Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study
•Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination. Vaccine hesitancy is a considerable issue in European countries and leads to low coverage ra...
Gespeichert in:
| Veröffentlicht in: | Vaccine 2018-05, Vol.36 (23), p.3368-3374 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 3374 |
|---|---|
| container_issue | 23 |
| container_start_page | 3368 |
| container_title | Vaccine |
| container_volume | 36 |
| creator | Gualano, M.R. Bert, F. Voglino, G. Buttinelli, E. D'Errico, M.M. De Waure, C. Di Giovanni, P. Fantini, M.P. Giuliani, A.R. Marranzano, M. Masanotti, G. Massimi, A. Nante, N. Pennino, F. Squeri, R. Stefanati, A. Signorelli, C. Siliquini, R. Castaldi, S. Di Donna, F. Di Martino, G. Genovese, C. Golfera, M. Gori, D. Greco, P. Loperto, I. Miduri, A. Olivero, E. Prospero, E. Quattrocolo, F. Rossello, P. Rosso, A. Sisti, L.G. Stracci, F. Zappalà, G. |
| description | •Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination.
Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools.
In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn.
Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21–0.58, p |
| doi_str_mv | 10.1016/j.vaccine.2018.04.029 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2035703525</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0264410X18305127</els_id><sourcerecordid>2039811842</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-87ccde8aeebb25a069fe0ba41c5259167a7093c823683eeaf39c2474521245b93</originalsourceid><addsrcrecordid>eNqFkMFq3DAQhkVoSTZpHqFF0EsvdiVZsqVcwpI07UJIILSllyBkeUy12NZWklP27atltznkksMwMHzzz_Ah9J6SkhJaf16XT8ZaN0HJCJUl4SVh6ggtqGyqggkq36AFYTUvOCW_TtBpjGtCiKioOkYnTDVMKSUW6HGZkktzBxEn_9eELmLrx808RB-2eH_CJOcn7Ca8SmbYXuAHiPOQIu6DH3H6Dfhu-XN1vbzGYx47C1MKgGMO3b5Db3szRDg_9DP04-bL96tvxe3919XV8rawnJNUyMbaDqQBaFsmDKlVD6Q1nFrBhKJ1YxqiKitZVcsKwPSVsow3XDDKuGhVdYY-7XM3wf-ZISY9umhhGMwEfo6akUo0uZjI6McX6NrPYcrf7SglKZWcZUrsKRt8jAF6vQluNGGrKdE7_3qtD_71zr8mXGf_ee_DIX1uR-iet_4Lz8DlHoCs48lB0NE6mCx0LoBNuvPulRP_AFcKmPs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2039811842</pqid></control><display><type>article</type><title>Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study</title><source>Elsevier ScienceDirect Journals</source><creator>Gualano, M.R. ; Bert, F. ; Voglino, G. ; Buttinelli, E. ; D'Errico, M.M. ; De Waure, C. ; Di Giovanni, P. ; Fantini, M.P. ; Giuliani, A.R. ; Marranzano, M. ; Masanotti, G. ; Massimi, A. ; Nante, N. ; Pennino, F. ; Squeri, R. ; Stefanati, A. ; Signorelli, C. ; Siliquini, R. ; Castaldi, S. ; Di Donna, F. ; Di Martino, G. ; Genovese, C. ; Golfera, M. ; Gori, D. ; Greco, P. ; Loperto, I. ; Miduri, A. ; Olivero, E. ; Prospero, E. ; Quattrocolo, F. ; Rossello, P. ; Rosso, A. ; Sisti, L.G. ; Stracci, F. ; Zappalà, G.</creator><creatorcontrib>Gualano, M.R. ; Bert, F. ; Voglino, G. ; Buttinelli, E. ; D'Errico, M.M. ; De Waure, C. ; Di Giovanni, P. ; Fantini, M.P. ; Giuliani, A.R. ; Marranzano, M. ; Masanotti, G. ; Massimi, A. ; Nante, N. ; Pennino, F. ; Squeri, R. ; Stefanati, A. ; Signorelli, C. ; Siliquini, R. ; Castaldi, S. ; Di Donna, F. ; Di Martino, G. ; Genovese, C. ; Golfera, M. ; Gori, D. ; Greco, P. ; Loperto, I. ; Miduri, A. ; Olivero, E. ; Prospero, E. ; Quattrocolo, F. ; Rossello, P. ; Rosso, A. ; Sisti, L.G. ; Stracci, F. ; Zappalà, G. ; Collaborating Group</creatorcontrib><description>•Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination.
Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools.
In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn.
Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21–0.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62–4.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46–0.96, p = 0.03; OR: 0.66, CI 95%: 0.46–0.95, p = 0.03, respectively).
Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2018.04.029</identifier><identifier>PMID: 29729995</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Attitudes ; Health care ; Immunization ; Information sources ; Italy ; Mandatory vaccination ; Medical personnel ; Motivation ; Multicentre survey ; Pregnancy ; Restoration ; Schools ; Socioeconomics ; Trends ; Vaccine hesitancy ; Vaccines ; Womens health</subject><ispartof>Vaccine, 2018-05, Vol.36 (23), p.3368-3374</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>2018. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-87ccde8aeebb25a069fe0ba41c5259167a7093c823683eeaf39c2474521245b93</citedby><cites>FETCH-LOGICAL-c440t-87ccde8aeebb25a069fe0ba41c5259167a7093c823683eeaf39c2474521245b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0264410X18305127$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29729995$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gualano, M.R.</creatorcontrib><creatorcontrib>Bert, F.</creatorcontrib><creatorcontrib>Voglino, G.</creatorcontrib><creatorcontrib>Buttinelli, E.</creatorcontrib><creatorcontrib>D'Errico, M.M.</creatorcontrib><creatorcontrib>De Waure, C.</creatorcontrib><creatorcontrib>Di Giovanni, P.</creatorcontrib><creatorcontrib>Fantini, M.P.</creatorcontrib><creatorcontrib>Giuliani, A.R.</creatorcontrib><creatorcontrib>Marranzano, M.</creatorcontrib><creatorcontrib>Masanotti, G.</creatorcontrib><creatorcontrib>Massimi, A.</creatorcontrib><creatorcontrib>Nante, N.</creatorcontrib><creatorcontrib>Pennino, F.</creatorcontrib><creatorcontrib>Squeri, R.</creatorcontrib><creatorcontrib>Stefanati, A.</creatorcontrib><creatorcontrib>Signorelli, C.</creatorcontrib><creatorcontrib>Siliquini, R.</creatorcontrib><creatorcontrib>Castaldi, S.</creatorcontrib><creatorcontrib>Di Donna, F.</creatorcontrib><creatorcontrib>Di Martino, G.</creatorcontrib><creatorcontrib>Genovese, C.</creatorcontrib><creatorcontrib>Golfera, M.</creatorcontrib><creatorcontrib>Gori, D.</creatorcontrib><creatorcontrib>Greco, P.</creatorcontrib><creatorcontrib>Loperto, I.</creatorcontrib><creatorcontrib>Miduri, A.</creatorcontrib><creatorcontrib>Olivero, E.</creatorcontrib><creatorcontrib>Prospero, E.</creatorcontrib><creatorcontrib>Quattrocolo, F.</creatorcontrib><creatorcontrib>Rossello, P.</creatorcontrib><creatorcontrib>Rosso, A.</creatorcontrib><creatorcontrib>Sisti, L.G.</creatorcontrib><creatorcontrib>Stracci, F.</creatorcontrib><creatorcontrib>Zappalà, G.</creatorcontrib><creatorcontrib>Collaborating Group</creatorcontrib><title>Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>•Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination.
Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools.
In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn.
Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21–0.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62–4.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46–0.96, p = 0.03; OR: 0.66, CI 95%: 0.46–0.95, p = 0.03, respectively).
Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened.</description><subject>Attitudes</subject><subject>Health care</subject><subject>Immunization</subject><subject>Information sources</subject><subject>Italy</subject><subject>Mandatory vaccination</subject><subject>Medical personnel</subject><subject>Motivation</subject><subject>Multicentre survey</subject><subject>Pregnancy</subject><subject>Restoration</subject><subject>Schools</subject><subject>Socioeconomics</subject><subject>Trends</subject><subject>Vaccine hesitancy</subject><subject>Vaccines</subject><subject>Womens health</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkMFq3DAQhkVoSTZpHqFF0EsvdiVZsqVcwpI07UJIILSllyBkeUy12NZWklP27atltznkksMwMHzzz_Ah9J6SkhJaf16XT8ZaN0HJCJUl4SVh6ggtqGyqggkq36AFYTUvOCW_TtBpjGtCiKioOkYnTDVMKSUW6HGZkktzBxEn_9eELmLrx808RB-2eH_CJOcn7Ca8SmbYXuAHiPOQIu6DH3H6Dfhu-XN1vbzGYx47C1MKgGMO3b5Db3szRDg_9DP04-bL96tvxe3919XV8rawnJNUyMbaDqQBaFsmDKlVD6Q1nFrBhKJ1YxqiKitZVcsKwPSVsow3XDDKuGhVdYY-7XM3wf-ZISY9umhhGMwEfo6akUo0uZjI6McX6NrPYcrf7SglKZWcZUrsKRt8jAF6vQluNGGrKdE7_3qtD_71zr8mXGf_ee_DIX1uR-iet_4Lz8DlHoCs48lB0NE6mCx0LoBNuvPulRP_AFcKmPs</recordid><startdate>20180531</startdate><enddate>20180531</enddate><creator>Gualano, M.R.</creator><creator>Bert, F.</creator><creator>Voglino, G.</creator><creator>Buttinelli, E.</creator><creator>D'Errico, M.M.</creator><creator>De Waure, C.</creator><creator>Di Giovanni, P.</creator><creator>Fantini, M.P.</creator><creator>Giuliani, A.R.</creator><creator>Marranzano, M.</creator><creator>Masanotti, G.</creator><creator>Massimi, A.</creator><creator>Nante, N.</creator><creator>Pennino, F.</creator><creator>Squeri, R.</creator><creator>Stefanati, A.</creator><creator>Signorelli, C.</creator><creator>Siliquini, R.</creator><creator>Castaldi, S.</creator><creator>Di Donna, F.</creator><creator>Di Martino, G.</creator><creator>Genovese, C.</creator><creator>Golfera, M.</creator><creator>Gori, D.</creator><creator>Greco, P.</creator><creator>Loperto, I.</creator><creator>Miduri, A.</creator><creator>Olivero, E.</creator><creator>Prospero, E.</creator><creator>Quattrocolo, F.</creator><creator>Rossello, P.</creator><creator>Rosso, A.</creator><creator>Sisti, L.G.</creator><creator>Stracci, F.</creator><creator>Zappalà, G.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180531</creationdate><title>Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study</title><author>Gualano, M.R. ; Bert, F. ; Voglino, G. ; Buttinelli, E. ; D'Errico, M.M. ; De Waure, C. ; Di Giovanni, P. ; Fantini, M.P. ; Giuliani, A.R. ; Marranzano, M. ; Masanotti, G. ; Massimi, A. ; Nante, N. ; Pennino, F. ; Squeri, R. ; Stefanati, A. ; Signorelli, C. ; Siliquini, R. ; Castaldi, S. ; Di Donna, F. ; Di Martino, G. ; Genovese, C. ; Golfera, M. ; Gori, D. ; Greco, P. ; Loperto, I. ; Miduri, A. ; Olivero, E. ; Prospero, E. ; Quattrocolo, F. ; Rossello, P. ; Rosso, A. ; Sisti, L.G. ; Stracci, F. ; Zappalà, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-87ccde8aeebb25a069fe0ba41c5259167a7093c823683eeaf39c2474521245b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Attitudes</topic><topic>Health care</topic><topic>Immunization</topic><topic>Information sources</topic><topic>Italy</topic><topic>Mandatory vaccination</topic><topic>Medical personnel</topic><topic>Motivation</topic><topic>Multicentre survey</topic><topic>Pregnancy</topic><topic>Restoration</topic><topic>Schools</topic><topic>Socioeconomics</topic><topic>Trends</topic><topic>Vaccine hesitancy</topic><topic>Vaccines</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gualano, M.R.</creatorcontrib><creatorcontrib>Bert, F.</creatorcontrib><creatorcontrib>Voglino, G.</creatorcontrib><creatorcontrib>Buttinelli, E.</creatorcontrib><creatorcontrib>D'Errico, M.M.</creatorcontrib><creatorcontrib>De Waure, C.</creatorcontrib><creatorcontrib>Di Giovanni, P.</creatorcontrib><creatorcontrib>Fantini, M.P.</creatorcontrib><creatorcontrib>Giuliani, A.R.</creatorcontrib><creatorcontrib>Marranzano, M.