Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers

© 2018 Elsevier Ltd. Introduction: Influenza vaccination has been shown to be safe and effective against influenza and in the prevention of complicating secondary respiratory illnesses. However, its uptake in young children remains low. This study explored the views, attitudes and practices of paren...

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Main Authors: Biezen, R., Grando, D., Mazza, D., Brijnath, Bianca
Format: Journal Article
Published: Elsevier 2018
Online Access:http://hdl.handle.net/20.500.11937/65670
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author Biezen, R.
Grando, D.
Mazza, D.
Brijnath, Bianca
author_facet Biezen, R.
Grando, D.
Mazza, D.
Brijnath, Bianca
author_sort Biezen, R.
building Curtin Institutional Repository
collection Online Access
description © 2018 Elsevier Ltd. Introduction: Influenza vaccination has been shown to be safe and effective against influenza and in the prevention of complicating secondary respiratory illnesses. However, its uptake in young children remains low. This study explored the views, attitudes and practices of parents and primary care providers (PCPs) on their knowledge and acceptance of influenza vaccination in children under 5. Methods: Using a cross-sectional qualitative research design, we conducted 30 in-depth interviews with PCPs (i.e., general practitioners, practice nurses, maternal and child health nurses, and pharmacists) and five focus groups with parents (n = 50) between June 2014 and July 2015 in Melbourne, Australia. Data were thematically analysed. Results: Parents thought the vaccine could cause influenza, and influenza vaccination was not necessary for their children as they needed to build their own 'immunity'. Parents said that they would consider vaccinating their children if recommended by their GP and if the influenza vaccine was part of the immunisation schedule. PCPs also expressed concerns regarding the efficacy of the vaccine as well as out-of-pocket costs incurred by families, and uncertainty regarding the mortality and morbidity of influenza in otherwise healthy children. However, they said they would recommend the vaccine to high-risk groups (e.g. children with chronic disease(s), and asthma). Conclusion: Despite the established safety of influenza vaccines, barriers to uptake include concerns regarding the iatrogenic effects of vaccination, its administration schedule, and knowledge of influenza severity. Updated information on influenza and the efficacy of the vaccine, and incorporating influenza vaccination into the immunisation schedule may overcome some of these barriers to increase influenza vaccination in this vulnerable cohort.
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spelling curtin-20.500.11937-656702019-07-08T05:42:38Z Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers Biezen, R. Grando, D. Mazza, D. Brijnath, Bianca © 2018 Elsevier Ltd. Introduction: Influenza vaccination has been shown to be safe and effective against influenza and in the prevention of complicating secondary respiratory illnesses. However, its uptake in young children remains low. This study explored the views, attitudes and practices of parents and primary care providers (PCPs) on their knowledge and acceptance of influenza vaccination in children under 5. Methods: Using a cross-sectional qualitative research design, we conducted 30 in-depth interviews with PCPs (i.e., general practitioners, practice nurses, maternal and child health nurses, and pharmacists) and five focus groups with parents (n = 50) between June 2014 and July 2015 in Melbourne, Australia. Data were thematically analysed. Results: Parents thought the vaccine could cause influenza, and influenza vaccination was not necessary for their children as they needed to build their own 'immunity'. Parents said that they would consider vaccinating their children if recommended by their GP and if the influenza vaccine was part of the immunisation schedule. PCPs also expressed concerns regarding the efficacy of the vaccine as well as out-of-pocket costs incurred by families, and uncertainty regarding the mortality and morbidity of influenza in otherwise healthy children. However, they said they would recommend the vaccine to high-risk groups (e.g. children with chronic disease(s), and asthma). Conclusion: Despite the established safety of influenza vaccines, barriers to uptake include concerns regarding the iatrogenic effects of vaccination, its administration schedule, and knowledge of influenza severity. Updated information on influenza and the efficacy of the vaccine, and incorporating influenza vaccination into the immunisation schedule may overcome some of these barriers to increase influenza vaccination in this vulnerable cohort. 2018 Journal Article http://hdl.handle.net/20.500.11937/65670 10.1016/j.vaccine.2017.12.066 Elsevier restricted
spellingShingle Biezen, R.
Grando, D.
Mazza, D.
Brijnath, Bianca
Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers
title Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers
title_full Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers
title_fullStr Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers
title_full_unstemmed Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers
title_short Why do we not want to recommend influenza vaccination to young children? A qualitative study of Australian parents and primary care providers
title_sort why do we not want to recommend influenza vaccination to young children? a qualitative study of australian parents and primary care providers
url http://hdl.handle.net/20.500.11937/65670