Volume 5, Issue 3, September 2019, Page: 116-124
Analysing the Impacts of Individual Factors on Decision Making and Strengthening Positive Attitudes on Vaccination
Sead Karakas, Faculty of Medicine, Univesity of Zenica, Zenica, Bosnia and Herzegovina; Institute for Public Health of the Central Bosnia Canton, Travnik, Bosnia and Herzegovina
Mateja Paklarcic, Institute for Public Health of the Central Bosnia Canton, Travnik, Bosnia and Herzegovina
Ermina Kukic, Institute for Public Health of the Central Bosnia Canton, Travnik, Bosnia and Herzegovina
Jasna Zukic, Clinical Center of the University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Received: Jun. 17, 2019;       Accepted: Jul. 17, 2019;       Published: Aug. 5, 2019
DOI: 10.11648/j.ajp.20190503.17      View  16      Downloads  8
Aims and objectives: This paperwork aims to analyse the knowledge and attitudes on immunisation, subjective perceptions of the risks and decision theory of vaccination amongst the specific female population living in the Federation of Bosnia and Herzegovina. Purpose: The purpose of the research is to point out the significance of parents’ decisions and strengthening of positive attitudes on vaccination. Material and methods: The research was conducted during 2018. Females from different parts of the Federation were asked questions. There were 4000 respondents of different ages ranging from 20 to 50 years old females (approximately 1% of the target population). The respondents were classified according to their place of living (urban/rural), and also being a parent or not. The questionnaire was answered by 2504 respondents being parents with a certain experience with immunisation of their children, but also 1496 future parents who expressed their attitude towards immunisation. For this research, a special questionnaire was used, comprising 18 questions classified into 4 different groups. Results: Most of the respondents (71.2%) who already have children claim they vaccinated their children completely whereas 2.0% respondents from urban areas and 1.3% from rural areas explicitly refuse to vaccinate their children. The rest of the respondents (25.4%) claim they partially vaccinated their children or they are not familiar with the vaccination status of their children. Our research shows that parents are mostly informed about vaccinations and immunisation by some medical workers – paediatricians (36.6%). This research also suggests that respondents are showing a great level of reluctance and scepticism towards some medical workers and that only 40.6% of respondents unconditionally trust their doctor. Additionally, the results show that considering the safety of vaccines there are significant differences amongst urban and rural population. In urban areas, 18.8% of respondents claim that they completely trust vaccines and in rural areas there are 36.2% of respondents trusting them. Conclusion: We may conclude that personal experience, medical system efficiency, trusting medical professionals, vaccine safety and communication in public health community are very important to make decisions on vaccinating children
Accepting Vaccines, Safety, Hesitation, Immunisation
To cite this article
Sead Karakas, Mateja Paklarcic, Ermina Kukic, Jasna Zukic, Analysing the Impacts of Individual Factors on Decision Making and Strengthening Positive Attitudes on Vaccination, American Journal of Pediatrics. Vol. 5, No. 3, 2019, pp. 116-124. doi: 10.11648/j.ajp.20190503.17
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Emrah Altindis. Antibacterial vaccine research in 21st century: from inoculation to genomics approaches. Current Topics in Medicinal Chemistry. Vol. 13, No. 20, 2013, pp. 2638-2646.
Michael S. Gold, Jane Gidudu, Mich Erlewyn-Lajeunesse, Barbara Law. Brighton Collaboration Working Group on Anaphylaxis. Can the Brighton Collaboration case definitions be used to improve the quality of Adverse Event Following Immunization (AEFI) reporting? Vaccine. Vol. 28, No. 28, 2010, pp. 4487-4498.
David Ropeik. How society should respond to the risk of vaccine rejection. Human Vaccines & Immunotherapeutics. Vol. 9, No. 8, 2013, pp. 1815-1818.
Robert M Wolfe, Lisa K Sharp. Anti-vaccinationistis past and present. British Medical Journal. Vol. 325. No. 7361, 2002, pp. 430–432.
Jeffrey P. Baker. The pertussis vaccine controversy in Great Britain. Vaccine. Vol. 21. No. 25-26, 2003, pp. 4003-4010.
Fiona Godlee, Jane Smith, Harvey Marcovitch. Wakefield's article linking MMR vaccine and autism was fraudulent. British Medical Journal. Vol. 342, No. 7452, 2011, pp. 64-67.
