Annette Braunack-Mayer1, S Rachel Skinner, Joanne Collins, Rebecca Tooher, Claudia Proeve, Maree O'Keefe, Teresa Burgess, Maureen Watson, Helen Marshall. 1. Annette Braunack-Mayer, Joanne Collins, Rebecca Tooher, Claudia Proeve, and Teresa Burgess are with the School of Population Health, University of Adelaide, South Australia, Australia. Helen Marshall is with the School of Paediatric and Reproductive Health, University of Adelaide, South Australia. S. Rachel Skinner is with the Discipline of Paediatrics and Child Health, University of Sydney, New South Wales, Australia. Maree O'Keefe is with the Faculty of Health Sciences, University of Adelaide, South Australia. Maureen Watson is with the Communicable Disease Control Branch, South Australia Health, South Australia.
Abstract
OBJECTIVES: We investigated ethical issues in school-based immunization programs for adolescents and how they are addressed. METHODS: We used qualitative methods and an ethnographic approach to observe 9 secondary schools on immunization days in South Australia in 2011; concurrently, we conducted 9 focus groups with female secondary school students, 6 semistructured interviews with parents, and 10 interviews with nurses and teachers. We explored ethical challenges from the perspective of these groups. RESULTS: We identified ethical challenges for the delivery of adolescent immunization in a school-based setting in 3 main areas: informed consent, restrictions on privacy, and harm to students in the form of fear and anxiety. CONCLUSIONS: We found areas in which the design and delivery of school-based immunization programs can be improved. Information about immunization should be provided in ways that are appropriate to young people and their parents, and privacy protections should be enhanced when possible. Involving young people in the design and delivery of programs would assist with making these improvements.
OBJECTIVES: We investigated ethical issues in school-based immunization programs for adolescents and how they are addressed. METHODS: We used qualitative methods and an ethnographic approach to observe 9 secondary schools on immunization days in South Australia in 2011; concurrently, we conducted 9 focus groups with female secondary school students, 6 semistructured interviews with parents, and 10 interviews with nurses and teachers. We explored ethical challenges from the perspective of these groups. RESULTS: We identified ethical challenges for the delivery of adolescent immunization in a school-based setting in 3 main areas: informed consent, restrictions on privacy, and harm to students in the form of fear and anxiety. CONCLUSIONS: We found areas in which the design and delivery of school-based immunization programs can be improved. Information about immunization should be provided in ways that are appropriate to young people and their parents, and privacy protections should be enhanced when possible. Involving young people in the design and delivery of programs would assist with making these improvements.
Authors: Lesly-Marie Clevenger; Jennifer Pyrzanowski; C Robinette Curtis; Sheana Bull; Lori A Crane; Jennifer C Barrow; Allison Kempe; Matthew F Daley Journal: J Adolesc Health Date: 2011-06-12 Impact factor: 5.012
Authors: S Rachel Skinner; Cristyn Davies; Spring Cooper; Tanya Stoney; Helen Marshall; Jane Jones; Joanne Collins; Heidi Hutton; Adriana Parrella; Gregory Zimet; David G Regan; Patti Whyte; Julia M L Brotherton; Peter Richmond; Kirsten McCaffrey; Suzanne M Garland; Julie Leask; Melissa Kang; Annette Braunack-Mayer; John Kaldor; Kevin McGeechan Journal: BMC Public Health Date: 2015-09-15 Impact factor: 3.295
Authors: A S Forster; K A McBride; C Davies; T Stoney; H Marshall; K McGeechan; S C Cooper; S R Skinner Journal: Public Health Date: 2017-03-18 Impact factor: 2.427
Authors: Devon Greyson; Ellen Rafferty; Linda Slater; Noni MacDonald; Julie A Bettinger; Ève Dubé; Shannon E MacDonald Journal: BMC Public Health Date: 2019-02-04 Impact factor: 3.295
Authors: Julie Henderson; Paul R Ward; Emma Tonkin; Samantha B Meyer; Heath Pillen; Dean McCullum; Barbara Toson; Trevor Webb; John Coveney; Annabelle Wilson Journal: Front Public Health Date: 2020-07-14
Authors: Cristyn Davies; Helen S Marshall; Gregory Zimet; Kirsten McCaffery; Julia M L Brotherton; Melissa Kang; Suzanne Garland; John Kaldor; Kevin McGeechan; S Rachel Skinner Journal: JAMA Netw Open Date: 2021-11-01