Vaccination Refusal

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Surbhi Leekha - One of the best experts on this subject based on the ideXlab platform.

Max Masnick - One of the best experts on this subject based on the ideXlab platform.

Osman Topaç - One of the best experts on this subject based on the ideXlab platform.

  • Unvaccinated children as community parasites in National Qualitative Study from Turkey
    BMC Public Health, 2020
    Co-Authors: Sıddıka Songül Yalçin, Ayça Gelgeç Bakacak, Osman Topaç
    Abstract:

    Background This national qualitative study explores (1) the experiences, observations, and opinions of health care workers (HCWs) about beliefs, socioeconomic, cultural, and environmental characteristics of parents refusing Vaccination and (2) regional differences in the identified risk factors; (3) recommended solutions to improve vaccine acceptance in each of 12 regions in Turkey. Methods In total, we carried out 14 individual semi-structured in-depth interviews and 10 focus group discussions with 163 HCWs from 36 provinces. A thematic analysis was performed to explore HCWs’ observations about the parents’ decisions to reject Vaccination and possible solutions for vaccine advocacy. Results Within the analyzed data framework, vaccine Refusal statements could be defined as vaccine safety, the necessity of vaccines, assumptions of freedom of choice, health workers’ vaccine hesitancy, lack of information about national Vaccination schedule and components, not trusting the health system, anti-vaccine publications in social media and newspapers, and refugees. Suggestions based on the HCWs suggestions can be summarized as interventions including (1) creating visual cards with scientific data on vaccine content and disease prevention and using them in counseling patients, (2) writing the vaccine components in a way understandable to ordinary people, (3) highlighting the national quality control and production in the vaccine box and labels, (4) conducting interviews with community opinion leaders, (5) training anti-vaccine HCWs with insufficient scientific knowledge and (6) reducing the tax of parents whose children are fully and punctually vaccinated. Conclusions The solution to vaccine rejection begins with the right approaches to Vaccination during pregnancy. Prepared written and visual information notes should present the information as “Vaccination acceptance” rather than “Vaccination Refusal”. Further studies on vaccine Refusal rates should be carried out in various regions of the world so that region-specific actions are implemented to decrease the anti-vaxxer movement and to prevent an outbreak of infectious diseases.

  • Unvaccinated children as community parasites in National Qualitative Study from Turkey
    BMC public health, 2020
    Co-Authors: S Songül Yalçin, Ayça Gelgeç Bakacak, Osman Topaç
    Abstract:

    This national qualitative study explores (1) the experiences, observations, and opinions of health care workers (HCWs) about beliefs, socioeconomic, cultural, and environmental characteristics of parents refusing Vaccination and (2) regional differences in the identified risk factors; (3) recommended solutions to improve vaccine acceptance in each of 12 regions in Turkey. In total, we carried out 14 individual semi-structured in-depth interviews and 10 focus group discussions with 163 HCWs from 36 provinces. A thematic analysis was performed to explore HCWs’ observations about the parents’ decisions to reject Vaccination and possible solutions for vaccine advocacy. Within the analyzed data framework, vaccine Refusal statements could be defined as vaccine safety, the necessity of vaccines, assumptions of freedom of choice, health workers’ vaccine hesitancy, lack of information about national Vaccination schedule and components, not trusting the health system, anti-vaccine publications in social media and newspapers, and refugees. Suggestions based on the HCWs suggestions can be summarized as interventions including (1) creating visual cards with scientific data on vaccine content and disease prevention and using them in counseling patients, (2) writing the vaccine components in a way understandable to ordinary people, (3) highlighting the national quality control and production in the vaccine box and labels, (4) conducting interviews with community opinion leaders, (5) training anti-vaccine HCWs with insufficient scientific knowledge and (6) reducing the tax of parents whose children are fully and punctually vaccinated. The solution to vaccine rejection begins with the right approaches to Vaccination during pregnancy. Prepared written and visual information notes should present the information as “Vaccination acceptance” rather than “Vaccination Refusal”. Further studies on vaccine Refusal rates should be carried out in various regions of the world so that region-specific actions are implemented to decrease the anti-vaxxer movement and to prevent an outbreak of infectious diseases.

Peter A. Ubel - One of the best experts on this subject based on the ideXlab platform.

  • Educational content and the effectiveness of influenza Vaccination reminders
    Journal of General Internal Medicine, 1999
    Co-Authors: Katrina Armstrong, Michelle Berlin, J. Sanford Schwartz, Kathleen J. Propert, Peter A. Ubel
    Abstract:

    OBJECTIVE: To determine if a mailed patient education brochure (addressing demonstrated reasons for Vaccination Refusal) would result in a higher rate of influenza Vaccination than a mailed postcard reminder without educational content. DESIGN: Randomized, controlled trial. SETTING: Urban, predominantly African-American, low-income community. PARTICIPANTS: There were 740 community-dwelling individuals aged 65 years and older in the study. MEASUREMENTS: Receipt of influenza Vaccination and beliefs about influenza and influenza Vaccination were measured by telephone survey self-report. MAIN RESULTS: We successfully contacted 202 individuals (69.9%) who received the postcard reminder and 229 individuals (71.1%) who received the educational brochure. People receiving the educational brochure were more likely to report influenza Vaccination during the previous Vaccination season than those who received the postcard reminder (66.4% vs 56.9%, p =.04). They also reported more interest in influenza Vaccination in the coming year. (66.5% vs 57.1%, p =.05). CONCLUSIONS: A mailed educational brochure is more effective than a simple reminder in increasing influenza Vaccination rates among inner-city, elderly patients.

