Vaccine Education During Pregnancy and Timeliness of Infant Immunization

Veerasingam, Priya; Grant, Cameron; Chelimo, Carol; Philipson, Kathryn; Gilchrist, Catherine A.; Berry, Sarah D.; Carr, Polly Atatoa; Camargo, Carlos A.; Morton, Susan

doi:10.1542/9781610022774-vaccine_education

Cited by 2 publications

(2 citation statements)

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“…This suggests that there may be social influences on atittudes towards healthcare more generally as well as forspecific services like immunisation. Our results align with previous GUiNZ research showing that compared to mothers who didn't receive any encouraging or discouraging information, receiving discouragement is negatively associated with the likelihood that child was immunised on time [41]. Social norms also have a key role in influencing parental decision-making around vaccination, and could contribute to ethnic differences [37].…”

Section: Discussionsupporting

confidence: 89%

Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis

Lewycka

Dasgupta

Plum

et al. 2023

Int J Equity Health

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Background There are persistent ethnic gaps in uptake of child healthcare services in New Zealand (NZ), despite increasing policy to promote equitable access. We examined ethnic differences in the uptake of immunisation and primary healthcare services at different ages and quantified the contribution of relevant explanatory factors, in order to identify potential points of intervention. Methods We used data from the Growing Up in New Zealand birth cohort study, including children born between 2009 and 2010. Econometric approaches were used to explore underlying mechanisms behind ethnic differences in service uptake. Multivariable regression was used to adjust for mother, child, household, socioeconomic, mobility, and social factors. Decomposition analysis was used to assess the proportion of each ethnic gap that could be explained, as well as the main drivers behind the explained component. These analyses were repeated for four data time-points. Results Six thousand eight hundred twenty-two mothers were enrolled during the antenatal survey, and children were followed up at 9-months, 2-years and 4-years. In univariable models, there were ethnic gaps in uptake of immunisation and primary care services. After adjusting for covariates in multivariable models, compared to NZ Europeans, Asian and Pacific children had higher timeliness and completeness of immunisation at all time-points, while indigenous Māori had lower timeliness of first-year vaccines despite high intentions to immunise. Asian and Pacific mothers were less likely to have their first-choice lead maternity caregiver (LMC) than NZ Europeans mothers, and Māori and Asian mothers were less likely to be satisfied with their general practitioner (GP) at 2-years. Healthcare utilisation was strongly influenced by socio-economic, mobility and social factors including ethnic discrimination. In decomposition models comparing Māori to NZ Europeans, the strongest drivers for timely first-year immunisations and GP satisfaction (2-years) were household composition and household income. Gaps between Pacific and NZ Europeans in timely first-year immunisations and choice of maternity carer were largely unexplained by factors included in the models. Conclusions Ethnic gaps in uptake of child healthcare services vary by ethnicity, service, and time-point, and are driven by different factors. Addressing healthcare disparities will require interventions tailored to specific ethnic groups, as well as addressing underlying social determinants and structural racism. Gaps that remain unexplained by our models require further investigation.

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Section: Discussionsupporting

confidence: 89%

Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis

Lewycka

Dasgupta

Plum

et al. 2023

Int J Equity Health

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“…Parents’ level of knowledge about vaccines, their agreement with the vital need and benefits of vaccination, and their positive attitudes toward vaccines determined their attitudes toward vaccination during nonpandemic periods. 15 - 17 …”

Section: Discussionmentioning

confidence: 99%

Routine Pediatric Vaccination During Pandemic: Attitudes of Parents

Altuntas¹,

Elitok²

2022

Turk Arch Pediatrics

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Objective To examine the effects of a pandemic on children’s routine vaccination between 0 months and 24 months and to determine the affecting factors on vaccination during the pandemic. Materials and Methods Our study was conducted between July 17, 2020, and August 1, 2020, among 513 mothers whose children were aged between 0 months and 24 months old. A total of 21 questions were asked to participants’ sociodemographic characteristics and attitudes and behaviors towards pediatric vaccines during the pandemic. Results The rate of vaccination for children was 82.8% (n = 425), unvaccinated children was 3.9% (n = 1). 13.3% (n = 68) of vaccinated children had “delayed” vaccination. 76.2% (n = 391) of the participants stated “they were concerned about COVID-19 infection’’ while visiting a healthcare center for vaccination. The 3 most common affecting factors for vaccination; 43.9% (n = 340 ) “pediatric vaccines are vital and must be administered,” 23.6% (n = 183) they had vaccine appointment and have been informed “vaccination service would continue as usual,” 22.7% (n = 176 ) have been informed that “required precautions have been taken”. It was found that reasons for not to be vaccinated in the pandemic; 63.2% (n = 12) “fear of COVID-19,” 15.8% (n = 3) “quarantined as the whole family” and 10.5% (n = 2) “vaccine hesitancy.” Conclusion Healthcare providers should inform parents that vaccination is vital, and vaccination must always be administered on time during a pandemic. During a pandemic, continuing appointments for vaccination services, calling to inform the parents that required precautions to minimize the spread of infection have already been taken, and alleviating parents’ concerns would prevent vaccination rates from decreasing in this period.

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Vaccine Education During Pregnancy and Timeliness of Infant Immunization

Cited by 2 publications

References 0 publications

Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis

Determinants of ethnic differences in the uptake of child healthcare services in New Zealand: a decomposition analysis

Routine Pediatric Vaccination During Pandemic: Attitudes of Parents

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