Vaccinating My Way—Use of Alternative Vaccination Schedules in New York State

Nadeau, Jessica A.; Bednarczyk, Robert A.; Masawi, Munyaradzi R.; Meldrum, Megan; Santilli, Loretta; Zansky, Shelley; Blog, Debra; Birkhead, Guthrie S.; McNutt, Louise‐Anne

doi:10.1016/j.jpeds.2014.09.013

Cited by 43 publications

(16 citation statements)

References 34 publications

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“…Although, immunisation reminders are highly effective at increasing uptake [19] parents may also need a more personalised approach to be reminded of the continued importance of immunisation in older children. Recently, an increase in use of alternative vaccine schedules (intentional deviation from the routine schedule) has been reported from the USA which include delay in commencing, rejection of some vaccines and spacing of others [20] . We suspect this is unlikely to have been a significant factor in this population, but as estimation of vaccination timeliness in UK is not routinely conducted, this cannot currently be monitored.…”

Section: Discussionmentioning

confidence: 99%

Measuring the timeliness of childhood vaccinations: Using cohort data and routine health records to evaluate quality of immunisation services

Walton

Cortina‐Borja

Dezateux

et al. 2017

Vaccine

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Section: Discussionmentioning

confidence: 99%

Measuring the timeliness of childhood vaccinations: Using cohort data and routine health records to evaluate quality of immunisation services

Walton

Cortina‐Borja

Dezateux

et al. 2017

Vaccine

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“…However, few technologies are accepted without ambivalence, and vaccines are no exception. Despite strong cultural pressures to adhere to vaccine schedules, an increasing number of parents are rejecting or delaying childhood vaccinations, consenting to some and rejecting others, and customizing schedules for each child in their family on a schedule of their own design (Dempsey et al 2011; Nadeau et al 2014; Robison, Groom, and Young 2012). Nationally determined vaccine schedules are the antithesis of personalized medicine; many parents who craft individualized strategies to optimize their own children’s health resent what they see as a one-size-fits-all approach to health management (Reich 2016b).…”

Section: Pediatrics Patient Empowerment and Parental Challenges To mentioning

confidence: 99%

Vaccine Refusal and Pharmaceutical Acquiescence: Parental Control and Ambivalence in Managing Children’s Health

Reich

2020

Am Sociol Rev

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Parents who confidently reject vaccines and other forms of medical intervention often seek out pediatric care, medical treatments, and prescription medications for their children in ways that seem to contradict these views. Drawing on in-depth interviews with 34 parents who rejected some or all vaccines for their children, this article examines the strategies they use to pharmaceutically manage their children’s health, even when espousing a larger rejection of pharmaceutical interventions like childhood vaccines. Rather than treating decision-making as solely an internal process, this article shows how medication use results from individual, interactional, and institutional contexts, with different mechanisms of encouragement and enforcement. Using three illustrative cases, I show how parents manage ambivalence, which allows them to accept medication for their children as a tool to be deployed as deemed necessary in particular contexts while at the same time communicating their rejection of it. I conclude with suggestions for how to engage parents around healthcare decision-making.

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“…Childhood vaccination coverage in the United States (U.S.) has been consistently high in recent years [1–3]. However, prior research has identified early vaccine delay and/or refusal that may leave young children susceptible to infectious diseases [4,5]. Recent findings indicate variability in parental attitudes may link to their confidence in vaccines, perceived immunization need, social norms, and message influences [6–9].…”

Section: Introductionmentioning

confidence: 99%

Development of a US trust measure to assess and monitor parental confidence in the vaccine system

Frew

Murden

Mehta

et al. 2019

Vaccine

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Objective: To develop a Vaccine Confidence Index (VCI) that is capable of detecting variations in parental confidence towards childhood immunizations centered on trust and concern issues that impact vaccine confidence. Methods: We used a web-based national poll of 893 parents of children <7 years in 2016 to assess the measures created for the Emory VCI (EVCI). EVCI measures were developed using constructs related to vaccine confidence identified by the U.S. National Vaccine Advisory Committee (i.e., “Information Environment”, “Trust”, “Healthcare Provider”, “Attitudes and Beliefs”, and “Social Norms”). Reliability for EVCI was assessed using Cronbach’s alpha. Using the variables related to each of the constructs, we calculated an overall EVCI score that was then assessed against self-reported childhood vaccine receipt using chi-square and the Cochrane-Armitage trend tests. Results: Respondents’ EVCI scores could range from 0 to 24, and the full range of values was observed in this sample (Mean = 17.5 (SD 4.8)). EVCI scores were significantly different (p ≤ 0.006 for all comparisons) between parents who indicated their child(ren) received routinely recommended vaccines compared with parents who indicated they had delayed or declined recommended immunizations. There was also a significant, consistent association between higher EVCI scores and greater reported vaccine receipt. Conclusions: We developed EVCI to reliably measure parental vaccine confidence, with individuals’ scores linked to parental vaccine-related attitudes, intentions, and behaviors. As such, EVCI may be a useful tool for future monitoring of both population and individual confidence in childhood immunization.

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Vaccinating My Way—Use of Alternative Vaccination Schedules in New York State

Cited by 43 publications

References 34 publications

Measuring the timeliness of childhood vaccinations: Using cohort data and routine health records to evaluate quality of immunisation services

Measuring the timeliness of childhood vaccinations: Using cohort data and routine health records to evaluate quality of immunisation services

Vaccine Refusal and Pharmaceutical Acquiescence: Parental Control and Ambivalence in Managing Children’s Health

Development of a US trust measure to assess and monitor parental confidence in the vaccine system

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