Attitudes towards vaccination among chiropractic and naturopathic students
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada L8N 3Z5. Vaccine
(Impact Factor: 3.62).
08/2008; 26(49):6237-43. DOI: 10.1016/j.vaccine.2008.07.020
We have investigated the attitudes towards vaccination of undergraduate chiropractic and naturopathic students in the two major complementary and alternative medicine colleges in Canada. While the majority of the students were not averse to vaccination, we found in both colleges that anti-vaccination attitudes were more prevalent in the later years of the programs. Reasons for this are discussed, and we provide suggestions for strategies to address the situation.
Available from: Jason W Busse
- "CCNM has a 4-year program, with approximately 120 students/year of study. CMCC is the only English-language chiropractic college in Canada and CCNM is one of two accredited naturopathic colleges in Canada (Busse et al. 2008). Each focus group consisted of five to seven participants from each year of study in each program, except for the MMS year 1 group, which had only four participants. "
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ABSTRACT: An important influence on parents' decisions about pediatric vaccination (children under 6 years of age) is the attitude of their health care providers, including complementary and alternative medicine (CAM) providers. Very limited qualitative research exists, however, on how attitudes towards vaccination develop among healthcare professionals in-training. We explored perspective development among three groups of students: medical, chiropractic, and naturopathic. We conducted focus group sessions with participants from each year of study at three different healthcare training programs in Ontario, Canada. Semi-structured and open-ended questions were used to elicit dynamic interaction among participants and explore how they constructed their attitudes toward vaccination at the beginning and part way through their professional training. Analyses of verbatim transcripts of audio-taped interviews were conducted both inductively and deductively using questions structured by existing literature on learning, professional socialization and interprofessional relations. We found five major themes and each theme was illustrated with representative quotes.
Advances in Health Sciences Education 03/2015; DOI:10.1007/s10459-015-9602-4 · 2.12 Impact Factor
Available from: Michelle M Hughes
- "As vaccine safety has been cited as a key reason for nonvaccination , we further investigated associations between beliefs in vaccine safety with other provider variables. Medical providers had a higher belief in the safety of vaccines compared to non-medical providers, similar to findings from a cross-section study of Canadian naturopathic and chiropractic students where the further along a student was in their studies, the more likely he or she was to have negative views of vaccines . We found no association between provider's community size and parental belief in vaccine safety in contrast to an earlier study . "
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ABSTRACT: Health care providers influence parental vaccination decisions. Over 90% of parents report receiving vaccine information from their child's health care provider. The majority of parents of vaccinated children and children exempt from school immunization requirements report their child's primary provider is a good source for vaccine information. The role of health care providers in influencing parents who refuse vaccines has not been fully explored. The objective of the study was to determine the association between vaccine-related attitudes and beliefs of health care providers and parents.
We surveyed parents and primary care providers of vaccinated and unvaccinated school age children in four states in 2002-2003 and 2005. We measured key immunization beliefs including perceived risks and benefits of vaccination. Odds ratios for associations between parental and provider responses were calculated using logistic regression.
Surveys were completed by 1367 parents (56.1% response rate) and 551 providers (84.3% response rate). Parents with high confidence in vaccine safety were more likely to have providers with similar beliefs, however viewpoints regarding disease susceptibility and severity and vaccine efficacy were not associated. Parents whose providers believed that children get more immunizations than are good for them had 4.6 higher odds of holding that same belief compared to parents whose providers did not have that belief.
The beliefs of children's health care providers and parents, including those regarding vaccine safety, are similar. Provider beliefs may contribute to parental decisions to accept, delay or forgo vaccinations. Parents may selectively choose providers who have similar beliefs to their own.
Vaccine 07/2013; 31(41). DOI:10.1016/j.vaccine.2013.07.039 · 3.62 Impact Factor
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ABSTRACT: This study examined the relationship among chiropractors' personal immunization decisions, the vaccination status of their children, and their interest in referring patients for immunization.
This was a secondary analysis of data collected in a 2002 postal survey of Alberta chiropractors (response rate, 78.2%). Analysis was restricted to chiropractors with children (n = 325). Chiropractors indicated their own vaccination status, that of their children, and their interest in referring patients for immunization. Data analysis included frequencies, cross tabulations, and logistic regression models (alpha = .05).
Most respondents were male (83.4%), had more than one child (71.8%), and had graduated from chiropractic college a median of 13 years before survey. Of the chiropractors, 92.6% had ever been immunized, but only 35.7% would accept immunization for themselves in the future. Further, 66.8% had at least one immunized child, and 21.8% indicated interest in referring patients for immunization. Chiropractors who would accept immunization for self in the future, compared with those who would not, were more likely to indicate interest in patient referral for immunization (odds ratio, 11.4; 95% confidence interval, 5.4-24.0; P < .001). Chiropractors who have at least one immunized child, compared with those with none immunized, were 6.2 times more likely to indicate interest in referring patients for immunization (odds ratio, 6.2; 95% confidence interval, 1.4-28.4; P = .018).
Alberta chiropractors are consistent in their personal and professional behaviors. Chiropractors who accept vaccinations for themselves or their children are more likely to refer patients to public health for immunizations.
Journal of manipulative and physiological therapeutics 07/2009; 32(6):448-52. DOI:10.1016/j.jmpt.2009.06.006 · 1.48 Impact Factor
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