Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012

Larson, Heidi; Jarrett, Caitlin; Eckersberger, Elisabeth; Smith, David; Paterson, Pauline

doi:10.1016/j.vaccine.2014.01.081

Cited by 1,644 publications

(1,612 citation statements)

References 61 publications

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“…23,24 These factors align with what is known about parental decision-making for childhood immunization 25 and the decision-making process adults undertake on their own behalf about vaccination. 26 However, much less is known about how pregnant women make decisions about maternal immunization including how they weigh benefits and risks and whether particular factors are important under particular conditions. Two recent qualitative studies [27][28][29] have found similar themes to those identified from surveys: importance of HCP recommendation and trusting relationships, perceptions of risk and susceptibility regarding vaccines and vaccine-preventable diseases, and lack of awareness and knowledge about the availability of maternal immunizations.…”

Section: Introductionmentioning

confidence: 99%

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Collins

Alona

Tooher

et al. 2014

Human Vaccines & Immunotherapeutics

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Maternal immunization is an important strategy recommended to protect both mothers and infants from serious infectious diseases; however uptake of maternal immunization is poor in Australia. This study aimed to gain an in-depth understanding of the decision making process and factors influencing a pregnant woman's decisions about recommended immunizations. This qualitative study used semi-structured interviews with open-ended questions to interview pregnant women. Data were analyzed using thematic analysis techniques and drew on the Health Belief Model. Pregnant women (n D 17) were asked about their attitudes toward immunization during pregnancy and their perceptions about risk during pregnancy. Women were also asked to detail their decision making process and factors influencing their decisions about immunizations in relation to pregnancy. Most of the participants were not aware of the immunizations recommended during pregnancy, in pregnancy planning or after delivery. In addition to endorsement by their health care provider (HCP), perception of risk and benefit, including risk of infection, previous vaccination experiences and assessing cost benefit play a vital role in women's decisions whether to be immunized while pregnant. Although the role of the healthcare provider in advising pregnant women about immunizations was identified as vitally important, the majority of women had not been advised of recommended vaccines by their healthcare provider. Healthcare providers are key to ensuring pregnant mothers are informed about recommended vaccines and these need to be more proactively supported and encouraged by healthcare providers. This is likely to have a positive effect on acceptance and uptake of immunization by pregnant women.

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Section: Introductionmentioning

confidence: 99%

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Collins

Alona

Tooher

et al. 2014

Human Vaccines & Immunotherapeutics

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“…2 While healthcare providers frequently assume vaccine hesitancy is mostly related to community and family influences, the NZ experience has shown that provider and provider systems are likely to have the greater influence. 9,12 76 VOLUME 9 • NUMBER 1 • MaRch 2017 J OURNAL OF PRIMARY HEALTH CARE Although this study was designed to identify differences between practices with high and low rates of decliners, it was notable that all practices took a similar systematic approach with most practice procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Health practitioners are influenced by their own belief models and by the communities they live in. 2 Both the confidence and knowledge of healthcare providers and their interactional skills in decision-making processes is known to be important. 5 In many practices with lower decline rates, the Practice Nurses had been in the role for a very long period of time, up to 20 years in one instance, and were experienced parents themselves.…”

Section: Discussionmentioning

confidence: 99%

“…These included family and local community belief systems, effects of local anti-immunisation lobbyists, misinformation and the use of private research on the internet, anxiety of vaccines, lack of awareness of diseases and barriers to accessing the practice. 2,17,18 An interesting finding was the reported reduction in community vaccine hesitancy over time and the issues apparently becoming more confined to identifiable populations and communities. New Zealand historically has had mediocre childhood immunisation coverage and has seen impressive gains in coverage with fully immunised 2-year-old rates improving by more than 15% in just over 10 years and almost VOLUME 9 • NUMBER 1 • MaRch 2017 J OURNAL OF PRIMARY HEALTH CARE 77 complete closure of traditional socioeconomic status and ethnicity equity gaps.…”

Section: Discussionmentioning

confidence: 99%

“…1 Much of the published literature has been around the contribution of communities and individuals, but a systematic review across all domains also noted the importance of health systems as part of the mix. 2 Significant variability in immunisation coverage is associated with service delivery and with practitioners. 3,4 The role of healthcare systems is an important factor in vaccination uptake, alongside the knowledge and attitude of front-line healthcare providers.…”

Section: Introductionmentioning

confidence: 99%

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Identifying factors behind the general practice use of the term ‘decline’ for the childhood immunisation programme in New Zealand

et al. 2017

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INTRODUCTION:The role of healthcare providers and their use of systems is one of the most important factors in vaccination uptake. AIM:To identify reasons and find patterns behind why immunisation providers code the word 'decline' in their system for childhood immunisation events. METHODS:A qualitative study involving face-to-face semi-structured interviews with staff members involved in immunisation delivery. General practices were purposively selected for having either high or low rates of registered children coded on the electronic practice management system as having declined immunisation events. Thematic analysis was undertaken using an inductive approach to link themes to the data. RESULTS:A total of 35 interviews were conducted with practice nurses; 21 were from practices with high rates of registered children recorded as having declining immunisation events, and 14 practices with low rates of declining. Common themes were: effective use of systems, early and ongoing engagement, adequate health care practitioner time and practitioner experience. Practices with low rates of coded decliners had stronger approaches for early and ongoing engagement, and were less likely to use formalised decline forms. As practice immunisation coverage rates improved over time, there was perceived to be less expressed vaccine hesitancy from families. CONCLUSIONS:The reasons for coding individuals as 'decliners' are a complex mixture of individual, community, practitioner and practice systems. Front-line providers need adequate tools, time and resourcing to support effective and ongoing engagement with families. Community factors have influence but can change over time.

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Acellular Vaccines and Resurgence of Pertussis

Shapiro¹

2012

JAMA

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Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012

Cited by 1,644 publications

References 61 publications

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Identifying factors behind the general practice use of the term ‘decline’ for the childhood immunisation programme in New Zealand

Acellular Vaccines and Resurgence of Pertussis

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