An increasing number of parents are questioning the safety and necessity of routine childhood immunizations. Locally produced vaccine risk communication materials may be effective in reassuring these parents. However, little is known about specific vaccine safety concerns in the state of Kentucky.
An Internet-based survey focusing on parental vaccine safety concerns and potential vaccine risk communication strategies was sent to all members of the Kentucky Chapter of the Amerian Academy of Pediatrics.
There were 121 respondents who routinely administered childhood vaccines. Of these, 85% reported parental concern about the combined measles-mumps-rubella (MMR) vaccine. Concerns about the influenza and human papillomavirus (HPV) vaccines were also frequent. Of the respondents, 46% noted parental skepticism about all vaccines in general. However, refusal of all vaccines was uncommon in most practices (median 1%, interquartile range 1%-3%). The belief that vaccines cause autism was the most prevalent parental concern, reported by 70% of pediatricians. Physicians also reported that a list of reliable vaccine information Websites and pamphlets addressing common vaccine safety concerns would be the most helpful materials to use during their discussions with concerned parents.
These findings suggest that specific information about the MMR, influenza, and HPV vaccines, as well as data refuting the putative link between vaccines and autism would be useful to physicians who administer vaccinations. Respondents were especially interested in reliable vaccine information on the Internet. The Websites listed below offer accurate scientific information about vaccines and the diseases they prevent.
"In addition, parents are also concerned about possible links between vaccinations and diseases like autism, diabetes, Crohn's disease, asthma and allergies and immune system overload (Hamilton et al. 2004; Borras et al. 2009; Smith et al. 2009; Freed et al. 2010; Luthy et al. 2010). Thus, parents are concerned about many aspects related to vaccination, from immediate pain and multiple vaccinations given simultaneously to long-term health issues (Petousis-Harris et al. 2002; Luthy et al. 2010). "
[Show abstract][Hide abstract] ABSTRACT: Evaluating the 'Common Reactions to Vaccination' post-vaccination care resource was seen as an opportunity to contribute to the limited literature base in this important area, learn from the strengths and weaknesses of the resource and gain insight into post-vaccination care practices. Semi-structured in-depth interviews were conducted with 12 general practitioners and 29 practice nurses in New South Wales and Australian Capital Territory, Australia. Structured interview guides were used and data was analysed thematically. A self-administered survey was also distributed to parents or guardians during routine childhood vaccination visits. When compared with previous resources, participants felt the new resource was more appropriate as it had a simple layout; it was colourful, incorporated pictures and had basic and practical information. Information about post-vaccination care and common reactions to vaccination must be provided in written form accompanied by a verbal reinforcement so that patients can revisit the information at a later stage if required. The 'Common Reactions to Vaccination' post-vaccination care resource provides comprehensive information in an easy-to-understand pictorial way and was appreciated by both vaccination providers and patients.
Australian Journal of Primary Health 01/2010; 16(3):246-51. DOI:10.1071/PY10002 · 0.96 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Human papillomavirus (HPV) infection and cervical cancer disproportionately affect low-income and minority women. HPV vaccines have the potential to either reduce or exacerbate racial disparities in HPV-related diseases and cervical cancers, depending on the equitability of vaccine uptake.
This review aims to identify barriers and facilitators of equitable uptake of HPV vaccination among low-income and minority girls. This review discusses factors related to race, ethnicity, and income that are associated with initiation and completion rates of the 3-dose HPV vaccine series and presents targets for intervention.
We reviewed relevant English-language literature to identify current vaccination rates and factors associated with vaccine uptake. Study findings related to race (black, Latino, Asian), and incomes were summarized.
Current trends in the United States indicate low uptake among all adolescents, and that rates stagnated between 2011 and 2012. Low-income and minority adolescents are equally or more likely to start the HPV vaccination series than are white and higher-income adolescents, but are less likely to complete all 3 shots. Provider recommendation is a key factor in HPV vaccination, and minorities are less likely to report receiving recommendations for HPV vaccination.
As black, Hispanic, and Asian populations continue to grow in the United States over the next several decades, it is imperative that we not only improve HPV vaccination rates overall, but also focus on high-risk populations to prevent an increase in cervical cancer disparities.
[Show abstract][Hide abstract] ABSTRACT: Background: Parents' knowledge and attitudes towards immunization are likely influence uptake. The objective of this study was to assess parental knowledge, and attitudes on childhood immunization among Saudi parents. Methods: A cross-sectional survey was conducted during April 2013 in Taif, Saudi Arabia. Convenient method of sampling was adopted. Parents with children of 0-12 years old were invited to participate. Data was collected through face-to -face interview method using a pre-tested structured questionnaire. Data was processed using the software Statistical Package for Social Science (SPPS) (Version 21). Descriptive statistics were used to describe all variables. Association between dependent variables (knowledge, and attitudes) and independent ones (parents' demographics) were tested using Chi-square test. P values of < 0.05 were considered statistically significant. Results: A total of 731 parents were recruited. Parents had good knowledge on aspects related to the general role of vaccination in prevention of some infectious diseases 672(91.9%), timing of the first dose in vaccination schedule 635(86.9%). However, poor knowledge was documented among parents in other aspects like the importance of administration of multiple doses of the same vaccine to child immunity 304(41.6%), administration of multiple vaccines at the same time have no negative impacts on child immunity 271(37.1%), vaccination of children against seasonal influenza 334(45.7%) and contraindication to vaccination 287(39.3%). Parents attitudes towards immunization was positive expect in some aspects related to vaccination side effects 316 (34.2%) and the probability of occurrence of diseases against which the child was vaccinated 288(39.4%). Gender, residence and educational level were found to be significantly associated with both parents' knowledge and attitudes towards immunization. Conclusions and recommendations: Although parents had good knowledge and positive attitudes on some aspects related childhood immunization, gaps in both studied domains were identified. Educational interventions are needed to upgrade parents' knowledge with special emphasis on less educated and residents of rural areas. INTRODUCTION Immunization has greatly reduced the burden of infectious diseases . Immunization prevents illness, disability and death from vaccine-preventable diseases including diphtheria, measles, pertussis, pneumonia, polio, rotavirus diarrhoea, rubella and tetanus . Parents' knowledge about immunization and their attitudes towards them are likely influence uptake . Previous studies revealed misconceptions on parents' knowledge and negative attitudes towards childhood immunization. Mothers' knowledge about vaccination was found to be quite low and their educational status was significantly associated with child's coverage . Negative attitude, for example mothers fear from vaccination, was found to be significantly affected the immunization status of their children . Zagminas et al.  assessed parents' knowledge on immunization and noted that most of the respondents can be characterized as having a positive
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