Parental Fear of the Vaccination
Keywords:
vaccination fear, vaccine hesitancy, vaccine refusal, child immunization, parentsAbstract
Vaccination is considered one of the greatest achievements of public health. However, in Slovenia, as in other countries, the number of parents who are afraid of vaccination is increasing. Most of these fears stem from inaccessible, false, conflicting and negative information about vaccines and their side effects, which can have long-term effects on children. In order to determine the reasons for not vaccinating children, we have reviewed scientific articles published between 2008 and 2019 in the databases SAGE, SpringerLink, ProQuest, PubMed, MEDLINE, ScienceDirect, and Wiley Online Library databases. Of 5376 identified publications, 15 articles were included in the final analysis. We found that the most common causes of fear of vaccination are the following: side effects of vaccines, which include the development of other diseases and disorders, dangerous ingredients of the vaccine, the introduction of the virus into the body and negative personal experiences of parents and siblings. Factors that increase the parents’ fear of vaccination may become the reasons for not vaccinating children.
References
Baker, J. P. (2008). Mercury, vaccines, and autism: one controversy, three histories. American Journal of Public Health, 98, št. 2, str. 244–253.
Bedford, H. in Elliman, D. (2000). Concerns about immunisation. BMJ: British Medical Journal, 320, št. 7229, str. 240–243.
Betsch, C., Brewer, N. T., Brocard, P., Davies, P., Gaissmaier, W., Haase, N. idr. (2012). Opportunities and challenges of Web 2.0 for vaccination decisions. Vaccine, 30, št. 25, str. 3727–3733.
Blaisdell, L. L., Gutheil, C., Hootsmans, N. A. and Han, P. K. (2016). Unknown risks: parental hesitation about vaccination. Medical Decision Making, 36, št. 4, str. 479–489.
Brown, K. F., Long, S. J., Ramsay, M., Hudson, M. J., Green, J., Vincent, C. A. idr. (2012). UK parents’ decision-making about measles–mumps–rubella (MMR) vaccine 10 years after the MMRautism controversy: A qualitative analysis. Vaccine, 30, št. 10, str. 1855–1864.
Bults, M., Beaujean, D. J., Richardus, J. H., van Steenbergen, J. E. and Voeten, H. A. (2011). Pandemic influenza A (H1N1) vaccination in The Netherlands: parental reasoning underlying child vaccination choices. Vaccine, 29, št. 37, str. 6226–6235.
Burgess, D. C., Burgess, M. A. in Leask, J. (2006). The MMR vaccination and autism controversy in United Kingdom 1998–2005: Inevitable community outrage or a failure of risk communication?. Vaccine, 24, št. 18, str. 3921–3928.
Cassell, J. A., Leach, M., Poltorak, M. S., Mercer, C. H., Iversen, A. and Fairhead, J. R. (2006). Is the cultural context of MMR rejection a key to an effective public health discourse?. Public health, 120, št. 9, str. 783–794.
Chen, M. F., Wang, R. H., Schneider, J. K., Tsai, C. T., Jiang, D. D. S., Hung, M. N. idr. (2011). Using the health belief model to understand caregiver factors influencing childhood influenza vaccinations. Journal of community health nursing, 28, št. 1, str. 29–40.
Centers for Disease Control and Prevention [CDC]. (1999). Ten great public health achievements-United States, 1900–1999. MMWR. Morbidity and mortality weekly report, 48, št. 12, str. 241.
Dawar, M., Dobson, S., Kallos, A., LaJeunesse, C., Weatherill, S. and Daly, P. (2002). Measuring hepatitis B uptake in a new universal infant program. Canadian Journal of Public Health/Revue Canadienne de Sante'e Publique, str. 281–284.
Delkhosh, M., Negarandeh, R., Ghasemi, E. and Rostami, H. (2014). Maternal concerns about immunization over 0–24 month children: a qualitative research. Issues in comprehensive pediatric nursing, 37, št. 4, str. 235–249.
