This work was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health [R01HD093628; Opel and O’Leary (MPI)].
Global Pediatric Health
Anti-vaccination movement, Social media, Vaccination -- Public opinion, Medical policy, Health planning
We conducted a qualitative study from 2018 to 2019 to update the reasons why US parents’ refuse or delay vaccines. Four focus groups and 4 semi-structured interviews involving 33 primary care pediatric providers were conducted in Washington and Colorado. A thematic analysis was conducted to identify themes related to reasons for parental refusal or delay. Five predominant themes were identified: (1) vaccine safety, (2) relative influence of information sources, decision-makers, and timing, (3) low perceived risk of contracting vaccine-preventable disease, (4) lack of trust, and (5) religious objection. Vaccine safety was the theme mentioned most frequently by providers (N = 45 times by 26 providers) and religious objection to vaccination was referred to the least (N = 6 times by 6 providers). Provider-reported reasons for parental refusal or delay of childhood vaccines in 2018 to 2019 remain similar to those reported in previous studies.
https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us-sagepub-com.proxy.lib.pdx.edu/en-us/nam/open-access-at-sage).
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Ugale, J. L., Spielvogle, H., Spina, C., Perreira, C., Katz, B., Pahud, B., Dempsey, A. F., Robinson, J. D., Garrett, K., O’Leary, S. T., & Opel, D. J. (2021). “It’s Like 1998 Again”: Why Parents Still Refuse and Delay Vaccines. Global Pediatric Health, 8, 2333794X2110423. https://doi.org/10.1177/2333794x211042331