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Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

The impact of a vaccine scare on parental views, trust and information needs: a qualitative study in Sydney, Australia

Authors: Catherine King, Julie Leask

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Vaccine safety scares can undermine public confidence in vaccines and decrease immunisation rates. Understanding and addressing parental concerns arising during such scares can assist in lessening their impact. In Australia in April 2010 there was a temporary suspension of influenza vaccine for children under 5 years of age after reports of an increase in the rate of adverse events following vaccination. This qualitative study aimed to explore the impact of the vaccine suspension on parental knowledge, attitudes, trust, information needs, and intent related to influenza vaccination and broader immunisation programs.

Methods

Semi-structured interviews were conducted with 25 parents of children attending childcare centres in Sydney, Australia, between June 2010 and May 2011. Centres were selected to include parents from a range of socioeconomic backgrounds. Interview transcripts were coded and analysed using an approach informed by grounded theory.

Results

Findings indicated that, for those who recalled the vaccine suspension, there was a lasting sense of uncertainty and confusion and a perceived lack of information. Parents had distinct information needs following the vaccine suspension, especially in regards to vaccine safety, testing and recommendations. For many, influenza vaccination intent was conditional on receipt of information from a trusted, authoritative source allaying safety concerns. Importantly, the impact of the scare was contained to influenza vaccines only, and not other vaccine programs.

