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Childhood Vaccine Hesitancy as an Interaction-Based Phenomenon
Alice Scavarda1, Mario Cardano1, Luigi Gariglio1
1Dipartimento di Culture, Politica e Società, Università di Torino, Turin, Italy.
Sociology of Health & Illness
|April 12, 2025
Summary
Parent-healthcare professional interactions significantly impact childhood vaccine hesitancy. Effective communication and trust-building during appointments are crucial for addressing parental concerns and promoting vaccine confidence.
Area of Science:
- Medical Sociology
- Public Health Communication
- Pediatric Healthcare
Background:
- Childhood vaccine hesitancy is a complex issue influenced by parental attitudes and behaviors.
- The intersection of trust and vulnerability during vaccination appointments is a key factor.
- Parental trust in vaccination is dynamic and context-dependent.
Purpose of the Study:
- To explore the role of parent-healthcare professional interactions in shaping childhood vaccine hesitancy.
- To analyze how healthcare professionals' strategies affect parental trust trajectories.
- To understand the impact of interactional trust on long-term vaccine confidence.
Main Methods:
- Rapid team ethnography conducted in Northwest Italy.
- Analysis of parent-healthcare professional interactions during vaccination appointments.
- Qualitative examination of trust dynamics and communication strategies.
Main Results:
- Healthcare professionals' management of epistemic conflicts influences parental trust.
- Interactional trust can be eroded or restored during specific encounters.
- Discursive and interactive strategies have lasting effects on parental trust in healthcare systems.
Conclusions:
- Building trust requires acknowledging and embracing reciprocal vulnerability between parents and healthcare professionals.
- Flawed trust-building systems can exacerbate vaccine hesitancy.
- Effective communication strategies are vital for fostering vaccine confidence and strengthening healthcare relationships.
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