Attitudes and beliefs of parents about routine childhood vaccination in Greece.

Despoina Gkentzi, Charalampia Tsagri, Eirini Kostopoulou, Sotirios Fouzas, Apostolos Vantarakis, Gabriel Dimitriou, Anastasia Varvarigou
Author Information
  1. Despoina Gkentzi: Department of Paediatrics, Medical School, University of Patras, Patras, Greece.
  2. Charalampia Tsagri: Department of Paediatrics, Medical School, University of Patras, Patras, Greece.
  3. Eirini Kostopoulou: Department of Paediatrics, Medical School, University of Patras, Patras, Greece.
  4. Sotirios Fouzas: Department of Paediatrics, Medical School, University of Patras, Patras, Greece.
  5. Apostolos Vantarakis: Department of Public Health, Medical School, University of Patras, Patras, Greece.
  6. Gabriel Dimitriou: Department of Paediatrics, Medical School, University of Patras, Patras, Greece.
  7. Anastasia Varvarigou: Department of Paediatrics, Medical School, University of Patras, Patras, Greece.

Abstract

Vaccine hesitancy remains one of the 10 major global threats as per the WHO report in 2019. The aim of the present study is to assess attitudes and perceptions of vaccine hesitant parents in Greece with a view to implementing strategies to increase vaccine uptake. A cross-sectional questionnaire-based prospective survey was conducted between September 2019 and June 2020 on parents of children attending primary education in the city of Patras in Western Greece. Data on parental attitudes and beliefs about vaccinations were collected and analyzed. Multivariable logistic regression was used to investigate factors associated with vaccine uptake. Out of 2154 distributed questionnaires, 1227 were completed and returned (response rate 56.9%). The main vaccine information source for Greek parents was their primary care pediatrician (90.8%). Doubts still exist amongst approximately one-third of them (33.5%) regarding a possible relationship between vaccines and autism. Of note, 44% of the study participants believe that unvaccinated children could attend school. 84.6% of the parents in our cohort admitted that they had fully vaccinated their children. In the multivariable analysis, marital status ( < .002) and Greek nationality ( < .001) were found to be the most significant determinants of vaccine uptake. Overall, we found that the percentage of parents in Greece that are vaccine hesitant is small yet not negligible. Based on our results, targeted public health interventions should particularly focus on single parents and those with non-Greek nationality. Training healthcare professionals to provide adequate information is crucial to clarify misperceptions.

Keywords

References

  1. BMC Public Health. 2013 Oct 02;13:908 [PMID: 24083352]
  2. Vaccine. 2020 Oct 27;38(46):7292-7298 [PMID: 32981777]
  3. Arch Dis Child Educ Pract Ed. 2020 Aug;105(4):194-199 [PMID: 31575602]
  4. Hum Vaccin Immunother. 2016 Jul 2;12(7):1909-23 [PMID: 27163657]
  5. Vaccine. 2020 Feb 5;38(6):1505-1512 [PMID: 31848051]
  6. Vaccine. 2015 Nov 27;33(48):6703-9 [PMID: 26518397]
  7. Vaccine. 2010 Jun 11;28(26):4235-48 [PMID: 20438879]
  8. Vaccine. 2018 Feb 1;36(6):779-787 [PMID: 29325822]
  9. Hippokratia. 2019 Oct-Dec;23(4):147-153 [PMID: 32742163]
  10. Front Microbiol. 2020 Mar 17;11:372 [PMID: 32256465]
  11. Hum Vaccin Immunother. 2013 Aug;9(8):1763-73 [PMID: 23584253]
  12. Ital J Pediatr. 2018 Jun 14;44(1):67 [PMID: 29898770]
  13. Indian J Psychiatry. 2011 Apr;53(2):95-6 [PMID: 21772639]
  14. BMJ. 2019 Jul 3;366:l4457 [PMID: 31270071]
  15. J Family Med Prim Care. 2019 Dec 10;8(12):3962-3970 [PMID: 31879644]
  16. Cureus. 2018 Jul 3;10(7):e2919 [PMID: 30186724]
  17. BMJ Glob Health. 2020 Oct;5(10): [PMID: 33097547]
  18. Vaccine. 2015 Aug 14;33(34):4161-4 [PMID: 25896383]
  19. Vaccine. 2014 Apr 17;32(19):2150-9 [PMID: 24598724]
  20. Lancet. 2020 Sep 26;396(10255):898-908 [PMID: 32919524]
  21. Acad Pediatr. 2018 Mar;18(2S):S3-S10 [PMID: 29502635]
  22. J Prev Med Hyg. 2020 Oct 06;61(3):E340-E373 [PMID: 33150224]
  23. J Adolesc Health. 2014 Mar;54(3):289-95 [PMID: 24257032]
  24. J Pediatr Adolesc Gynecol. 2016 Aug;29(4):362-6 [PMID: 26724746]

MeSH Term

Child
Cross-Sectional Studies
Greece
Health Knowledge, Attitudes, Practice
Humans
Parents
Patient Acceptance of Health Care
Prospective Studies
Surveys and Questionnaires
Vaccination

Word Cloud

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