Factors influencing uptake of measles, mumps and rubella (MMR) immunization in site‐dwelling Gypsy, Roma and Traveller (G&amp;T) communities: a qualitative study of G&amp;T parents' beliefs and experiences

Newton, Paul; Smith, David M.

doi:10.1111/cch.12453

Cited by 13 publications

(21 citation statements)

References 11 publications

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“…The most common reason for hesitancy or refusal was concern about adverse effects, revealed in 13 of 20 studies. This was mentioned by participants in relation to fear of autism in 10 studies [22][23][24][25][26][29][30][31][32][33] across three countries (UK, Italy, and Sweden). Rejectors and vaccine-hesitant parents were more likely to perceive adverse effects as highly probable and severe [29,34].…”

Section: Side Effectsmentioning

confidence: 98%

“…Participants were mainly mothers [22][23][24][25][26], and also included parents with anthroposophical world views [27,28]; some studies included Gypsies, Roma, and Traveler (GRT) parents [22,24], with a history of nomadism and temporary residency, and longterm resident Somali mothers living in Europe [25]. Most studies used a retrospective design in which attitudes and predictors were assessed after they had made their vaccination decision using subjective self-reported behavior.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…In contrast, acceptors believed adverse effects were unlikely and non-severe [34]. GRT mothers who chose to vaccinate believed the risks of vaccination were less than the risks surrounding measles infection, and doubted the link between MMR and autism [22]. A UK study found that parents with a family history of autism were more likely to be rejectors, but those with a healthy vaccinated child were more likely to continue vaccination [30].…”

Section: Side Effectsmentioning

confidence: 99%

“…Some rejectors and vaccine-hesitant parents were concerned about combined and co-administered vaccines, and therefore preferred spacing vaccination [22,24,29]. Some believed that combination vaccines can overload the immune system [24,37].…”

Section: Vaccinationmentioning

confidence: 99%

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Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Wilder-Smith¹,

Qureshi²

2019

JEGH

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Background and Objectives: Europe has experienced a major resurgence of measles in recent years, despite the availability and free access to a safe, effective, and affordable vaccination measles, mumps and rubella vaccine (MMR). The main driver for this is suboptimal vaccine coverage. Parental attitudes and beliefs toward measles vaccination are of paramount importance in influencing vaccine coverage. The three objectives of this study are to synthesize and critically assess parental attitudes and beliefs toward MMR uptake, to develop strategies and policy recommendations to effectively improve MMR vaccine uptake accordingly, and ultimately to identify areas for further research. Methods: A systematic review was conducted using primary studies from PubMed, Medline, Embase, and Scopus published between 2011 and April 2019. Inclusion criteria comprised primary studies in English conducted in Europe and studying parental attitudes and behavior regarding MMR uptake. Data were extracted using an inductive grounded theory approach. Results: In all, 20 high-quality studies were identified. Vaccine hesitancy or refusal were mainly due to concerns about vaccine safety, effectiveness, perception of measles risk and burden, mistrust in experts, and accessibility. Factors for MMR uptake included a sense of responsibility toward child and community health, peer judgement, trust in experts and vaccine, and measles severity. Anthroposophical and Gypsy, Roma, and Traveler populations presented unique barriers such as accessibility. Conclusion: A multi-interventional, evidence-based approach is vital to improve confidence, competence, and convenience of measles vaccination uptake. Healthcare professionals need an understanding of individual contextual attitudes and barriers to MMR uptake to tailor effective communication. Effective surveillance is needed to identify under-vaccinated populations for vaccination outreach programs to improve accessibility and uptake.

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Section: Side Effectsmentioning

confidence: 98%

Section: Characteristics Of Studiesmentioning

confidence: 99%

Section: Side Effectsmentioning

confidence: 99%

Section: Vaccinationmentioning

confidence: 99%

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Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Wilder-Smith¹,

Qureshi²

2019

JEGH

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“…Our own work has shown that the effects of long‐standing health inequalities experienced by GRT communities shapes their decision‐making around health. For example, as GRT children are frequently ill (relative to the wider population) and their mothers often find it difficult to access services, this means there are very few windows of opportunity where children can receive vaccinations . This contributes to low levels of childhood immunization in GRT communities – which further perpetuates the health inequalities they experience .…”

mentioning

confidence: 99%

Learning from patients’ experiences: the case of Travellers and their experiences of using health services for skin complaints

Newton

Smith

2019

Br J Dermatol

Self Cite

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Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis

Cooper

Schmidt

Sambala

et al. 2021

Cochrane Database of Systematic Reviews

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Background Childhood vaccination is one of the most effective ways to prevent serious illnesses and deaths in children. However, worldwide, many children do not receive all recommended vaccinations, for several potential reasons. Vaccines might be unavailable, or parents may experience difficulties in accessing vaccination services; for instance, because of poor quality health services, distance from a health facility, or lack of money. Some parents may not accept available vaccines and vaccination services. Our understanding of what influences parents’ views and practices around childhood vaccination, and why some parents may not accept vaccines for their children, is still limited. This synthesis links to Cochrane Reviews of the effectiveness of interventions to improve coverage or uptake of childhood vaccination. Objectives ‐ Explore parents’ and informal caregivers’ views and practices regarding routine childhood vaccination, and the factors influencing acceptance, hesitancy, or nonacceptance of routine childhood vaccination. ‐ Develop a conceptual understanding of what and how different factors reduce parental acceptance of routine childhood vaccination. ‐ Explore how the findings of this review can enhance our understanding of the related Cochrane Reviews of intervention effectiveness. Search methods We searched MEDLINE, Embase, CINAHL, and three other databases for eligible studies from 1974 to June 2020. Selection criteria We included studies that: utilised qualitative methods for data collection and analysis; focused on parents’ or caregivers’ views, practices, acceptance, hesitancy, or refusal of routine vaccination for children aged up to six years; and were from any setting globally where childhood vaccination is provided. Data collection and analysis We used a pre‐specified sampling frame to sample from eligible studies, aiming to capture studies that were conceptually rich, relevant to the review's phenomenon of interest, from diverse geographical settings, and from a range of income‐level settings. We extracted contextual and methodological data from each sampled study. We used a meta‐ethnographic approach to analyse and synthesise the evidence. We assessed methodological limitations using a list of criteria used in previous Cochrane Reviews and originally based on the Critical Appraisal Skills Programme quality assessment tool for qualitative studies. We used the GRADE‐CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach to assess our confidence in each finding. We integrated the findings of this review with those from relevant Cochrane Reviews of intervention effectiveness. We did this by mapping whether the underlying theories or components of trial interventions included in those reviews related to or targeted the overarching factors influencing parental views and...

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Factors influencing uptake of measles, mumps and rubella (MMR) immunization in site‐dwelling Gypsy, Roma and Traveller (G&T) communities: a qualitative study of G&T parents' beliefs and experiences

Cited by 13 publications

References 11 publications

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Learning from patients’ experiences: the case of Travellers and their experiences of using health services for skin complaints

Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis

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