Parent-dependent barriers to varicella immunization in Israel: the importance of adequate information
- 1 March 2007
- journal article
- research article
- Published by Wiley in Acta Paediatrica
- Vol. 96 (3), 428-431
- https://doi.org/10.1111/j.1651-2227.2007.00118.x
Abstract
To examine the parent-dependent barriers to varicella immunization in Israel.Data were collected by questionnaire from parents of children aged 1 to 18 years who attended an outpatient paediatric centre in five cities in Israel from March to May 2003.A total of 1474 parents completed the questionnaire. A history of chicken pox was reported in 850 children (57.8%), mostly (83%) between ages 1-6 years. Of the 624 children without a history of chicken pox, 213 (34.1%) were immunized against varicella. Immunization rates were significantly lower in families with lower parental education and in patients from cities with a lower socioeconomic ranking (p < 0.05). The main reasons for not being vaccinated (49%) were related to insufficient information about the vaccine itself and the vaccination process. These reasons were more common in families with lower parental education and from cities with lower socioeconomic ranking (p < 0.01). Other reasons included fear of adverse effects (12%) and waning immunity (6%), preference of natural illness over immunization (12%), and financial limitations (5%).Promoting parental knowledge about the varicella vaccine appears to be a key factor in improving the immunization rate, especially in families of lower education, and from cities with low socioeconomic ranking.Keywords
This publication has 20 references indexed in Scilit:
- Disparities in varicella vaccine coverage in the absence of public fundingVaccine, 2005
- The Burden of Uncomplicated Cases of Chickenpox in IsraelJournal of Infection, 2002
- Seroprevalence of varicella-zoster virus immunoglobulin G antibodies in Swiss adolescents and risk factor analysis for seronegativityThe Pediatric Infectious Disease Journal, 2001
- Vaccination status of children living in rural areas in the United States: Are they protected?American Journal of Preventive Medicine, 2001
- Attitudes and practices regarding varicella vaccination among physicians in Minnesota: implications for public health and provider educationAmerican Journal of Public Health, 2000
- Seroepidemiology of varicella-zoster virus infection in Catalonia (Spain). Rationale for universal vaccination programmesVaccine, 2000
- Hospitalization for Primary Varicella-Zoster Virus Infection and Its Complications in Patients from Southern IsraelInfection, 2000
- Parental Attitudes Toward Varicella VaccinationArchives of Pediatrics & Adolescent Medicine, 2000
- Hospitalization for varicella in central IsraelActa Paediatrica, 1999
- Personal, Financial, and Structural Barriers to Immunization in Socioeconomically Disadvantaged Urban ChildrenPEDIATRICS, 1998