Abstract

BackgroundParents' reported ambivalence toward large-scale vaccination programs for childhood diseases may be related to their perception of the risks of side-effects or safety of vaccination and the risk of contracting the disease. The aim of this study is to evaluate parents' perceptions of their child's risk contracting a Meningococcal C infection and parents' perceived control in preventing infection in relation to their evaluation of the safety, effectiveness and usefulness of vaccination.MethodsIn a large-scale interview study, a random sample of parents was interviewed after their children had received vaccination against Meningococcal C in a catch-up campaign. Questions were asked about the perceived relative vulnerability of their child contracting an infection, perceived control in preventing an infection, and parents' evaluation of the safety, usefulness and effectiveness of vaccination.Results61% of 2910 (N = 1763) parents who were approached participated. A higher perceived relative vulnerability of their own child contracting the disease was related to a more positive evaluation of the vaccination campaign, while a lower perceived vulnerability did not result in a more negative evaluation. A higher perceived control in being able to prevent an infection was, however, related to a more critical attitude toward the safety, usefulness and effectiveness of vaccination.ConclusionPerceived relative vulnerability contracting an infection and parents' perceived control in preventing an infection seem to influence parents' evaluation of the vaccination programme. Future studies should determine if, and under which circumstances, these perceptions also affect parents' vaccination behaviour and would be relevant to be taken into account when educating parents about vaccination.

Highlights

  • Parents' reported ambivalence toward large-scale vaccination programs for childhood diseases may be related to their perception of the risks of side-effects or safety of vaccination and the risk of contracting the disease

  • Other reasons for the ambivalence toward vaccination may lie in parents' perceptions of the risks of contracting diseases, of the seriousness of diseases or of the risk of side-effects of vaccination [4], these perceptions may differ between diseases [5]

  • In the present study we investigated whether parents' perceived relative vulnerability and perceived control are related to their evaluation of the safety, effectiveness and usefulness of vaccination against Meningococcal C infection

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Summary

Introduction

Parents' reported ambivalence toward large-scale vaccination programs for childhood diseases may be related to their perception of the risks of side-effects or safety of vaccination and the risk of contracting the disease. Parents may be reluctant to vaccinate their children because they consider negative side-effects of vaccination as being more serious than negative effects of the concerned disease, such as complications [5,6,7,8] This reluctance might be heightened when cases are published of severe side-effects of vaccination – spurious or otherwise – as happened in the past in, for example, the Netherlands [9] and the UK [10]. Parents' perception of these risks seems to affect their vaccination behaviour and their evaluation of the usefulness of vaccination [12,13]

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