieur interne : 000701 ( PubMed/Checkpoint ); précédent : 000700; suivant : 000702'Rhyme or reason?' Saying no to mass vaccination: subjective re-interpretation in the context of the A(H1N1) influenza pandemic in Sweden 2009-2010.
Auteurs : Britta LundgrenSource :
- Medical humanities [ 1473-4265 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autonomie personnelle, Confiance, Enfant d'âge préscolaire, Enquêtes et questionnaires, Femelle, Grippe humaine (), Grippe humaine (immunologie), Grippe humaine (épidémiologie), Humains, Industrie pharmaceutique, Jeune adulte, Mass-médias, Mâle, Narcolepsie (), Pandémies (), Peur, Prise de décision, Sous-type H1N1 du virus de la grippe A (isolement et purification), Sujet âgé, Suède (épidémiologie), Vaccination de masse (), Vaccination de masse (normes), Vaccination de masse (tendances), Vaccins antigrippaux (administration et posologie), Vaccins antigrippaux (effets indésirables).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- effets indésirables : Vaccins antigrippaux.
- immunologie : Grippe humaine.
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- normes : Vaccination de masse.
- tendances : Vaccination de masse.
- épidémiologie : Grippe humaine, Suède.
- Adulte, Adulte d'âge moyen, Autonomie personnelle, Confiance, Enfant d'âge préscolaire, Enquêtes et questionnaires, Femelle, Grippe humaine, Humains, Industrie pharmaceutique, Jeune adulte, Mass-médias, Mâle, Narcolepsie, Pandémies, Peur, Prise de décision, Sujet âgé, Vaccination de masse.
- Wicri :
- geographic : Suède.
English descriptors
- KwdEn :
- Adult, Aged, Child, Preschool, Decision Making, Drug Industry, Fear, Female, Humans, Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza Vaccines (administration & dosage), Influenza Vaccines (adverse effects), Influenza, Human (epidemiology), Influenza, Human (immunology), Influenza, Human (prevention & control), Male, Mass Media, Mass Vaccination (methods), Mass Vaccination (standards), Mass Vaccination (trends), Middle Aged, Narcolepsy (chemically induced), Pandemics (prevention & control), Personal Autonomy, Surveys and Questionnaires, Sweden (epidemiology), Trust, Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- chemical , adverse effects : Influenza Vaccines.
- geographic , epidemiology : Sweden.
- chemically induced : Narcolepsy.
- epidemiology : Influenza, Human.
- immunology : Influenza, Human.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- methods : Mass Vaccination.
- prevention & control : Influenza, Human, Pandemics.
- standards : Mass Vaccination.
- trends : Mass Vaccination.
- Adult, Aged, Child, Preschool, Decision Making, Drug Industry, Fear, Female, Humans, Male, Mass Media, Middle Aged, Personal Autonomy, Surveys and Questionnaires, Trust, Young Adult.
Abstract
During the swine flu pandemic of 2009-2010, all Swedish citizens were recommended to be vaccinated with the influenza vaccine Pandemrix. However, a very serious and unexpected side effect emerged during the summer of 2010: more than 200 children and young adults were diagnosed with narcolepsy after vaccination. Besides the tragic outcome for these children and their families, this adverse side effect suggests future difficulties in obtaining trust in vaccination in cases of emerging pandemics, and thus there is a growing need to find ways to understand the complexities of vaccination decision processes. This article explores written responses to a questionnaire from a Swedish folk life archive as an unconventional source for analysing vaccine decisions. The aim is to investigate how laypersons responded to and re-interpreted the message about the recommended vaccination in their answers. The answers show the confusion and complex circumstances and influences in everyday life that people reflect on when making such important decisions. The issue of confusion is traced back to the initial communications about the vaccination intervention in which both autonomy and solidarity were expected from the population. Common narratives and stories about the media or 'big pharma capitalism' are entangled with private memories, accidental coincidences and serendipitous associations. It is obvious that vaccination interventions that require compliance from large groups of people need to take into account the kind of personal experience narratives that are produced by the complex interplay of the factors described by the informants.
DOI: 10.1136/medhum-2015-010684
PubMed: 26077985
Affiliations:
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pubmed:26077985Le document en format XML
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However, a very serious and unexpected side effect emerged during the summer of 2010: more than 200 children and young adults were diagnosed with narcolepsy after vaccination. Besides the tragic outcome for these children and their families, this adverse side effect suggests future difficulties in obtaining trust in vaccination in cases of emerging pandemics, and thus there is a growing need to find ways to understand the complexities of vaccination decision processes. This article explores written responses to a questionnaire from a Swedish folk life archive as an unconventional source for analysing vaccine decisions. The aim is to investigate how laypersons responded to and re-interpreted the message about the recommended vaccination in their answers. The answers show the confusion and complex circumstances and influences in everyday life that people reflect on when making such important decisions. The issue of confusion is traced back to the initial communications about the vaccination intervention in which both autonomy and solidarity were expected from the population. Common narratives and stories about the media or 'big pharma capitalism' are entangled with private memories, accidental coincidences and serendipitous associations. It is obvious that vaccination interventions that require compliance from large groups of people need to take into account the kind of personal experience narratives that are produced by the complex interplay of the factors described by the informants. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26077985</PMID><DateCompleted><Year>2016</Year><Month>08</Month><Day>23</Day></DateCompleted><DateRevised><Year>2019</Year><Month>01</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1473-4265</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Medical humanities</Title><ISOAbbreviation>Med Humanit</ISOAbbreviation></Journal><ArticleTitle>'Rhyme or reason?' Saying no to mass vaccination: subjective re-interpretation in the context of the A(H1N1) influenza pandemic in Sweden 2009-2010.</ArticleTitle><Pagination><MedlinePgn>107-12</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/medhum-2015-010684</ELocationID><Abstract><AbstractText>During the swine flu pandemic of 2009-2010, all Swedish citizens were recommended to be vaccinated with the influenza vaccine Pandemrix. However, a very serious and unexpected side effect emerged during the summer of 2010: more than 200 children and young adults were diagnosed with narcolepsy after vaccination. Besides the tragic outcome for these children and their families, this adverse side effect suggests future difficulties in obtaining trust in vaccination in cases of emerging pandemics, and thus there is a growing need to find ways to understand the complexities of vaccination decision processes. This article explores written responses to a questionnaire from a Swedish folk life archive as an unconventional source for analysing vaccine decisions. The aim is to investigate how laypersons responded to and re-interpreted the message about the recommended vaccination in their answers. The answers show the confusion and complex circumstances and influences in everyday life that people reflect on when making such important decisions. The issue of confusion is traced back to the initial communications about the vaccination intervention in which both autonomy and solidarity were expected from the population. Common narratives and stories about the media or 'big pharma capitalism' are entangled with private memories, accidental coincidences and serendipitous associations. It is obvious that vaccination interventions that require compliance from large groups of people need to take into account the kind of personal experience narratives that are produced by the complex interplay of the factors described by the informants. </AbstractText><CopyrightInformation>Published by the BMJ Publishing Group Limited. 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