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Factors underlying suboptimal childhood immunisation

Sarah Tickner1, Patrick J Leman, Alison Woodcock

  • 1Department of Psychology, Royal Holloway, University of London, Egham, Surrey TW20 0EX, UK. s.p.tickner@rhul.ac.uk

Vaccine
|August 8, 2006
PubMed

Insights

Parents often miss vaccination opportunities for children, impacting coverage for measles, mumps, rubella (MMR) and diphtheria, tetanus, and polio vaccines. Understanding parental decisions and barriers is key to improving childhood immunisation rates.

Area of Science:

  • Public Health
  • Immunisation Studies
  • Paediatric Medicine

Background:

  • Childhood immunisation coverage in England shows suboptimal uptake for several key vaccines.
  • Missed vaccination opportunities extend beyond measles, mumps, and rubella (MMR), affecting diphtheria, tetanus, and polio (DTP) vaccines.
  • Booster immunisation rates lag behind primary course completion for both MMR and DTP vaccines.

Purpose of the Study:

  • To explore the reasons behind parents missing vaccination opportunities for childhood immunisations.
  • To identify barriers to achieving optimal immunisation coverage in England.
  • To inform strategies for improving vaccine uptake based on parental decision-making.

Main Methods:

  • Review of international literature on parental vaccine decision-making.
  • Analysis of current immunisation coverage data for England.
  • Identification of common barriers to childhood vaccination.

Main Results:

  • Suboptimal uptake is prevalent for MMR and DTP vaccines, particularly for booster doses.
  • International literature highlights various parental concerns and decision-making factors influencing vaccine acceptance.
  • Several barriers to immunisation have been identified that require targeted interventions.

Conclusions:

  • Addressing parental decision-making and overcoming identified barriers are crucial for enhancing childhood immunisation coverage.
  • Improving uptake requires a nuanced understanding of parental perspectives on vaccines like MMR and DTP.
  • Strategies to boost immunisation rates must consider both primary and booster vaccination series.

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