{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T07:39:55Z","timestamp":1793777995824,"version":"4.6.1"},"reference-count":50,"publisher":"FapUNIFESP (SciELO)","issue":"5","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: A hesita\u00e7\u00e3o vacinal \u00e9 um fen\u00f4meno relacionado ao receio, atraso, recusa parcial ou total das vacinas recomendadas pelos programas de imuniza\u00e7\u00e3o. Este fen\u00f4meno tem causado preocupa\u00e7\u00e3o, pois amea\u00e7a conquistas importantes na redu\u00e7\u00e3o da morbimortalidade das doen\u00e7as imunoprevin\u00edveis. Os objetivos foram compreender o processo de decis\u00e3o dos pais hesitantes sobre (n\u00e3o) vacinar e avaliar os significados que estes pais atribuem \u00e0 vacina\u00e7\u00e3o, e quais viv\u00eancias as decis\u00f5es acerca da vacina\u00e7\u00e3o podem suscitar. Realizou-se abordagem qualitativa atrav\u00e9s de entrevistas individuais em profundidade realizadas entre setembro de 2020 e julho de 2021. A amostra foi constitu\u00edda a partir da estrat\u00e9gia de bola de neve e para definir o tamanho da amostra foi usado o princ\u00edpio da satura\u00e7\u00e3o te\u00f3rica. Foram inclu\u00eddos pais que se enquadravam na defini\u00e7\u00e3o de hesita\u00e7\u00e3o vacinal, ou seja, atrasavam ou recusavam uma ou mais vacinas. As entrevistas foram gravadas digitalmente, transcritas verbatim e textualizadas. Para a an\u00e1lise das entrevistas foi empregada a fenomenologia interpretativa. Foram inclu\u00eddos dez participantes, quatro temas emergiram das narrativas: estilo de vida natural; press\u00e3o social no contexto da vacina\u00e7\u00e3o (profissionais de sa\u00fade, familiares, amigos etc.); pandemia e vacina\u00e7\u00e3o contra COVID-19; e desconfian\u00e7a nas vacinas, ind\u00fastria farmac\u00eautica, profissionais de sa\u00fade e institui\u00e7\u00f5es. A hesita\u00e7\u00e3o vacinal \u00e9 um fen\u00f4meno complexo e multifacetado. \u00c9 fundamental capacitar profissionais de sa\u00fade para dialogar com pais hesitantes no contexto da vacina\u00e7\u00e3o. A hesita\u00e7\u00e3o vacinal \u00e9 um fen\u00f4meno vol\u00e1til e contextos epidemiol\u00f3gicos diversos, como a pandemia, podem influenciar a reflex\u00e3o de pais hesitantes sobre a vacina\u00e7\u00e3o de rotina.<\/jats:p>","DOI":"10.1590\/0102-311xpt154624","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T20:41:53Z","timestamp":1749501713000},"source":"Crossref","is-referenced-by-count":2,"title":["\u201cN\u00e3o sou antivacina, mas\u2026\u201d: entendendo a hesita\u00e7\u00e3o vacinal a partir das narrativas de pais hesitantes"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7153-6422","authenticated-orcid":false,"given":"Kelly Simone Almeida","family":"Cunegundes","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1993-6442","authenticated-orcid":false,"given":"Daisy Maria","family":"Machado","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3863-8865","authenticated-orcid":false,"given":"Nadia Vitorino","family":"Vieira","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Meeting the challenges of vaccination hesitancy","year":"2020"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"4161","DOI":"10.1016\/j.vaccine.2015.04.036","article-title":"Vaccine hesitancy definition, scope and determinants","volume":"33","author":"MacDonald NE","year":"2015","journal-title":"Vaccine"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1038\/s41562-022-01484-7","article-title":"Defining and measuring vaccine hesitancy","volume":"6","author":"Larson HJ","year":"2022","journal-title":"Nat Hum Behav"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1056\/NEJMra2106441","article-title":"The vaccine-hesitant moment","volume":"387","author":"Larson HJ","year":"2022","journal-title":"N Engl J Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/S2352-4642(19)30092-6","article-title":"Vaccine hesitancy a generation at risk","volume":"3","year":"2019","journal-title":"Lancet Child Adolesc Health"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1056\/NEJMoa1912514","article-title":"Consequences of under vaccination - 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