Fear of injections is a reason for not to vaccinate their children, say caretakers

Logullo, Patrícia; Carvalho, Heráclito Barbosa; Saconi, Renata; Massad, Eduardo

doi:10.1016/j.vaccine.2007.09.075

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…In contrast, having heard about deaths due to vaccination or believing that vaccines produce diseases were not associated with incomplete vaccination in Colombia (Tirado Otávaro and Moreno Uribe 2006). Having a complication from a previous injection or having fear of injections were associated with missed opportunities and delays in measles vaccination, respectively (Abdulraheem et al 2011;Logullo et al 2008b). …”

Section: Quality Assessmentmentioning

confidence: 99%

Exposing concerns about vaccination in low- and middle-income countries: a systematic review

Muñoz

Llamas

Bosch‐Capblanch

2015

Int J Public Health

109

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Objectives Concerns about vaccination lead to under-and no-vaccination. Our objective is to synthesise and expose evidence on individuals' and communities' concerns about vaccination to influence current debates on strategies to improve vaccination coverage in low-and middle-income countries. Methods Systematic literature review till February 2014, following standard methods. Published and grey literature that focused on individuals and community concerns on childhood vaccinations were selected. Results 44 quantitative, qualitative and mixed-methods studies were included. Main reported concerns referred to perceptions of vaccine harms (e.g. attribution of fatal events). Other concerns included programme distrust (mainly due to rumours and conspiracies) and health system unfriendliness. Conclusions Concerns about vaccination are widespread and further worsen the challenges related to programmatic and health system barriers to vaccination. There is a disconnection between qualitative and quantitative research which misses the opportunity to quantify what is reported in the former. Strikingly, there is a wealth of evidence on concerns but much lesser evidence on interventions to address them. We welcome World Health Organization initiative to tackle vaccine hesitancy and call for the synthesis of evidence and production of guidance on strategies to address concerns on vaccination.

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Section: Quality Assessmentmentioning

confidence: 99%

Exposing concerns about vaccination in low- and middle-income countries: a systematic review

Muñoz

Llamas

Bosch‐Capblanch

2015

Int J Public Health

109

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“…In this context, fear of blood and needles represents an important individual and public health concern as it is a documented deterrent to procedures such as routine blood work [22,38], insulin injections and finger sticks for diabetes management [13,39], dental care [7,25], vaccinations [21,32,38], and blood donation [38]. A severe form of this fear -termed blood-injection-injury phobia -is characterized by an intense fear of blood, injections, medical care, and injury; such fear is recognized as excessive and unreasonable by the individual [1].…”

Section: Introductionmentioning

confidence: 99%

Initial validation of a virtual blood draw exposure paradigm for fear of blood and needles

Trost

Jones

Guck

et al. 2017

Journal of Anxiety Disorders

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Fear of blood, injections, and needles commonly prevents or delays individuals' receipt of health care, such as vaccines or blood draws. Innovative methods are needed to overcome these fears and reduce anxiety related to activities of this nature. The present study describes initial testing of an arm illusion paradigm that may prove useful during early phases of graded exposure for people with blood and needle fear. Seventy-four undergraduate students aged 18-29 years were tested. In line with study aims, results indicated that the virtual blood draw paradigm promoted strong perceptions of arm ownership and elicited significant changes in physiological indices (blood pressure, heart rate, electrodermal activity, respiratory rate) in response to key procedure elements (e.g., needle insertion). Further, bivariate correlations indicated that individual differences in self-reported blood and needle fear collected prior to the illusion paradigm were significantly associated with presyncopal symptoms reported following the procedure. In regression analyses, self-reported measures of blood and needle fear explained unique variance in presyncopal symptoms even after controlling for general state anxiety. These findings provide initial support for the virtual blood draw paradigm as a promising tool to help provide graded exposure to medical procedures involving needles and blood draw.

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“…Studies show that the growing supply of vaccines is viewed as a burden of pain, anguish and adverse events that interfere in family acceptance and aggravate antiimmunization feelings (6,16) .…”

Section: Think It's a Mistake I Don't Know What To Think Becausementioning

confidence: 99%

Experiences of families in the immunization of Brazilian children under two years old

Figueiredo

Pina

Tonete

et al. 2011

Rev. Latino-Am. Enfermagem

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This study aimed to describe the experience of families in the immunization of children under two years. Descriptive study with qualitative data analysis. Twenty-two subjects participated in unstructured interviews. Results were grouped into three categories: Practical knowledge on children's immunization; Responsibility and compulsory immunization of children; Increasing the scope of children's immunization practices. The findings highlight factors that increase vaccination rates: experience and personal fulfillment in maternity, fear of getting ill, recognizing it as good care, access, schedule flexibility, dissemination, immunization record card, immunization campaigns and availability of vaccines, and factors that increase non-vaccination rates: parent's inexperience, refusal to apply simultaneous immunization, fragmented care, absence of dialog, discrimination, false counter-indications and compulsoriness. Immunization centered on compliance with the calendar or in authoritarian situations is not tied to family care. The bond between health care professionals and families needs to be strengthened to increase the participation in child health protection and promotion measures. Experiencias de familias en la inmunización de niños brasileños menores de dos añosEl objetivo fue describir las experiencias de familias sobre inmunización de niños menores de dos años. Estudio de naturaleza descriptiva, con análisis cualitativa de los datos, entrevistas no estructuradas con 22 sujetos. Resultados agrupados en: Conocimientos prácticos sobre inmunización, Responsabilidad y obligatoriedad en la inmunización, Ampliación de la práctica de inmunización. Fueron destacados elementos que fortalecen la inmunización: experiencia y realización personal en el papel de ser madre, temor a enfermarse, reconocimiento como un buen cuidado, acceso, flexibilidad del horario, divulgación, cartón de vacunas, campañas de vacunación y disponibilidad de vacunas, y elementos de la no-inmunización: inexperiencia de los padres, recusa de aplicaciones simultáneas de vacunas, asistencia fragmentada, ausencia de diálogo, discriminación, falsas contra-indicaciones y obligatoriedad. La inmunización centrada en el cumplimiento del calendario vacunal o en situaciones autoritarias está desvinculada del cuidado familiar.El vínculo con las familias precisa ser fortalecido para ampliación de la adhesión a las medidas de protección y promoción de la salud del niño.Descriptores: Salud del Niño; Inmunización; Atención Primaria de Salud.

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Fear of injections is a reason for not to vaccinate their children, say caretakers

Cited by 8 publications

References 18 publications

Exposing concerns about vaccination in low- and middle-income countries: a systematic review

Exposing concerns about vaccination in low- and middle-income countries: a systematic review

Initial validation of a virtual blood draw exposure paradigm for fear of blood and needles

Experiences of families in the immunization of Brazilian children under two years old

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