The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination
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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“Further, distrust of medical information has been linked to reluctance to vaccinate [19].”
From The Effects of Anti-Vaccine Conspiracy Theories on Vaccination Intentions (2014) · cites this paper as [19]
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Cites
Weber, R. (1990) · doi:10.4135/9781412983488 · Cited by 7,750
Users' Guides to the Medical Literature
Guyatt, G. H. (1993) · JAMA · doi:10.1001/jama.270.17.2096 · Cited by 3,083
Qualitative Research in Health Care
(2006) · Wiley eBooks · doi:10.1002/9780470750841 · Cited by 2,747
Systematic Reviews: Synthesis of Best Evidence for Clinical Decisions
Cook, D. J., Mulrow, C. D., & Haynes, R. B. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-126-5-199703010-00006 · Cited by 2,184
Using meta ethnography to synthesise qualitative research: a worked example
Britten, N., Campbell, R., Pope, C., Donovan, J., Morgan, M., & Pill, R. (2002) · Journal of Health Services Research & Policy · doi:10.1258/135581902320432732 · Cited by 1,110
Popay, J., Rogers, A., & Williams, G. (1998) · Qualitative Health Research · doi:10.1177/104973239800800305 · Cited by 987
Giacomini, M. K., Cook, D. J., & for the Evidence-Based Medicine Working Group (2000) · JAMA · doi:10.1001/jama.284.3.357 · Cited by 931
Campbell, R., Pound, P., Pope, C., Britten, N., Pill, R., Morgan, M., & Donovan, J. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(02)00064-3 · Cited by 921
Quantitative Applications in the Social Sciences
Rand, G. K. (1983) · Journal of the Operational Research Society · doi:10.1057/jors.1983.225 · Cited by 841
Impact of anti-vaccine movements on pertussis control: the untold story
Gangarosa, E., Gałazka, A., Wolfe, C., Phillips, L., Miller, E., Chen, R., & Gangarosa, R. E. (1998) · The Lancet · doi:10.1016/s0140-6736(97)04334-1 · Cited by 749
Research works printed but not linked: 1
- Centers for Disease Control and Prevention (CD), 1999, Achievements in public health, 1900–1999: impact of vaccines universally recommended for children–United States, MMWR Morb Mortal Wkly Rep, 48, 243
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Vandenberg, S. Y. (2013) · Open ULeth Scholarship (OPUS) (University of Lethbridge) · Cited by 1
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Kennedy, C. M., McIntosh, P., Hogg, R., Brunton, C. G., & Christie, J. (2009) · Research Output (Edinburgh Napier University)
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Favez, N., & Newman, C. (2014) · Child Care in Practice · doi:10.1080/13575279.2014.915793
Nguyen, T. H. D. (2012) · uO Research (University of Ottawa) · doi:10.20381/ruor-5986
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Cha, H.-G., & Chang, S. J. (2015) · Indian Journal of Science and Technology · doi:10.17485/ijst/2015/v8i26/80989
Perna, A. (2016) · uO Research (University of Ottawa) · doi:10.20381/ruor-5262
Remes, O. (2014) · Journal of Scientific Research and Reports · doi:10.9734/jsrr/2014/10201
Fisher, H., Audrey, S., Mytton, J. A., Hickman, M., & Trotter, C. L. (2013) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2013-203126.29
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Parikh, C. (2014) · TSpace (University of Toronto)
Behavioural determinants of parents’ vaccination decisions
Brown, K. (2010) · doi:10.25560/6372
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Kyselá, E. (2014) · Hygiena · doi:10.21101/hygiena.a1210
Tong, A. (2008) · UPT. Syiah Kuala University Library (Syiah Kuala University)
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Bianchi, J., Milani, C., Bechini, A., Boccalini, S., Pinilla, M. J. C., Bonaccorsi, G., & Bonanni, P. (2019) · doi:10.21203/rs.2.17007/v1
Cross-sections, The Bruce Hall Academic Journal: Volume X, 2014
(2014) · Cross-sections The Bruce Hall Academic Journal · doi:10.22459/cs.x.2014
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Cintulova, L. L., Beňo, P., & Juhasova, I. (2019) · Journal of Organizational Psychology · doi:10.33423/jop.v19i4.2292
Awaluddin, S. M., Zainal, H., Khalid, N. E. A., Said, S., & Bakar, R. A. (2022) · Research Square · doi:10.21203/rs.3.rs-2047782/v1
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Maio, J. D., Smith, C. A., & Ward, P. (2025) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-025-04929-4
Assefa, A. N., Haile, J. M., & Woldearegay, A. G. (2025) · World Journal of Clinical Pediatrics · doi:10.5409/wjcp.v14.i4.107333
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Chan, A. H. Y., Tao, M., Marsh, S., & Petousis‐Harris, H. (2024) · Figshare · doi:10.6084/m9.figshare.25210516
Celentano, I., Winer, R. L., Jang, S. H., Ibrahim, A., Mohamed, F. B., Lin, J., Amsalu, F., Ali, A. A., Taylor, V. M., & Ko, L. K. (2021) · Figshare · doi:10.6084/m9.figshare.14782602
Fullerton, M. M., Pateman, M., Hasan, H., Doucette, E. J., Cantarutti, S., Koyama, A., Weightman, A. M., Tang, T., Coakley, A., Currie, G. R., et al. (2023) · Figshare · doi:10.6084/m9.figshare.23672436
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Beesley, R., & Starr, N. C. (2014) · Journal of Bioresource Management
Metadata
- 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
- Venue
- Journal of Clinical Epidemiology
- Publisher
- Elsevier BV
- Published
- 2005-11
- Volume
- 58
- Issue
- 11
- Pages
- 1081-1088
- ISSN
- 0895-4356 (ISSN-L)
- 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
- 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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