Identification of the determinants of incomplete vaccination in Australian children

Grace Currie · Claire S. Waddington · Yue Wu · Sharon Setijo · Julie Leask · Julie A. Marsh +1 more

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Vaccine Coverage and Hesitancy Child and Adolescent Health Pediatric Pain Management Techniques

Abstract

BACKGROUND AND AIMS: We aimed to understand the risk factors associated with incomplete vaccination, which may help to identify and prioritise opportunities to intervene. METHODS: Consenting parents of children <6 years old attending an outpatient clinic completed a questionnaire, which captured demographic information and their level of agreement with belief statements about vaccination using a 7-point Likert scale. Vaccination status was determined from the Australian Childhood Immunisation Register and deemed either "complete" (no doses overdue) or "incomplete" (1 or more doses overdue) at the time of questionnaire completion. RESULTS: Of 589 children of respondents, 116 (20%) had an incomplete vaccination status. Of these, nearly two-thirds (63%) of parents believed that their child was, in fact, fully-vaccinated. Compared to those with a complete vaccine status, children with an incomplete vaccine status were more likely to be born overseas (p < 0.001), have a larger family size (p = 0.02) and to have parents with lower educational attainment (p = 0.001). Parents of children with an incomplete status reported more doubt about the importance of vaccination and greater concern about vaccine safety, compared to parents of children with a complete status. CONCLUSION: Most parents are supportive of vaccination. Sociodemographic factors may contribute more to the risk of incomplete vaccination than attitudes or beliefs. Some parents are unaware of their child's vaccination status, suggesting that simple and modern reminders may assist parents to keep up to date.

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References

1976Health Belief Model and Personal Health Behavior 2011Parental Delay or Refusal of Vaccine Doses, Childhood Vaccination Coverage at 24 Months of Age, and the Health Belief Model 2004Underimmunization Among Children: Effects of Vaccine Safety Concerns on Immunization Status 1998Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control.2017Parental attitudes, beliefs, behaviours and concerns towards childhood vaccinations in Australia: A national online survey.2013Parental vaccine concerns, information source, and choice of alternative immunization schedules 2004Risk Factors for Delay in Age-Appropriate Vaccination 2016Trends and patterns in vaccination objection, Australia, 2002–2013

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