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Parental attitudes and decision-making regarding MMR vaccination in an anthroposophic community in Sweden - A qualitative study.

Byström, Emma; Lindstrand, Ann; Likhite, Nathalie; Butler, Robb and Emmelin, Maria LU (2014) In Vaccine 32(50). p.6752-6757
Abstract
Measles outbreaks occur regularly throughout Europe, up to 31500 cases in the previous year, particularly where there are pockets of populations with lower vaccination coverage than the recommended ≥95%. Anthroposophic communities in Europe are one of several groups with relatively low vaccination coverage. In Sweden, outbreaks of measles and rubella were reported from an anthroposophic community. Thus the aim of this qualitative study was to explore facilitators and barriers to MMR vaccination among parents living in anthroposophic communities in Sweden. Twenty parents living in an anthroposophic community were interviewed, focusing on their views and decisions on MMR vaccination. The interviews were analyzed using qualitative content... (More)
Measles outbreaks occur regularly throughout Europe, up to 31500 cases in the previous year, particularly where there are pockets of populations with lower vaccination coverage than the recommended ≥95%. Anthroposophic communities in Europe are one of several groups with relatively low vaccination coverage. In Sweden, outbreaks of measles and rubella were reported from an anthroposophic community. Thus the aim of this qualitative study was to explore facilitators and barriers to MMR vaccination among parents living in anthroposophic communities in Sweden. Twenty parents living in an anthroposophic community were interviewed, focusing on their views and decisions on MMR vaccination. The interviews were analyzed using qualitative content analysis. Two overarching views of health emerged, differentiating broadly parents who vaccinate vs. parents who do not vaccinate. Four themes describing parental attitudes toward measles vaccination were developed and three of these, the conformers, the pragmatists and the attentive delayers describe different approaches toward vaccinations among those who actually vaccinate. The last theme, promoters of natural immunity, represents those postponing or refusing vaccination beyond childhood. This study suggests that there is a spectrum of parental beliefs regarding MMR vaccination in this anthroposophic community. Interventions specifically targeted to the anthroposophic community and strengthening health workers capacity for a constructive dialog on vaccine's benefit and risks may contribute to higher vaccination coverage. This is believed to minimize the risk of future epidemics and contribute to the WHO European Region's goal of eliminating measles. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Vaccine
volume
32
issue
50
pages
6752 - 6757
publisher
Elsevier
external identifiers
  • pmid:25454859
  • wos:000345822800004
  • scopus:84909635468
ISSN
1873-2518
DOI
10.1016/j.vaccine.2014.10.011
language
English
LU publication?
yes
id
c6889d0b-1794-4289-9667-0ab31ae0b4e1 (old id 4913137)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25454859?dopt=Abstract
date added to LUP
2015-01-08 16:39:43
date last changed
2017-11-19 03:01:25
@article{c6889d0b-1794-4289-9667-0ab31ae0b4e1,
  abstract     = {Measles outbreaks occur regularly throughout Europe, up to 31500 cases in the previous year, particularly where there are pockets of populations with lower vaccination coverage than the recommended ≥95%. Anthroposophic communities in Europe are one of several groups with relatively low vaccination coverage. In Sweden, outbreaks of measles and rubella were reported from an anthroposophic community. Thus the aim of this qualitative study was to explore facilitators and barriers to MMR vaccination among parents living in anthroposophic communities in Sweden. Twenty parents living in an anthroposophic community were interviewed, focusing on their views and decisions on MMR vaccination. The interviews were analyzed using qualitative content analysis. Two overarching views of health emerged, differentiating broadly parents who vaccinate vs. parents who do not vaccinate. Four themes describing parental attitudes toward measles vaccination were developed and three of these, the conformers, the pragmatists and the attentive delayers describe different approaches toward vaccinations among those who actually vaccinate. The last theme, promoters of natural immunity, represents those postponing or refusing vaccination beyond childhood. This study suggests that there is a spectrum of parental beliefs regarding MMR vaccination in this anthroposophic community. Interventions specifically targeted to the anthroposophic community and strengthening health workers capacity for a constructive dialog on vaccine's benefit and risks may contribute to higher vaccination coverage. This is believed to minimize the risk of future epidemics and contribute to the WHO European Region's goal of eliminating measles.},
  author       = {Byström, Emma and Lindstrand, Ann and Likhite, Nathalie and Butler, Robb and Emmelin, Maria},
  issn         = {1873-2518},
  language     = {eng},
  number       = {50},
  pages        = {6752--6757},
  publisher    = {Elsevier},
  series       = {Vaccine},
  title        = {Parental attitudes and decision-making regarding MMR vaccination in an anthroposophic community in Sweden - A qualitative study.},
  url          = {http://dx.doi.org/10.1016/j.vaccine.2014.10.011},
  volume       = {32},
  year         = {2014},
}