Analysis of factors influencing vaccine uptake: perspectives from Belgium

Swennen, Béatrice; Damme, Pierre Van; Vellinga, Akke; Coppieters, Yves; Depoorter, Anne-Marie

doi:10.1016/s0264-410x(01)00307-3

Cited by 53 publications

(55 citation statements)

References 11 publications

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“…In earlier questionnaire studies, the professionalism, motivation and other characteristics of personnel have been associated with the willingness to participate [11,17,18]. Likewise, the importance of the clearness of knowledge and attitudes of the health care personnel administering vaccines has been shown to affect vaccine coverage [19]. It was also seen in our study that consenters trusted the well-baby clinic nurses and adhered to the national vaccination program more than non-consenters.…”

Section: Discussionsupporting

confidence: 57%

Health benefit for the child and promotion of the common good were the two most important reasons for participation in the FinIP vaccine trial

Nieminen

Syrjänen

Puumalainen

et al. 2015

Vaccine

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Section: Discussionsupporting

confidence: 57%

Health benefit for the child and promotion of the common good were the two most important reasons for participation in the FinIP vaccine trial

Nieminen

Syrjänen

Puumalainen

et al. 2015

Vaccine

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“…In the 1999 survey in Flanders, the main vaccinator was found to be associated with the educational level of the parents [4]. The vaccine provider was also found to be a significant determinant of vaccination in some US studies [10,11] and physician factors were found important in surveys questioning the reason for non-vaccination [3,18,27].…”

Section: Discussionmentioning

confidence: 98%

“…In other studies, including a previous study in Belgium [3,6,12,14], low parental educational level was significantly associated with incomplete vaccination and maternal age has also been recognized as a factor influencing vaccination [6,8,12,13].…”

Section: Discussionmentioning

confidence: 99%

“…In 1999, an EPI-based survey to measure infant vaccine coverage at 18-24 months-of-age in Flanders (Belgium) demonstrated insufficient coverage for measles-mumps-rubella vaccine (MMR) (82%), hepatitis B vaccine (HBV) (68%) and H Influenza type b vaccine (Hib) (86%) [3,4]. A new, larger survey was performed in 2005.…”

Section: Introductionmentioning

confidence: 99%

“…However, the birth cohort of which children were recruited for this study largely received the 2003 schedule with three monovalent doses of HBV. A number of characteristics that have been found to be related to vaccination coverage in industrial countries have been taken into consideration in this 2005 survey, such as parental education, ethnicity, age, marital and working situation, birth order of the child, medical problems, side effects of vaccination, vaccine provider and having a vaccination card [3,[5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Theeten

Hens

Vandermeulen

et al. 2007

Vaccine

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To assess changes in infant vaccination coverage in Flanders since 1999, an EPI-survey was performed in 2005. The parents of 1354 children aged 18-24 months were interviewed at home and the vaccination documents were checked. Several factors possibly related to vaccination status were examined with parametric and non-parametric methods. The coverage rate of recommended vaccines, i.e. poliomyelitis, tetanus-diphtheria-pertussis, H influenzae type b (Hib), hepatitis B, measles-mumps-rubella (MMR) and meningococcal C, reached at least 92.2%, which is a significant rise for MMR, hepatitis B and Hib since 1999.The vaccinating physician, the employment situation of the mother and the family income were significant risk factors for incomplete or invalid vaccination.

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Estimating vaccination coverage for the trivalent measles–mumps–rubella vaccine from trivariate serological data

Goeyvaerts

Hens

Theeten

et al. 2012

Statistics in Medicine

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The effectiveness of childhood immunization programs depends on the vaccination coverage actually achieved. Routinely collected coverage data are not always available, and comparability between countries is often compromised because of different data collection methods. In 2000, Gay developed a method to estimate trivalent vaccination coverage from readily available trivariate serological data on the basis of parametric assumptions related to the rate of seroconversion for each vaccine component and probabilities of natural exposure to infection. Gay's work was indirectly published in a paper by Altmann and Altmann, who derived exact solutions for the parameters on the basis of Gay's modeling equations. In this paper, we propose a general likelihood-based marginal model framework to extend Gay's model by relaxing two of its main assumptions. We use the Bahadur model for trivariate binary data to explicitly account for an association between the disease-specific exposure probabilities. We fit several correlation structures to measles, mumps, and rubella serology from Belgium and Ireland. For both countries, we estimate a small positive pairwise exposure correlation, which improves the fit to the data. However, the effect on the estimated vaccination coverage and its associated variability is fairly moderate. For both Belgium and Ireland, all models reveal that the vaccination coverage achieved during the first 15 years since the introduction of measles, mumps, and rubella immunization is insufficient to eliminate measles.

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Analysis of factors influencing vaccine uptake: perspectives from Belgium

Cited by 53 publications

References 11 publications

Health benefit for the child and promotion of the common good were the two most important reasons for participation in the FinIP vaccine trial

Health benefit for the child and promotion of the common good were the two most important reasons for participation in the FinIP vaccine trial

Infant vaccination coverage in 2005 and predictive factors for complete or valid vaccination in Flanders, Belgium: an EPI-survey

Estimating vaccination coverage for the trivalent measles–mumps–rubella vaccine from trivariate serological data

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