  • Educational content and the effectiveness of influenza Vaccination reminders.
    Journal of general internal medicine, 1999
    Co-Authors: Katrina Armstrong, Michelle Berlin, J. Sanford Schwartz, Kathleen J. Propert, Peter A. Ubel
    Abstract:

    OBJECTIVE: To determine if a mailed patient education brochure (addressing demonstrated reasons for Vaccination Refusal) would result in a higher rate of influenza Vaccination than a mailed postcard reminder without educational content.

Zachi Grossman - One of the best experts on this subject based on the ideXlab platform.

  • OC-62 The importance of research in ambulatory settings
    Oral Communications, 2017
    Co-Authors: Zachi Grossman
    Abstract:

    The majority of paediatric patients in developed countries are being treated in ambulatory clinics and not in hospitals. The wide spectrum of clinical severity seen in the office differs from that seen in hospitals. Therefore, generalisation of results from hospital based studies to the unselected patient population in the primary care cannot be made. Research performed in primary care is needed, but is facing a lack of infrastructure – time, skills, funding. These obstacles were removed following the creation of primary care research network. A research network is composed of many primary care clinics grouped together in an infrastructure of a network for the purpose of conducting research in the community. The network is the research laboratory of the primary care setting. Key elements in a network include the participating paediatricians, the research projects, an intranet communication and an academic framework. The research projects are diverse, but there are common requirements needed for success – the projects should interest the primary care paediatricians, relate to the daily practice, and have the following – a simple design, a short duration and a reasonable budget. In 2008, the European Academy of Paediatrics launched a paediatric-based research network – EAPRASnet (European Academy of Paediatrics Research in Ambulatory Setting network). The network has recruited primary care and general paediatricians from European and Mediterranean countries. EAPRASnet has been involved in a number of paediatricians’ surveys on topics like Vaccination Refusal, antibiotic treatment of respiratory infections, management of urinary tract infections and the use of electronic health records. Data mining using the Electronic Health Records database is another form of ambulatory care research. Network participants can take part in pharmaceutical companies’ clinical trials and also initiate small scale intervention studies. Primary care clinics can additionally participate as sentinel practices for disease surveillance systems e.g. influenza.

  • 139 Research Networks in Pediatric Primary Care: Eaprasnet
    Archives of Disease in Childhood, 2012
    Co-Authors: Stefano Del Torso, Diego Van Esso, A Hadijpanayis, Zachi Grossman
    Abstract:

    EAPRASnet is the European Academy of Paediatrics Research in Ambulatory Setting Network, whose members are European primary care paediatricians committed to research in their practices that expressed their will to join a research network. The network is the research laboratory of the primary care setting and in the latest study, EAPRASnet has enrolled a total of 685 pediatricians from 21 countries. A recruitment survey showed that areas of most interest for research were: quality of care indicators, communication with parents, obesity, attention deficit hyperactivity disorder and effective well child care. Main incentives for participation in a research project were interest in the topic (81%) and effort to improve quality of care (71%). Lack of time was the leading reported obstacle (72%). A second electronic survey assessing primary care pediatricians’ estimations and practices regarding parents’ Vaccination Refusal was sent to 395 EAPRASnet members, with a response rate of 87%. Of respondents who vaccinate in their clinic, 93% estimated the total vaccine Refusal rate less than1%. Sixty nine percent of all respondents prefer a shared decision making approach to handle parents’ vaccine hesitancy. A recent survey on Use of Antibiotics in Upper Respiratory tract infections has been performed to evaluate European primary care paediatricians’ knowledge, attitudes and practice regarding antibiotic prescribing for upper respiratory infections in order also to identify targets for future intervention studies.

  • Primary care pediatricians' perceptions of vaccine Refusal in europe.
    The Pediatric infectious disease journal, 2011
    Co-Authors: Zachi Grossman, Diego Van Esso, Stefano Del Torso, Adamos Hadjipanayis, Anna Drabik, Andreas Gerber, Dan Miron
    Abstract:

    An electronic survey assessing primary care pediatricians' estimations and practices regarding parents' Vaccination Refusal was sent to 395 members of the European Academy of Pediatrics Research in Ambulatory Setting network, with a response rate of 87%. Of respondents who vaccinate in the clinic, 93% estimated the total vaccine Refusal rate as