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- Björkman, Ingeborg, et al.
(författare)
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The Swedish A(H1N1) vaccination campaign : Why did not all Swedes take the vaccination?
- 2013
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Ingår i: Health Policy. - : Elsevier BV. - 0168-8510 .- 1872-6054. ; 109:1, s. 63-70
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundIn Sweden, a mass vaccination campaign against the influenza A(H1N1) 2009 resulted in 60% vaccination coverage. However, many countries had difficulty in motivating citizens to be vaccinated. To be prepared for future vaccination campaigns, it is important to understand people's reasons for not taking the vaccination.ObjectiveThe aim of this qualitative study was to explore motives, beliefs and reactions of individuals with varying backgrounds who did not get vaccinated.Data and methodsThe total 28 individuals participating in the interviews were permitted to speak freely about their experiences and ideas about the vaccination. Interviews were analysed using a Grounded Theory approach. The strength of participants' decisions not to be vaccinated was also estimated.FindingsPatterns of motives were identified and described in five main categories: (A) distinguishing between unnecessary and necessary vaccination, (B) distrust, (C) the idea of the natural, (D) resisting an exaggerated safety culture, and (E) injection fear. The core category, upholding autonomy and own health, constitutes the base on which the decisions were grounded.ConclusionA prerequisite for taking the vaccine would be that people feel involved in the vaccination enterprise to make a sensible decision regarding whether their health will be best protected by vaccination.
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| 3. |
- Sanner, Margareta A.
(författare)
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A Swedish survey of young people's views on organ donation and transplantation.
- 2002
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Ingår i: Transplant International. - : Frontiers Media SA. - 0934-0874 .- 1432-2277. ; 15:12, s. 641-648
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to explore young people’s attitudes, beliefs, and knowledge on organ donation and transplantation. A survey was conducted among 1,447 students aged 15–18 years in four urban areas in Sweden. Although students lookedupon organ transplantation favorably, only 50% were willing to donate their own organs, and only 20% the organs of their parents. Concerning organ donation, 75% of the students expressed some discomfort. There were significant gender differences. About 70% of the students indicated that transplantation issues should be included in the school curriculum. It is concluded that teenagers feel irresolution and discomfort regarding organ donation after death, but concurrently see organ transplantation as a highly valued service. One way that this mental conflict can be resolved is through education. Educational programs in school must address this ambivalence and both mediate facts and help students to work through the fear and discomfort associated with organ donation.
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| 7. |
- Sanner, Margareta A., et al.
(författare)
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Evaluation of an organ-donor-card-campaign in Sweden
- 1995
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Ingår i: Clinical Transplantation. - 0902-0063 .- 1399-0012. ; 9:4, s. 326-333
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Tidskriftsartikel (refereegranskat)abstract
- One of the aims of this study was to evaluate an information campaign carried out in three geographical areas of Sweden in the winter of 1992-93. The campaign was intended to increase public awareness of organ donation and to increase the signing of donor cards. Another objective was to test the effects of different kinds of information. These were: A) an extensive "package" of information including training of key groups, lecturing at meetings and exhibitions, and advertisements of donor cards: B) a brochure to households including two donor cards; and C) a combination of A and B. Yet another aim was to reassess public opinion on transplantation issues, which had been surveyed before in 1987, 1988, and 1990. Random samples of the population in three campaign areas and a control sample were surveyed before and after the campaign, altogether 5600 persons. The average response rate was 69% (1992) and 68% (1993). In the two areas where the brochure had been distributed to the households, the rate of donor card holders had more than doubled (from 3% and 5% to 13% and 12%). In the two areas where the brochure had not been distributed, the rate was unchanged (5%). In the "brochure areas" also a somewhat larger number of people had informed their relatives about their decisions, compared with people in the other areas. In all campaign areas considerably more people were aware of the cards than in the control area. No attitude changes could be shown in any area.(
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| 9. |
- Sanner, Margareta A.
(författare)
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Exchanging spare-parts or becoming a new person? : People's attitudes toward receiving and donating organs
- 2001
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Ingår i: Social Science and Medicine. - : Elsevier. - 0277-9536 .- 1873-5347. ; 52:10, s. 1491-1499
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Tidskriftsartikel (refereegranskat)abstract
- The present study explored the public's feelings and ideas about receiving organs, and how this influenced their attitudes toward accepting a transplant themselves. Also the willingness to donate was examined in order to provide a complementary perspective. The main aim was to identify consistent attitude patterns that would include attitudes toward both receiving and donating organs and the motives behind this. Sixty-nine individuals with varying socio-demographic background, selected from samples who had responded to a questionnaire on receiving and donating organs and tissues, were interviewed in-depth. The approach to analyse the interviews was hermeneutic. Seven typical attitude patterns emerged. By an ‘attitude pattern’ was meant a specific set of attitudes and motives, that formed a consistent picture that was logical and psychologically meaningful. In the discussion, two different conceptions of the body were focused. One of them meant that the body was easily objectified and conceived as machine-like, and did not represent the self. This machine model paved the way for the understanding that body parts needed to be replaced by spare parts. The other conception meant that a new organ would transfer the donor's qualities, i.e. influence the identity of the recipient with regard to behaviour, appearance, and personality. This belief may be explained by ‘analogy thinking’ based on our everday experience of how mixed entities take on the qualities of all components. Another explanation would be a kind of magical thinking and ‘the law of contagion’, which is often connected to oral incorporation. The consequences of these conceptions when patients are confronted with the factual situation of a transplantation, were discussed.
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| 10. |
- Sanner, Margareta A
(författare)
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In perspective of declining autopsy rate : attitudes of the public
- 1994
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Ingår i: Archives of pathology & laboratory medicine. - 0003-9985. ; 118:9, s. 878-883
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Tidskriftsartikel (refereegranskat)abstract
- The autopsy rate is declining, probably due to attitude changes. However, attitudes toward the autopsy have been sparsely studied, public opinion evidently not at all. The present study has, therefore, investigated the attitudes and reactions of the public toward autopsy as a basis for a new autopsy act in Sweden. An age-stratified, random sample of 1950 individuals in Sweden was surveyed. Eighty-four percent reported acceptance of an autopsy for themselves and 80% for next of kin. However, 70% felt discomfort at the thought of autopsy. Irrespective of the attitudes, the most common source of discomfort was the thought of the dead body being cut up, followed by fear of being disrespectful of the dead person. Sociodemographic factors were only weakly correlated to attitudes. The most impressive finding was that older women were the most hesitant or negative group concerning the autopsy, both for themselves and for relatives. The low autopsy rate is evidently not connected with the public's negative attitudes. Even if discomfort reactions are general, rational factors dominate. Thus, it is up to the medical community to use this positive opinion to let the autopsy regain its role of quality guarantee.
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