Factors Influencing Parental Decision Making When Parents Choose to Deviate From the Standard Pediatric Immunization Schedule

Whyte, Maria D.; Whyte, James; Cormier, Eileen; Eccles, David W.

doi:10.1080/07370016.2011.615178

Cited by 21 publications

(19 citation statements)

References 26 publications

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“…Another determinant, which has also been reported by other studies [18-20] is risk perception. A 2007 meta-analysis of studies linking risk perception and vaccination by Brewer et al [21] points to risk perception as an important factor in health behaviour.…”

Section: Discussionsupporting

confidence: 76%

Why parents refuse childhood vaccination: a qualitative study using online focus groups

et al. 2013

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BackgroundIn high income countries, vaccine-preventable diseases have been greatly reduced through routine vaccination programs. Despite this success, many parents question, and a small proportion even refuse vaccination for their children. As no qualitative studies have explored the factors behind these decisions among Dutch parents, we performed a study using online focus groups.MethodsIn total, eight online focus groups (n = 60) which included Dutch parents with at least one child, aged 0–4 years, for whom they refused all or part of the vaccinations within the National Immunization Program (NIP). A thematic analysis was performed to explore factors that influenced the parents’ decisions to refuse vaccination.ResultsRefusal of vaccination was found to reflect multiple factors including family lifestyle; perceptions about the child’s body and immune system; perceived risks of disease, vaccine efficacy, and side effects; perceived advantages of experiencing the disease; prior negative experience with vaccination; and social environment. The use of online focus groups proved to be an effective qualitative research method providing meaningful data.ConclusionInformation provided by the NIP turned out to be insufficient for this group of parents. More trust in the NIP and deliberate decisions might result from increased parental understanding of lifestyle and disease susceptibility, the impact of vaccinations on the immune system, and the relative risks of diseases and their vaccines. The public health institute should also inform parents that the NIP is recommended but non-mandatory.

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Section: Discussionsupporting

confidence: 76%

Why parents refuse childhood vaccination: a qualitative study using online focus groups

et al. 2013

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“…Reasons given were similar to other published reasons for either deferral or refusal, including concerns about short- and long-term complications, belief that their child is unlikely to get a vaccine-preventable disease, concerns about weakening their child’s immune system, and the belief that the diseases are not severe enough to warrant vaccination. 12–14,24 Some commonly reported reasons, however, were more specific to the request to vaccinate on a modified schedule, including a friend or relative’s positive experience with an alternative schedule and the belief that the parents should play a central role in medical decisions about their child. These responses support the importance of social networks in affecting vaccine decisions 25 and underline the importance of control over medical decision-making among vaccine hesitant parents.…”

Section: Discussionmentioning

confidence: 99%

Physician Response to Parental Requests to Spread Out the Recommended Vaccine Schedule

et al. 2015

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OBJECTIVES To assess among US physicians (1) frequency of requests to spread out recommended vaccination schedule for children <2 years, (2) attitudes regarding such requests, and (3) strategies used and perceived effectiveness in response to such requests. METHODS An e-mail and mail survey of a nationally representative sample of pediatricians and family physicians from June 2012 through October 2012. RESULTS The response rate was 66% (534 of 815). In a typical month, 93% reported some parents of children <2 years requested to spread out vaccines; 21% reported ≥10% of parents made this request. Most respondents thought these parents were putting their children at risk for disease (87%) and that it was more painful for children (84%), but if they agreed to requests, it would build trust with families (82%); further, they believed that if they did not agree, families might leave their practice (80%). Forty percent reported this issue had decreased their job satisfaction. Most agreed to spread out vaccines when requested, either often/always (37%) or sometimes (37%); 2% would often/always, 4% would sometimes, and 12% would rarely dismiss families from their practice if they wanted to spread out the primary series. Physicians reported using a variety of strategies in response to requests but did not think they were effective. CONCLUSIONS Virtually all providers encounter requests to spread out vaccines in a typical month and, despite concerns, most are agreeing to do so. Providers are using many strategies in response but think few are effective. Evidence-based interventions to increase timely immunization are needed to guide primary care and public health practice.

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“…Vaccine safety, including serious adverse events, are repeatedly shown to be a top concern for parents 13,34,35 and the possible association between MMR and autism still lingers, 36 despite clear evidence to the contrary. 37 The observation that 52% of post clinic vaccines were given at the Immunization Drop In Center at the hospital (affiliated with the SIC and staffed by specialist pediatric nurses) may indicate that parents feel more reassured about possible adverse events in the context of a specialized immunization service.…”

Section: Vaccination Concernsmentioning

confidence: 99%

Vaccination uptake by vaccine-hesitant parents attending a specialist immunization clinic in Australia

Forbes

McMinn

Crawford

et al. 2015

Human Vaccines & Immunotherapeutics

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Factors Influencing Parental Decision Making When Parents Choose to Deviate From the Standard Pediatric Immunization Schedule

Abstract: The study demonstrates the need for intensive efforts designed to apprise families of the risks and benefits associated with pediatric immunization.

Cited by 21 publications

References 26 publications

Why parents refuse childhood vaccination: a qualitative study using online focus groups

Why parents refuse childhood vaccination: a qualitative study using online focus groups

Physician Response to Parental Requests to Spread Out the Recommended Vaccine Schedule

Vaccination uptake by vaccine-hesitant parents attending a specialist immunization clinic in Australia

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