Hygiena 2014, 59(1):10-16 | DOI: 10.21101/hygiena.a1210
Factors Underlying Mothers' Decision about Childhood Vaccination against Pneumococci
- Univerzita Karlova v Praze, Filozofická fakulta, Katedra sociologie, Praha
The study deals with the issue of mothers' decision-making regarding their child's vaccination against pneumococcal infections. An online survey of mothers (n = 180) was based on the theory of planned behaviour (TPB). A hierarchical logistic regression was used to test the theoretical model with the intention to vaccinate as the dependent variable. The theory proved itself as a strong predictive instrument. The results suggest that attitude is the main predictor of the decision. The subjective norm, as the second construct of the TPB, contributes only in certain cases and the perceived behavioural control was found to have no influence at all. The perception of vaccine-related contradictions is an important factor alongside that of attitude. These results support the idea that mothers, especially those who do not want to vaccinate their children against pneumococcal infections, primarily base their decision on their attitude.
Keywords: vaccination of children - decision making, theory of planned behaviour
Received: January 2013; Accepted: July 2, 2013; Published: March 1, 2014 Show citation
References
- Bystrianyk R. Válka o vakcíny. WM Magazín [Internet]. 24. srpna 2011 [cit. 20. června 2012]. Dostupné z: http://www.wmmagazin.cz/view.php?nazevclanku=valka-o-vakciny&cisloclanku=2011080005.
- Casiday RE. Children's health and the social theory of risk: insights from the British measles, mumps and rubella (MMR) controversy. Soc Sci Med. 2007 Sep;65(5):1059-70.
Go to original source...
Go to PubMed...
- Sutton S. Stage theories of health behavior. In: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. Buckingham: Open University Press; 2005. p. 223-75.
- Brown KF, Kroll JS, Hudson MJ, Ramsay M, Green J, Long SJ, et al. Factors underlying parental decisions about combination childhood vaccinations including MMR: a systematic review. Vaccine. 2010 Jun 11;28(26):4235-48.
Go to original source...
Go to PubMed...
- Falagas ME, Zarkadoulia E. Factors associated with suboptimal compliance to vaccinations in children in developed countries: a systematic review. Curr Med Res Opin. 2008 Jun;24(6):1719-41.
Go to original source...
Go to PubMed...
- Mills E, Jadad AR, Ross C, Wilson K. Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination. J Clin Epidemiol. 2005 Nov;58(11):1081-8
Go to original source...
Go to PubMed...
- Roberts KA, Dixon-Woods M, Fitzpatrick R, Abrams KR, Jones DR. Factors affecting uptake of childhood immunisation: a Bayesian synthesis of qualitative and quantitative evidence. Lancet. 2002 Nov 16;360(9345):1596-9.
Go to original source...
Go to PubMed...
- Serpell L, Green J. Parental decision-making in childhood vaccination. Vaccine. 2006 May 8;24(19):4041-6.
Go to original source...
Go to PubMed...
- Tickner S, Leman PJ, Woodcock A. Factors underlying suboptimal childhood immunisation. Vaccine. 2006 Nov 30;24(49-50):7030-6.
Go to original source...
Go to PubMed...
- Zimet GD, Liddon N, Rosenthal SL, Lazcano-Ponce E, Allen B. Chapter 24: psychosocial aspects of vaccine acceptability. Vaccine. 2006;24(Suppl 3):201-9.
Go to original source...
Go to PubMed...
- Ajzen I. From intentions to actions: a theory of planned behavior. In: Kuhl J, Beckman J, editors. Action-control: from cognition to behavior. Heidelberg: Springer; 1985. p. 11-39.
Go to original source...
- Ajzen I. The theory of planned behavior. Organ Behav Hum Dec. 1991;50(2):179-211.
Go to original source...
- Montano DE. Predicting and understanding influenza vaccination behavior. Alternatives to the health belief model. Med Care. 1986 May;24(5):438-53.
Go to original source...
Go to PubMed...
- Urban J, Braun Kohlová M. Teorie plánovaného chování. In: Šubrt J, Balon J, ed. Teorie jednání: jeden koncept, mnoho koncepcí. Praha: Matfyzpress; 2008. s. 15-31.
- Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol. 2001 Dec;40(Pt 4):471-99.
Go to original source...
- Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot. 1996 Nov-Dec;11(2):87-98.
Go to original source...
Go to PubMed...
- Pareek M, Pattison HM. The two-dose measles, mumps, and rubella (MMR) immunisation schedule: factors affecting maternal intention to vaccinate. Br J Gen Pract. 2000 Dec;50(461):969-71.
- Paulussen TG, Hoekstra F, Lanting CI, Buijs GB, Hirasing RA. Determinants of Dutch parents' decisions to vaccinate their child. Vaccine. 2006 Jan 30;24(5):644-51.
Go to original source...
Go to PubMed...
- Prislin R, Dyer JA, Blakely CH, Johnson CD. Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control. Am J Public Health. 1998 Dec;88(12):1821-6.
Go to original source...
- Tickner S, Leman PJ, Woodcock A. The Immunisation Beliefs and Intentions Measure (IBIM): predicting parents' intentions to immunise preschool children. Vaccine. 2010 Apr 26;28(19):3350-62.
Go to original source...
Go to PubMed...
- Conner M, Sparks P. Theory of planned behaviour and health behaviour. In: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. Buckingham: Open University Press; 2005. p. 170-222.
- Ajzen I. Constructing a theory of planned behavior questionnaire [Internet]. Amherst, MA: University of Massachusetts; 2011 [cited 2012 Jul 12]. Available from: http://people.umass.edu/aizen/pdf/tpb.measurement.pdf.
- Slovic P. Perception of risk. Science. 1987 Apr 17;236(4799):280-5.
Go to original source...
- Rosenstock IM. Why people use health services. The Milbank Quarterly [Internet]. 2005 Nov 18 [cited 2012 Jul 25]; 83(4):1-32. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0009.2005.00425.x/pdf.
Go to original source...
- Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol. 2007 Mar;26(2):136-45.
Go to original source...
Go to PubMed...
- Field A. Discovering statistics using SPSS. London: Sage Publications; 2005.
- World Health Organization [Internet]. Geneva: WHO; 2011. Immunization surveillance, assessment and monitoring. Country Profiles, Data and Statistics on Immunization [updated 2013 Oct 2; cited 2014 Jan 13]. Available from: http://www.who.int/immunization_monitoring/data/en/.
- Allen JD, Coronado GD, Williams RS, Glenn B, Escoffery C, Fernandez M, et al. A systematic review of measures used in studies of human papillomavirus (HPV) vaccine acceptability. Vaccine. 2010 May 28;28(24):4027-37.
Go to original source...
Go to PubMed...
- STEM/MARK. 12 % osob nesouhlasí se současným povinným očkováním dětí [Internet]. Praha: STEM/MARK; 22. března 2011 [cit. 22 června 2012]. Dostupné z: http://simar.cz/assets/media/Clanky/TZ_STEMMARK_ockovani.pdf.
- Brown KF, Kroll JS, Hudson MJ, Ramsay M, Green J, Vincent CA, et al. Omission bias and vaccine rejection by parents of healthy children: implications for the influenza A/H1N1 vaccination programme. Vaccine. 2010 Jun 7;28(25):4181-5.
Go to original source...
Go to PubMed...
- Callréus T. Perceptions of vaccine safety in a global context. Acta Paediatr. 2010 Feb;99(2):166-71.
- Inglehart R. The silent revolution: changing values and political styles among Western publics. Princeton: Princeton University Press; 1977.