Conclusions

Parental concerns and information gaps following a vaccine safety scare need to be actively addressed. We provide policy and practice suggestions for proactively managing such incidents, particularly in relation to communication of timely, targeted information to parents and immunisation providers.
Literature
1.
go back to reference Streefland PH. Public doubts about vaccination safety and resistance against vaccination. Health Policy. 2001;55(3):159–72.CrossRefPubMed Streefland PH. Public doubts about vaccination safety and resistance against vaccination. Health Policy. 2001;55(3):159–72.CrossRefPubMed
2.
go back to reference Petts J, Niemeyer S. Health risk communication and amplification: learning from the MMR vaccination controversy. Health Risk Soc. 2004;6(1):7–23.CrossRef Petts J, Niemeyer S. Health risk communication and amplification: learning from the MMR vaccination controversy. Health Risk Soc. 2004;6(1):7–23.CrossRef
4.
go back to reference Taylor LE, Swerdfeger AL, Eslick GD. Vaccines are not associated with autism: an evidence-based meta-analysis of case–control and cohort studies. Vaccine. 2014;32(29):3623–9.CrossRefPubMed Taylor LE, Swerdfeger AL, Eslick GD. Vaccines are not associated with autism: an evidence-based meta-analysis of case–control and cohort studies. Vaccine. 2014;32(29):3623–9.CrossRefPubMed
5.
go back to reference Maglione MA, Das L, Raaen L, Smith A, Chari R, Newberry S, Shanman R, Perry T, Goetz MB, Gidengil C. Safety of vaccines used for routine immunization of U.S. children: a systematic review. Pediatrics. 2014;134(2):325–37.CrossRefPubMed Maglione MA, Das L, Raaen L, Smith A, Chari R, Newberry S, Shanman R, Perry T, Goetz MB, Gidengil C. Safety of vaccines used for routine immunization of U.S. children: a systematic review. Pediatrics. 2014;134(2):325–37.CrossRefPubMed
6.
go back to reference Health and Social Care Information Centre: NHS Immunisation Statistics: England 2013–14. Leeds, UK: Health and Social Care Information Centre; 2014. Health and Social Care Information Centre: NHS Immunisation Statistics: England 2013–14. Leeds, UK: Health and Social Care Information Centre; 2014.
7.
go back to reference Jansen VA, Stollenwerk N, Jensen HJ, Ramsay ME, Edmunds WJ, Rhodes CJ. Measles outbreaks in a population with declining vaccine uptake. Science. 2003;301(5634):804.CrossRefPubMed Jansen VA, Stollenwerk N, Jensen HJ, Ramsay ME, Edmunds WJ, Rhodes CJ. Measles outbreaks in a population with declining vaccine uptake. Science. 2003;301(5634):804.CrossRefPubMed
8.
go back to reference Miller D, Madge N, Diamond J, Wadsworth J, Ross E. Pertussis immunisation and serious acute neurological illnesses in children. BMJ. 1993;307(6913):1171–6.CrossRefPubMedPubMedCentral Miller D, Madge N, Diamond J, Wadsworth J, Ross E. Pertussis immunisation and serious acute neurological illnesses in children. BMJ. 1993;307(6913):1171–6.CrossRefPubMedPubMedCentral
9.
go back to reference Begg N, Ramsay M, White J, Bozoky Z. Medicine and the media: media dents confidence in MMR vaccine. BMJ. 1998;316(7130):561.CrossRef Begg N, Ramsay M, White J, Bozoky Z. Medicine and the media: media dents confidence in MMR vaccine. BMJ. 1998;316(7130):561.CrossRef
11.
go back to reference Kanai K. Japan's experience in pertussis epidemiology and vaccination in the past thirty years. Jpn J Med Sci Biol. 1980;33(3):107–43.CrossRefPubMed Kanai K. Japan's experience in pertussis epidemiology and vaccination in the past thirty years. Jpn J Med Sci Biol. 1980;33(3):107–43.CrossRefPubMed
12.
go back to reference Gangarosa EJ, Galazka AM, Wolfe CR, Phillips LM, Gangarosa RE, Miller E, Chen RT. Impact of anti-vaccine movements on pertussis control: the untold story. Lancet. 1998;351(9099):356–61.CrossRefPubMed Gangarosa EJ, Galazka AM, Wolfe CR, Phillips LM, Gangarosa RE, Miller E, Chen RT. Impact of anti-vaccine movements on pertussis control: the untold story. Lancet. 1998;351(9099):356–61.CrossRefPubMed
15.
go back to reference Esposito S, Marchisio P, Principi N. The global state of influenza in children. Pediatr Infect Dis J. 2008;27(11 Suppl):S149–153.CrossRefPubMed Esposito S, Marchisio P, Principi N. The global state of influenza in children. Pediatr Infect Dis J. 2008;27(11 Suppl):S149–153.CrossRefPubMed
