Parental perceptions of childhood seasonal influenza vaccination in Singapore: A cross-sectional survey

Low, Mabel; Tan, H. Y.; Hartman, Mikael; Tam, Clarence C.; Hoo, Cheehow; Lim, Jiaqing; Chiow, Simin; Lee, Simin; Thng, Renzhi; Cai, Meng; Tan, Yanru; Lock, Jing Zhan

doi:10.1016/j.vaccine.2017.09.060

Cited by 33 publications

(48 citation statements)

References 37 publications

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“…Some confused Avian flu with seasonal flu while others magnified side effects of the vaccine. Concerns over the vaccine's efficacy, perceived lack of vulnerability, fear of side effects, and a perception that vaccines are not necessary were common barriers to vaccination that were also reflected in our data from older adults [5,14]. The important role of advice from healthcare workers to improve vaccine uptake is consistent with work looking at diabetic patients and parents of pre-school children [13,14].…”

Section: Comparing With Other Studiessupporting

confidence: 66%

“…This study identified novel and previously unrecognized issues as well as confirm previous observations. Comparing with other local studies on attitudes and knowledge of influenza vaccines, it is evident that poor understanding and misconceptions are also prevalent in other target groups, such as people with diabetes and healthcare workers [5,14]. Some confused Avian flu with seasonal flu while others magnified side effects of the vaccine.…”

Section: Comparing With Other Studiesmentioning

confidence: 94%

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Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Teo

Smith

Lwin

et al. 2019

Vaccine

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a b s t r a c tBackground: Despite recommendations for influenza vaccination of people aged 65 and above, uptake rate of influenza vaccines remains low.This study aims to understand barriers and motivators behind older adult's decision on influenza vaccination. Methods: Face to face interviews with participants aged 65 and above were conducted and audio recorded in Geylang polyclinic in Singapore. Thematic content analysis was used to organise the data. Results: 15 older adults were interviewed, aged between 66 and 85 years old. 6 were vaccine refusers, 3 defaulters and 6 acceptors.A perceived lack of vulnerability, fear of side effects, and trivialisation of influenza were common reasons for not taking the vaccine. Encouragement from family and friends, travel and previous positive vaccination experiences were motivators for getting vaccinated. Healthcare workers played a role in influencing many of the participants' decision-making. Common misconceptions included vaccines considered as necessary only before travel and as a cure rather than prevention. Most participants exhibited ambivalence, giving reasons both for and against vaccine uptake. Discussion: Most older adults do not perceive influenza as a potentially serious disease nor trust in influenza vaccines' efficacy. Misconceptions played a significant role in vaccine decline. Novel findings include the importance of the family unit in decision making, prioritization of chronic health problems over vaccination and misconception that vaccines are only needed when travelling out of country. Healthcare workers and family members appear to be important influencers in the decision making of older adults and should be actively engaged in future health promotion initiatives.

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Section: Comparing With Other Studiessupporting

confidence: 66%

Section: Comparing With Other Studiesmentioning

confidence: 94%

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Teo

Smith

Lwin

et al. 2019

Vaccine

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“…Parental awareness of IMD is crucial as it may influence the decision to vaccinate children [44,45]. However, only 72.5% of parents in the present study had ever received information about IMD.…”

Section: Discussionmentioning

confidence: 80%

Parental Knowledge about Meningococcal Disease and Vaccination Uptake among 0–5 years Old Polish Children

