Opel et al reported a survey that can help to identify a parent who may be hesitant to vaccination a child. The authors are from the University of Washington, Treuman Katz Center for Pediatric Bioethics and Seattle Children's Research Institute.
Subject: parent of child to be vaccinated
Items related to child:
(1) delayed getting a shot for reason other than illness or allergy
(2) decided not to get a shot for reason other than illness or allergy
(3) if you had another infant would you want the infant to get all the recommended shots
(4) sure that the recommended shot schedule is a good idea
(5) children get more shots than are good for them
(6) many of the illnesses that shots prevent are severe
(7) better to develop immunity from getting sick than from getting a shot
(8) better for children to get fewer vaccines at the same time
(9) concern about having a serious side effect from the shot
(10) concern that the shot may not be safe
(11) concern that the shot may not prevent the disease
(12) overall hesitance about childhood shots
(13) trust information about shots
(14) able to openly discuss my concerns about shots with doctor
(15) trust in doctor
|
Responses for Items 1, 2, 3
|
Positive
|
Negative
|
|
yes
|
3
|
1, 2
|
|
no
|
1, 2
|
3
|
|
don't know
|
|
|
|
Responses for Items 5, 6, 7, 8, 13, 14
|
Positive
|
Negative
|
|
agree
|
6, 13, 14
|
5, 7, 8
|
|
disagree
|
5, 7, 8
|
6, 13, 14
|
|
not sure
|
|
|
|
Responses for Items 9, 10, 11
|
Positive
|
Negative
|
|
concerned
|
|
9, 10, 11
|
|
not concerned
|
9, 10, 11
|
|
|
not sure
|
|
|
|
Responses for Item 12
|
Attitude
|
|
hesitant
|
negative
|
|
not hesitant
|
positive
|
|
not sure
|
|
|
Responses for Item 4
|
Attitude
|
|
0 (not sure at all) to 5
|
negative
|
|
6 or 7
|
|
|
8 to 10 (completely sure)
|
positive
|
|
Responses for Item 15
|
Attitude
|
|
0 (no trust) to 5
|
negative
|
|
6 or 7
|
|
|
8 to 10 (complete trust)
|
positive
|
Domains:
(1) behavior (2): 1, 2
(2) general attitudes (9): 3, 4, 5, 6, 7, 12, 13, 14, 15
(3) safety and efficacy (4): 8, 9, 10, 11
Interpretation:
• The overall responses were summarized to a score with a range of 0 to 100 (method not specified).
• A positive attitude towards vaccines (score 0 to 49) was associated with 74% immunization.
• A negative attitude (score 80 to 100) was associated with 4% immunization.
