School of Public Health, Imperial College London, UK.
Population, Policy and Practice, Great Ormond Street Institute of Child Health, University College London, UK; London North Genomic Laboratory Hub, Great Ormond Street Hospital, London, UK.
Vaccine. 2024 Sep 17;42(22):126172. doi: 10.1016/j.vaccine.2024.126172. Epub 2024 Aug 21.
Childhood vaccine uptake in the United Kingdom (UK) is sub-optimal leading to outbreaks of preventable diseases. We aimed to explore UK parents' perspectives on why some children are unvaccinated or vaccinated late.
We undertook a mixed-methods, co-production study involving a survey using a questionnaire followed by focus groups. We partnered with The Mosaic Community Trust (Mosaic) who are based in a more deprived, ethnically diverse, low vaccine uptake area of London. Targeted recruitment to complete the questionnaire (either on paper or online) was done through Mosaic, community networks and social media promotion. We collected demographic data alongside parents' views on routine childhood vaccination, their vaccine decisions, and experiences of accessing childhood vaccine appointments We report descriptive findings from the questionnaire and thematic analysis of free-text questionnaire answers and focus groups guided by the COM-B model of Capability, Opportunity, and Motivation.
Between June-October 2022, 518 parents were surveyed of whom 25% (n = 130), were from ethnic minorities (13%, n = 68-unknown ethnicity). In 2023 we held four focus groups with 22 parents (10 from ethnic minorities). Only 15% (n = 78) parents had delayed or refused a vaccine for their child. A quarter of parents felt they had not been given enough information nor an opportunity to ask questions before their children's vaccinations. Inconsistent reminders and difficulties booking or attending appointments impacted vaccine uptake with negative experiences influencing future vaccine decisions. Parents had mixed views on vaccinations being given in different locations and wanted trusted health professionals to vaccinate their children.
To reverse declining vaccine uptake and prevent future outbreaks it needs to be easier for UK parents to speak to health professionals to answer their childhood vaccine questions, alongside simplified booking systems and easier access to routine childhood vaccine appointments.
英国（UK）儿童疫苗接种率不理想，导致可预防疾病爆发。我们旨在探讨英国父母对一些儿童未接种或延迟接种疫苗的看法。
我们进行了一项混合方法、共同制定的研究，包括使用问卷进行的调查，随后是焦点小组。我们与马赛克社区信托基金（Mosaic）合作，该信托基金位于伦敦一个较为贫困、族裔多样化、疫苗接种率较低的地区。通过 Mosaic、社区网络和社交媒体宣传，有针对性地招募父母完成问卷（纸质或在线）。我们收集了人口统计学数据，以及父母对常规儿童疫苗接种的看法、他们的疫苗接种决定以及获得儿童疫苗接种预约的经验。我们报告了问卷的描述性发现，并对问卷的自由文本答案和焦点小组进行了主题分析，主题分析由能力、机会和动机的 COM-B 模型指导。
2022 年 6 月至 10 月期间，对 518 名父母进行了调查，其中 25%（n=130）来自少数民族（13%，n=68-未知族裔）。2023 年，我们举行了四次焦点小组会议，共有 22 名父母参加（其中 10 名来自少数民族）。只有 15%（n=78）的父母因孩子的疫苗接种而延迟或拒绝接种疫苗。四分之一的父母认为他们在孩子接种疫苗前没有得到足够的信息，也没有机会提问。预约提醒不一致和预约接种困难影响了疫苗接种率，负面体验影响了未来的疫苗接种决定。父母对接种疫苗的地点有不同看法，并希望可信赖的卫生专业人员为其孩子接种疫苗。
为了扭转英国儿童疫苗接种率下降的趋势，防止未来爆发疫情，英国父母需要更方便地与卫生专业人员交谈，以解答他们有关儿童疫苗接种的问题，同时简化预约系统，更方便地获得常规儿童疫苗接种预约。