Drozd-Dąbrowska

Topczewska

Korzeń³

et al. 2019

IJERPH

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In Poland, in addition to mandatory, free of charge vaccines, listed in the national immunization schedule, numerous self-paid vaccinations are recommended, including meningococcal vaccination (MV). To assess MV uptake among ≤5-year-old children and to evaluate parental knowledge and attitudes regarding invasive meningococcal disease (IMD). A cross-sectional study was conducted in 2018 among 350 parents (mean age: 32.3 years), attending three randomly selected primary care clinics in Szczecin region, Poland. Anonymous questionnaires were administered to the parents by researchers, present at the time the survey was conducted, to self-complete on a voluntary basis. Chi-square or Fisher’s exact for categorical and Mann–Whitney U test for continuous variables. Variables significantly (p < 0.05) associated with ‘good knowledge’ in the bivariate analysis were used to build a logistic regression model. It was found that the response rate was 93.4%, and MV uptake among children was 29.5%. The main knowledge sources were medical staff and media; 72.5% had ever received information about IMD. Only 18.8% of parents self-assessed their knowledge regarding IMD as good; 61.8% scored >50% in the knowledge test 58.9% knew the mode of transmission, 58.7% recognized the severity of meningitis, and 79.7% knew that bacterial meningitis is a vaccine-preventive disease. Knowledge regarding IMD was higher among parents with higher educational level (OR = 3.37; p = 0.01), from urban facilities (OR = 2.20; p = 0.02), who received previous information about IMD (OR = 2.85; p = 0.01) and self-assessed their knowledge as good (OR = 2.59; p = 0.04). Low MV coverage among children up to five years old and knowledge gaps about IMD call for awareness campaigns which may increase the coverage. Although educational interventions should cover all parents, those from provincial facilities, representing lower education level need special attention.

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“…Of the 10 of 57 studies that found an association between belief in the efficacy of the vaccine and vaccination status, 2 investigated all childhood vaccines (24,84), and 7 investigated attitudes and beliefs about influenza vaccine (39,47,64,73,77,80). In 11 of the 57 studies, an association was found between vaccination status and trust in doctors and health care professionals or recommendations from a doctor (24,41,66,69,80,(85)(86)(87)(88)(89). Of those, 6 participants were asked about all childhood vaccines (24,68,69,(85)(86)(87), and influenza vaccines in 4 studies (41,66,80,88).…”

Section: Associations Between Attitudes and Beliefs With Vaccination mentioning

confidence: 99%

“…In 11 of the 57 studies, an association was found between vaccination status and trust in doctors and health care professionals or recommendations from a doctor (24,41,66,69,80,(85)(86)(87)(88)(89). Of those, 6 participants were asked about all childhood vaccines (24,68,69,(85)(86)(87), and influenza vaccines in 4 studies (41,66,80,88).…”

Section: Associations Between Attitudes and Beliefs With Vaccination mentioning

confidence: 99%

A systematic review of parental vaccine hesitancy and refusal in childhood vaccination

Dyda¹,

King²,

Dey³

et al. 2019

Preprint

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Background Acceptance of vaccines is an important predictor of vaccine uptake. This has public health implications as those who are not vaccinated are at a higher risk of infection from vaccine preventable diseases. We aimed to systematically review studies of parental attitudes and beliefs in childhood vaccination, with a focus on the methods used to measure hesitancy and refusal.Methods We identified and reviewed primary research studies using quantitative methods and investigating vaccine attitudes and beliefs published between January 2012 and May 2018. Studies were included if they involved a quantitative survey of the attitudes and beliefs of parents about vaccinations recommended for children. We undertook a narrative synthesis of the results with a focus on evaluating variation in the use of behavioural theories, validated survey instruments, and localisation and adaptation of questions to suit local context.Results A total of 116 studies met the inclusion criteria; 99 used a cross sectional study design, 5 used a case control study design, 4 used a pre-post study design and 8 used mixed methods study designs. Sample sizes of included studies ranged from 49 to 12,259. Thirty-six countries were represented in the included studies. The most commonly used tool was the Parent Attitudes about Childhood Vaccines (PACV) Survey. Questions eliciting vaccination attitudes and beliefs varied widely.Conclusions There was heterogeneity in the types of measures used in studies investigating attitudes and beliefs about vaccination in parents. Broader and more consistent use of validated survey instruments for measuring parental attitudes and beliefs about childhood vaccination would help to better understand localised differences in the reasons for vaccine hesitancy and refusal.

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Parental perceptions of childhood seasonal influenza vaccination in Singapore: A cross-sectional survey

Abstract: Knowledge and willingness to vaccinate was high in this parent population, but influenza vaccine uptake in children was low. Encouraging medical professionals to recommend vaccination of eligible children is key to improving uptake.

Cited by 33 publications

References 37 publications

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Attitudes and perception of influenza vaccines among older people in Singapore: A qualitative study

Parental Knowledge about Meningococcal Disease and Vaccination Uptake among 0–5 years Old Polish Children

A systematic review of parental vaccine hesitancy and refusal in childhood vaccination

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