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Cited by 70Vaccine Coverage and HesitancyIntramuscular injections and effectsImmune responses and vaccinations

Mothers as active partners in the prevention of childhood diseases: maternal factors related to immunization status of preschool children in Italy

Impicciatore, Piero, Bosetti, Cristina, Schiavio, Stefano, Pandolfini, Chiara, Bonati, Maurizio·2000·Preventive Medicine
DOI 10.1006/pmed.2000.0677
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Abstract

Background We examined how maternal socio-demographic factors, together with mother's education, knowledge, and perception of immunizations, can affect the uptake of optional vaccinations of preschool children in Italy.Methods Interviews of Italian mothers were performed using a structured questionnaire administered by trained interviewers with no specific medical competence.Results A convenience sample of 1,035 mothers were interviewed. Fifty-nine percent of the respondents reported to have had their child immunized with the MMR vaccine and 54% reported to have had their child immunized against pertussis. In logistic regression analysis, three variables were significantly associated with both the immunization outcomes: mother's positive attitude toward immunization (OR = 1.69; IC 1.13-2.52 for pertussis; OR = 1.86, IC 1. 17-2.96 for MMR); mothers' residency in the North of the country (OR = 1.74; IC 1.32-2.30 for pertussis; OR = 1.63, IC 1.18-2.24 for MMR); and mother's receipt of satisfactory information on immunization (OR = 1.67; IC 1.15-2.21 for pertussis; OR = 2.25, IC 1. 47-3.43 for MMR). An immunization performed in recent years (after 1994), probably following the widespread use of acellular vaccine, was the most significant predictor for pertussis immunization (OR = 3.21; IC 2.43-4.24).Conclusions The findings suggest that mothers' attitudes, educational level, and socio-demographic characteristics, as well as socio-economic factors and local health policies, can influence children's immunization uptake. Health promotion, based on a partnership between parents and health professionals, should become a priority in Italian vaccination policies.

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Authors
Impicciatore, P., Bosetti, C., Schiavio, S., Pandolfini, C., & Bonati, M.
Affiliations
Mario Negri Institute for Pharmacological Research (IT)
Corresponding author
Bonati, Maurizio
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2000-07
Volume
31
Issue
1
Pages
49-55
ISSN
0091-7435 (ISSN-L)
DOI
10.1006/pmed.2000.0677
OpenAlex
W1980174512
Cited by
70
References
23
Citations by year
2023: 1 · 2022: 4 · 2021: 10 · 2019: 2 · 2018: 1 · 2017: 5 · 2016: 4 · 2015: 1 · 2014: 3 · 2013: 2 · 2012: 4
FWCI
0.83
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
Keywords
childhood immunization, vaccine uptake, preschool children, MMR vaccine, pertussis vaccine, acellular pertussis vaccine, maternal education, sociodemographic factors, regional disparities, health promotion, Italy
MeSH terms
Analysis of Variance, Child, Child, Preschool, Communicable Disease Control, Educational Status, Female, Humans, Immunization, Infant, Italy, Health Knowledge, Attitudes, Practice, Male, Mothers, Surveys and Questionnaires, Sampling Studies, Socioeconomic Factors, Confidence Intervals, Logistic Models, Odds Ratio

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