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Oct 11, 2018

7th Congress of the European Academy of Paediatric Societies

PARENTAL IMMUNISATION NEEDS AND ATTITUDES (PINA) SURVEY IN PAEDIATRIC CLINICS AND COMMUNITY MATERNAL AND CHILD HEALTH CENTRES IN MELBOURNE, AUSTRALIA

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childhood vaccination

parent vaccine attitudes

vaccine hesitancy

Abstract

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Abstract

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Keywords

childhood vaccination

parent vaccine attitudes

vaccine hesitancy

Abstract

Aim Despite Australia’s high vaccination rates, an estimated 3.3% of children are under-vaccinated due to vaccine refusal and an un-determined proportion of parents have concerns. We aimed to determine the prevalence of vaccine concerns, resources and Health Care Providers (HCPs) accessed, and satisfaction with these resources among Australian parents, and identify relationships between level of concern, socioeconomic status (SES) and vaccine uptake. Methods Parents of children under five years attending general paediatric clinics in a tertiary paediatric hospital (n=301/398, 76%) and children under 19 months attending community maternal child health centres (n=311/391, 81%) completed the survey. Vaccination status was obtained from the Australian Childhood Immunisation Register (ACIR). Results Despite high support for vaccination (98%, CI 97-99), 43% of parents reported vaccine concerns (CI 40-47) including the number of vaccines given in the first two years (25%, CI 22-29), vaccine ingredients (22%, CI 19-25), allergies (18%, CI 15-21), weakening of the immune system (17%, CI 14-20), and autism (11%, CI 8-13). HCPs were the most commonly accessed and trusted information source. 23% of parents reported insufficient knowledge to make good vaccination decisions (CI 20-26). There was little evidence of an association between parental vaccine acceptance or SES and vaccination status. Conclusions Despite high support for vaccines, almost half of parents surveyed reported some degree of concern. Given parental lack of vaccine decision-making confidence and high trust in HCPs, effective communication strategies are required to address vaccine hesitancy. Further research in more highly-hesitant populations is required to determine the relationship between the level and nature of vaccination concerns and vaccine uptake.

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© Copyright 2019 Morressier GmbH.
All rights reserved.