Skip to main content
Top
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Vaccination decision-making of immigrant parents in the Netherlands; a focus group study

Authors: Irene A. Harmsen, Helien Bos, Robert A. C. Ruiter, Theo G. W. Paulussen, Gerjo Kok, Hester E. de Melker, Liesbeth Mollema

Published in: BMC Public Health | Issue 1/2015

Login to get access

Abstract

Background

Although the vaccination coverage in most high income countries is high, variations in coverage rates on the national level among different ethnic backgrounds are reported. A qualitative study was performed to explore factors that influence decision-making among parents with different ethnic backgrounds in the Netherlands.

Methods

Six focus groups were conducted with 33 mothers of Moroccan, Turkish and other ethnic backgrounds with at least one child aged 0–4 years. Data were analysed using thematic analysis.

Results

Parents had a positive attitude towards childhood vaccination and a high confidence in the advices of Child Vaccine Providers (CVPs). Vaccinating their children was perceived as self-evident and important. Parents do perceive a language barrier in understanding the provided NIP-information, and they had a need for more NIP- information, particularly about the targeted diseases. Another barrier parents perceived was the distance to the Child Welfare Center (CWC), especially when the weather was bad and when they had no access to a car.

Conclusion

More information about targeted diseases and complete information regarding benefits and drawbacks of the NIP should be provided to the parents. To fulfill parents’ information needs, NIP information meetings can be organized at CWCs in different languages. Providing NIP information material in Turkish, Arabic and Berber language with easy access is also recommended. Providing information tailored to these parents’ needs is important to sustain high vaccination participation, and to ensure acceptance of future vaccinations.
Literature
1.
go back to reference Streefland P, Chowdhury AM, Ramos-Jimenez P. Patterns of vaccination acceptance. Soc Sci Med. 1999;49:1705–16.CrossRefPubMed Streefland P, Chowdhury AM, Ramos-Jimenez P. Patterns of vaccination acceptance. Soc Sci Med. 1999;49:1705–16.CrossRefPubMed
3.
go back to reference Harmsen IA, Ruiter RAC, Paulussen TGW, Mollema L, Kok G, De Melker HE. Factors that influence vaccination decision-making by parents who visit an anthroposophical child welfare center: A Focus Group Study. Adv Prev Med. 2012;2012:1–7.CrossRef Harmsen IA, Ruiter RAC, Paulussen TGW, Mollema L, Kok G, De Melker HE. Factors that influence vaccination decision-making by parents who visit an anthroposophical child welfare center: A Focus Group Study. Adv Prev Med. 2012;2012:1–7.CrossRef
4.
go back to reference Ruijs WL, LA Hautvast J, Van Ansem WJ, Van Ijzendoorn G, Van der Velden K, Hulscher ME. How orthodox protestant parents decide on the vaccination of their children: a qualitative study. BMC Public Health. 2012;12:408.CrossRefPubMedPubMedCentral Ruijs WL, LA Hautvast J, Van Ansem WJ, Van Ijzendoorn G, Van der Velden K, Hulscher ME. How orthodox protestant parents decide on the vaccination of their children: a qualitative study. BMC Public Health. 2012;12:408.CrossRefPubMedPubMedCentral
5.
go back to reference Woonink F. Objections against vaccination: the perspective of those who refuse. Infectieziekten Bull. 2009;20:50–1. Woonink F. Objections against vaccination: the perspective of those who refuse. Infectieziekten Bull. 2009;20:50–1.
6.
go back to reference Mollema L, Staal JM, Van Steenbergen JE, Paulussen TG, De Melker HE. An exploratory qualitative assessment of factors influencing childhood vaccine providers’ intention to recommend immunization in the Netherlands. BMC Public Health. 2012;12:128.CrossRefPubMedPubMedCentral Mollema L, Staal JM, Van Steenbergen JE, Paulussen TG, De Melker HE. An exploratory qualitative assessment of factors influencing childhood vaccine providers’ intention to recommend immunization in the Netherlands. BMC Public Health. 2012;12:128.CrossRefPubMedPubMedCentral
7.
