Vaccine Message Framing and Parents’ Intent to Immunize Their Infants for MMR

Hendrix, Kristin S.; Finnell, S. Maria E.; Zimet, Gregory D.; Sturm, Lynne; Lane, Kathleen A.; Downs, Stephen M.

doi:10.1542/peds.2013-4077

Cited by 89 publications

(64 citation statements)

References 37 publications

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“…Experiences from Uganda and Peru indicated that simple messages, emphasizing health benefits to girls, were as effective in gaining high vaccination uptake as more complicated messages [59]. Similarly, simplified messages were found to increase uptake of measles, mumps, and rubella vaccination for infants [60], supporting the communications benefits of simple, clear messaging.…”

Section: Discussionmentioning

confidence: 99%

Social mobilisation, consent and acceptability: a review of human papillomavirus vaccination procedures in low and middle-income countries

et al. 2016

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BackgroundSocial mobilisation during new vaccine introductions encourages acceptance, uptake and adherence to multi-dose schedules. Effective communication is considered especially important for human papillomavirus (HPV) vaccine, which targets girls of an often-novel age group. This study synthesised experiences and lessons learnt around social mobilisation, consent, and acceptability during 55 HPV vaccine demonstration projects and 8 national programmes in 37 low and middle-income countries (LMICs) between January 2007 and January 2015.MethodsA qualitative study design included: (i) a systematic review, in which 1,301 abstracts from five databases were screened and 41 publications included; (ii) soliciting 124 unpublished documents from governments and partner institutions; and (iii) conducting 27 key informant interviews. Data were extracted and analysed thematically. Additionally, first-dose coverage rates were categorised as above 90 %, 90–70 %, and below 70 %, and cross-tabulated with mobilisation timing, message content, materials and methods of delivery, and consent procedures.ResultsAll but one delivery experience achieved over 70 % first-dose coverage; 60 % achieved over 90 %. Key informants emphasized the benefits of starting social mobilisation early and actively addressing rumours as they emerged. Interactive communication with parents appeared to achieve higher first-dose coverage than non-interactive messaging. Written parental consent (i.e., opt-in), though frequently used, resulted in lower reported coverage than implied consent (i.e., opt-out). Protection against cervical cancer was the primary reason for vaccine acceptability, whereas fear of adverse effects, exposure to rumours, lack of project/programme awareness, and schoolgirl absenteeism were major reasons for non-vaccination.ConclusionsDespite some challenges in obtaining parental consent and addressing rumours, experiences indicated effective social mobilisation and high HPV vaccine acceptability in LMICs. Social mobilisation, consent, and acceptability lessons were consistent across world regions and HPV vaccination projects/programmes. These can be used to guide HPV vaccination communication strategies without additional formative research.

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Section: Discussionmentioning

confidence: 99%

Social mobilisation, consent and acceptability: a review of human papillomavirus vaccination procedures in low and middle-income countries

et al. 2016

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“…27 To support herd immunity, parents are often asked to consider wider societal interests in addition to their own child's interests. However, a review 28 found variable impacts on parents' decisions in a heterogeneous range of studies and a more recent study 29 found no additional benefit of emphasizing societal benefit over benefit to the child.…”

Section: Introductionmentioning

confidence: 99%

To close the childhood immunization gap, we need a richer understanding of parents' decision-making

Corben

Leask

2016

Human Vaccines & Immunotherapeutics

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Vaccination is widely acknowledged as one of the most successful public health interventions globally and in most high-income countries childhood vaccination coverage rates are moderately high. Yet in many instances, immunisation rates remain below aspirational targets and have shown only modest progress toward those targets in recent years, despite concerted efforts to improve uptake. In part, coverage rates reflect individual parents' vaccination attitudes and decisions and, because vaccination decision-making is complex and context-specific, it remains challenging at individual and community levels to assist parents to make positive decisions. Consequently, in the search for opportunities to improve immunisation coverage, there has been a renewed research focus on parents' decision-making. This review provides an overview of the literature surrounding parents' vaccination decision-making, offering suggestions for where efforts to increase vaccination coverage should be targeted and identifying areas for further research.

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“…22,[25][26][27] However, published data are mixed or unclear regarding both the effectiveness of communicating to the public the societal benefits of immunization and the prevalence of free-riding among parents deciding about vaccination for their children. [28][29][30][31] Some parents do invoke the herd immunity argument as a reason not to vaccinate, suggesting that it is unnecessary that they expose their child to the risk of sideeffects from vaccination if everyone else is vaccinated to a level that prevents the spread of illnesses. 32 Parental decisionmaking about vaccination lends itself to analysis using game theory, 33 which we will not pursue here, except to support the notion suggested by Shim et al that vaccination decisions are not simply selfish or selfless but may involve complex relationships between these motivations.…”

Section: The Tragedy Of the (Herd Immunity) Commonsmentioning

confidence: 99%

Ethics and Childhood Vaccination Policy in the United States

et al. 2016

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Childhood immunization involves a balance between parents' autonomy in deciding whether to immunize their children and the benefits to public health from mandating vaccines. Ethical concerns about pediatric vaccination span several public health domains, including those of policymakers, clinicians, and other professionals.In light of ongoing developments and debates, we discuss several key ethical issues concerning childhood immunization in the United States and describe how they affect policy development and clinical practice. We focus on ethical considerations pertaining to herd immunity as a community good, vaccine communication, dismissal of vaccine-refusing families from practice, and vaccine mandates.Clinicians and policymakers need to consider the nature and timing of vaccine-related discussions and invoke deliberative approaches to policymaking. (Am J Public Health.

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Vaccine Message Framing and Parents’ Intent to Immunize Their Infants for MMR

Cited by 89 publications

References 37 publications

Social mobilisation, consent and acceptability: a review of human papillomavirus vaccination procedures in low and middle-income countries

Social mobilisation, consent and acceptability: a review of human papillomavirus vaccination procedures in low and middle-income countries

To close the childhood immunization gap, we need a richer understanding of parents' decision-making

Ethics and Childhood Vaccination Policy in the United States

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