Diekema, D. S. (2013). Provider dismissal of vaccine-hesitant families: misguided policy that fails to benefit children. Human vaccines & immunotherapeutics, 9, št. 12, str. 2661–2662.
Dubé, E., Laberge, C., Guay, M., Bramadat, P., Roy, R. and Bettinger, J. A. (2013). Vaccine hesitancy: an overview. Human vaccines & immunotherapeutics, 9, št. 8, str. 1763–1773.
Espeleta, H. C., Beasley, L. O., Ridings, L. E., Smith, T. J. and Shields, J. D. (2017). Immunizing Children: A Qualitative Analysis of Future Parental Decision Making. Clinical Pediatrics, 0009922817701173.
Fahlquist, N. J. (2017). Vaccine hesitancy and trust. Ethical aspects of risk communication. Scandinavian journal of public health, 1403494817727162.
Favin, M., Steinglass, R., Fields, R., Banerjee, K. and Sawhney, M. (2012). Why children are not vaccinated: a review of the grey literature. International health, 4, št. 4, str. 229–238.
Figueiredo, G. L. A., Pina, J. C., Tonete, V. L. P., Lima, R. A. G. D. and Mello, D. F. D. (2011). Experiences of families in the immunization of Brazilian children under two years old. Revista Latino-Americana de Enfermagem, 19, št. 3, str. 598–605.
Flanagan - Klygis, E. A., Sharp, L. and Frader, J. E. (2005). Dismissing the family who refuses vaccines: a study of pediatrician attitudes. Archives of pediatrics & adolescent medicine, 159, št. 10, str. 929–934.
Fombonne, E. (2008). Thimerosal disappears but autism remains. Archives of General Psychiatry, 65, št. 1, str. 15–16.
Freed, G. L., Clark, S. J., Hibbs, B. F. and Santoli, J. M. (2004). Parental vaccine safety concerns: the experiences of pediatricians and family physicians. American journal of preventive medicine, 26, št. 1, str. 11–14.
Giambi, C., D'Ancona, F., Del Manso, M., De Mei, B., Giovannelli, I., Cattaneo, C. idr. (2014). Exploring reasons for non-vaccination against human papillomavirus in Italy. BMC infectious diseases, 14, št. 1, str. 545.
Glanz, J. M., Wagner, N. M., Narwaney, K. J., Shoup, J. A., McClure, D. L., McCormick, E. V. idr. (2013). A mixed methods study of parental vaccine decision making and parent–provider trust. Academic pediatrics, 13, št. 5, str. 481–488.
Gross, L. (2009). A broken trust: lessons from the vaccine–autism wars. PLoS biology, 7, št. 5, e1000114.
Gust, D., Brown, C., Sheedy, K., Hibbs, B., Weaver, D. and Nowak, G. (2005). Immunization attitudes and beliefs among parents: beyond a dichotomous perspective. American journal of health behavior, 29, št. 1, str. 81–92.
Gust, D. A., Kennedy, A., Wolfe, S., Sheedy, K., Nguyen, C. and Campbell, S. (2007). Developing tailored immunization materials for concerned mothers. Health education research, 23, št. 3, str. 499–511.
Harmsen, I. A., Mollema, L., Ruiter, R. A., Paulussen, T. G., de Melker, H. E. and Kok, G. (2013). Why parents refuse childhood vaccination: a qualitative study using online focus groups. BMC Public Health, 13, št. 1, str. 1183.
Hoekstra, S. and Margolis, L. (2016). The Importance of the Nursing Role in Parental Vaccine Decision Making. Clinical pediatrics, 55, št. 5, str. 401–403.
Kapp, C. (2004). Nigerian states again boycott polio-vaccination drive. Lancet, 363, št. 9410, str. 709.
Kelley, C. A., Velazco, C. S., Delaney, T. V., Bensimhon, A., Huang, K. N., Jarvis, P. R. idr. (2015). Factors contributing to suboptimal rates of childhood vaccinations in Vermont. Journal of Child Health Care, 19, št. 4, str. 558–568.