Laura Eggertson. Lancet retracts 12-year-old article linking autism to MMR vaccines. The Canadian Medical Association Journal. Vol. 182, No. 4, 2010, pp. 199–200.
Qudsia Anjum, Aamir Omair, Bazmi Inam, Yousuf Ahmed, Yaseen Usman, Shazia Shaikh. Improving vaccination status of children under five through health education. Journal of the Pakistan Medical Association. Vol. 54, No. 12, 2004, pp. 610-613.
Silvio Tafuri, Maria Serena Gallone, Maria Giovanna Cappelli, Domenico Martinelli, Rosa R. P. Prato, Cinzia Annatea Germinario. Addressing the anti-vaccination movement and the role of HCWs. Vaccine. Vol. 32, No. 38, 2014, pp. 4860-4865.
Silvio Tafuri, Maria Serena Gallone, Giulia Calabrese, Cinzia Germinario. Adverse events following immunization: is this time for the use of WHO causality assessment? Expert Review of Vaccines. Vol. 14, No. 5, 2015, pp. 625-627.
David Ropeik. How society should respond to the risk of vaccine rejection. Human Vaccines & Immunotherapeutics. Vol. 9, No. 8, 2013, pp. 1815-1818.
Angela Bechini, Sara Boccalini, Alessandra Ninci, Patrizio Zanobini, Gino Sartor, Guglielmo Bonaccorsi, Maddalena Grazzini, Paolo Bonanni. Childhood Vaccination Coverage in Europe: Impact of different Public Health Policies. Expert Review of Vaccines. 2019.
Dilshani Sarathchandraa, Mark C. Navinb, Mark A. Largentc, Aaron M. McCright. A survey instrument for measuring vaccine acceptance. Preventive Medicine. Vol. 109, 2018, pp. 1-7.
Eve Dubé, Caroline Laberge, Maryse Guay, Paul Bramadat, Real Roy, Julie Bettinger. Vaccine hesitancy: an overview. Human Vaccines & Immunotherapeutics. Vol. 9, No. 8, 2013, pp. 1763-1773.
Lauren L. Dybsand, Kylie J. Hall, Paul J. Carson. Immunization attitudes, opinions, and knowledge of healthcare professional students at two Midwestern universities in the United States. BMC Medical Education. Vol. 19, No. 1, 2019, pp. 242-251.
Lori K. Handy, Stefania Maroudi, Maura Powell, Bakanuki Nfila, Charlotte Moser, Ingrid Japa, Ndibo Monyatsi, Elena Tzortzi, Ismini Kouzeli, Anthony Luberti, Maria Theodoridou, Paul Offit, Andrew Steenhoff, Judy A. Shea, Kristen A. Feemster. The impact of access to immunization information on vaccine acceptance in three countries. Public Library of Science One. Vol. 12, No. 8, 2017, pp. 3-19.
Ashley Shelby, Karen Ernst. Story and science: how providers and parents can utilize storytelling to combat anti-vaccine misinformation. Human Vaccines & Immunotherapeutics. Vol. 9, No. 8, 2013, pp. 1795-1801.
Regina Célia de Menezes Succi. Vaccine refusal - what we need to know. Jornal de Pediatria (Rio J). Vol. 94, No. 6, 2018, pp. 574-581.
Terri MacDougall, Shawna Cunningham, Leeann Whitney, Monakshi Sawhney. Improving pediatric experience of pain during vaccinations: a quality improvement project. International Journal of Health Care Quality Assurance. Vol. 32, No. 6, 2019, pp. 1034-1040.
Julie Leaskab, Simon Chapmanb, Penelope Hawec, Margaret Burgess. What maintains parental support for vaccination when challenged by anti-vaccination messages? A qualitative study. Vaccine. Vol. 24, No. 49-50, 2006, pp. 7238-7245.
Heidi J. Larson, Caitlin Jarrett, Elisabeth Eckersberger, David M. D. Smith, Pauline Paterson. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine. Vol. 32, No. 19, 2014, pp. 2150-2159.
Eve Dubéabc, Dominique Gagnona, Emily Nickelsd, Stanley Jeramd, Melanie Schusterd. Mapping vaccine hesitancy--country-specific characteristics of a global phenomenon. Vaccine. Vol. 32, No. 49, 2014, pp. 6649-6654.
