Childhood vaccination coverage in Europe: impact of different public health policies

Bechini, Angela; Boccalini, Sara; Ninci, Alessandra; Zanobini, Patrizio; Sartor, Gino; Bonaccorsi, Guglielmo; Grazzini, Maddalena; Bonanni, Paolo

doi:10.1080/14760584.2019.1639502

Cited by 46 publications

(36 citation statements)

References 23 publications

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“…The main challenge in HICs is vaccine hesitancy. Whether some vaccinations should be mandatory is subject of debate [99]: policies need to balance personal liberty with individual and public health, and mandatory vaccination may even increase opposing attitudes and reduce vaccine acceptance. In any case, intensified information strategies are necessary to improve trust, and rectify perceived risks and improve vaccines acceptability [100].…”

Section: Discussion and Perspectivesmentioning

confidence: 99%

Missed vaccinations and critical care admission: all you may wish to know or rediscover—a narrative review

et al. 2019

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Most vaccines are so effective that they could lead to the control/elimination of the diseases they target and directly impact on intensive care admissions or complications. This is best illustrated by the use of vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae, zoster, yellow fever, Ebola virus, influenza or measles-but also by third party strategies such as maternal, toddler and care-giver immunization. However, each of these vaccine-induced protection is threatened by insufficient vaccine uptake. Here, we briefly discuss how vaccine hesitancy has led to the resurgence of diseases that were considered as controlled and explore the effect of vaccine-hesitant healthcare workers on nosocomial infections. As intensive care physicians are in charge of polymorbid patients, we briefly summarize the current recommendations for vaccinations in high-risk patients. We finally give some perspective on ongoing research, and discuss how institutional policies and intensive care physicians could play a role in increasing the impact of vaccination, overall and in intensive care units.

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Section: Discussion and Perspectivesmentioning

confidence: 99%

Missed vaccinations and critical care admission: all you may wish to know or rediscover—a narrative review

et al. 2019

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“…Findings of the research conducted by Bechini et al emphasize that, while mandatory vaccinations and legal sanctions for vaccination avoidance are useful tools to increase vaccination rates, the effect of using those tools changes from country to country in response to numerous other factors. 54…”

Section: Vaccination Rate and Availability Of Free Of Charge Additional Vaccinationsmentioning

confidence: 99%

Mothers’ Opinions on Vaccinations and Penal Responsibility for Vaccination Avoidance in Nine Selected European Countries: Findings from a Cross-Sectional Survey

Pisaniak¹,

Konarska²,

Tarczon³

et al. 2021

RMHP

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Aim Relations between penal responsibility and vaccination obligation can be essential for raising the vaccination rate. Social media play a vital role in distributing information. The attitude towards vaccination consists of many factors, including the criminal law situation in the field of vaccination in a given country. The aim of the study was to assess the impact of criminal law liability and other social factors such as age and education on mothers’ desire to vaccinate their children. Methods Survey target: mothers from nine European countries (Poland, Germany, Slovakia, France, Norway, Serbia, Romania, Greece, Italy). Response count: 2205. Questionnaire content: adjusted to country-specific legal regulations concerning vaccinations - considering whether vaccines are mandatory, recommended, additional, and how to cover costs. The way of dissemination of the questionnaire: general parental groups on Facebook. Results The respondents: Poles (30%), Italians, Germans, Slovaks, Greeks (10% each), Norwegians, Frenchwomen, Romanians, Serbians (5% each). The average respondent age: highest: Norway (38.14±10.08) and Italy (37.35±8.12), lowest: Slovakia (30.22±6.19). Respondents with higher, secondary, vocational, primary education represent 58%, 27%, 12%, 3%, respectively, of the group. Countries with above 90% rate of answers that they vaccinate their children: Greece, Norway, Slovakia, France. The lowest rate (55%) recorded for Romania. Sixty-seven percent aware of the existence of anti-vaccination movements. High rates were recorded for Norway (88%), Romania (82%), Poland (78%), Serbia (71%), Greece (67%), Germany (66%). The lowest rate for France (31%). Countries without vaccination at all (Germany, Norway, Romania, Greece), the rest of the countries mentioned above – have some mandatory, recommended and additional vaccinations. Conclusion In countries with mandatory vaccinations parents have their children vaccinated less willingly than in countries with voluntary vaccinations. The rising level of education and providing information about complications following infectious diseases appear to increase the vaccination rate.

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“…Vaccination is the right of the child as well as a necessity for social life [ 1 ]. In recent years, outbreaks of vaccine-preventable diseases have been seen due to increased vaccine rejection and hesitation [ 2 , 3 ]. The parental vaccination decision is known to be complex and multi-dimensional, being influenced by past experiences, information sources including peers/family, emotions, routine ways of thinking with risk perceptions, trusting the health personnel, and decision-making processes [ 4 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Unvaccinated children as community parasites in National Qualitative Study from Turkey

2020

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Background: This national qualitative study explores (1) the experiences, observations, and opinions of health care workers (HCWs) about beliefs, socioeconomic, cultural, and environmental characteristics of parents refusing vaccination and (2) regional differences in the identified risk factors; (3) recommended solutions to improve vaccine acceptance in each of 12 regions in Turkey. Methods: In total, we carried out 14 individual semi-structured in-depth interviews and 10 focus group discussions with 163 HCWs from 36 provinces. A thematic analysis was performed to explore HCWs' observations about the parents' decisions to reject vaccination and possible solutions for vaccine advocacy. Results: Within the analyzed data framework, vaccine refusal statements could be defined as vaccine safety, the necessity of vaccines, assumptions of freedom of choice, health workers' vaccine hesitancy, lack of information about national vaccination schedule and components, not trusting the health system, anti-vaccine publications in social media and newspapers, and refugees. Suggestions based on the HCWs suggestions can be summarized as interventions including (1) creating visual cards with scientific data on vaccine content and disease prevention and using them in counseling patients, (2) writing the vaccine components in a way understandable to ordinary people, (3) highlighting the national quality control and production in the vaccine box and labels, (4) conducting interviews with community opinion leaders, (5) training anti-vaccine HCWs with insufficient scientific knowledge and (6) reducing the tax of parents whose children are fully and punctually vaccinated. Conclusions: The solution to vaccine rejection begins with the right approaches to vaccination during pregnancy. Prepared written and visual information notes should present the information as "vaccination acceptance" rather than "vaccination refusal". Further studies on vaccine refusal rates should be carried out in various regions of the world so that region-specific actions are implemented to decrease the anti-vaxxer movement and to prevent an outbreak of infectious diseases.

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Childhood vaccination coverage in Europe: impact of different public health policies

Cited by 46 publications

References 23 publications

Missed vaccinations and critical care admission: all you may wish to know or rediscover—a narrative review

Missed vaccinations and critical care admission: all you may wish to know or rediscover—a narrative review

Mothers’ Opinions on Vaccinations and Penal Responsibility for Vaccination Avoidance in Nine Selected European Countries: Findings from a Cross-Sectional Survey

Unvaccinated children as community parasites in National Qualitative Study from Turkey

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