Poor knowledge of vaccination recommendations and negative attitudes towards vaccinations are independently associated with poor vaccination uptake among adults – Findings of a population-based panel study in Lower Saxony, Germany

Akmatov, Manas K.; Rübsamen, Nicole; Deyneko, Igor V.; Karch, André; Mikolajczyk, Rafael

doi:10.1016/j.vaccine.2018.03.050

Cited by 17 publications

(18 citation statements)

References 22 publications

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“…Knowledge, attitudes, and beliefs towards vaccination were assessed by 22 studies, published between 2005 28 and 2018. 22,23 Eleven of these studies were performed in Figure 1. Articles research flow-chart following PRISMA guidelines.…”

Section: Vaccination Programsmentioning

confidence: 99%

“…16 Evaluating attitudes towards mandatory vaccination could lead to better understand these issues and allow to plan suitable strategies to improve immunization coverage. Although attitudes towards mandatory vaccination have been investigated by a number of studies, [22][23][24][25] to our knowledge the degree of consent has not yet been systematically reviewed. Therefore, the aim of this study was to systematically review published studies evaluating attitudes towards mandatory vaccination programs to promote awareness on this issue, which could benefit the implementation of such policies and help develop strategies to increase general approval and compliance.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review

Gualano

Olivero

Voglino

et al. 2019

Human Vaccines & Immunotherapeutics

108

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Currently, many countries are dealing with groups refusing available recommended vaccinations.Despite several studies having demonstrated the efficacy of mandatory vaccinations in ensuring herd immunity, opposition is widespread. The aim of our study was to systematically review published studies evaluating attitudes towards mandatory vaccination programs. PubMed and Scopus scientific databases were searched and 4,198 results were returned, of these 29 met the inclusion criteria. Twenty-two studies assessed attitudes towards mandatory vaccination programs in general, while 9 papers focused specifically on the Human Papilloma Virus (HPV) vaccine. Most of the studies were performed in Europe and North America. According to the assessed studies, the majority of the population seems to be in favour of compulsory vaccinations, although attitudes differed among studies. The results presented in this review could be an important starting point to further understand the issue of vaccine hesitancy and support the implementation of effective vaccination strategies. ARTICLE HISTORY

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Section: Vaccination Programsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review

Gualano

Olivero

Voglino

et al. 2019

Human Vaccines & Immunotherapeutics

108

View full text Add to dashboard Cite

show abstract

“…The current study showed a clear age and gender gap in the administration of tetanus boosters. This discrepancy may be explained by patients’ misconceptions about immunization recommendations as well as attitudes towards vaccinations [5]. Therefore, a detailed tetanus booster program stratified by age and gender, with specific information disseminated through media campaigns might be helpful to increase vaccination coverage.…”

Section: Discussionmentioning

confidence: 99%

“…Routine vaccination with decennial tetanus boosters (DTB) was first recommended by the Advisory Committee on Immunization Practices (ACIP) for US adults in 2005, and more than 40 countries have already updated their recommendations on regular administration of tetanus boosters [4]. However, vaccination coverage (VC) against tetanus remains low across some nations (with VC varying from 40% to 60% per country) mainly because of low collective awareness of tetanus as well as a lack of provider-to-patient vaccination recommendations; thus, vaccine coverage data is crucial for improved coverage [5,6,7,8,9]. …”

Section: Introductionmentioning

confidence: 99%

Tetanus Vaccination and Extra-Immunization among Adult Populations: Eight-Year Follow Up Cohort Study of 771,443 Adults in Taiwan, 2006–2013

Liu

Huang

Chung

et al. 2018

IJERPH

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Under-and extra-immunization of tetanus boosters are important issues to consider in reducing the burden of vaccine-preventable disease in adults. The present study aimed to analyze the trend of vaccination coverage (VC) and risk factors associated with extra-immunization of tetanus during an 8-year period using a national-scale cohort database. Taiwan’s one-million representative research database, the Longitudinal Health Insurance Database (LHID2005) was used. A total of 771,443 adults aged between 20 and 79 years were enrolled and followed from 1 January 2006 to 31 December 2013. VC at the beginning was as low as 35.1%, declining gradually and dropping to 33.9% at the end of follow-up. While a total of 303,480 tetanus boosters were used during the study period, more than half (55.5%) of these boosters were considered as extra-immunized. Both individual characteristics and visit characteristics were strongly associated with extra-immunization. Males, young and older adults, and those with a higher number of comorbidities were more likely to receive extra-immunization boosters, especially when they had more severe symptoms, visited an emergency room, or visited a hospital with lower accreditation levels located in a less urbanized area. This information could enhance implementation of evidence-based programs for tetanus boosters.

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“…The first step in this direction is education. A poor understanding of vaccination recommendations is linked to poor vaccine uptake, even in health care systems with good resources [51]. By identifying and personalizing the risk of disease and the benefits of vaccination for individual patients and involving them more in the discussion (e.g., by including a more detailed analysis of lifestyle and familial factors), it is hoped that they will be more motivated to comply.…”

Section: Integrating Vaccination Into a P4 Medicine Strategymentioning

confidence: 99%

Precision Medicine and Vaccination of Older Adults: From Reactive to Proactive (A Mini-Review)

Doherty¹,

Pasquale²,

Michel³

et al. 2019

Gerontology

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Key Messages• As populations age, the total disease burden due to non-communicable or chronic conditions in older adults increases: infectious diseases are a significant and under-appreciated contributor to poor outcomes in this population. • Vaccination has been shown to dramatically improve outcomes in patients with chronic comorbidities but is almost always under-used in adults. • If vaccination programs for adults reached their full potential, the risk of hospitalization or death due to both infectious and non-infectious diseases could be effectively lowered. • A precision medicine approach, which integrates vaccination as part of a package of health interventions targeting an individual's needs, may offer a promising complementary approach to improving coverage and reducing the total burden of disease in addition to current public health interventions. AbstractAs populations age globally, the health of older adults is looming larger on the agendas of public health bodies.

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Poor knowledge of vaccination recommendations and negative attitudes towards vaccinations are independently associated with poor vaccination uptake among adults – Findings of a population-based panel study in Lower Saxony, Germany

Abstract: Efforts should be undertaken to improve knowledge of official vaccination recommendations in the general population and reduce common misconceptions about vaccinations. This information can be provided during general practitioner visits or through media campaigns.

Cited by 17 publications

References 22 publications

Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review

Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review

Tetanus Vaccination and Extra-Immunization among Adult Populations: Eight-Year Follow Up Cohort Study of 771,443 Adults in Taiwan, 2006–2013

Precision Medicine and Vaccination of Older Adults: From Reactive to Proactive (A Mini-Review)

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