Parental attitudes and decision-making regarding MMR vaccination in an anthroposophic community in Sweden – A qualitative study

Byström, Emma; Lindstrand, Ann; Likhite, Nathalie; Butler, Robb; Emmelin, Maria

doi:10.1016/j.vaccine.2014.10.011

Cited by 34 publications

(39 citation statements)

References 37 publications

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“…Participants were mainly mothers [22][23][24][25][26], and also included parents with anthroposophical world views [27,28]; some studies included Gypsies, Roma, and Traveler (GRT) parents [22,24], with a history of nomadism and temporary residency, and longterm resident Somali mothers living in Europe [25]. Most studies used a retrospective design in which attitudes and predictors were assessed after they had made their vaccination decision using subjective self-reported behavior.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Wilder-Smith¹,

Qureshi²

2019

JEGH

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Background and Objectives: Europe has experienced a major resurgence of measles in recent years, despite the availability and free access to a safe, effective, and affordable vaccination measles, mumps and rubella vaccine (MMR). The main driver for this is suboptimal vaccine coverage. Parental attitudes and beliefs toward measles vaccination are of paramount importance in influencing vaccine coverage. The three objectives of this study are to synthesize and critically assess parental attitudes and beliefs toward MMR uptake, to develop strategies and policy recommendations to effectively improve MMR vaccine uptake accordingly, and ultimately to identify areas for further research. Methods: A systematic review was conducted using primary studies from PubMed, Medline, Embase, and Scopus published between 2011 and April 2019. Inclusion criteria comprised primary studies in English conducted in Europe and studying parental attitudes and behavior regarding MMR uptake. Data were extracted using an inductive grounded theory approach. Results: In all, 20 high-quality studies were identified. Vaccine hesitancy or refusal were mainly due to concerns about vaccine safety, effectiveness, perception of measles risk and burden, mistrust in experts, and accessibility. Factors for MMR uptake included a sense of responsibility toward child and community health, peer judgement, trust in experts and vaccine, and measles severity. Anthroposophical and Gypsy, Roma, and Traveler populations presented unique barriers such as accessibility. Conclusion: A multi-interventional, evidence-based approach is vital to improve confidence, competence, and convenience of measles vaccination uptake. Healthcare professionals need an understanding of individual contextual attitudes and barriers to MMR uptake to tailor effective communication. Effective surveillance is needed to identify under-vaccinated populations for vaccination outreach programs to improve accessibility and uptake.

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Section: Characteristics Of Studiesmentioning

confidence: 99%

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Wilder-Smith¹,

Qureshi²

2019

JEGH

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“…The findings of this study are consistent with previous studies in regards to the reasons parents make decisions about vaccinating their child. The most important reasons are concerns about safety, side effects, trust in previous studies, and literature (Benin, Wisler-Scher, Colson, Shapiro, & Holmboe, 2006;Byström et al, 2014;Parrella, Gold, Marshall, Braunack-Mayer, & Baghurst, 2013;Siddiqui et al, 2013;Yaqub et al, 2014). Adherence to guidelines and advice from healthcare providers are often listed as significantly relevant (Connors et al, 2012) and were the reasons most often listed as influencing parental choice in the FV group.…”

Section: Discussionmentioning

confidence: 99%

“…They concluded that ongoing surveillance of vaccine hesitancy will provide valuable information on specific tools healthcare providers can best utilize for educational purposes. Byström et al (2014) explored decision-making attitudes of 20 parents from an anthroposophic community, differentiating between those who chose to vaccinate and those who did not. Even though this was a small sample size (n = 20), they cited uncertainty about long-and shortterm vaccine effects on a child's health, immune function overload, and doubts about safety as the compelling reasons for each parent's choice.…”

Section: Literature Reviewmentioning

confidence: 99%

“…A current trend however is numerous parental refusals of vaccinations for their children or requests for partial administration (Connors et al, 2012;Gust, Darling, Kennedy, & Schwartz, 2008;Yaqub, Castle-Clarke, Sevdalis, & Chataway, 2014). One of the prevalent parental reasons for this decision relates to their perceived uncertainty about both short-term and long-term immune system effects with the large volume of vaccines administered (Bakhache et al, 2013;Byström, Lindstrand, Likhite, Butler, & Emmelin, 2014). This perceived uncertainty has led to an ever increasing group of people making alternative choices to the immunization schedule and in some cases choosing to not vaccinate their children at all.…”

