Vaccine Attitudes, Concerns, and Information Sources Reported by Parents of Young Children: Results From the 2009 HealthStyles Survey

Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
PEDIATRICS (Impact Factor: 5.47). 05/2011; 127 Suppl 1(Supplement 1):S92-9. DOI: 10.1542/peds.2010-1722N
Source: PubMed


To describe the vaccine-related attitudes, concerns, and information sources of US parents of young children.
We calculated weighted proportions and 95% confidence intervals for vaccine-related attitudes, concerns, and information sources of parents with at least 1 child aged 6 years or younger who participated in the 2009 HealthStyles survey.
The overall response rate for the survey was 65% (4556 of 7004); 475 respondents were parents or guardians ("parents") of at least 1 child aged 6 years or younger. Among those respondents, nearly all (93.4%) reported that their youngest child had or would receive all recommended vaccines. The majority of parents reported believing that vaccines were important to children's health (79.8%) and that they were either confident or very confident in vaccine safety (79.0%). The vaccine-related concern listed most often by parents was a child's pain from the shots given in 1 visit (44.2%), followed by a child getting too many vaccines at 1 doctor's visit (34.2%). When asked to list their most important sources of information on vaccines, the most common response was a child's doctor or nurse (81.7%).
To maintain and improve on the success of childhood vaccines in preventing disease, a holistic approach is needed to address parents' concerns in an ongoing manner. Listening and responding in ways and with resources that address specific questions and concerns could help parents make more informed vaccination decisions.

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    • "This indicates that more knowledge and better information may result in less concern. Health care professionals play an important role in this education161718and strangely, one of the most important reasons for parents postponing or abandoning immunisation is information from health care professionals according to a recent study[23]. Less than 10% of participants in our study had concerns or fear of vaccine adverse effects while at the same time more than 95% of participants had a positive attitude towards childhood vaccinations and intend to have their children vaccinated. "
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    ABSTRACT: Introduction: In recent years, vaccine preventable diseases such as measles and pertussis have been re-emerging in Western countries, maybe because of decreasing participation in childhood vaccination programs in some countries. There is clear evidence for vaccine efficacy and the risk of adverse effects is low. This needs to be communicated to the general public. The aim of the study was to evaluate the public opinion on childhood vaccinations in Iceland. Materials and methods: An internet based study was used to evaluate the opinion on childhood immunisations in Iceland. The cohort was divided in three groups: (a) general public (b) employees of the University Hospital Iceland and (c) employees (teachers and staff) of the University of Iceland. The cohorts could be stratified according to age, gender, education, household income, parenthood and residency. Results: Responses were received from 5584 individuals (53% response rate). When asked about childhood vaccinations in the first and second year of life, approximately 95% of participants were "positive" or "very positive", approximately 1% were "negative" or "very negative". When participants were asked whether they would have their child immunized according to the Icelandic childhood vaccination schedule, 96% were "positive" or "very positive", 1.2% were "negative" or "very negative". Similarly, 92% trust Icelandic Health authorities to decide on childhood vaccination schedule, 2.3% did not. In total, 9.3% "rather" or "strongly" agreed to the statement "I fear that vaccinations can cause severe adverse effects", 17.5% were undecided and 66.9% "disagreed" or "strongly disagreed". Individuals with higher education were more likely to disagree with this statement (OR=1.45, CI95=1.29-1.64, p<0.001) as did males (OR=1.22, CI95=1.087-1.379, p=0.001). Conclusion: This study shows a very positive attitude towards vaccinations raising expectations for an ongoing success in preventing preventable communicable diseases in childhood in Iceland.
    Full-text · Article · Nov 2015 · Vaccine
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    • "This is particularly true in the health domain, where new parents often need to acquire and assess information on a broad number of topics regarding the health and safety of their soon-to-arrive newborn, including vaccines and vaccinations. Although recommended childhood vaccinations have led to 96%–100% declines in mortality in the U.S. for several once-common diseases, there have been recent outbreaks of vaccine-preventable diseases in the U.S. linked to unvaccinated children[2] [3] [4] (e.g., measles and Haemophilus influenzae Type b) and there is evidence that a number of parents are hesitant when it comes to routinely recommended vaccinations [5] [6] [7] [8]. A number of studies have examined the vaccine-and vaccination-related confidence, knowledge, attitudes, and beliefs of parents of young children[9] [10] [11]; however, relatively few U.S. studies have focused on new or expectant mothers, who are a group that will soon be making vaccine-related decisions [12] [13] [14] [15] [16] [17]. "
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    ABSTRACT: This study focused on how first-time mothers decide or intend to decide with respect to the recommended childhood immunization schedule.
    Full-text · Article · Nov 2015
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    • "Most parents (79.6%) use 2 to 6 sources when searching for information about childhood vaccination [15]. Different studies have shown that healthcare providers are perceived as the most common and trusted sources of vaccine related information [16,17]. Jones et al. (2012) [15] and Downs et al. (2008) [12] showed that when parents did not view their child healthcare provider as a reliable source of information, they were more likely to obtain information about vaccination through the Internet with the help of search engines [18]. "
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    ABSTRACT: People want to be well informed and ask for more information regarding their health. The public can use different sources (i.e. the Internet, health care providers, friends, family, television, radio, and newspapers) to access information about their health. Insight into the types and sources of vaccine related information that parents use, and reasons why they seek extra information is needed to improve the existing information supply about childhood vaccinations. Dutch parents with one or more children aged 0-4 years received an online questionnaire (N = 4000) measuring psychosocial determinants of information-seeking behaviour and self-reports of types and sources of vaccine information searched for (response rate 14.8%). We also tested two invitation approaches (i.e., reply card versus Internet link in invitation letter) to observe the difference in response rate. Almost half of the parents (45.8%) searched for extra information. Of all the respondents, 13% indicated they had missed some information, particularly about side effects of vaccines (25%). Intention to search for vaccination information was influenced by positive attitude and perceived social norm towards information-seeking behaviour. There was no difference in the response rate between the two invitation approaches. The information provided by the National Immunization Programme (NIP) might be sufficient for most parents. However, some parents mentioned that they did not receive enough information about side effects of vaccinations, which was also the topic most searched for by parents. Public Health Institutes (PHIs) and child healthcare workers should therefore be aware of the importance to mention this aspect in their communication (materials) towards parents. The PHIs must ensure that their website is easy to find with different search strategies. Since the child healthcare worker is perceived as the most reliable information source, they should be aware of their role in educating parents about the NIP.
    Full-text · Article · Dec 2013 · BMC Public Health
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