Parental reasons for non-uptake of influenza vaccination in young at-risk groups: a qualitative study

Sampson, Rod; Wong, L. K. S.; MacVicar, Ronald

doi:10.3399/bjgp11x583155

Cited by 36 publications

(27 citation statements)

References 6 publications

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“…However, unlike the rotavirus vaccine which is given at the same time as other routine infant vaccines, influenza vaccination in preschool children requires a special appointment with the GP. Qualitative studies show that apart from difficulties in accessing vaccination clinics, parental perceptions of influenza as a less severe illness and worries about side effects all play a part in parents’ decision to vaccinate,43 and such factors may contribute to low vaccination uptake. This has been compounded by uncertainties about the effectiveness of influenza vaccine, particularly during the 2014/2015 season, when there was a poor match between circulating and vaccine strains,44 which was widely reported by the media.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with influenza vaccine uptake during a universal vaccination programme of preschool children in England and Wales: a cohort study

Hardelid

Rait

Gilbert³

et al. 2016

J Epidemiol Community Health

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IntroductionInfluenza vaccination through primary care has been recommended for all preschool children in the UK since 2013 as part of a universal immunisation programme. Vaccination is required annually and effectiveness varies by season. Factors associated with influenza vaccine receipt and those for other childhood vaccines may therefore differ.MethodsWe used The Health Improvement Network, a large primary care database, to create a cohort of children in England and Wales aged 2–4 years eligible for vaccination in the 2014/2015 season. Mixed-effects Poisson regression models were used to determine sociodemographic and clinical factors associated with influenza vaccine receipt, allowing for practice-level variation.ResultsOverall, 38.7% (95% CI 38.3% to 39.1%) of 57 545 children were vaccinated against influenza. Children in the poorest deprivation quintile were 19% less likely to receive influenza vaccine than those in the wealthiest quintile (adjusted risk ratio (ARR) 0.81, 95% CI 0.77 to 0.86). Children who received a timely first dose of measles-mumps-rubella vaccine were twice as likely to receive influenza vaccine (ARR 2.00 95% CI 1.87 to 2.13). Being 4 years old, not in a clinical risk group, or living with 2 or more other children were also significantly associated with a lower probability of vaccination.DiscussionChildren living in areas of higher deprivation and in larger families are less likely to receive influenza vaccine. Further research is required into whether interventions, such as offering vaccinations in other settings, could increase uptake in children, particularly in deprived areas.

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Section: Discussionmentioning

confidence: 99%

Factors associated with influenza vaccine uptake during a universal vaccination programme of preschool children in England and Wales: a cohort study

Hardelid

Rait

Gilbert³

et al. 2016

J Epidemiol Community Health

View full text Add to dashboard Cite

show abstract

“…Some studies reported a perceived lack of information [35,75], misunderstandings [48,74], beliefs that the vaccine is developed too quickly every year [49], and negative information about vaccine safety in the media [69,71]. Perceptions were reported to be influenced by a negative previous experience with the vaccine [34,68], and advice from others against vaccination [62,68].…”

Section: Seasonal Influenza Vaccinesmentioning

confidence: 99%

The benefit of the doubt or doubts over benefits? A systematic literature review of perceived risks of vaccines in European populations

Karafillakis

Larson

2017

Vaccine

255

206

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Findings: A total of 145 articles were selected, most of which were conducted in the UK, the Netherlands and France and studied seasonal influenza, HPV and pandemic influenza vaccination. Across all countries and vaccines, the primary area of concern was vaccine safety, followed by perceptions of low likelihood of contracting vaccine-preventable diseases (VPDs), perceived low severity of VPDs, beliefs that vaccines do not work, and overall lack of information. Concerns were found to be vaccine-, country-and populationspecific. Conclusion: In addition to identifying concerns about vaccination in Europe, this study confirmed the notion that individuals have many safety concerns about vaccination and often believe that the risks of vaccination outweigh their benefits. More research needs to be conducted to explore the impact of different types of communication strategies, which would frame the benefits of vaccination as well as risks of not vaccinating. Strategies to better inform public perceptions of vaccines should include the provision of unbiased, comprehensive information tailored to population information needs, and delivered using multiple and new communication technologies such as social media.

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“…The variation in vaccine uptake between practices, and the key role GPs can and should play in maximising compliance, has been discussed in this journal many times before, most recently in the context of influenza vaccination for at-risk children. 15 so What Works? So to return to the title -what works in general practice?…”

Section: When Governments Failmentioning

confidence: 99%

Health checks and screening: what works in general practice?

Mant

2014

Br J Gen Pract

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Parental reasons for non-uptake of influenza vaccination in young at-risk groups: a qualitative study

Cited by 36 publications

References 6 publications

Factors associated with influenza vaccine uptake during a universal vaccination programme of preschool children in England and Wales: a cohort study

Factors associated with influenza vaccine uptake during a universal vaccination programme of preschool children in England and Wales: a cohort study

The benefit of the doubt or doubts over benefits? A systematic literature review of perceived risks of vaccines in European populations

Health checks and screening: what works in general practice?

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