Kempe, A., Daley, M. F., McCauley, M. M., Crane, L. A., Suh, C. A., Kennedy, A. M. idr. (2011). Prevalence of parental concerns about childhood vaccines: the experience of primary care physicians. American journal of preventive medicine, 40, št. 5, str. 548–555.
Kennedy, A., Basket, M. and Sheedy, K. (2011). Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey. Pediatrics, str. S92–S99.
Kurup, L., Shorey, S., Wang, W. and He, H. G. (2017). An integrative review on parents’ perceptions of their children’s vaccinations. Journal of Child Health Care, 21, št. 3, str. 343–352
Leask, J., Kinnersley, P., Jackson, C., Cheater, F., Bedford, H. and Rowles, G. (2012). Communicating with parents about vaccination: a framework for health professionals. BMC pediatrics, 12, št. 1, str. 154.
Lee, S., Riley - Behringer, M., Rose, J. C., Meropol, S. B. and Lazebnik, R. (2016). Parental Vaccine Acceptance: A Logistic Regression Model Using Previsit Decisions. Clinical pediatrics, 56, št. 8, str. 716–722.
Leib, S., Liberatos, P. and Edwards, K. (2011). Pediatricians' experience with and response to parental vaccine safety concerns and vaccine refusals: a survey of Connecticut pediatricians. Public Health Reports, 126, št. 2, str. 13–23.
Luthy, K. E., Beckstrand, R. L., Callister, L. C. and Cahoon, S. (2012). Reasons parents exempt children from receiving immunizations. The Journal of School Nursing, 28, št. 2, str. 153-160.
Lyren, A. and Leonard, E. (2006). Vaccine refusal: issues for the primary care physician. Clinical pediatrics, 45, št. 5, str. 399–404.
Masaryk, R. and Hatoková, M. (2016). Qualitative inquiry into reasons why vaccination messages fail. Journal of health psychology, 22, št. 14, str. 1880–1888.
McKee, C. and Bohannon, K. (2016). Exploring the reasons behind parental refusal of vaccines.The Journal of Pediatric Pharmacology and Therapeutics, 21, št. 2, str. 104–109.
Mills, E., Jadad, A. R., Ross, C. and Wilson, K. (2005). Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination. Journal of clinical epidemiology, 58, št. 11, str. 1081–1088.
Murch, S. H., Anthony, A., Casson, D. H., Malik, M., Berelowitz, M., Dhillon, A. P. idr. (2004). Retraction of an interpretation. Lancet (London, England), 363, št. 9411, str. 750.
Pal, M., Goodyear - Smith, F. and Exeter, D. (2014). Factors contributing to high immunisation coverage among New Zealand Asians. Journal of primary health care, 6, št. 4, str. 304–311.
Parker, S. K., Schwartz, B., Todd, J. and Pickering, L. K. (2004). Thimerosal-containing vaccines and autistic spectrum disorder: a critical review of published original data. Pediatrics, 114, št. 3, str. 793–804.
Pearce, A., Law, C., Elliman, D., Cole, T. J. and Bedford, H. (2008). Factors associated with uptake of measles, mumps, and rubella vaccine (MMR) and use of single antigen vaccines in a contemporary UK cohort: prospective cohort study. Bmj, 336, št. 7647, str. 754–757.
Perkins, R. B., Tipton, H., Shu, E., Marquez, C., Belizaire, M., Porter, C. idr. (2013). Attitudes toward HPV vaccination among low-income and minority parents of sons: a qualitative analysis. Clinical pediatrics, 52, št. 3, str. 231–240.
Peterson, R. M., Cook, C., Yerxa, M. E., Marshall, J. H., Pulos, E. and Rollosson, M. P. (2012). Improving immunization coverage in a rural school district in Pierce County, Washington. The Journal of School Nursing, 28, št. 5, str. 352–357.
