Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control.

Prišlin, Radmila; Dyer, James; Blakely, Craig; Johnson, Carla J.

doi:10.2105/ajph.88.12.1821

Cited by 173 publications

(119 citation statements)

References 13 publications

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…4 Another study done by Prislin et al concluded that a mother, who believes immunization offers protection against serious diseases, is likely to have her child immunised. 24 The present study also observed that irrespective of the working status of mothers, majority of the children completed their vaccination as per the schedule similar to a study conducted by Bofarraj. 7 Parental income can be another factor which can affect immunization status of children.…”

Section: 23supporting

confidence: 85%

Parents' knowledge, attitude, and practice on childhood immunization

Joseph

Devarashetty

Reddy

et al. 2015

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

Section: 23supporting

confidence: 85%

Parents' knowledge, attitude, and practice on childhood immunization

Joseph

Devarashetty

Reddy

et al. 2015

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

“…A previous study found that more highly educated parents were more likely to trust medical professionals but also were more concerned about contraindications than were less educated parents. 21 We found that households with highly educated mothers reported asking that the child not receive a vaccine. School entry laws also may have an impact; 11.7% of case parents and 6.3% of control parents reported that they had received a vaccine they did not want because it was required.…”

Section: Discussionmentioning

confidence: 78%

“…21 Our study provides the first nationally representative survey data of which we are aware that link underimmunization in the United States with vaccine safety concerns. Other studies failed to find this association.…”

Section: Effects Of Vaccine Safety Concerns On Immunization Statusmentioning

confidence: 99%

“…Studies showing a relationship between vaccinerelated attitudes and beliefs and underimmunization have been conducted in countries outside the United States 18-20 and in individual states within the United States. 21 Our study provides the first nationally representative survey data of which we are aware that link underimmunization in the United States with vaccine safety concerns. Other studies failed to find this association.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Underimmunization Among Children: Effects of Vaccine Safety Concerns on Immunization Status

Gust¹,

et al. 2004

View full text Add to dashboard Cite

ABSTRACT. Objective. To examine the attitudes, beliefs, and behaviors of parents whose children were underimmunized with respect to >2 vaccines that have recently received negative attention, compared with parents whose children were fully immunized with respect to the recommended vaccines.Design. Case-control study. Setting. A sample of households that participated in the National Immunization Survey were recontacted in 2001.Main Outcome Measure. Vaccination status was assessed. Case subjects were underimmunized with respect to >2 of 3 vaccines (diphtheria-tetanus-pertussis or diphtheria-tetanus-acellular pertussis, hepatitis B, or measlescontaining vaccines), and control subjects were fully immunized.Results. The response rate was 52.1% (2315 of 4440 subjects). Compared with control households, case households were more likely to make $0 to $30 000 (adjusted odds ratio [OR]: 2.7; 95% confidence interval [CI]: 1.5-4.6) than at least $75 000, to have >2 providers (OR: 2.0; 95% CI: 1.3-3.1) than 1, and to have >4 children (OR: 3.1; 95% CI: 1.5-6.3) than 1 child. With control for demographic and medical care factors, case subjects were more likely than control subjects to not want a new infant to receive all shots (OR: 3.8; 95% CI: 1.5-9.8), to score vaccines as unsafe or somewhat safe (OR: 2.0; 95% CI: 1.2-3.4), and to ask the doctor or nurse not to give the child a vaccine for reasons other than illness (OR: 2.7; 95% CI: 1.2-6.1). Among case subjects, 14.8% of underimmunization was attributable to parental attitudes, beliefs, and behaviors.Conclusions. Attitudes, beliefs, and behaviors indicative of vaccine safety concerns contribute substantially to underimmunization in the United States. Although concerns were significantly more common among parents of underimmunized children, many parents of fully immunized children demonstrated similar attitudes, beliefs, and behaviors, suggesting a risk to the currently high vaccination levels. Efforts to maintain and improve immunization coverage need to target those with attitudes/beliefs/behaviors indicative of vaccine safety concerns, as well as those with socioeconomic and health care access problems. Pediatrics 2004;114:e16 -e22. URL: http://www.pediatrics.org/cgi/content/full/114/1/e16; underimmunization, attitudes, beliefs, behaviors.ABBREVIATIONS. DTaP, diphtheria-tetanus-acellular pertussis; DTP, diphtheria-tetanus-pertussis; MCV, measles-containing vaccine; MMR, measles-mumps-rubella; NIS, National Immunization Survey; OR, odds ratio; CI, confidence interval. I mmunizations have reduced the incidence of vaccine-preventable disease by Ͼ95% for every pediatric vaccine recommended for routine use before 1990. 1 As the number of immunizations has increased, however, reports of postimmunization adverse events, both vaccine-related and coincidental, have increased. This increase, combined with the decrease in the incidence of vaccine-preventable diseases, has resulted in an increased focus on vaccine safety. 2 Some have linked vaccinations with acute and chronic illnes...

show abstract

“…Among the explanations are cultural differences about the perceived utility of preventive care, the 24 hour per day access of emergency rooms, and the perceptions of dissatisfaction due to poor communication, disrespect, and racial/ethnic discrimination by health care provider. [35][36][37][38][39][40][41] …”

Section: Health Care Utilization: Emergency Room Use and Immunizationsmentioning

confidence: 99%

Community- versus Individual-Level Indicators to Identify Pediatric Health Care Need

Zlotnick¹

2006

J Urban Health

View full text Add to dashboard Cite

Increasingly, geographic information systems employing spatial data are being used to identify communities with poorer health care status. Since health care indicators are strongly linked to income, could these data, usually based on adult indicators, be used for pediatric health care need? We hypothesized that individuallevel indicators such as quality of life scales (QOL) would be better than communitylevel indicators at identifying families with poorer health care practices. Surveys and medical record reviews were used for a sample of 174 caregivers of young children. Lower level of income was associated with poorer scores on several QOL domains, and on the primary health practices (i.e., non-urgent emergency room use and lack of age-appropriate immunization status). One community-level indicator, the medically underserved area (MUA), was almost as good as the best individual-level indicators at predicting primary health care practices. The community-level indicator of MUA appears to meet its initial intent, providing information on the location of very lowincome individuals with high health care need even among a sample of Medicaidinsured children with an identified health care provider.

show abstract

Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control.

Cited by 173 publications

References 13 publications

Parents' knowledge, attitude, and practice on childhood immunization

Parents' knowledge, attitude, and practice on childhood immunization

Underimmunization Among Children: Effects of Vaccine Safety Concerns on Immunization Status

Community- versus Individual-Level Indicators to Identify Pediatric Health Care Need

Contact Info

Product

Resources

About