BACKGROUND:Pandemic influenza ethics frameworks are based on respect of values and principles such as regard for autonomy, responsibility, transparency, solidarity and social justice. However, very few studies have addressed the way in which the general population views these moral norms. OBJECTIVES:(i) To analyse the receptiveness of the population of French-speaking Quebecers to certain ethical principles promoted by public health authorities during the AH1N1 vaccination campaign. (ii) To add to the limited number of empirical studies that examine the population's perception of ethical values. DESIGN:Eight months after the end of the AH1N1 vaccination campaign in the Province of Quebec (Canada), 100 French-speaking Quebecers were assembled in ten focus groups. Discussions focussed on the level of respect shown by public health authorities for individual autonomy, the limits of appeals for solidarity, the balance between vaccination efficiency and social justice towards non-prioritized subpopulations, vaccination as a demonstration of civic duty and social responsibility. RESULTS:The population acknowledged a high level of individual responsibility towards family members and agreed to vaccination to protect children and ageing parents. However, the concepts of civic duty and solidarity did not elucidate unanimous support, despite the fact that social justice stood out as a dominant value of public morals. CONCLUSION:The ethical principles promoted in influenza pandemic ethics frameworks are subject to reinterpretation by the population. An ethic of public health must consider their understanding of the fundamental values that legitimize mass vaccination.

译文

背景:大流行性流感道德框架基于对价值和原则的尊重,例如对自治,责任,透明度,团结和社会正义的尊重。但是,很少有研究讨论普通民众如何看待这些道德规范。
目标:(i)分析在AH1N1疫苗接种运动中,法语魁北克人对公共卫生当局倡导的某些道德原则的接受程度。 (ii)增加数量有限的实证研究,以检验人们对道德价值观的看法。
设计:在魁北克省(加拿大)的AH1N1疫苗接种运动结束后八个月,将100个讲法语的魁北克人聚集在十个焦点小组中。讨论的重点是公共卫生当局对个人自治的尊重程度,呼吁声援的局限性,疫苗接种效率和对非优先人群的社会公正之间的平衡,疫苗接种是公民义务和社会责任的体现。
结果:该人群承认对家庭成员的高度个人责任,并同意接种疫苗以保护儿童和年迈的父母。然而,尽管社会正义是公共道德的主导价值,但公民义务和团结的概念并没有阐明一致的支持。
结论:流感大流行伦理框架中提倡的伦理原则有待人群重新解释。公共卫生伦理必须考虑他们对使大规模接种合法化的基本价值观的理解。

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