Cited by 374Vaccine Coverage and HesitancyPediatric Pain Management TechniquesIntramuscular injections and effects

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Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination

Mills, Edward, Jadad, Alejandro R., Ross, Cory, Wilson, Kumanan·2005·Journal of Clinical Epidemiology

DOI 10.1016/j.jclinepi.2005.09.002

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Abstract

Objective To determine whether a systematic review of qualitative studies can lead to identification of consistent themes across studies, using barriers toward childhood vaccination as an example.Study design and setting We performed a systematic literature search of studies identified in 10 electronic databases. Two independent reviewers selected the relevant abstracts and articles, then extracted information. Content analysis methodology was used to create a coding template for barriers and then to identify how many studies identified specific barriers.Results Fifteen studies were included in this overview. Eight studies used semistructured interviews, five used focus groups, and two used both methodologies. Themes fell under four major headings: issues of harm, issues of distrust, access issues, and other issues. Barriers identified in more than half of the studies included concern about the risk of adverse effects, concern that vaccinations are painful, distrust of by those advocating vaccines (including belief in conspiracy), belief that vaccination should not occur when the child has a minor illness, unpleasant staff or poor communication, and lack of awareness of the vaccination schedule.Conclusion Systematically reviewing qualitative studies on barriers to childhood vaccination provided important information on barriers that are consistently identified by parents in several different studies.

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Authors: Mills, E., Jadad, A. R., Ross, C., & Wilson, K.
Affiliations: University of Oxford (GB)
University Health Network (CA)
Queen Margaret University (GB)
Corresponding author: Wilson, Kumanan
ORCID: Mills, Edward
Jadad, Alejandro R.
Wilson, Kumanan
Venue: Journal of Clinical Epidemiology
Publisher: Elsevier BV
Published: 2005-11
Volume: 58
Issue: 11
Pages: 1081-1088
ISSN: 0895-4356 (ISSN-L)
DOI: 10.1016/j.jclinepi.2005.09.002
OpenAlex: W1994034662
Cited by: 374
References: 37
Citations by year: 2026: 2 · 2025: 5 · 2024: 17 · 2023: 20 · 2022: 15 · 2021: 22 · 2020: 18 · 2019: 22 · 2018: 17 · 2017: 27 · 2016: 28 · 2015: 32 · 2014: 36 · 2013: 21 · 2012: 16
FWCI: 1.46
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Clinical Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: Canadian Institutes of Health Research
Topics: Social Sciences › Health › Vaccine Coverage and Hesitancy
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
Keywords: childhood immunization, parental beliefs, vaccine hesitancy, barriers to vaccination, vaccine safety concerns, vaccination pain, conspiracy beliefs, health communication, vaccine access
MeSH terms: Adult, Attitude, Child, Culture, Data Interpretation, Statistical, Humans, Parents, Vaccination, Epidemiologic Research Design

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Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination

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