</creatorcontrib><creatorcontrib>Masanotti, G.</creatorcontrib><creatorcontrib>Massimi, A.</creatorcontrib><creatorcontrib>Nante, N.</creatorcontrib><creatorcontrib>Pennino, F.</creatorcontrib><creatorcontrib>Squeri, R.</creatorcontrib><creatorcontrib>Stefanati, A.</creatorcontrib><creatorcontrib>Signorelli, C.</creatorcontrib><creatorcontrib>Siliquini, R.</creatorcontrib><creatorcontrib>Castaldi, S.</creatorcontrib><creatorcontrib>Di Donna, F.</creatorcontrib><creatorcontrib>Di Martino, G.</creatorcontrib><creatorcontrib>Genovese, C.</creatorcontrib><creatorcontrib>Golfera, M.</creatorcontrib><creatorcontrib>Gori, D.</creatorcontrib><creatorcontrib>Greco, P.</creatorcontrib><creatorcontrib>Loperto, I.</creatorcontrib><creatorcontrib>Miduri, A.</creatorcontrib><creatorcontrib>Olivero, E.</creatorcontrib><creatorcontrib>Prospero, E.</creatorcontrib><creatorcontrib>Quattrocolo, F.</creatorcontrib><creatorcontrib>Rossello, P.</creatorcontrib><creatorcontrib>Rosso, A.</creatorcontrib><creatorcontrib>Sisti, L.G.</creatorcontrib><creatorcontrib>Stracci, F.</creatorcontrib><creatorcontrib>Zappalà, G.</creatorcontrib><creatorcontrib>Collaborating Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Vaccine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gualano, M.R.</au><au>Bert, F.</au><au>Voglino, G.</au><au>Buttinelli, E.</au><au>D'Errico, M.M.</au><au>De Waure, C.</au><au>Di Giovanni, P.</au><au>Fantini, M.P.</au><au>Giuliani, A.R.</au><au>Marranzano, M.</au><au>Masanotti, G.</au><au>Massimi, A.</au><au>Nante, N.</au><au>Pennino, F.</au><au>Squeri, R.</au><au>Stefanati, A.</au><au>Signorelli, C.</au><au>Siliquini, R.</au><au>Castaldi, S.</au><au>Di Donna, F.</au><au>Di Martino, G.</au><au>Genovese, C.</au><au>Golfera, M.</au><au>Gori, D.</au><au>Greco, P.</au><au>Loperto, I.</au><au>Miduri, A.</au><au>Olivero, E.</au><au>Prospero, E.</au><au>Quattrocolo, F.</au><au>Rossello, P.</au><au>Rosso, A.</au><au>Sisti, L.G.</au><au>Stracci, F.</au><au>Zappalà, G.</au><aucorp>Collaborating Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2018-05-31</date><risdate>2018</risdate><volume>36</volume><issue>23</issue><spage>3368</spage><epage>3374</epage><pages>3368-3374</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><abstract>•Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination.
Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools.
In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn.
Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21–0.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62–4.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46–0.96, p = 0.03; OR: 0.66, CI 95%: 0.46–0.95, p = 0.03, respectively).
Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29729995</pmid><doi>10.1016/j.vaccine.2018.04.029</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0264-410X |
| ispartof | Vaccine, 2018-05, Vol.36 (23), p.3368-3374 |
| issn | 0264-410X 1873-2518 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2035703525 |
| source | Elsevier ScienceDirect Journals |
| subjects | Attitudes Health care Immunization Information sources Italy Mandatory vaccination Medical personnel Motivation Multicentre survey Pregnancy Restoration Schools Socioeconomics Trends Vaccine hesitancy Vaccines Womens health |
| title | Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T12%3A48%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Attitudes%20towards%20compulsory%20vaccination%20in%20Italy:%20Results%20from%20the%20NAVIDAD%20multicentre%20study&rft.jtitle=Vaccine&rft.au=Gualano,%20M.R.&rft.aucorp=Collaborating%20Group&rft.date=2018-05-31&rft.volume=36&rft.issue=23&rft.spage=3368&rft.epage=3374&rft.pages=3368-3374&rft.issn=0264-410X&rft.eissn=1873-2518&rft_id=info:doi/10.1016/j.vaccine.2018.04.029&rft_dat=%3Cproquest_cross%3E2039811842%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2039811842&rft_id=info:pmid/29729995&rft_els_id=S0264410X18305127&rfr_iscdi=true |