因應緊急公共衛生事件之快速質性研究：臺灣COVID-19疫苗猶豫調查

Chun-Ji Lin; Chen-I Kuan; Jheng-Yang Lin; Cheng-Han Liu; I-Ting Hwang; Ming-Hsin Hsu; Yi-Hsuan Chen; Rachel Chien; Chung Huang; Shiaau-Jihng Guo; Peng-hua Lu; Kun-Lin Ho; Yin-Chu Lin; Yi-Ren Lin; Tzu-Yu Ko; Hiutung Lau; Meng-Fan Tai; Shu-Sen Chang; Hung-Yi Chiou

doi:10.7014/SRMA.2023040001

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社会科学 > 社会科学综合

DOI： 10.7014/SRMA

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因应紧急公共卫生事件之快速质性研究：台湾COVID-19疫苗犹豫调查

Rapid Qualitative Research in Public Health Emergencies: COVID-19 Vaccine Hesitancy in Taiwan

林峻吉(Chun-Ji Lin) ；官晨怡(Chen-I Kuan) ；林正扬(Jheng-Yang Lin) ；刘政翰(Cheng-Han Liu) ；黄意婷(I-Ting Hwang) ；许铭心(Ming-Hsin Hsu) ；陈宜萱(Yi-Hsuan Chen) ；简瑞琪(Rachel Chien) ；黄中(Chung Huang) ；郭晓静(Shiaau-Jihng Guo) ；吕芃桦(Peng-hua Lu) ；何坤霖(Kun-Lin Ho) ；林尹筑(Yin-Chu Lin) ；林奕任(Yi-Ren Lin) ；柯咨羽(Tzu-Yu Ko) ；刘晓彤(Hiutung Lau) ；戴梦凡(Meng-Fan Tai) ；张书森(Shu-Sen Chang) ；邱弘毅(Hung-Yi Chiou)

调查研究-方法与应用； 50 期 (2023 / 04 / 01) ， P11 - 59

繁体中文;英文 DOI： 10.7014/SRMA.2023040001

公共卫生紧急事件；快速质性研究； COVID-19疫苗犹豫；风险沟通； public health emergency ； rapid qualitative research ； COVID-19 vaccine hesitancy ； risk communication

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摘要 │ 参考文献 (38) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Regarding the COVID-19 pandemic, massive vaccination has become the primary public health approach for human society to return to its normal function. However, considering the emergency situation and the unprecedented speed of vaccine development, hesitancy toward COVID-19 vaccination is foreseeable. Global organizations have prepared for the necessary risk communication for COVID-19 vaccination from the very beginning. In Taiwan, the COVID-19 vaccines roll-out started at late March 2021. At the beginning, people appeared to be hesitant to receive COVID-19 vaccination. The overall vaccination rates remained low until significant increases of COVID-19 cases occurred in Taiwan. However, it is dangerous to rely on merely the rise of infection cases to motivate people for vaccination. Without clear and effective risk communication about the uncertainty surrounding both the pandemic and COVID-19 vaccines, people may not be able to build up long-term confidence toward the vaccines. Meanwhile, there appears relatively strong COVID-19 vaccine hesitancy among certain communities, including vulnerable groups such as the elderly. As such, a thorough investigation into people's concerns about COVID-19 vaccines and potential factors influencing decision-making is needed. This study is the first "rapid qualitative research" conducted locally in Taiwan to investigate people's hesitancy toward COVID-19 vaccination. This research approach has been developed and promoted by a group of applied anthropologists. It has been used in public health emergencies, and its ability to measure people's concerns quickly so as to guide pandemic control interventions has been demonstrated. This study presents an approach particularly suitable for public health emergencies which is based on filling practical needs and providing timely feedback for policy formulation, although it can also be applied to development and evaluation of policy interventions in non-emergency situations. Considering the importance of this newly emerging method, this article presents a detailed description of the process of this rapid qualitative investigation method step by step, as well as visualization of the whole process. In so doing, the authors hope to introduce this very important method to a Taiwanese audience. The findings are as follows: (1) People are highly aware of the uncertainty of COVID-19 vaccination, and they need comprehensive and well-translated information. Conventional information campaigns are insufficient to allay people's concerns over safety in a situation involving emergency-use authorization. (2) There has been scant attention paid to the important emotional aspects in health-related decision-making, yet these were found to be crucial in people's final decision on whether to be vaccinated against COVID-19, and should thus be given serious weight in future risk communication. (3) A labeling effect can emerge, possibly hindering communication. People feel unable to express their different concerns and ideas while considering whether or not to vaccinate themselves for COVID-19. Due to feelings of being misunderstood and pressured, people who remain hesitant may shut down their communication with the outside world. (4) Explanations of vaccine policy details affect the overall trust in vaccine policy. A lack of clear explanation of the time arrangement of vaccine roll-out and availability of boosters directly leads to people's concerns about whether they should receive any vaccine in such an uncertain situation. Based on the findings, this study suggests that the government should pay serious attention to people's concerns on COVID-19 vaccination, provide comprehensive and lay-friendly information and avoid labeling unvaccinated people. Effective and well-designed communication can help people build long-term, solid confidence in COVID-19 vaccination.

参考文献 ( 38 ) 〈TOP〉

(2017).Pediatric Vaccines and Vaccinations.Berlin:Springer.
Abramowitz, Sharon Alane,McLean, Kristen E.,McKune, Sarah Lindley,Bardosh, Kevin Louis,Fallah, Mosoka,Monger, Josephine,Tehoungue, Kodjo,Omidian, Patricia A.,Bausch, Daniel G.(2015).Community-Centered Responses to Ebola in Urban Liberia: The View from Below.PLOS Neglected Tropical Diseases,9(4),0003706.
Beebe, James(2014).Rapid Qualitative Inquiry: A Field Guide to Team-based Assessment.Lanham:Rowman & Littlefield.
Briggs, Charles L.(2021).Against Methodological Essentialism, Fragmentation, and Instrumentalism in Times of COVID-19.American Anthropologist,123(4),954-956.
Brunson, Emily K.,Schoch-Spana, Monica(2020).A Social and Behavioral Research Agenda to Facilitate COVID-19 Vaccine Uptake in the United States.Health Security,18(4),338-344.

被引用文献 ( 1 ) 〈TOP〉

刘政翰,林正扬,官晨怡(2022)。疫苗犹豫与风险沟通之必要：对照长者与慢性病族群经验。台湾公共卫生杂志，41(4)，449-466。

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