Parents’ reported reasons for avoiding MMR vaccination

Eva Dannetun · Anders Tegnell · Göran Hermansson · Johan Giesecke

93 citations0/0 files storedScandinavian Journal of Primary Health Care

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Vaccine Coverage and Hesitancy Ethics and Legal Issues in Pediatric Healthcare Intramuscular injections and effects

Abstract

OBJECTIVE: During the second half of the 1990s and the first years of the 2000s a declining coverage for MMR vaccination in two-year-olds was observed in Sweden. The aim was to assess reasons for postponement or non-vaccination. DESIGN: A telephone survey using a structured questionnaire on parents' attitudes regarding their choice to postpone or abstain from vaccinating their child. SETTING: The County of Ostergötland in Sweden. SUBJECTS: A total of 203 parents of children who had no registered date for MMR vaccination at a Child Health Centre. MAIN OUTCOME MEASURES: Parental reasons for non-vaccination. RESULTS: In all, 26 of the 203 children had received MMR vaccination but this had not been registered. Of those not vaccinated, 40% of the parents had decided to abstain and 60% to postpone vaccination. Fear of side effects was the most common reason for non-vaccination in both groups. The main source of information was the media followed by the Child Health Centre. Parents with a single child more often postponed vaccination and those who abstained were more likely to have had a discussion with a doctor or nurse about MMR vaccine. CONCLUSION: Postponers and abstainers may have different reasons for their decision. The role of well-trained healthcare staff in giving advice and an opportunity to discuss MMR vaccination with concerned parents is very important.

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References

2002A Population-Based Study of Measles, Mumps, and Rubella Vaccination and Autism 2000Do Parents Understand Immunizations? A National Telephone Survey 2002Measles, mumps, and rubella vaccination and bowel problems or developmental regression in children with autism: population study 2004Childhood immunization refusal: provider and parent perceptions.2001Parents' perspectives on the MMR immunisation: a focus group study.2003Why do parents decide against immunization? The effect of health beliefs and health professionals 2001Choosing not to immunize: are parents making informed decisions?2004Managing controversy through consultation: a qualitative study of communication and trust around MMR vaccination decisions.

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