16.
go back to reference Vynnycky E, Pitman R, Siddiqui R, Gay N, Edmunds WJ. Estimating the impact of childhood influenza vaccination programmes in England and Wales. Vaccine. 2008;26(41):5321–30.CrossRefPubMed Vynnycky E, Pitman R, Siddiqui R, Gay N, Edmunds WJ. Estimating the impact of childhood influenza vaccination programmes in England and Wales. Vaccine. 2008;26(41):5321–30.CrossRefPubMed
17.
go back to reference Pitman RJ, White LJ, Sculpher M. Estimating the clinical impact of introducing paediatric influenza vaccination in England and Wales. Vaccine. 2012;30(6):1208–24.CrossRefPubMed Pitman RJ, White LJ, Sculpher M. Estimating the clinical impact of introducing paediatric influenza vaccination in England and Wales. Vaccine. 2012;30(6):1208–24.CrossRefPubMed
18.
go back to reference National Health and Medical Research Council. The Australian Immunisation Handbook 10th ed. Canberra, ACT: Australian Government Department of Health and Ageing; 2013. National Health and Medical Research Council. The Australian Immunisation Handbook 10th ed. Canberra, ACT: Australian Government Department of Health and Ageing; 2013.
24.
go back to reference Horvath J. Review of the management of adverse events associated with Panvax and Fluvax. Australian Government Department of Health and Ageing: Canberra, ACT; 2011. Horvath J. Review of the management of adverse events associated with Panvax and Fluvax. Australian Government Department of Health and Ageing: Canberra, ACT; 2011.
25.
go back to reference Rockman S, Becher D, Dyson A, Koernig S, Morelli AB, Barnden M, Camuglia S, Soupourmas P, Pearse M, Maraskovsky E. Role of viral RNA and lipid in the adverse events associated with the 2010 Southern Hemisphere trivalent influenza vaccine. Vaccine. 2014;32(30):3869–76.CrossRefPubMed Rockman S, Becher D, Dyson A, Koernig S, Morelli AB, Barnden M, Camuglia S, Soupourmas P, Pearse M, Maraskovsky E. Role of viral RNA and lipid in the adverse events associated with the 2010 Southern Hemisphere trivalent influenza vaccine. Vaccine. 2014;32(30):3869–76.CrossRefPubMed
26.
go back to reference Kelly HA, Skowronski DM, De Serres G, Effler PV. Adverse events associated with 2010 CSL and other inactivated influenza vaccines. Med J Aust. 2011;195(6):318–20.CrossRefPubMed Kelly HA, Skowronski DM, De Serres G, Effler PV. Adverse events associated with 2010 CSL and other inactivated influenza vaccines. Med J Aust. 2011;195(6):318–20.CrossRefPubMed
27.
go back to reference Li-Kim-Moy J, Booy R. The manufacturing process should remain the focus for severe febrile reactions in children administered an Australian inactivated influenza vaccine during 2010. Influenza Other Respir Viruses. 2016;10(1):9–13.CrossRefPubMed Li-Kim-Moy J, Booy R. The manufacturing process should remain the focus for severe febrile reactions in children administered an Australian inactivated influenza vaccine during 2010. Influenza Other Respir Viruses. 2016;10(1):9–13.CrossRefPubMed
28.
go back to reference Tickner S, Leman PJ, Woodcock A. Factors underlying suboptimal childhood immunisation. Vaccine. 2006;24(49–50):7030–6.CrossRefPubMed Tickner S, Leman PJ, Woodcock A. Factors underlying suboptimal childhood immunisation. Vaccine. 2006;24(49–50):7030–6.CrossRefPubMed
29.
go back to reference Larson HJ, Schulz WS, Tucker JD, Smith DM. Measuring vaccine confidence: introducing a global vaccine confidence index. PLoS Curr. 2015;7. Larson HJ, Schulz WS, Tucker JD, Smith DM. Measuring vaccine confidence: introducing a global vaccine confidence index. PLoS Curr. 2015;7.
30.
go back to reference KU Children's Services. 116th Annual report 2011. Sydney: KU Children's Services; 2012. KU Children's Services. 116th Annual report 2011. Sydney: KU Children's Services; 2012.
31.
go back to reference Australian Bureau of Statistics. Socio-economic indexes for areas (SEIFA) - technical paper 2006. Canberra, ACT: Commonwealth Government of Australia; 2008. Australian Bureau of Statistics. Socio-economic indexes for areas (SEIFA) - technical paper 2006. Canberra, ACT: Commonwealth Government of Australia; 2008.
32.
go back to reference Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London: Sage; 2006. Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London: Sage; 2006.
