Ethical principles for collective immunisation programmes

Verweij, Marcel; Dawson, Angus

doi:10.1016/j.vaccine.2004.01.062

Cited by 96 publications

(58 citation statements)

References 12 publications

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“…Lack of trust in the government is quite a new phenomenon in Sweden where previously the government's recommendations have been almost universally trusted regarding health issues. Lack of trust is an emotional barrier that can be hard to regain, resulting in a lower attendance in future public health and vaccination programs 9, 46. The consenting parents expressed opposite beliefs, as they considered the benefits outweighed the risks.…”

Section: Discussionmentioning

confidence: 99%

To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School‐Based Vaccination Program in Sweden

Grandahl

Tydén

Westerling

et al. 2016

Journal of School Health

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BACKGROUND Parents' beliefs about human papillomavirus (HPV) vaccination influence whether they allow their daughters to be vaccinated. We examined the association between parents' refusal and sociodemographic background, knowledge and beliefs about HPV, and the HPV vaccination in relation to the Health Belief Model. METHODS The sample consisted of 200 (55%) parents of children aged 11‐12 years in the Swedish national vaccination program. Data were collected using a self‐reported questionnaire. Most parents (N = 186) agreed to the vaccination. Pearson's chi‐square, Fisher's exact test, and the Mann‐Whitney U test were used to analyze data. RESULTS Declining parents saw more risks and fewer benefits of HPV vaccination but no differences in beliefs regarding the severity or young girls' susceptibility to HPV were found. There was an association between refusing the HPV vaccine and lower acceptance of previous childhood vaccinations, and their main source of information was the Internet. Parents who declined the vaccine believed it could adversely affect condom use, the age of their daughter's sexual debut, and the number of sexual partners. CONCLUSION Parents should have the possibility to discuss HPV and HPV vaccine with a school nurse or other health care professionals, and should have access to evidence‐based information on the Internet.

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Section: Discussionmentioning

confidence: 99%

To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School‐Based Vaccination Program in Sweden

Grandahl

Tydén

Westerling

et al. 2016

Journal of School Health

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“…Participants were contacted by telephone by an independent survey enterprise through a random digit dialing method for each city until each focus group had reached its quota for each of the four criteria (global response rate 62%). Globally, the 100 participants were broken down as follows: gender (50 male, 50 female); age (18-24; n = 16), (25)(26)(27)(28)(29)(30)(31)(32)(33)(34): n = 17), (35)(36)(37)(38)(39)(40)(41)(42)(43)(44): n = 17), (45-54: n = 17), (55-64: n = 18), (65 + : n = 15); education (secondary: (n = 32), (some college: n = (34), (university: n = 32); vaccination (vaccinated: n = 51), (not vaccinated: n = 49). Focus group participants were invited to debate the following questions related to values challenged through vaccination interventions as well as by the media and public health institution communications strategies: Q1: Did public healthcare messages on civic duty (devoir civique) disturb you or make you feel guilty?…”

Section: Methodsmentioning

confidence: 99%

Lay people's interpretation of ethical values related to mass vaccination; the case of A(H1N1) vaccination campaign in the province of Quebec (French Canada)

Massé

Désy²

2012

Health Expectations

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“…Considerando la importancia que tiene la adopción autónoma de decisiones de salud por personas competentes, la participación en un programa de vacunación (30,31), universal o piloto, debe ser voluntaria, a menos que la vacuna sea esencial para prevenir un daño preciso y grave. Dado que la infección por VPH se adquiere a través de la actividad sexual y no es de tipo contagioso, no se puede argüir para su aplicación criterios similares a otras vacunas, como sarampión o tosferina.…”

Section: Consentimientounclassified

Implicaciones Éticas Y Sociales De La Introducción De La Vacuna Contra El Virus Del Papiloma Humano en México: Reflexiones Sobre Una Propuesta De Intervención

et al. 2008

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Resumen: El objetivo de este trabajo es identificar aspectos éticos y sociales relacionados con la introducción de la vacuna contra el virus del papiloma humano (VPH) en México para una decisión informada y justa que considere no sólo los aspectos financieros. De acuerdo con la información sobre eficiencia y costo de la vacuna, su introducción al sistema público mexicano puede acarrear consecuencias no previstas para las participantes y para toda la sociedad, por lo que debe examinarse en el contexto mexicano, reconociendo sus riesgos sin sobrestimar resultados comprobados o potenciales derivados de diversas políticas de vacunación. Exponer la evidencia científica y los motivos para la toma de decisiones es esencial. También, dirigirse de manera responsable hacia una decisión política sobre la implementación de programas de vacunación, tamizaje y tratamiento de cáncer cervical con base en el potencial para salvar vidas que tienen las nuevas tecnologías, siempre que se respeten los derechos, opiniones y preocupaciones de las mujeres a las que va dirigida la vacuna contra el VPH y que representen un valor agregado para la sociedad mexicana en su conjunto.Palabras clave: cáncer cervical, vacuna VPH, ética, toma de decisiones ETHICAL AND SOCIAL IMPLICATIONS OF THE INTRODUCTION OF THE VACCINE AGAINST THE HUMAN PAPILLOMA VIRUS IN MEXICO: REFLECTIONS ON A PROPOSED INTERVENTIONAbstract: The objective of this work is to identify ethical and social aspects related to the introduction of the vaccine against the human papillomavirus (HPV) in Mexico for an informed and just decision that considers not only financial aspects. According to information about the efficiency and cost of the vaccine, its introduction to the public health system of Mexico can lead to unforeseen consequences for the participants and for society as a whole. The introduction of the vaccine should examine the Mexican context, recognizing its risks without overestimating potential or proven results derived from diverse vaccine policies. Exposing scientific evidence and the motives for decision making is essential. Also, it is essential to take a responsible stand toward political decisions on the implementation of vaccine programs, screening and treatment for cervical cancer based on the potential for new technologies to save lives, always with respect for the rights, opinions and preoccupations of women, the recipients of the HPV vaccine, and that represent an added value for Mexican society as a whole.Key words: cervical cancer, HPV vaccine, ethics, decision making IMPLICAÇÕES ÉTICAS E SOCIAIS DA INTRODUÇÃO DA VACINA CONTRA O VIRUS DO PAPILOMA HUMANO NO MÉXICO: REFLEXÕES SOBRE UMA PROPOSTA DE INTERVENÇÃOResumo: O objetivo deste trabalho é identificar aspectos éticos e sociais relacionados com a introdução da vacina contra o vírus do papiloma humano (HPV) no México para uma decisão informada e justa que considere não somente os aspectos financeiros. De acordo com a informação sobre eficiência e custo da vacina, sua introdução no sistema público mexican...

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Ethical principles for collective immunisation programmes

Cited by 96 publications

References 12 publications

To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School‐Based Vaccination Program in Sweden

To Consent or Decline HPV Vaccination: A Pilot Study at the Start of the National School‐Based Vaccination Program in Sweden

Lay people's interpretation of ethical values related to mass vaccination; the case of A(H1N1) vaccination campaign in the province of Quebec (French Canada)

Implicaciones Éticas Y Sociales De La Introducción De La Vacuna Contra El Virus Del Papiloma Humano en México: Reflexiones Sobre Una Propuesta De Intervención

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