Parental Refusal of Childhood Vaccines and Medical Neglect Laws

Parasidis, Efthimios; Opel, Douglas J.

doi:10.2105/ajph.2016.303500

Cited by 30 publications

(23 citation statements)

References 6 publications

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“…Being provided with sufficient information and communicating with experts are the rights of the parents who decide vaccination and are important factors. There are various overseas studies on which approach is effective, and the results varied due to the differences in the social systems and cultures of each country [5,8,10]. Korean research is needed to identify suitable approachs.…”

Section: Discussionmentioning

confidence: 99%

“…There are researchs that regulation can have positive or negative effects on the rate of vaccination [12,28,29]. In particular, there is a tendency for the strengthening of regulations to have a negative effect in countries with stronger sovereignty of the people and a more stable democratic system [9,10,30]. Korean research that considers the historical, social, and cultural backgrounds is necessary [31].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, there are still many anti-vaccination groups in advanced countries, such as the USA, Europe, Australia, and Japan, even though the socioeconomic barriers have been sufficiently eliminated [1,4-6]. Furthermore, researchs on the characteristics of the groups, the socioeconomic effects, mandatory or liberalization policies, and ethics are ongoing [4,5,7-10].…”

Section: Introductionmentioning

confidence: 99%

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Why do some Korean parents hesitate to vaccinate their children?

Chang

Lee

2019

Epidemiol Health

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OBJECTIVES: Vaccinations for infectious diseases are opposed despite their achievement, and this opposition has recently been revealed in Korea. However, research in Korea has not been vigorous. The authors studied why some Korean parents hesitate to vaccinate their children by applying the health belief model.METHODS: Parents who hesitate to vaccinate and parents who do not were surveyed in alternative education preschools and elementary schools. They were classified into four types of hesitancy and statistically compared.RESULTS: Among the 129 subjects, 43 vaccinated without hesitancy, 20 vaccinated on time with hesitancy, 32 vaccinated with a deliberate delay of one month or longer, and 34 did not vaccinate. Vaccination increased with an increase in the awareness that severe outcomes can occur when unvaccinated. Concerns about adverse reactions from vaccinations or direct/indirect experiences affected refusal. Furthermore, perceptions of the lack of meaningfulness of vaccinations, distrust of policy and safety management, influence of leaders or activists in joined organizations, and experts of Korean traditional or alternative medicine affected refusal. Explanations by doctors, text messages and mails from institutions, and concerns about disadvantages caused by not complying with government policies increased vaccination.CONCLUSIONS: The reasons for vaccine hesitancy and acceptance were similar to the results of international research. Health authorities and professionals should communicate sufficiently and appropriately with hesitant parents and find ways to rationally resolve social conflicts. However, this sample was small and there is little Korean research, so more in-depth and diverse researchs are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Why do some Korean parents hesitate to vaccinate their children?

Chang

Lee

2019

Epidemiol Health

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“…These entities intervene to provide aid to families whose children are out of school for too long. Parasidis and Opel conducted a retrospective study on examining if a connection exists between the refusal of vaccines and medical neglect laws. In the state of California, policymakers use welfare laws to prompt parents to be compliant and thus removing personal belief exemptions.…”

Section: The Evidencementioning

confidence: 99%

Don't hesitate, vaccinate! An influenza vaccine education program

2019

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The State of Connecticut mandates that prekindergarten children be vaccinated against the influenza virus each year by December 31st. Annually, prekindergarten students in urban schools in Connecticut are not compliant with this statute due to many factors such as parents’ lack of education. The purpose of an educational intervention project (EIP) is to provide urban prekindergarten parents/caregivers with education about the influenza virus, influenza vaccine, the community resources, and Connecticut mandates. An influenza vaccine educational intervention was provided to parents and caregivers of prekindergarten students in one urban elementary school in Connecticut. Parents were educated during an open house at the school and then 4 weeks later at a Meet and Greet with prekindergarten parents. Information regarding influenza virus, vaccine, and state regulations was provided along with Pre‐ and post‐questionnaires to assess the level of knowledge. The goal of this EIP is increased knowledge of the influenza virus, the vaccine, community resources, and state regulations. The success of this educational intervention can be shared and implemented in other licensed prekindergarten programs to increase parents’ knowledge and it would lead to increased rates of district‐wide compliance and decreased student absences. Most importantly, implications point to the potential protection of the public from an illness stemming from the influenza virus.

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“…162 In analyzing the connection between law, child abuse, and vaccines, pediatrician and professor Doug Opel conducted a study of court opinions examining the relation between vaccine refusal and medical neglect. 163 Opel pulled opinions from 1905 to 2016 and discovered nine cases from five different states where parents were brought before a judge to determine whether their refusal to vaccinate constituted medical neglect. 164 Out of the nine cases, seven ruled in favor of the state, stating that vaccine refusal was medical neglect.…”

Section: B Medical Neglect and Vaccinesmentioning

confidence: 99%

Protect Our Children: Vaccination Exemptions Can Establish Child Abuse and Neglect

Ramirez¹

2019

Family Court Review

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The need to protect public health has increased as the anti‐vaccine movement is on the rise. Exemptions to vaccination requirements have become more lax, and parents find ways to avoid vaccinating their children, thereby exposing not only their children to the dangers of serious diseases, but other children as well. This Note proposes a federal statute mandating that parents subject their children between the ages of infancy and 6 to acquire vaccinations for all diseases recommended by the Centers for Disease Control and Prevention unless a licensed physician recommends otherwise.

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Parental Refusal of Childhood Vaccines and Medical Neglect Laws

Abstract: Some states have a legal precedent for considering parental vaccine refusal as medical neglect, but this is based on a small number of cases. Each state should clarify whether, under its laws, vaccine refusal constitutes medical neglect.

Cited by 30 publications

References 6 publications

Why do some Korean parents hesitate to vaccinate their children?

Why do some Korean parents hesitate to vaccinate their children?

Don't hesitate, vaccinate! An influenza vaccine education program

Protect Our Children: Vaccination Exemptions Can Establish Child Abuse and Neglect

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