Deciding to Opt Out of Childhood Vaccination Mandates
ABSTRACT Objectives: We explore the attitudes and beliefs of parents who consciously choose not to vaccinate their children and the ways in which these parents process information on the pros and cons of vaccines. Design: In‐depth, semistructured interviews were conducted. Sample: The study populati...
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| Veröffentlicht in: | Public health Nursing 2008-09, Vol.25 (5), p.401-408 |
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| creator | Gullion, Jessica Smartt Henry, Lisa Gullion, Greg |
| description | ABSTRACT
Objectives: We explore the attitudes and beliefs of parents who consciously choose not to vaccinate their children and the ways in which these parents process information on the pros and cons of vaccines.
Design: In‐depth, semistructured interviews were conducted.
Sample: The study population consisted of 25 parents who do not vaccinate their children, identified through snowball and targeted sampling.
Methods: Participants were asked about their processes and actions when choosing not to vaccinate their children. Interviews were taped and transcribed, and the content was analyzed for emergent themes.
Results: Two predominant themes emerged in our data: a desire to collect information on vaccines and trust issues with the medical community. Evidence of sophisticated data collection and information processing was a repeated theme in the interview data. Simultaneously, while participants placed a high value on scientific knowledge, they also expressed high levels of distrust of the medical community.
Conclusions: The challenge for public health is to balance scientific data with popular epidemiology and to maintain legitimacy. Understanding the differences in lay versus expert knowledge has implications for crafting health messages. How experts frame knowledge for consumption has an important impact on this group and their decision‐making processes. |
| doi_str_mv | 10.1111/j.1525-1446.2008.00724.x |
| format | Article |
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Objectives: We explore the attitudes and beliefs of parents who consciously choose not to vaccinate their children and the ways in which these parents process information on the pros and cons of vaccines.
Design: In‐depth, semistructured interviews were conducted.
Sample: The study population consisted of 25 parents who do not vaccinate their children, identified through snowball and targeted sampling.
Methods: Participants were asked about their processes and actions when choosing not to vaccinate their children. Interviews were taped and transcribed, and the content was analyzed for emergent themes.
Results: Two predominant themes emerged in our data: a desire to collect information on vaccines and trust issues with the medical community. Evidence of sophisticated data collection and information processing was a repeated theme in the interview data. Simultaneously, while participants placed a high value on scientific knowledge, they also expressed high levels of distrust of the medical community.
Conclusions: The challenge for public health is to balance scientific data with popular epidemiology and to maintain legitimacy. Understanding the differences in lay versus expert knowledge has implications for crafting health messages. How experts frame knowledge for consumption has an important impact on this group and their decision‐making processes.</description><identifier>ISSN: 0737-1209</identifier><identifier>EISSN: 1525-1446</identifier><identifier>DOI: 10.1111/j.1525-1446.2008.00724.x</identifier><identifier>PMID: 18816357</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Adolescent ; Adult ; antivaccination ; Biological and medical sciences ; Child Health Services - utilization ; Child, Preschool ; childhood vaccination ; Decision Making ; Disease prevention ; Educational Status ; Epidemiology ; Evidence-Based Medicine ; Female ; General aspects ; Health Knowledge, Attitudes, Practice ; Humans ; Immunization ; Infant ; Information Dissemination ; Interviews as Topic ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nursing ; Parent attitudes ; parental attitudes ; Parents - education ; Parents - psychology ; popular epidemiology ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Qualitative Research ; Risk Assessment ; Texas ; Treatment Refusal - ethnology ; Treatment Refusal - psychology ; Trust ; United States ; Vaccination - utilization ; Vaccines ; Vaccines - adverse effects ; Vaccines - therapeutic use</subject><ispartof>Public health Nursing, 2008-09, Vol.25 (5), p.401-408</ispartof><rights>2008, The Authors. Journal Compilation © 2008, Wiley Periodicals, Inc.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Blackwell Publishing Ltd. Sep/Oct 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4234-b6cfa6da509ee1d156290c8f8b04a904d015e485697693ddc476390f22e050663</citedby><cites>FETCH-LOGICAL-c4234-b6cfa6da509ee1d156290c8f8b04a904d015e485697693ddc476390f22e050663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1525-1446.2008.00724.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1525-1446.2008.00724.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20611139$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18816357$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gullion, Jessica Smartt</creatorcontrib><creatorcontrib>Henry, Lisa</creatorcontrib><creatorcontrib>Gullion, Greg</creatorcontrib><title>Deciding to Opt Out of Childhood Vaccination Mandates</title><title>Public health Nursing</title><addtitle>Public Health Nurs</addtitle><description>ABSTRACT
Objectives: We explore the attitudes and beliefs of parents who consciously choose not to vaccinate their children and the ways in which these parents process information on the pros and cons of vaccines.
