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Are parental vaccine safety concerns associated with receipt of measles-mumps-rubella, diphtheria and tetanus toxoids with acellular pertussis, or hepatitis B vaccines by children?
Arch Pediatr Adolesc Med. 2004 Jun; 158(6):569-75.AP

Abstract

OBJECTIVES

To identify parental perceptions regarding vaccine safety and assess their relationship with the immunization status of children.

DESIGN, SETTING, AND PARTICIPANTS

Case-control study based on a survey of a sample of households participating in the 2000-2001 National Immunization Survey, a quarterly random-digit-dialing sample of US children aged 19 to 35 months. Three groups of case children not up-to-date for 3 vaccines were compared with control children who were up-to-date for each respective vaccine. Main Outcome Measure Measles-containing or measles-mumps-rubella, diphtheria and tetanus toxoids and pertussis or diphtheria and tetanus toxoids with acellular pertussis, and hepatitis B vaccination coverage.

RESULTS

Among those sampled from the 2000-2001 National Immunization Survey, the household response rate was 2315 (52.1%) of 4440. Most respondents (>90%) in all groups believed vaccinations are important. In each case-control group, there was no significant difference between the percentage of case and control parents expressing general vaccine safety (range, 53.5%-64.1%). However, case parents were more likely to have asked that their child not be vaccinated for reasons other than illness (range, 10.2%-13.7% vs range, 2.9%-5.3%, respectively) and to believe their children received too many vaccinations (range, 3.4%-7.6% vs range, 0.8%-1.0%, respectively). Among the case-control group receiving a measles-containing or measles-mumps-rubella vaccination, only a small percentage of parents knew about the alleged association between autism and measles-mumps-rubella vaccinations (8.2%), and case parents were more likely to believe it than control parents (4.4% vs 1.5%, respectively; chi(2) P =.04).

CONCLUSIONS

Despite belief in the importance of immunization by a vast majority of parents, the majority of parents had concerns regarding vaccine safety. Strategies to address important misperceptions about vaccine safety as well as additional research assessing vaccine safety are needed to ensure public confidence.

Authors+Show Affiliations

Division of Immunization Services, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. BFB7@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15184221

Citation

Bardenheier, Barbara, et al. "Are Parental Vaccine Safety Concerns Associated With Receipt of Measles-mumps-rubella, Diphtheria and Tetanus Toxoids With Acellular Pertussis, or Hepatitis B Vaccines By Children?" Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 6, 2004, pp. 569-75.
Bardenheier B, Yusuf H, Schwartz B, et al. Are parental vaccine safety concerns associated with receipt of measles-mumps-rubella, diphtheria and tetanus toxoids with acellular pertussis, or hepatitis B vaccines by children? Arch Pediatr Adolesc Med. 2004;158(6):569-75.
Bardenheier, B., Yusuf, H., Schwartz, B., Gust, D., Barker, L., & Rodewald, L. (2004). Are parental vaccine safety concerns associated with receipt of measles-mumps-rubella, diphtheria and tetanus toxoids with acellular pertussis, or hepatitis B vaccines by children? Archives of Pediatrics & Adolescent Medicine, 158(6), 569-75.
Bardenheier B, et al. Are Parental Vaccine Safety Concerns Associated With Receipt of Measles-mumps-rubella, Diphtheria and Tetanus Toxoids With Acellular Pertussis, or Hepatitis B Vaccines By Children. Arch Pediatr Adolesc Med. 2004;158(6):569-75. PubMed PMID: 15184221.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are parental vaccine safety concerns associated with receipt of measles-mumps-rubella, diphtheria and tetanus toxoids with acellular pertussis, or hepatitis B vaccines by children? AU - Bardenheier,Barbara, AU - Yusuf,Hussain, AU - Schwartz,Benjamin, AU - Gust,Deborah, AU - Barker,Lawrence, AU - Rodewald,Lance, PY - 2004/6/9/pubmed PY - 2004/7/9/medline PY - 2004/6/9/entrez SP - 569 EP - 75 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 158 IS - 6 N2 - OBJECTIVES: To identify parental perceptions regarding vaccine safety and assess their relationship with the immunization status of children. DESIGN, SETTING, AND PARTICIPANTS: Case-control study based on a survey of a sample of households participating in the 2000-2001 National Immunization Survey, a quarterly random-digit-dialing sample of US children aged 19 to 35 months. Three groups of case children not up-to-date for 3 vaccines were compared with control children who were up-to-date for each respective vaccine. Main Outcome Measure Measles-containing or measles-mumps-rubella, diphtheria and tetanus toxoids and pertussis or diphtheria and tetanus toxoids with acellular pertussis, and hepatitis B vaccination coverage. RESULTS: Among those sampled from the 2000-2001 National Immunization Survey, the household response rate was 2315 (52.1%) of 4440. Most respondents (>90%) in all groups believed vaccinations are important. In each case-control group, there was no significant difference between the percentage of case and control parents expressing general vaccine safety (range, 53.5%-64.1%). However, case parents were more likely to have asked that their child not be vaccinated for reasons other than illness (range, 10.2%-13.7% vs range, 2.9%-5.3%, respectively) and to believe their children received too many vaccinations (range, 3.4%-7.6% vs range, 0.8%-1.0%, respectively). Among the case-control group receiving a measles-containing or measles-mumps-rubella vaccination, only a small percentage of parents knew about the alleged association between autism and measles-mumps-rubella vaccinations (8.2%), and case parents were more likely to believe it than control parents (4.4% vs 1.5%, respectively; chi(2) P =.04). CONCLUSIONS: Despite belief in the importance of immunization by a vast majority of parents, the majority of parents had concerns regarding vaccine safety. Strategies to address important misperceptions about vaccine safety as well as additional research assessing vaccine safety are needed to ensure public confidence. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/15184221/Are_parental_vaccine_safety_concerns_associated_with_receipt_of_measles_mumps_rubella_diphtheria_and_tetanus_toxoids_with_acellular_pertussis_or_hepatitis_B_vaccines_by_children L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.158.6.569 DB - PRIME DP - Unbound Medicine ER -