33.
go back to reference Clarke AE. Situational analysis: grounded theory after the postmodern turn. Thousand Oaks, USA: Sage Publications; 2005.CrossRef Clarke AE. Situational analysis: grounded theory after the postmodern turn. Thousand Oaks, USA: Sage Publications; 2005.CrossRef
34.
go back to reference Simonsen L, Spreeuwenberg P, Lustig R, Taylor RJ, Fleming DM, Kroneman M, Van Kerkhove MD, Mounts AW, Paget WJ. Global mortality estimates for the 2009 Influenza Pandemic from the GLaMOR project: a modeling study. PLoS Med. 2013;10(11):e1001558.CrossRefPubMedPubMedCentral Simonsen L, Spreeuwenberg P, Lustig R, Taylor RJ, Fleming DM, Kroneman M, Van Kerkhove MD, Mounts AW, Paget WJ. Global mortality estimates for the 2009 Influenza Pandemic from the GLaMOR project: a modeling study. PLoS Med. 2013;10(11):e1001558.CrossRefPubMedPubMedCentral
35.
go back to reference Renn O. Risk governance: coping with uncertainty in a complex world. London: Earthscan; 2008. Renn O. Risk governance: coping with uncertainty in a complex world. London: Earthscan; 2008.
36.
go back to reference Sandman PM. Responding to community outrage: strategies for effective risk communication. Fairfax, USA: American Industrial Hygiene Association; 1993.CrossRef Sandman PM. Responding to community outrage: strategies for effective risk communication. Fairfax, USA: American Industrial Hygiene Association; 1993.CrossRef
37.
go back to reference Reyna VF. How people make decisions that involve risk: a dual-processes approach. Curr Dir Psychol Sci. 2004;13(2):60–6.CrossRef Reyna VF. How people make decisions that involve risk: a dual-processes approach. Curr Dir Psychol Sci. 2004;13(2):60–6.CrossRef
38.
go back to reference Brainerd CJ, Reyna VF. Fuzzy-trace theory and memory development. Dev Rev. 2004;24:396–439.CrossRef Brainerd CJ, Reyna VF. Fuzzy-trace theory and memory development. Dev Rev. 2004;24:396–439.CrossRef
39.
go back to reference Slovic P, Finucane ML, Peters E, MacGregor DG. Risk as analysis and risk as feelings: some thoughts about affect, reason, risk, and rationality. Risk Anal. 2004;24(2):311–22.CrossRefPubMed Slovic P, Finucane ML, Peters E, MacGregor DG. Risk as analysis and risk as feelings: some thoughts about affect, reason, risk, and rationality. Risk Anal. 2004;24(2):311–22.CrossRefPubMed
40.
go back to reference Dube E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Rev Vaccines. 2015;14(1):99–117.CrossRefPubMed Dube E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Rev Vaccines. 2015;14(1):99–117.CrossRefPubMed
41.
go back to reference Serpell L, Green J. Parental decision-making in childhood vaccination. Vaccine. 2006;24(19):4041–6.CrossRefPubMed Serpell L, Green J. Parental decision-making in childhood vaccination. Vaccine. 2006;24(19):4041–6.CrossRefPubMed
42.
go back to reference Lupton DA. 'The best thing for the baby': Mothers' concepts and experiences related to promoting their infants' health and development. Health Risk Soc. 2011;13(7–8):637–51.CrossRef Lupton DA. 'The best thing for the baby': Mothers' concepts and experiences related to promoting their infants' health and development. Health Risk Soc. 2011;13(7–8):637–51.CrossRef
43.
44.
go back to reference Giddens A. The consequences of modernity. Stanford, USA: Stanford University Press; 1990. Giddens A. The consequences of modernity. Stanford, USA: Stanford University Press; 1990.
45.
go back to reference Blyth CC, Richmond PC, Jacoby P, Thornton P, Regan A, Robins C, Kelly H, Smith DW, Effler PV. The impact of pandemic A(H1N1)pdm09 influenza and vaccine-associated adverse events on parental attitudes and influenza vaccine uptake in young children. Vaccine. 2014;32(32):4075–81.CrossRefPubMed Blyth CC, Richmond PC, Jacoby P, Thornton P, Regan A, Robins C, Kelly H, Smith DW, Effler PV. The impact of pandemic A(H1N1)pdm09 influenza and vaccine-associated adverse events on parental attitudes and influenza vaccine uptake in young children. Vaccine. 2014;32(32):4075–81.CrossRefPubMed
46.
go back to reference Velan B. Acceptance on the move: public reaction to shifting vaccination realities. Hum Vaccin. 2011;7(12):1261–70.CrossRefPubMed Velan B. Acceptance on the move: public reaction to shifting vaccination realities. Hum Vaccin. 2011;7(12):1261–70.CrossRefPubMed