Design: In‐depth, semistructured interviews were conducted.
Sample: The study population consisted of 25 parents who do not vaccinate their children, identified through snowball and targeted sampling.
Methods: Participants were asked about their processes and actions when choosing not to vaccinate their children. Interviews were taped and transcribed, and the content was analyzed for emergent themes.
Results: Two predominant themes emerged in our data: a desire to collect information on vaccines and trust issues with the medical community. Evidence of sophisticated data collection and information processing was a repeated theme in the interview data. Simultaneously, while participants placed a high value on scientific knowledge, they also expressed high levels of distrust of the medical community.
Conclusions: The challenge for public health is to balance scientific data with popular epidemiology and to maintain legitimacy. Understanding the differences in lay versus expert knowledge has implications for crafting health messages. How experts frame knowledge for consumption has an important impact on this group and their decision‐making processes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>antivaccination</subject><subject>Biological and medical sciences</subject><subject>Child Health Services - utilization</subject><subject>Child, Preschool</subject><subject>childhood vaccination</subject><subject>Decision Making</subject><subject>Disease prevention</subject><subject>Educational Status</subject><subject>Epidemiology</subject><subject>Evidence-Based Medicine</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infant</subject><subject>Information Dissemination</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nursing</subject><subject>Parent attitudes</subject><subject>parental attitudes</subject><subject>Parents - education</subject><subject>Parents - psychology</subject><subject>popular epidemiology</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Qualitative Research</subject><subject>Risk Assessment</subject><subject>Texas</subject><subject>Treatment Refusal - ethnology</subject><subject>Treatment Refusal - psychology</subject><subject>Trust</subject><subject>United States</subject><subject>Vaccination - utilization</subject><subject>Vaccines</subject><subject>Vaccines - adverse effects</subject><subject>Vaccines - therapeutic use</subject><issn>0737-1209</issn><issn>1525-1446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktvEzEUhS0EoqHwF9AICbqa4frtkdig0DaI0iDx6NJybA91mIzDeEak_x5PEwWJBcIbL_ydo3vPMUIFhgrn83pdYU54iRkTFQFQFYAkrNo9QLPjw0M0A0lliQnUJ-hJSmsAoJyIx-gEK4UF5XKG-Dtvgwvd92KIxXI7FMtxKGJTzG9D625jdMU3Y23ozBBiV3w0nTODT0_Ro8a0yT873Kfo68X5l_mivFpevp-_vSotI5SVK2EbI5zhUHuPHeaC1GBVo1bATA3MAeaeKS5qKWrqnGVS0BoaQjxwEIKeorO977aPP0efBr0Jyfq2NZ2PY9JSMKqwFCSTr_5JilpgignL4Iu_wHUc-y5voXEeQ3DGJkjtIdvHlHrf6G0fNqa_0xj01IBe6yloPQWtpwb0fQN6l6XPD_7jauPdH-Eh8gy8PAAmWdM2velsSEeOgMj-tM7cmz33K7T-7r8H0J8W1_J-z3IvD2nwu6Pc9D-0yN-C65vrS33DPlO1uPiggf4GI1OsHw</recordid><startdate>200809</startdate><enddate>200809</enddate><creator>Gullion, Jessica Smartt</creator><creator>Henry, Lisa</creator><creator>Gullion, Greg</creator><general>Blackwell Publishing Inc</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200809</creationdate><title>Deciding to Opt Out of Childhood Vaccination Mandates</title><author>Gullion, Jessica Smartt ; Henry, Lisa ; Gullion, Greg</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4234-b6cfa6da509ee1d156290c8f8b04a904d015e485697693ddc476390f22e050663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>antivaccination</topic><topic>Biological and medical sciences</topic><topic>Child Health Services - utilization</topic><topic>Child, Preschool</topic><topic>childhood vaccination</topic><topic>Decision Making</topic><topic>Disease prevention</topic><topic>Educational Status</topic><topic>Epidemiology</topic><topic>Evidence-Based