Maternal perceptions of childhood vaccination: explanations of reasons for and against vaccination.
BMC Public Health
; 19(1): 49, 2019 Jan 10.
Article
em En
| MEDLINE
| ID: mdl-30630511
ABSTRACT
BACKGROUND:
Understanding reasons for and against vaccination from the parental perspective is critical for designing vaccination campaigns and informing other interventions to increase vaccination uptake in Canada. The objective of this study was to understand maternal vaccination decision making for children.METHODS:
Mothers participating in a longitudinal community-based pregnancy cohort, the All Our Babies study in Calgary, Alberta, completed open-ended survey questions providing explanations for the vaccination status of their child by 24 months postpartum. Qualitative responses were linked to administrative vaccination records to examine survey responses and recorded child vaccination status.RESULTS:
There were 1560 open-ended responses available; 89% (n = 1391) provided explanations for vaccinating their children, 5% (n = 79) provided explanations for not vaccinating/delaying, and 6% (n = 90) provided explanations for both. Themes were similar for those vaccinating and not vaccinating/delaying; however, interpretations were different. Two broad themes were identified Sources of influence and Deliberative Processes. Sources of influence on decision making included personal, family, and external experiences. Deliberative Processes included risk, research, effectiveness, and balancing risks/benefits. Under Deliberative Processes, responsibility was a category for those vaccinating; while choice, instrumental/practical, and health issues were categories for those not vaccinating/delaying. Mothers' levels of conviction and motivation provided a Context for understanding their decision making perspectives.CONCLUSIONS:
Vaccination decision making is complex and impacted by many factors that are similar but contribute to different decisions depending on mothers' perspectives. The results of this study indicate the need to examine new intervention approaches to increase uptake that recognize and address feelings of pressure and parental commitment to choice.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atitude Frente a Saúde
/
Vacinação
/
Tomada de Decisões
/
Mães
/
Motivação
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adult
/
Child
/
Female
/
Humans
/
Infant
/
Male
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
BMC Public Health
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Canadá