go back to reference Van Lier A, Van de Kassteele J, De Hoogh P, Drijfhout I, and De Melker H. Vaccine uptake determinants in The Netherlands. Eur J Public Health 2013; 1–6 Van Lier A, Van de Kassteele J, De Hoogh P, Drijfhout I, and De Melker H. Vaccine uptake determinants in The Netherlands. Eur J Public Health 2013; 1–6
8.
go back to reference Smith PJ, Singleton JA. County-level trends in vaccination coverage among children aged 19-35 months - United States, 1995-2008. MMWR Surveill Summ. 2011;60:1–86. Smith PJ, Singleton JA. County-level trends in vaccination coverage among children aged 19-35 months - United States, 1995-2008. MMWR Surveill Summ. 2011;60:1–86.
9.
go back to reference Groom AV, Washington ML, Smith PJ, Bryan RT. Underimmunization of American Indian and Alaska Native children. Pediatrics. 2008;121:938–44.CrossRefPubMed Groom AV, Washington ML, Smith PJ, Bryan RT. Underimmunization of American Indian and Alaska Native children. Pediatrics. 2008;121:938–44.CrossRefPubMed
10.
go back to reference Luman ET, McCauley MM, Shefer A, Chu SY. Maternal characteristics associated with vaccination of young children. Pediatrics. 2003;111:1215–8.PubMed Luman ET, McCauley MM, Shefer A, Chu SY. Maternal characteristics associated with vaccination of young children. Pediatrics. 2003;111:1215–8.PubMed
11.
go back to reference Chu SY, Barker LE, Smith PJ. Racial/Ethnic Disparities in Preschool Immunizations : Unites States, 1996–2001. Am J Public Health. 2010;94:973–7.CrossRef Chu SY, Barker LE, Smith PJ. Racial/Ethnic Disparities in Preschool Immunizations : Unites States, 1996–2001. Am J Public Health. 2010;94:973–7.CrossRef
14.
go back to reference Braun V. Using thematic analysis in psychology. Qual Res. 2006;3:77–101. Braun V. Using thematic analysis in psychology. Qual Res. 2006;3:77–101.
15.
go back to reference Paulussen TGW, Hoekstra F, Lanting CI, Buijs GB, Hirasing RA. Determinants of Dutch parents’ decisions to vaccinate their child. Vaccine. 2006;24:644–51.CrossRefPubMed Paulussen TGW, Hoekstra F, Lanting CI, Buijs GB, Hirasing RA. Determinants of Dutch parents’ decisions to vaccinate their child. Vaccine. 2006;24:644–51.CrossRefPubMed
16.
17.
go back to reference Sporton RK, Francis SA. Choosing not to immunize: are parents making informed decisions? Fam Pract. 2001;18:181–8.CrossRefPubMed Sporton RK, Francis SA. Choosing not to immunize: are parents making informed decisions? Fam Pract. 2001;18:181–8.CrossRefPubMed
23.
go back to reference Austvoll-Dahlgren A, Helseth S. What informs parents’ decision-making about childhood vaccinations? J Adv Nurs. 2010;66:2421–30.CrossRefPubMed Austvoll-Dahlgren A, Helseth S. What informs parents’ decision-making about childhood vaccinations? J Adv Nurs. 2010;66:2421–30.CrossRefPubMed
24.
go back to reference Evans M, Stoddart H, Condon L, Freeman E, Grizzell M, Mullen R. Parents’ perspectives on the MMR immunisation: a focus group study. Brit J Gen Pract. 2001;51:904–10. Evans M, Stoddart H, Condon L, Freeman E, Grizzell M, Mullen R. Parents’ perspectives on the MMR immunisation: a focus group study. Brit J Gen Pract. 2001;51:904–10.
25.
go back to reference Hak E, Schönbeck Y, De Melker H, Van Essen GA, Sanders EAM. Negative attitude of highly educated parents and health care workers towards future vaccinations in the Dutch childhood vaccination program. Vaccine. 2005;23:3103–7.CrossRefPubMed Hak E, Schönbeck Y, De Melker H, Van Essen GA, Sanders EAM. Negative attitude of highly educated parents and health care workers towards future vaccinations in the Dutch childhood vaccination program. Vaccine. 2005;23:3103–7.CrossRefPubMed
26.
go back to reference Timmermans DRM, Henneman L, Hirasing RA, Van Der Wal G. Attitudes and risk perception of parents of different ethnic backgrounds regarding meningococcal C vaccination. Vaccine. 2005;23:3329–35.CrossRefPubMed Timmermans DRM, Henneman L, Hirasing RA, Van Der Wal G. Attitudes and risk perception of parents of different ethnic backgrounds regarding meningococcal C vaccination. Vaccine. 2005;23:3329–35.CrossRefPubMed
Metadata
Title
Vaccination decision-making of immigrant parents in the Netherlands; a focus group study
Authors
Irene A. Harmsen
Helien Bos
Robert A. C. Ruiter
Theo G. W. Paulussen
Gerjo Kok
Hester E. de Melker
Liesbeth Mollema
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2572-x

Other articles of this Issue 1/2015

BMC Public Health 1/2015 Go to the issue