Section: Introductionmentioning

confidence: 99%

“…With this trend we have seen the reoccurrence of what were previously considered eradicated diseases, such as measles. Previous studies have looked at barriers to vaccination and Byström et al (2014) found that parents highlighted the need for vaccine information from sources unbiased from pharmalogical company influence. Some parents have unsubstantiated concerns about the effect of multiple immunizations on their children's immune system.…”

Section: Introductionmentioning

confidence: 99%

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Childhood vaccine status and correlation with common nonvaccine‐preventable illnesses

Anderson¹,

Arvidson

2017

Journal of the American Association of Nurse Practitioners

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Background and purpose Current trends in parental decision making involve alteration from vaccine schedules in children, citing concerns for altered immune function. The purpose of this study was to determine if there is a difference in incidence of common childhood illnesses dependent on vaccination status. Methods An investigator‐designed survey was administered to parents of children aged 12 months to 7 years. Participants were separated into one of three groups: fully vaccinated, partially vaccinated, and unvaccinated. There were 111 total participants. Power analysis indicated a minimum of 30 participants per group to detect an 80% effect. Descriptive statistics were applied to variables with chi‐square for group comparison. Conclusions The results indicated a statistically significant difference between all three groups in the categories of ear infections, influenza, and common colds. Fully immunized group had significantly more ear infections than partial or unimmunized. The unimmunized group had significantly more colds and flu. Implications for practice Nurse practitioner practice implications relate directly to further education of parents, support, and trust building. Many parents question the possible association between childhood vaccines and immune function and have a distrust of current research. This study showed that most common childhood illnesses are equitable across the population and not dependent on vaccine status.

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Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis

Cooper

Schmidt

Sambala

et al. 2021

Cochrane Database of Systematic Reviews

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Background Childhood vaccination is one of the most effective ways to prevent serious illnesses and deaths in children. However, worldwide, many children do not receive all recommended vaccinations, for several potential reasons. Vaccines might be unavailable, or parents may experience difficulties in accessing vaccination services; for instance, because of poor quality health services, distance from a health facility, or lack of money. Some parents may not accept available vaccines and vaccination services. Our understanding of what influences parents’ views and practices around childhood vaccination, and why some parents may not accept vaccines for their children, is still limited. This synthesis links to Cochrane Reviews of the effectiveness of interventions to improve coverage or uptake of childhood vaccination. Objectives ‐ Explore parents’ and informal caregivers’ views and practices regarding routine childhood vaccination, and the factors influencing acceptance, hesitancy, or nonacceptance of routine childhood vaccination. ‐ Develop a conceptual understanding of what and how different factors reduce parental acceptance of routine childhood vaccination. ‐ Explore how the findings of this review can enhance our understanding of the related Cochrane Reviews of intervention effectiveness. Search methods We searched MEDLINE, Embase, CINAHL, and three other databases for eligible studies from 1974 to June 2020. Selection criteria We included studies that: utilised qualitative methods for data collection and analysis; focused on parents’ or caregivers’ views, practices, acceptance, hesitancy, or refusal of routine vaccination for children aged up to six years; and were from any setting globally where childhood vaccination is provided. Data collection and analysis We used a pre‐specified sampling frame to sample from eligible studies, aiming to capture studies that were conceptually rich, relevant to the review's phenomenon of interest, from diverse geographical settings, and from a range of income‐level settings. We extracted contextual and methodological data from each sampled study. We used a meta‐ethnographic approach to analyse and synthesise the evidence. We assessed methodological limitations using a list of criteria used in previous Cochrane Reviews and originally based on the Critical Appraisal Skills Programme quality assessment tool for qualitative studies. We used the GRADE‐CERQual (Confidence in the Evidence from Reviews of Qualitative research) approach to assess our confidence in each finding. We integrated the findings of this review with those from relevant Cochrane Reviews of intervention effectiveness. We did this by mapping whether the underlying theories or components of trial interventions included in those reviews related to or targeted the overarching factors influencing parental views and...

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Parental attitudes and decision-making regarding MMR vaccination in an anthroposophic community in Sweden – A qualitative study

Cited by 34 publications

References 37 publications

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine

Childhood vaccine status and correlation with common nonvaccine‐preventable illnesses

Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis

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