A systematic review of interventions for reducing parental vaccine refusal and vaccine hesitancy

Sadaf, Alina; Richards, Jeffrey T.; Glanz, Jason M.; Salmon, Daniel A.; Omer, Saad B.

doi:10.1016/j.vaccine.2013.07.013

Cited by 338 publications

(278 citation statements)

References 93 publications

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“…Although many techniques for working with vaccine-hesitant parents have been suggested, scant data are available to determine the efficacy of these methods. 77 Additional research on communication techniques is needed. The clear message parents should hear is that vaccines are safe and effective, and serious disease can occur if your child and family are not immunized.…”

Section: Discussionmentioning

confidence: 99%

Countering Vaccine Hesitancy

Edwards¹,

Hackell²

2016

Pediatrics

274

162

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Immunizations have led to a significant decrease in rates of vaccine-preventable diseases and have made a significant impact on the health of children. However, some parents express concerns about vaccine safety and the necessity of vaccines. The concerns of parents range from hesitancy about some immunizations to refusal of all vaccines. This clinical report provides information about addressing parental concerns about vaccination.

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Section: Discussionmentioning

confidence: 99%

Countering Vaccine Hesitancy

Edwards¹,

Hackell²

2016

Pediatrics

274

162

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“…The effectiveness of interventions to increase immunisation uptake among children 48,[78][79][80][81][82] and adults 68,78,83,84 have also been reviewed and there are many examples of innovative health-and social-care provisions aimed at improving the health of Travellers. 17,18,85,86 Some target immunisation specifically (e.g.…”

Section: Interventions To Increase the Uptake Of Immunisationmentioning

confidence: 99%

“…Provision of 'tailored information, advice and support' with 'an opportunity to discuss concerns' is a recommendation of NICE 48 and also a quality criterion for effective immunisation programmes. 166 Importantly, immunisation information tailored to specific populations and their particular concerns can increase immunisation knowledge, awareness, attitudes, 82 intentions to immunise, 81 and help address vaccine hesitancy, 81,82 especially when part of a dialogue with a health professional. 82,163 Involving the target audience, in this case Travellers, to co-produce information is key to success.…”

Section: Promoting Awareness and Understanding Of Immunisation In Thementioning

confidence: 99%

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

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Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five ‘top-priority’ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexib...

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“…However, there is a dearth of evidence-based strategies to address vaccine hesitancy via policies, parental education, or provider communication techniques. [38][39] This analysis is subject to at least 2 limitations. First, the cellular phone household response rate was only 23%, and the landline household response rate was 51%.…”

Section: ããmentioning

confidence: 99%

Comparing human papillomavirus vaccine knowledge and intentions among parents of boys and girls

Lindley

Jeyarajah

Yankey

et al. 2016

Human Vaccines & Immunotherapeutics

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Background/Objective: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. Previous research suggests some differences between male and female adolescents in correlates of vaccine receipt and reasons for non-vaccination; few studies examine both sexes together. This analysis assessed knowledge and attitudes related to HPV disease and vaccination, intention to vaccinate, and reasons for delayed vaccination or non-vaccination among parents of boys and girls 13-17 y old in 50 states, the District of Columbia, and selected local areas. Methods: National Immunization Survey-Teen 2013 data were analyzed and gender differences examined. Results: In this sample, adolescent boys were more likely than girls to be unvaccinated and less likely to have completed the HPV vaccination series (p < 0.005 for both). Parents of girls were more likely than parents of boys to report a provider recommendation for HPV vaccination (65.0% vs. 42.1%). Only 29% of girls' parents reported a provider recommendation to begin vaccination by 11-12 y old. Among unvaccinated teens, parental intention to vaccinate in the next 12 months did not differ by sex, but reasons for vaccination or nonvaccination did. Many parents do not know the recommended number of HPV doses. Conclusions: Gender differences in provider vaccination recommendations and reasons for vaccination might partially explain differential HPV uptake by male and female adolescents. Clinicians should offer strong recommendations for HPV vaccination at 11-12 y old for both girls and boys. To reduce missed opportunities, HPV vaccination should be presented in the context of, and given concurrently with, other routinely administered vaccines.

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A systematic review of interventions for reducing parental vaccine refusal and vaccine hesitancy

Cited by 338 publications

References 93 publications

Countering Vaccine Hesitancy

Countering Vaccine Hesitancy

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Comparing human papillomavirus vaccine knowledge and intentions among parents of boys and girls

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