Plotkin, S., Gerber, J. S. and Offit, P. A. (2009). Vaccines and autism: a tale of shifting hypotheses. Clinical Infectious Diseases, 48, št. 4, str. 456–461.
Plumridge, E., Goodyear Smith, F. in Ross, J. (2009). Nurse and parent partnership during children’s vaccinations: a conversation analysis. Journal of advanced nursing, 65, št. 6, str. 1187–1194.
Rosen, B. L., Shew, M. L., Zimet, G. D., Ding, L., Mullins, T. L. and Kahn, J. A. (2017). Human Papillomavirus Vaccine Sources of Information and Adolescents’ Knowledge and Perceptions. Global pediatric health, 4, 2333794X17743405.
Ruijs, W. L., Hautvast, J. L., van IJzendoorn, G., van Ansem, W. J., Elwyn, G., Van der Velden, K. idr. (2012). How healthcare professionals respond to parents with religious objections to vaccination: a qualitative study. BMC health services research, 12, št. 1, str. 231.
Saad O. B., Salmon, D. A., Orenstein, W. A., Dehart, M. P. and Halsey, N. (2009). Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases. New England Journal of Medicine, 360, št. 19, str. 1981–1988.
Sabra, A., Bellanti, J. A. and Colón, A. R. (1998). Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. The Lancet, 352, št. 9123, str. 234–235.
Schmitt, H. J., Booy, R., Aston, R., Van Damme, P., Schumacher, R. F., Campins, M. idr. (2007). How to optimise the coverage rate of infant and adult immunisations in Europe. BMC medicine, 5, št. 1, str. 11.
Sheikh, A., Iqbal, B., Ehtamam, A., Rahim, M., Shaikh, H. A., Usmani, H. A. idr. (2013). Reasons for non-vaccination in pediatric patients visiting tertiary care centers in a polio-prone country. Archives of Public Health, 71, št. 1, str. 19.
Smailbegovic, M. S., Laing, G. J. and Bedford, H. (2003). Why do parents decide against immunization? The effect of health beliefs and health professionals. Child: care, health and development, 29, št. 4, str. 303–311.
Smith, L. E., Amlôt, R., Weinman, J., Yiend, J. and Rubin, G. J. (2017). A systematic review of factors affecting vaccine uptake in young children. Vaccine, 35, št. 45, str. 6059–6069.
Spier, R. E. (2001). Perception of risk of vaccine adverse events: a historical perspective.Vaccine, 20, str. S78–S84.
Tickner, S., Leman, P. J. and Woodcock, A. (2010). Parents' views about pre school immunization: an interview study in southern England. Child: care, health and development, 36, št. 2, str. 190–197.
Walsh, S., Thomas, D. R., Mason, B. W. and Evans, M. R. (2015). The impact of the media on the decision of parents in South Wales to accept measles-mumps-rubella (MMR) immunization. Epidemiology & Infection, 143, št. 3, str. 550–560.
Weiss, C., Schröpfer, D. and Merten, S. (2016). Parental attitudes towards measles vaccination in the canton of Aargau, Switzerland: a latent class analysis. BMC infectious diseases, 16, št. 1, str. 400.
Williams, S. E. (2014). What are the factors that contribute to parental vaccine-hesitancy and what can we do about it?. Human vaccines & immunotherapeutics, 10, št. 9, str. 2584–2596.
Wilson, K., Barakat, M., Vohra, S., Ritvo, P. and Boon, H. (2008). Parental views on pediatric vaccination: the impact of competing advocacy coalitions. Public Understanding of Science, 17, št. 2, str. 231–243.
Wolfe, R. M. and Sharp, L. K. (2002). Anti-vaccinationists past and present. BMJ: British Medical Journal, 325, št. 7361, str. 430–432.
Yaqub, O., Castle - Clarke, S., Sevdalis, N. and Chataway, J. (2014). Attitudes to vaccination: a critical review. Social Science & Medicine, 112, str. 1–11.