47.
go back to reference Walsh S, Thomas DR, Mason BW, Evans MR. The impact of the media on the decision of parents in South Wales to accept measles-mumps-rubella (MMR) immunization. Epidemiol Infect. 2015;143(3):550–60.CrossRefPubMed Walsh S, Thomas DR, Mason BW, Evans MR. The impact of the media on the decision of parents in South Wales to accept measles-mumps-rubella (MMR) immunization. Epidemiol Infect. 2015;143(3):550–60.CrossRefPubMed
48.
go back to reference Leask J, Hooker C, King C. Media coverage of health issues and how to work more effectively with journalists: a qualitative study. BMC Public Health. 2010;10:535.CrossRefPubMedPubMedCentral Leask J, Hooker C, King C. Media coverage of health issues and how to work more effectively with journalists: a qualitative study. BMC Public Health. 2010;10:535.CrossRefPubMedPubMedCentral
49.
go back to reference Guillaume LR, Bath PA. The impact of health scares on parents' information needs and preferred information sources: a case study of the MMR vaccine scare. Health Informatics J. 2004;10(1):5–22.CrossRef Guillaume LR, Bath PA. The impact of health scares on parents' information needs and preferred information sources: a case study of the MMR vaccine scare. Health Informatics J. 2004;10(1):5–22.CrossRef
50.
go back to reference Nyhan B, Reifler J, Richey S, Freed GL. Effective messages in vaccine promotion: a randomized trial. Pediatrics. 2014;133(4):e835–842.CrossRefPubMed Nyhan B, Reifler J, Richey S, Freed GL. Effective messages in vaccine promotion: a randomized trial. Pediatrics. 2014;133(4):e835–842.CrossRefPubMed
51.
go back to reference Parrella A, Gold M, Marshall H, Braunack-Mayer A, Watson M, Baghurst P. Parental views on vaccine safety and future vaccinations of children who experienced an adverse event following routine or seasonal influenza vaccination in 2010. Hum Vaccin Immunother. 2012;8(5):662–7.CrossRefPubMed Parrella A, Gold M, Marshall H, Braunack-Mayer A, Watson M, Baghurst P. Parental views on vaccine safety and future vaccinations of children who experienced an adverse event following routine or seasonal influenza vaccination in 2010. Hum Vaccin Immunother. 2012;8(5):662–7.CrossRefPubMed
52.
go back to reference Mak DB, Carcione D, Joyce S, Tomlin S, Effler PV. Paediatric influenza vaccination program suspension: effect on childhood vaccine uptake. Aust N Z J Public Health. 2012;36(5):494–5.CrossRefPubMed Mak DB, Carcione D, Joyce S, Tomlin S, Effler PV. Paediatric influenza vaccination program suspension: effect on childhood vaccine uptake. Aust N Z J Public Health. 2012;36(5):494–5.CrossRefPubMed
53.
go back to reference Blyth CC, Jacoby P, Effler PV, Kelly H, Smith DW, Borland ML, Willis GA, Levy A, Keil AD, Richmond PC. Influenza vaccine effectiveness and uptake in children at risk of severe disease. Pediatr Infect Dis J. 2016;35(3):309–15.CrossRefPubMed Blyth CC, Jacoby P, Effler PV, Kelly H, Smith DW, Borland ML, Willis GA, Levy A, Keil AD, Richmond PC. Influenza vaccine effectiveness and uptake in children at risk of severe disease. Pediatr Infect Dis J. 2016;35(3):309–15.CrossRefPubMed
54.
go back to reference Covello VT. Best practices in public health risk and crisis communication. J Health Commun. 2003;8 Suppl 1:5–8. discussion 148–151.CrossRefPubMed Covello VT. Best practices in public health risk and crisis communication. J Health Commun. 2003;8 Suppl 1:5–8. discussion 148–151.CrossRefPubMed
55.
go back to reference Cairns G, de Andrade M, MacDonald L. Reputation, relationships, risk communication, and the role of trust in the prevention and control of communicable disease: a review. J Health Commun. 2013;18(12):1550–65.CrossRefPubMed Cairns G, de Andrade M, MacDonald L. Reputation, relationships, risk communication, and the role of trust in the prevention and control of communicable disease: a review. J Health Commun. 2013;18(12):1550–65.CrossRefPubMed
Metadata
Title
The impact of a vaccine scare on parental views, trust and information needs: a qualitative study in Sydney, Australia
Authors
Catherine King
Julie Leask
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4032-2

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