M R Gualano1, F Bert1, G Voglino2, E Buttinelli3, M M D'Errico4, C De Waure5, P Di Giovanni6, M P Fantini7, A R Giuliani8, M Marranzano9, G Masanotti10, A Massimi11, N Nante12, F Pennino13, R Squeri14, A Stefanati15, C Signorelli16, R Siliquini1. 1. Department of Public Health, University of Torino, Italy. 2. Department of Public Health, University of Torino, Italy. Electronic address: gianluca.voglino@unito.it. 3. Postgraduate School of Public Health, Department of Biomedical Sciences for Health, University of Milan, Italy. 4. Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy. 5. Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, Rome, Italy. 6. Department of Pharmacy, Università degli Studi "G. D'Annunzio" of Chieti-Pescara, Italy. 7. Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna, Bologna, Italy. 8. Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy. 9. Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy. 10. Public Health Section, Department of Experimental Medicine, University of Perugia, Perugia, Italy. 11. Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy. 12. Post Graduate School of Public Health, University of Siena, Siena, Italy. 13. Department of Public Health, University of Naples "Federico II", Italy. 14. University of Messina, Italy. 15. Department of Medicine and Surgery, University of Parma, Parma, Italy. 16. Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Ferrara, Italy.
Abstract
BACKGROUND: Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools. METHODS: In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn. RESULTS: Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21-0.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62-4.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46-0.96, p = 0.03; OR: 0.66, CI 95%: 0.46-0.95, p = 0.03, respectively). CONCLUSION: Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened.
BACKGROUND: Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools. METHODS: In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn. RESULTS: Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21-0.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62-4.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46-0.96, p = 0.03; OR: 0.66, CI 95%: 0.46-0.95, p = 0.03, respectively). CONCLUSION: Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened.
Authors: Eve Dubé; Dominique Gagnon; Kyla Kaminsky; Courtney R Green; Manale Ouakki; Julie A Bettinger; Nicholas Brousseau; Eliana Castillo; Natasha S Crowcroft; S Michelle Driedger; Devon Greyson; Deshayne Fell; William Fisher; Arnaud Gagneur; Maryse Guay; Donna Halperin; Scott A Halperin; Shannon MacDonald; Samantha B Meyer; Nancy M Waite; Kumanan Wilson; Holly O Witteman; Mark Yudin; Jocelynn L Cook Journal: Hum Vaccin Immunother Date: 2020-04-09 Impact factor: 3.452
Authors: M R Gualano; E Olivero; G Voglino; M Corezzi; P Rossello; C Vicentini; F Bert; R Siliquini Journal: Hum Vaccin Immunother Date: 2019-02-20 Impact factor: 3.452
Authors: Shu-Fang Shih; Abram L Wagner; Nina B Masters; Lisa A Prosser; Yihan Lu; Brian J Zikmund-Fisher Journal: Front Immunol Date: 2021-06-14 Impact factor: 7.561