Page 33 - Preventing pertussis in early infancy - Visser

2010, Top et al. 2010, Miller et al. 2011, Baron-Epel et al. 2012, Wiley et al. 2013, Rossmann Beel et al. 2014, Vasilevska et al. 2014, Hayles et al. 2015, MacDougall et al. 2015, O'Leary et al. 2015, Hayles et al. 2016). However, most of these studies hardly distinguish them as different risks that are weighed in decision-making. They appear mainly in overall categories such as ’fear of vaccination’. A study of Hayles et al. also suggests that the perceived risk of transmission to an infant is an important factor in postpartum pertussis vaccine acceptance among mothers, and demonstrates that concerns on vaccine safety and efficacy relate to non-acceptance (Hayles et al. 2015).
The general vaccination beliefs comprise of separately described arguments that now appear increasingly more often in the vaccination acceptance literature. These arguments include consideration on vaccination and naturalistic beliefs and seem to be formed by trust in government, science and industry (Cheng et al. 2010, Miller et al. 2011, Baron-Epel et al. 2012, Harmsen 2014, Yaqub et al. 2014, Lehmann et al. 2015). However, our data support the idea that these beliefs are part of the same context: the general opinion on vaccination.
Most participants valued the opinions of medical experts while deciding for or against vaccination. This is consistent with other studies of the acceptance of pertussis cocooning vaccination, which report the importance of healthcare providers’ recommendations as an influential factor (Goins et al. 2007, Miller et al. 2011, Beel et al. 2013, Wiley et al. 2013, Suryadevara et al. 2014, Clarke et al. 2015, Hayles et al. 2015, MacDougall et al. 2015, O'Leary et al. 2015, Wong et al. 2015, Hayles et al. 2016).
Furthermore, some studies have reported the influence of perceived autonomy in the healthcare workers’ decisions about accepting vaccination for pertussis and for influenza (Hakim et al. 2011, Baron-Epel et al. 2012, Baron-Epel et al. 2013, Lehmann et al. 2014, MacDougall et al. 2015). The parental ‘right to choose yourself’ has previously been described in studies of the acceptance of measles, mumps, and rubella (MMR) vaccine (Poltorak et al. 2005).
Finally, our study underlines the importance of organisational factors in the implementation of a vaccination programme (Hofmann et al. 2006, Hollmeyer et al. 2009, Beel et al. 2013, Grol 2013, Rossmann Beel et al. 2014, MacDougall et al. 2015, O'Leary et al. 2015, Hayles et al. 2016). Importantly, different target groups have different preferences. The absence of available infrastructure for administering vaccination is seen as difficult, especially for the target groups of new parents and midwives. Healy et al. (2011) argue that this is also an important barrier to accepting pertussis cocooning vaccination in the USA (2011). Although this makes the organisation of a vaccination programme for pertussis cocooning challenging, our data provide suggestions regarding vaccine delivery that may help mitigate barriers to vaccine completion by target groups, which would help those aiming to minimise the negative influence that some organisational factors have on acceptance.
Qualitative Study
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