Cited by 22Vaccine Coverage and HesitancyChild and Adolescent HealthPediatric Pain Management Techniques

Factors influencing the immunization status of children in a rural setting

Wilson, Thad·2000·Journal of Pediatric Health Care

Abstract

Introduction The purposes of this study were to (a) assess parental perceptions of their decision making regarding children's vaccinations and (b) describe parents' evaluation of immunization services provided by rural clinics/offices.Methods A qualitative design was used in this study, which was conducted in rural Missouri. Twelve mothers of children younger than age 3 years with fewer than the recommended number of immunizations were interviewed using a semi-structured format. The interview results were analyzed using the constant comparative method.Results The following parental perceptions were identified as factors related to immunizations in this rural setting: knowledge of communicable diseases and vaccines, misperceptions about communicable diseases and vaccines, past experiences, competing tasks, transportation, health care personnel, need for reminders, health system, and cost.Discussion Two findings unique to this study were the importance of relationships with health care providers and the challenge of competing tasks. These findings, combined with the other factors identified, reinforced the importance of rural health care providers' maintaining a strong relationship with clients, providing accurate and timely information, and ensuring a readily accessible health care system.

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Crossref · 10.1016/s0891-5245(00)70022-8

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Authors
Wilson, T.
Affiliations
University of Missouri–Kansas City (US)
Corresponding author
Wilson, Thad
Venue
Journal of Pediatric Health Care
Publisher
Elsevier BV
Published
2000-05
Volume
14
Issue
3
Pages
117-121
ISSN
0891-5245 (ISSN-L)
OpenAlex
W2116483608
Cited by
22
References
9
Citations by year
2023: 1 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2015: 1 · 2014: 2 · 2013: 3
FWCI
0.41
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Pediatric Health Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
childhood immunization, vaccine uptake, parental decision-making, rural health care, rural Missouri, vaccine knowledge, vaccine misconceptions, transportation barriers, vaccine cost, immunization reminders, health system access
MeSH terms
Adult, Attitude to Health, Child, Child Health Services, Child Welfare, Child, Preschool, Decision Making, Female, Health Status, Humans, Immunization, Infant, Health Knowledge, Attitudes, Practice, Male, Missouri, Mothers, Surveys and Questionnaires, Risk Factors, Rural Health, Socioeconomic Factors, Nursing Methodology Research, Rural Health Services

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