Factors associated with mothers not vaccinating their children against mumps in Japan. (August 2016)
- Record Type:
- Journal Article
- Title:
- Factors associated with mothers not vaccinating their children against mumps in Japan. (August 2016)
- Main Title:
- Factors associated with mothers not vaccinating their children against mumps in Japan
- Authors:
- Tsuchiya, Y.
Shida, N.
Izumi, S.
Ogasawara, M.
Kakinuma, W.
Tsujiuchi, T.
Machida, K. - Abstract:
- Abstract: Objectives: In Japan, mumps immunization is not mandatory, and the prevalence of mumps immunization among eligible children is only about 30%, raising concerns about increased risk of meningitis, encephalitis and deafness caused by mumps. In 2011, to understand why families are not voluntarily immunizing their children against mumps, we surveyed mothers who were university graduates to examine the factors and barriers influencing mumps vaccination in Japan. Study design: A cross sectional design. Methods: We sent questionnaires including questions on demographic data and vaccination status, barriers and factors for immunizations to university alumnae to recruit participants. Data were analysed by Student's t -test for continuous variables and by univariate and multivariate analysis to obtain the odds ratio and adjusted odds ratio. Results: Two hundred and twenty-six mothers with children responded with an average (range) age of 44.7 years (SD = 5.02; 30–55 years). Adjusted odds ratios (aOR) from logistic regression analysis identified fear of harmful side-effects (aOR, 2.55; 95% CI, 1.10 to 5.89), the vaccination not being mandatory (aOR, 3.30; 95% CI, 1.41 to 7.72), perceived non-efficacy (aOR, 6.21; 95% CI, 1.85 to 20.91) and being busy (aOR, 3.30; 95% CI, 1.21 to 9.01) were significantly and inversely associated with mumps vaccination. Recommendations from family doctors (aOR, 0.35; 95% CI, 0.17 to 0.71), living abroad when their children would be vaccinatedAbstract: Objectives: In Japan, mumps immunization is not mandatory, and the prevalence of mumps immunization among eligible children is only about 30%, raising concerns about increased risk of meningitis, encephalitis and deafness caused by mumps. In 2011, to understand why families are not voluntarily immunizing their children against mumps, we surveyed mothers who were university graduates to examine the factors and barriers influencing mumps vaccination in Japan. Study design: A cross sectional design. Methods: We sent questionnaires including questions on demographic data and vaccination status, barriers and factors for immunizations to university alumnae to recruit participants. Data were analysed by Student's t -test for continuous variables and by univariate and multivariate analysis to obtain the odds ratio and adjusted odds ratio. Results: Two hundred and twenty-six mothers with children responded with an average (range) age of 44.7 years (SD = 5.02; 30–55 years). Adjusted odds ratios (aOR) from logistic regression analysis identified fear of harmful side-effects (aOR, 2.55; 95% CI, 1.10 to 5.89), the vaccination not being mandatory (aOR, 3.30; 95% CI, 1.41 to 7.72), perceived non-efficacy (aOR, 6.21; 95% CI, 1.85 to 20.91) and being busy (aOR, 3.30; 95% CI, 1.21 to 9.01) were significantly and inversely associated with mumps vaccination. Recommendations from family doctors (aOR, 0.35; 95% CI, 0.17 to 0.71), living abroad when their children would be vaccinated (aOR, 0.10; 95% CI, 0.02 to 0.68) and the maternal age (aOR, 0.91; 95% CI, 0.85 to 0.96) were significant and positively associated with vaccination. Conclusions: In the absence of mandatory vaccinations, a public education campaign about mumps, their potential consequences and the nature and value of vaccination could improve the prevalence of mumps vaccination among children and prevent the consequences of this disease. Highlights: Identified serious public health problems such as meningitis and deafness related high incidence of mumps in Japan. Revealed impeding factors to raise immunization rate existed in current policy. Presented useful solution both at individual and policy levels. … (more)
- Is Part Of:
- Public health. Volume 137(2016)
- Journal:
- Public health
- Issue:
- Volume 137(2016)
- Issue Display:
- Volume 137, Issue 2016 (2016)
- Year:
- 2016
- Volume:
- 137
- Issue:
- 2016
- Issue Sort Value:
- 2016-0137-2016-0000
- Page Start:
- 95
- Page End:
- 105
- Publication Date:
- 2016-08
- Subjects:
- Mumps vaccine coverage in Japan -- Predictors of vaccine acceptance -- Vaccination in Japan -- Mumps -- Maternal awareness -- Health belief model -- Health behaviour
Public health -- Periodicals
Public health -- Periodicals
Electronic journals
362.1 - Journal URLs:
- http://www.sciencedirect.com/science/journal/00333506 ↗
http://intl.elsevierhealth.com/journals/pubh/ ↗
http://www.clinicalkey.com/dura/browse/journalIssue/00333506 ↗
http://www.clinicalkey.com.au/dura/browse/journalIssue/00333506 ↗
http://www.elsevier.com/journals ↗
http://www.journals.elsevier.com/public-health ↗ - DOI:
- 10.1016/j.puhe.2016.03.002 ↗
- Languages:
- English
- ISSNs:
- 0033-3506
- Deposit Type:
- Legaldeposit
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- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6963.850000
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