Effectiveness of Mandatory and Incentive-Based Routine Childhood Immunization Programs in Europe: A Systematic Review of the Literature

Kuznetsova, Lidia; Cortassa, Giorgio; Trilla, Antoni

doi:10.3390/vaccines9101173

Cited by 12 publications

(8 citation statements)

References 29 publications

(15 reference statements)

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“…Vaccine hesitancy for mandatory vaccinations is higher in Trentino–Alto Adige than in other regions of Italy [ 42 ], and vaccine uptake in South Tyrol has continued to remain below the Italian average [ 43 ]. Considering the overall positive effect of the introduction of child vaccine mandates [ 44 , 45 ], Italy extrapolated this policy to COVID-19 vaccination [ 46 ]. The results of the present study suggest that linguistic group membership does not directly impact the vaccine hesitancy of the three main languages sponsored in South Tyrol and are hence unlikely to interfere with national vaccination plans beyond associated sociodemographic and cultural predictors.…”

Section: Discussionmentioning

confidence: 99%

Vaccine Hesitancy during the Coronavirus Pandemic in South Tyrol, Italy: Linguistic Correlates in a Representative Cross-Sectional Survey

Barbieri¹,

Wiedermann²,

Lombardo

et al. 2022

Vaccines

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Background: German is a minority language in Italy and is spoken by the majority of the inhabitants of the Autonomous Province of Bolzano, South Tyrol. Linguistic group membership in South Tyrol is an established determinant of health information-seeking behavior. Because the COVID-19 incidence and vaccination coverage in the second year of the pandemic in Italy was the worst in South Tyrol, we investigated whether linguistic group membership is related to COVID-19 vaccine hesitancy. Methods: A cross-sectional survey was conducted on a probability-based sample of 1425 citizens from South Tyrol in March 2021. The questionnaire collected information on socio-demographics, including linguistic group membership, comorbidities, COVID-19-related experiences, conspiracy thinking, well-being, altruism, and likelihood of accepting the national vaccination plan. Multiple logistic regression analyses were performed to identify the significant predictors of vaccine hesitancy. Results: Overall, 15.6 percent of the sample reported vaccine hesitancy, which was significantly higher among German speakers than among other linguistic groups. Increased hesitancy was mostly observed in young age, the absence of chronic disease, rural residence, a worsened economic situation, mistrust in institutions, and conspiracy thinking. In the multiple logistic regression analyses, linguistic group membership was not an independent predictor of vaccine hesitancy. Conclusion: Although German is a minority language in Italy and COVID-19 vaccine hesitancy was higher in the German native language group than in the Italian, linguistic group membership was not an independent predictor of hesitancy in the autonomous province. Known predictors of vaccine hesitancy are distributed unevenly across language groups. Whether language group-specific intervention strategies to promote vaccine hesitancy are useful requires further study.

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Section: Discussionmentioning

confidence: 99%

Vaccine Hesitancy during the Coronavirus Pandemic in South Tyrol, Italy: Linguistic Correlates in a Representative Cross-Sectional Survey

Barbieri¹,

Wiedermann²,

Lombardo

et al. 2022

Vaccines

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“…The evidence conclude that the introduction of children routine vaccination mandates increases vaccine coverage and reduces the incidence of vaccine-preventable diseases. 32–34 …”

Section: Discussionmentioning

confidence: 99%

Waning of maternal antibody against measles virus in Shufu, China

Fan

Xue³

et al. 2022

Human Vaccines & Immunotherapeutics

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Background: As measles vaccination coverage has increased, measles infection has shifted to the population of infants. We conducted a follow-up seroepidemiological study among mothers and their infants to evaluate measles seroprevalence and the persistence of maternal measles antibody in Shufu, Kashgar from 2018 to 2020. Methods: Maternal venous blood and cord blood was obtained among mothers and their infants at 0, 3, 5, 8, 9, and 12 months of age. An enzyme-linked immunosorbent assay was used for quantitative measurement of measles antibodies. We analyzed the correlation between maternal and neonatal measles antibodies, and antibodies persistence after infants were born. Results: The overall neonatal maternal ratio was 2.38 (95%CI: 2.05–2.71). The measles antibodies for mothers and newborns were 438.93 IU/mL (95%CI: 409.47–470.51 IU/mL) and 440.10 IU/mL (95%CI: 410.82–471.48 IU/mL), respectively. Neonatal measles antibodies were dropping after birth and then beginning to increase starting at 8 months of age. Conclusions: Infant measles antibody levels progressively declined after birth regardless of maternal measles antibody levels. Efforts should be carried out to eliminate measles.

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“…Considering the overall positive effect of the introduction of child vaccine mandates [ 17 , 18 ], Italy extrapolated this policy to COVID-19 vaccination [ 19 ]. In the coronavirus pandemic, weekly incidence rates put South Tyrol among the worst of all Italian regions, and the vaccination rate is the lowest in Italy, although public health care quality is considered above average [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Health information-seeking behavior associated with linguistic group membership: latent class analysis of a population-based cross-sectional survey in Italy, August to September 2014

Ausserhofer

Wiedermann

Becker³

et al. 2022

Arch Public Health

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Background Evidence suggests an increasing demand for culturally and linguistically responsive disease prevention programs and health interventions. It is important to understand how individuals seek health information to address the potential needs of the health care system. Methods Latent classes of health information-seeking behaviors in a linguistically mixed region of Italy were explored through a population-based telephone survey of ten health information sources. Data were collected in August and September 2014 from 504 adults in South Tyrol, Italy (primary language German, 68%; Italian, 28%), and analyzed using latent class analysis and latent class multinomial logistic regression models. Results Three classes of health information-seeking behaviors emerged: “multidimensional” (23.3%), “interpersonal” (38.6%) and “technical/online” (38.1%). Compared to the “technical/online” class, “interpersonal” class members were older, had lower education than high school, and were less likely to be of Italian ethnicity. “Multidimensional” class members were more likely to be female, older, and of German ethnicity than those in the “technical/online” class. Conclusions Linguistic ethnicity explains membership in classes on health information-seeking behavior. Policymakers and healthcare providers should consider the health information-seeking behaviors of population subgroups to promote health and medical care in linguistic minority groups.

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Effectiveness of Mandatory and Incentive-Based Routine Childhood Immunization Programs in Europe: A Systematic Review of the Literature

Cited by 12 publications

References 29 publications

Vaccine Hesitancy during the Coronavirus Pandemic in South Tyrol, Italy: Linguistic Correlates in a Representative Cross-Sectional Survey

Vaccine Hesitancy during the Coronavirus Pandemic in South Tyrol, Italy: Linguistic Correlates in a Representative Cross-Sectional Survey

Waning of maternal antibody against measles virus in Shufu, China

Health information-seeking behavior associated with linguistic group membership: latent class analysis of a population-based cross-sectional survey in Italy, August to September 2014

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