Factors underlying suboptimal childhood immunisation

Tickner, Sarah; Leman, Patrick J.; Woodcock, Alison

doi:10.1016/j.vaccine.2006.06.060

Cited by 100 publications

(81 citation statements)

References 40 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%

“…These studies indicated that parents' choice was often based on conformity-or following what is recommended-rather than based on specific knowledge about vaccine or vaccine-preventable disease. 25,111,[124][125][126] In addition, studies conducted in different settings have shown that non-compliant parents appear to have looked at a lot of information about vaccination and to have considerable interest in health-related issues.…”

Section: Knowledge/information About Vaccinationmentioning

confidence: 99%

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Vaccine hesitancy

Dubé

Laberge

Guay

et al. 2013

Human Vaccines & Immunotherapeutics

1,692

1,350

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Section: Individual Decision-making Processmentioning

confidence: 99%

Section: Knowledge/information About Vaccinationmentioning

confidence: 99%

Vaccine hesitancy

Dubé

Laberge

Guay

et al. 2013

Human Vaccines & Immunotherapeutics

1,692

1,350

View full text Add to dashboard Cite

“…A large body of literature [56][57][58][59][60][61][62][63] identifies two broad categories of parental factors influencing uptake of childhood immunisation in the general population and high-risk groups. The first relates to socioeconomic disadvantage for which, despite not objecting to vaccines, parents lack access to resources and support to overcome logistical barriers such as having no private transport.…”

Section: Factors Influencing the Uptake Of Immunisationmentioning

confidence: 99%

“…The barriers and facilitators that emerged from the interviews with Travellers and service providers are discussed in terms of the two broad categories of factors that are considered to influence the uptake of childhood and adult immunisation in the general population and high-risk groups: [56][57][58][59][60]62 acceptance of vaccines and access to health services. Together, these two categories capture the five levels of the SEM, 89 the theoretical framework underpinning this study.…”

Section: Barriers To and Facilitators Of Immunisation Uptakementioning

confidence: 99%

“…The findings from our study in different Traveller communities reflect many of the same issues that have been found consistently to influence vaccination uptake in the general population in the UK and elsewhere. [56][57][58][59][60]62,122 'Vaccine hesitancy', a term increasingly used in the literature, refers to a parent who is unsure whether or not to have their child vaccinated or is intentionally delaying or refusing one or more immunisations for non-medical reasons. 61,123 It usefully challenges the assumption that individuals or groups are either anti-vaccine or pro-vaccine but may be somewhere in the middle of a continuum from total acceptance to complete refusal.…”

Section: Promoting Awareness and Understanding Of Immunisation In Thementioning

confidence: 99%

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UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

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Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five ‘top-priority’ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexib...

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