Parental vaccine hesitancy in Italy – Results from a national survey

Giambi, Cristina; Fabiani, Massimo; D’Ancona, Fortunato; Ferrara, Lorenza; Fiacchini, Daniel; Gallo, Tolinda; Martinelli, Domenico; Pascucci, Maria Grazia; Prato, Rosa; Filia, Antonietta; Bella, Antonino; Manso, Martina Del; Rizzo, Caterina; Rota, Maria Cristina

doi:10.1016/j.vaccine.2017.12.074

Cited by 200 publications

(190 citation statements)

References 16 publications

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“…In other studies, we can observe that the general population is mostly used to get information from other sources, like word of mouth or the web, and that the general population is more likely to agree with the anti-vaccination statements compared to medical students [8, 9]. This shows that our sample might be different from the general population since the intervention was tailored to medical students, who most frequently have a good scientific background.…”

Section: Discussionmentioning

confidence: 86%

Impact assessment of an educational course on vaccinations in a population of medical students

Bechini

Moscadelli

Sartor

et al. 2019

Journal of Preventive Medicine and Hygiene

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Section: Discussionmentioning

confidence: 86%

Impact assessment of an educational course on vaccinations in a population of medical students

Bechini

Moscadelli

Sartor

et al. 2019

Journal of Preventive Medicine and Hygiene

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“…Between 2013 and 2015, vaccination coverage declined, reaching a level as low as 85% for the MMR vaccine. A survey conducted in 2016 on more than 3000 parents found that 0.7% of them were anti-vax and 16% hesitant [13].…”

Section: The Italian Experiencementioning

confidence: 99%

Mandatory vaccination for infants and children: the Italian experience

Rezza

2019

Pathogens and Global Health

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Maintaining high vaccination coverage is important in order to protect the individual and the community. Mandatory vaccination is an option in case of declining coverage. Widely used in the USA, it is considered a rather controversial issue in Europe. In Italy, after a decrease of vaccination coverage for the hexavalent and the MPR vaccine under the optimal threshold, a new law, which extended the number of mandatory vaccines from 4 to 10 and reinforced coercive measures, was introduced in July 2017. After 2 years, vaccination coverage increased for all mandatory vaccines and for the other two recommended vaccines (anti-pneumococcal and anti-meningococcal C). Although it is not possible to disentangle the role of other factors contributing to the positive outcome, consistently with the results of studies conducted in the USA, vaccine mandates appeared to be successful in increasing vaccination coverage in Italy. The long-term sustainability of the effect of mandatory vaccination and the potential negative drawbacks of the coercive measures need to be evaluated to generate scientific evidence in public health.

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“…In recent years, other questions have been raised regarding adequate compliance with immunization, including the habits and beliefs of the parents with regard to vaccination [10], concerns with safety in relation to possible adverse events of the vaccines [11], hesitation regarding immunization [12], and parents/guardians interrupting vaccination or even refusing to vaccinate their children [10], partially as a result of campaigns on the Internet and on social networks led by anti-vaccine groups and movements [13].…”

Section: Introductionmentioning

confidence: 99%

Vaccine uptake and associated factors in an irregular urban settlement in northeastern Brazil: a cross-sectional study

Veras

Lima

Caminha

et al. 2019

Preprint

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Background: Childhood immunization saves the lives of 2-3 million children annually by protecting them against vaccine-preventable diseases. In 2017, 116.2 million children were vaccinated worldwide according to the World Health Organization. Nevertheless, figures suggest that 19.5 million children around the world fail to receive the benefits of complete immunization. Methods: This cross-sectional study analyzed vaccine uptake and the factors associated with compliance in all the children of up to 36 months of age receiving care within the family health strategy program in an irregular settlement located in a state capital city in northeastern Brazil. This study was nested within a larger study entitled “Health, nutrition and healthcare services in an urban slum population in Recife, Pernambuco”, conducted in 2015. A census sample of 309 children was included, with vaccination data being obtained from their personal child health records. An ad hoc database was constructed, with absolute and relative values being calculated for the socioeconomic, demographic, obstetric and biological data collected. To identify possible factors associated with vaccine compliance, univariate and multivariate regression analyses were performed, and the 95% confidence intervals calculated. Variables with p-values <0.20 in the univariate stage were included in the multivariate analysis. The statistical significance of the variables was evaluated using the Wald test, with p-values <0.05 being considered statistically significant. Results: Compliance with the vaccination schedule was 52.1%. In the final model, the factors associated with inadequate compliance with the vaccination schedule were age 12-36 months and the mother not having completed high school. Conclusion: The percentage of vaccine uptake found was well below the figure recommended by the national immunization program and was associated with the child’s age and the mother’s education level. Based on these findings, the family healthcare teams may elaborate vaccination strategies aimed at reaching the coverage rates established by the national immunization program. Optimizing coverage will ultimately prevent the resurgence, at epidemic level, of infectious diseases that are already under control in this country. Keywords: children’s health; vaccination schedule; maternal education level; Family Health Strategy.

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Parental vaccine hesitancy in Italy – Results from a national survey

Cited by 200 publications

References 16 publications

Impact assessment of an educational course on vaccinations in a population of medical students

Impact assessment of an educational course on vaccinations in a population of medical students

Mandatory vaccination for infants and children: the Italian experience

Vaccine uptake and associated factors in an irregular urban settlement in northeastern Brazil: a cross-sectional study

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