Factors affecting uptake of childhood immunisation: a Bayesian synthesis of qualitative and quantitative evidence

Roberts, Karen A; Dixon‐Woods, Mary; Fitzpatrick, Ray; Abrams, Keith R.; Jones, David R.

doi:10.1016/s0140-6736(02)11560-1

Cited by 134 publications

(119 citation statements)

References 20 publications

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“…These reviews have mostly focused on parental decision-making regarding different childhood vaccines, 9,87,[111][112][113][114][115] on decision-making regarding the HPV vaccine among different sub-populations [116][117][118][119] or on decision-making regarding pneumococcal, seasonal flu or pandemic flu vaccination. 98,[120][121][122][123] The overwhelming majority of studies looking at determinants of vaccine acceptance have been conducted among parents, mainly because most vaccines are targeted at children and adolescents.…”

Section: Individual Decision-making Processmentioning

confidence: 99%

Vaccine hesitancy

Dubé

Laberge

Guay

et al. 2013

Human Vaccines & Immunotherapeutics

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Section: Individual Decision-making Processmentioning

confidence: 99%

Vaccine hesitancy

Dubé

Laberge

Guay

et al. 2013

Human Vaccines & Immunotherapeutics

1,699

1,350

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“…11 In this study, we present data from a survey whose content was based on ethnographic study in a population with low rates of MMR uptake. 12 The survey drew on parental narratives about MMR decision-making and explored the relevance in a wider population of a range of social and cultural issues raised by parents in interviews and focus groups.…”

Section: Introductionmentioning

confidence: 99%

Is the cultural context of MMR rejection a key to an effective public health discourse?

et al. 2006

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Summary Objectives: (1) To explore the social and cultural influences, and health beliefs associated with low uptake of MMR (measles, mumps and rubella vaccine). (2) To describe and explore the prevalence of health beliefs associated with noncompliance with MMR, with a view to improving the personal relevance and impact of information for parents, in the context of persisting low uptake following public controversy. Methods: We undertook a survey of mothers' experiences of and attitudes to the MMR, developed through ethnographic study, which was linked to maternal and child information on the Child Health Database in Brighton, England. Results: Mothers interpret MMR risk through concepts of child health embedded in family health history, with a majority both of compliers and non-compliers holding that each child's immune system is unique. Cultural 'risk factors' for non-compliance relate strongly to the use of complementary healthcare, such as homeopathy, with evidence that rejection of vitamin K is associated with MMR non-compliance. Forty per cent, both of compliers and non-compliers, did not consider the possible benefits to other children of MMR. Conclusions: These findings have paradoxical and challenging consequences for the promotion of immunization in the policy context of increasing emphasis on healthy choices. They demonstrate the need for immunization information that acknowledges and addresses lay concepts of immunity.

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“…Estudos apontam maior cobertura vacinal contra sarampo, caxumba e rubéola em crianças de famílias com maior renda 17,18,19 . Aspectos culturais e étnicos também estiveram associados a diferenças de coberturas vacinais contra sarampo, caxumba e rubéola em crianças, em países europeus 20,21 .…”

Section: Discussionunclassified

Vacinação contra rubéola em mulheres em idade reprodutiva no Município de Campinas, São Paulo, Brasil

et al. 2013

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As mulheres em idade reprodutiva são a população de maior interesse para a prevenção da síndrome da rubéola congênita. O objetivo do trabalho foi avaliar a prevalência de vacinação contra rubéola em mulheres e identificar fatores associados e motivos da não adesão. Trata-se de estudo transversal de base populacional, realizado em Campinas, São Paulo, Brasil, em 2008/2009, com amostra por conglomerados e em dois estágios. Das 778 mulheres de 10 a 49 anos, 83,8% (IC95%: 79,6-88,0) referiram vacinação em algum momento da vida. Faixa etária (30-39 anos), renda familiar per capita superior a três salários mínimos e a orientação de profissional de saúde estiveram positivamente associadas à vacinação contra a rubéola. Os principais motivos da não adesão foram a falta de orientação do profissional de saúde sobre sua importância (48,5%) e não considerá-la necessária (18,9%). A recomendação do profissional de saúde foi o fator mais fortemente associado à adesão das mulheres à vacinação. Nesse sentido, sua indicação pelas equipes de saúde pode ampliar o conhecimento sobre sua importância e seus benefícios.

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Factors affecting uptake of childhood immunisation: a Bayesian synthesis of qualitative and quantitative evidence

Cited by 134 publications

References 20 publications

Vaccine hesitancy

Vaccine hesitancy

Is the cultural context of MMR rejection a key to an effective public health discourse?

Vacinação contra rubéola em mulheres em idade reprodutiva no Município de Campinas, São Paulo, Brasil

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