Abstract
Background: One of the major factors contributing to parental refusal of vaccinations is the perception that vaccines cause side effects. Although symptoms are commonly reported following vaccinations, their causes are not always straightforward. Although some may be directly attributable to the vaccine itself, others may reflect pre-existing or coincidental symptoms that are misattributed to the vaccine. Purpose: To investigate psychological factors associated with parental report of side effects following vaccination with the child influenza vaccine, and parental intention to re-vaccinate one's child the following year. Methods: A prospective cohort study was run in primary care practices in London in the 2016-2017 influenza season (ClinicalTrials.gov number NCT02909855). Two hundred seventy parents from 14 practices completed a questionnaire before their child's vaccination. Follow-up questionnaires were completed 3 days after vaccination and one month after vaccination. Parental report of side effects and vaccination intention for the subsequent year were measured. Results: Parental report of side effects was strongly associated with pre-vaccination expectation of side effects. Suggestions received from the media, National Health Service (NHS) vaccination leaflet, and health care workers, as well as uncertainty-related beliefs, perceived sensitivity of the child to medicines, pessimism, and anxiety were also associated with reporting side effects. Side effect report was associated with lower vaccination intention for the following influenza season. Conclusions: Side effect perception following vaccination is influenced by psychological factors, in particular expectations. Perceiving side effects reduces future vaccination intention. Future public health communications should aim to decrease unrealistic expectations of side effects to increase vaccine uptake.
Original language | English |
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Pages (from-to) | 267-282 |
Number of pages | 16 |
Journal | Annals of Behavioral Medicine |
Volume | 53 |
Issue number | 3 |
DOIs | |
Publication status | Published - 1 Mar 2019 |
Bibliographical note
Funding Information:The authors would like to thank Dr. Ben Carter and Dr. Ewan Carr for their advice with the analyses. L.E. Smith is funded by the Economic and Social Research Council through a Doctoral Training Centre Studentship. The research was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response at King's College London in partnership with Public Health England (PHE). All authors are based at King's College London. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, the Department of Health or Public Health England.
Publisher Copyright:
© The Author(s) 2018.
Keywords
- Attitudes
- Child vaccination
- Influenza
- Psychological factors
- Symptom