The associations between medical, allied and complementary medicine practitioner visits and childhood vaccine uptake

Frawley, JE; Foley, H; McIntyre, E

The associations between medical, allied and complementary medicine practitioner visits and childhood vaccine uptake

Frawley, JE

Foley, H

McIntyre, E

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Publication Type:: Journal Article
Citation:: Vaccine, 2018, 36 (6), pp. 866 - 872
Issue Date:: 2018-02-01

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Field	Value	Language
dc.contributor.author	Frawley, JE https://orcid.org/0000-0001-6037-0140	en_US
dc.contributor.author	Foley, H https://orcid.org/0000-0003-4901-8300	en_US
dc.contributor.author	McIntyre, E https://orcid.org/0000-0002-3970-9979	en_US
dc.date.available	2017-12-13	en_US
dc.date.issued	2018-02-01	en_US
dc.identifier.citation	Vaccine, 2018, 36 (6), pp. 866 - 872	en_US
dc.identifier.issn	0264-410X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129826
dc.description.abstract	© 2018 The Authors Background: Vaccination rates have remained steady for a number of years in Australia, however geographical areas of lower vaccine coverage remains a day-to-day challenge. The study explores parental attitudes, beliefs and intentions in relation to vaccination and examines the early effects of recent No Jab No Pay legislation. Methods: A national survey of was conducted, using an online questionnaire. Parents from all states in Australia with at least one child aged <6 years were invited to participate. Results: A total of 429 parents participated in the study. The substantial majority of participants reported having their youngest child's vaccination status up to date (n = 401, 93.5%). A child's vaccinations were more likely to be up to date if they had consulted a paediatrician in the previous 12-months (OR 5.01; 95%CI 1.05, 23.92; p =.043). Conversely they were less likely to be vaccinated if they were influenced by information from a complementary medicine (CM) practitioner (OR 0.03; 95%CI 0.01, 0.15; p <.001) or had visited a CM-practitioner (OR 0.09; 95%CI 0.02, 0.33; p <.001) in the previous 12-months. A total of 2.6% of parents had immunised their child as a result of the No Jab No Pay legislation, while 3.9% stated the legislation had no effect, and 1.2% said it had made them less likely to vaccinate. A further 1.2% of parents stated they are considering vaccination as a result of the legislative changes. Conclusion: Parents who have not vaccinated their children appear to trust non-mainstream sources of information such as CM-practitioners. Further research is required to determine how to manage the challenges and opportunities of CM-practitioners as a source of vaccine information.	en_US
dc.relation	http://purl.org/au-research/grants/nhmrc/NHMRC 1124075
dc.relation.ispartof	Vaccine	en_US
dc.relation.isbasedon	10.1016/j.vaccine.2017.12.036	en_US
dc.subject.classification	Virology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Vaccination	en_US
dc.subject.mesh	Complementary Therapies	en_US
dc.subject.mesh	Ambulatory Care	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Health Personnel	en_US
dc.subject.mesh	Allied Health Personnel	en_US
dc.subject.mesh	Physicians	en_US
dc.subject.mesh	Primary Health Care	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Public Health Surveillance	en_US
dc.subject.mesh	Vaccination Coverage	en_US
dc.title	The associations between medical, allied and complementary medicine practitioner visits and childhood vaccine uptake	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	36	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
utslib.for	1107 Immunology	en_US
utslib.for	06 Biological Sciences	en_US
utslib.for	07 Agricultural and Veterinary Sciences	en_US
utslib.for	11 Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	36	en_US

Abstract:

© 2018 The Authors Background: Vaccination rates have remained steady for a number of years in Australia, however geographical areas of lower vaccine coverage remains a day-to-day challenge. The study explores parental attitudes, beliefs and intentions in relation to vaccination and examines the early effects of recent No Jab No Pay legislation. Methods: A national survey of was conducted, using an online questionnaire. Parents from all states in Australia with at least one child aged <6 years were invited to participate. Results: A total of 429 parents participated in the study. The substantial majority of participants reported having their youngest child's vaccination status up to date (n = 401, 93.5%). A child's vaccinations were more likely to be up to date if they had consulted a paediatrician in the previous 12-months (OR 5.01; 95%CI 1.05, 23.92; p =.043). Conversely they were less likely to be vaccinated if they were influenced by information from a complementary medicine (CM) practitioner (OR 0.03; 95%CI 0.01, 0.15; p <.001) or had visited a CM-practitioner (OR 0.09; 95%CI 0.02, 0.33; p <.001) in the previous 12-months. A total of 2.6% of parents had immunised their child as a result of the No Jab No Pay legislation, while 3.9% stated the legislation had no effect, and 1.2% said it had made them less likely to vaccinate. A further 1.2% of parents stated they are considering vaccination as a result of the legislative changes. Conclusion: Parents who have not vaccinated their children appear to trust non-mainstream sources of information such as CM-practitioners. Further research is required to determine how to manage the challenges and opportunities of CM-practitioners as a source of vaccine information.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/129826