Parental decision-making in uptake of the MMR vaccination: a systematic review of qualitative literature

Allan, Natalie; Harden, Jeni

doi:10.1093/pubmed/fdu075

Cited by 22 publications

(24 citation statements)

References 24 publications

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“…Although this review intentionally focused on parental attitudes toward measles vaccines in light of the current measles crisis in Europe, many findings were paralleled in systematic reviews on attitudes regarding general childhood vaccines in Europe [42,43]. The main difference was the unique fear of MMR and autism.…”

Section: Conveniencementioning

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: Conveniencementioning

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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“…3 Despite their proven effectiveness, some parents continue to have multiple concerns and misperceptions regarding childhood vaccinations, even in communities with high vaccination rates. 4,5 Similarly, healthcare workers (HCW) have lingering misconceptions of vaccines and vaccine-preventable diseases and are one of the major causes for reduced uptake of recommended vaccines. 6 This lack of confidence contributes to the occurrence of vaccine hesitancy, threatening the effectiveness of vaccination programs.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review

Gualano

Olivero

Voglino

et al. 2019

Human Vaccines & Immunotherapeutics

113

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Currently, many countries are dealing with groups refusing available recommended vaccinations.Despite several studies having demonstrated the efficacy of mandatory vaccinations in ensuring herd immunity, opposition is widespread. The aim of our study was to systematically review published studies evaluating attitudes towards mandatory vaccination programs. PubMed and Scopus scientific databases were searched and 4,198 results were returned, of these 29 met the inclusion criteria. Twenty-two studies assessed attitudes towards mandatory vaccination programs in general, while 9 papers focused specifically on the Human Papilloma Virus (HPV) vaccine. Most of the studies were performed in Europe and North America. According to the assessed studies, the majority of the population seems to be in favour of compulsory vaccinations, although attitudes differed among studies. The results presented in this review could be an important starting point to further understand the issue of vaccine hesitancy and support the implementation of effective vaccination strategies. ARTICLE HISTORY

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“…For example, the Public Inquiry into children’s heart surgery at the Bristol Royal Infirmary gave birth to modern clinical governance4 and opened the debate on the need to protect whistle-blowers 5. The Alder Hey organ retention affair6 led to a major rethink about the meaning and process of consent, and the anti-MMR vaccine campaign raised questions about trust and the presentation of information to the wider public 7. However, although children were at the centre of these cases, for the most part paediatricians and paediatric care were not the subject of criticism.…”

Section: Learning From Previous Paediatric Service Challengesmentioning

confidence: 99%

Complexity and challenge in paediatrics: a roadmap for supporting clinical staff and families

Cass

Barclay²,

Gerada³

et al. 2019

Arch Dis Child

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Parental decision-making in uptake of the MMR vaccination: a systematic review of qualitative literature

Abstract: Policymakers need to adapt information provided to address these concerns. Future research should focus more on distinguishing between accepters and rejecters to determine which factors can alter outcome.

Cited by 22 publications

References 24 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

Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review

Complexity and challenge in paediatrics: a roadmap for supporting clinical staff and families

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