Eve Dubé, Dominique Gagnon, Manale Ouakki, Julie A. Bettinger, Holly O. Witteman, Shannon Mac Donald, William Fisher, Vineet Saini, Devon Greyson; Canadian Immunization Research Network. Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network. Vaccine. Vol. 36, No. 4, 2018, pp. 545-552.
Eve Dubéa, Dominique Gagnona, Noni E. MacDonaldb, the SAGE Working Group on Vaccine Hesitancy. Strategies intended to address vaccine hesitancy: Review of published reviews. Vaccine. Vol. 33, No. 34, 2015, pp. 4191-4203.
Margarida Arede, Maria Bravo-Araya, Émilie Bouchard, Gurlal Singh Gill, Valerie Plajer, Adiba Shehraj, Yassir Adam Shuaib. Combating Vaccine Hesitancy: Teaching the Next Generation to Navigate Through the Post Truth Era. Frontiers in Public Health. Vol. 14, No. 6, 2019, pp. 381-387.
Jeroen Luyten, Luk Bruyneel, Albert Janvan Hoek. Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine. Vol. 37, No. 18, 2019, pp. 2494-2501.
Katharina Kieslich. Addressing vaccination hesitancy in Europe: a case study instate-society relations. European Journal of Public Health. Vol. 28, No. 3, 2018, pp. 30-33.
Emilie Karafillakisa, Irina Dincab, Franklin Apfelc, Sabrina Cecconic, Andrea Wűrzb, Judit Takacsb, Jonathan Sukb, Lucia Pastore Celentanob, Piotr Kramarzb, Heidi J. Larson. Vaccine hesitancy among healthcare workers in Europe: A qualitative study. Vaccine. Vol. 34, No. 41, 2016, pp. 5013-5020.
Anna Odone, Antonio Ferrari, Francesca Spagnoli, Sara Visciarelli, Abigail Shefer, Cesira Pasquarella, Carlo Signorelli. Effectiveness of interventions that apply new media to improve vaccine uptake and vaccine coverage. Human vaccines & immunotherapeutics. Vol. 11, No. 1, 2015, pp. 72-82.
Robert M. Wolfe, Lisa K. Sharp, Martin Stephen Lipsky. Content and Design Attributes of Antivaccination Web Sites. Journal of the American Medical Association. 287 (24): 2002, pp. 3245-3248.
Holly O. Wittemanab, Brian J. Zikmund-Fisher. The defining characteristics of Web 2.0 and their potential influence in the online vaccination debate. Vaccine. Vol. 30, No. 25, 2012, pp. 3734-3740.
Anna Kata. Anti-vaccine activists, Web 2.0, and the postmodern paradigm—an overview of tactics and tropes used online by the anti-vaccination movement. Vaccine. Vol. 30, No. 25, 2012, pp. 3778-3789.
Heidi J. Larson, Alexandre de Figueiredo, Zhao Xiahong, William S. Schulz, Pierre Verger, Iain G. Johnston, Alex R. Cook, Nick S. Jones. The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey. EBioMedicine. Vol. 12, 2016, pp. 295-301.
Laura D. Scherera, Victoria A. Shafferab, Niraj Patela, Brian J. Zikmund-Fisherc. Can the vaccine adverse event reporting system be used to increase vaccine acceptance and trust? Vaccine. Vol. 34, No. 21, pp. 2424-2429.
Heidi J Larson. Negotiating vaccine acceptance in an era of reluctance. Human vaccines & immunotherapeutics. Vol. 9, No. 8, 2013, pp. 1779-1781.
Mark C. Navin, Jason Adam Wasserman, Miriam Ahmad, Shane Bies. Vaccine Education, Reasons for Refusal, and Vaccination Behavior. American Journal of Preventive Medicine. Vol. 56, No. 3, 2019, pp. 359-367.
Cornelia Betscha, Noel T. Brewerb, Pauline Brocardc, Patrick Daviesd, Wolfgang Gaissmaiere, Niels Haasea, Julie Leaskf, Frank Renkewitza, Britta Rennerg, Valerie F. Reynah, Constanze Rossmanni, Katharina Sachsej, Alexander Schachingerk, Michael Siegristl, Marybelle Stryk. Opportunities and challenges of Web 2.0 for vaccination decisions. Vaccine. Vol. 30, No. 25, 2012, pp. 3727-3733.
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