Medicine</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infant</topic><topic>Information Dissemination</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nursing</topic><topic>Parent attitudes</topic><topic>parental attitudes</topic><topic>Parents - education</topic><topic>Parents - psychology</topic><topic>popular epidemiology</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Qualitative Research</topic><topic>Risk Assessment</topic><topic>Texas</topic><topic>Treatment Refusal - ethnology</topic><topic>Treatment Refusal - psychology</topic><topic>Trust</topic><topic>United States</topic><topic>Vaccination - utilization</topic><topic>Vaccines</topic><topic>Vaccines - adverse effects</topic><topic>Vaccines - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gullion, Jessica Smartt</creatorcontrib><creatorcontrib>Henry, Lisa</creatorcontrib><creatorcontrib>Gullion, Greg</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Public health Nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gullion, Jessica Smartt</au><au>Henry, Lisa</au><au>Gullion, Greg</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deciding to Opt Out of Childhood Vaccination Mandates</atitle><jtitle>Public health Nursing</jtitle><addtitle>Public Health Nurs</addtitle><date>2008-09</date><risdate>2008</risdate><volume>25</volume><issue>5</issue><spage>401</spage><epage>408</epage><pages>401-408</pages><issn>0737-1209</issn><eissn>1525-1446</eissn><abstract>ABSTRACT
Objectives: We explore the attitudes and beliefs of parents who consciously choose not to vaccinate their children and the ways in which these parents process information on the pros and cons of vaccines.
Design: In‐depth, semistructured interviews were conducted.
Sample: The study population consisted of 25 parents who do not vaccinate their children, identified through snowball and targeted sampling.
Methods: Participants were asked about their processes and actions when choosing not to vaccinate their children. Interviews were taped and transcribed, and the content was analyzed for emergent themes.
Results: Two predominant themes emerged in our data: a desire to collect information on vaccines and trust issues with the medical community. Evidence of sophisticated data collection and information processing was a repeated theme in the interview data. Simultaneously, while participants placed a high value on scientific knowledge, they also expressed high levels of distrust of the medical community.
Conclusions: The challenge for public health is to balance scientific data with popular epidemiology and to maintain legitimacy. Understanding the differences in lay versus expert knowledge has implications for crafting health messages. How experts frame knowledge for consumption has an important impact on this group and their decision‐making processes.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>18816357</pmid><doi>10.1111/j.1525-1446.2008.00724.x</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult antivaccination Biological and medical sciences Child Health Services - utilization Child, Preschool childhood vaccination Decision Making Disease prevention Educational Status Epidemiology Evidence-Based Medicine Female General aspects Health Knowledge, Attitudes, Practice Humans Immunization Infant Information Dissemination Interviews as Topic Male Medical sciences Middle Aged Miscellaneous Nursing Parent attitudes parental attitudes Parents - education Parents - psychology popular epidemiology Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Qualitative Research Risk Assessment Texas Treatment Refusal - ethnology Treatment Refusal - psychology Trust United States Vaccination - utilization Vaccines Vaccines - adverse effects Vaccines - therapeutic use |
| title | Deciding to Opt Out of Childhood Vaccination Mandates |
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