Abstract:
:Background and aims Childhood vaccinations are an important component of primary prevention. Maternal and Child Health (MCH) clinics in Israel provide routine vaccinations without charge. Several vaccine-preventable-diseases outbreaks (measles, mumps) emerged in Jerusalem in the past decade. We aimed to study attitudes and knowledge on vaccinations among mothers, in communities with low immunization coverage. Methods A qualitative study including focus groups and semi-structured interviews. Results Low immunization coverage was defined below the district's mean (age 2 years, 2013) for measles-mumps-rubella-varicella 1st dose (MMR1\MMRV1) and diphtheria-tetanus-pertussis 4th dose (DTaP4), 96 and 89%, respectively. Five communities were included, all were Jewish ultra-orthodox. The mothers' (n = 87) median age was 30 years and median number of children 4. Most mothers (94%) rated vaccinations as the main activity in the MCH clinics with overall positive attitudes. Knowledge about vaccines and vaccination schedule was inadequate. Of vaccines scheduled at ages 0-2 years (n = 13), the mean number mentioned was 3.9 ± 2.8 (median 4, range 0-9). Vaccines mentioned more often were outbreak-related (measles, mumps, polio) and HBV (given to newborns). Concerns about vaccines were obvious, trust issues and religious beliefs were not. Vaccination delay was very common and timeliness was considered insignificant. Practical difficulties in adhering to the recommended schedule prevailed. The vaccinations visits were associated with pain and stress. Overall, there was a sense of self-responsibility accompanied by inability to influence others. Conclusion Investigating maternal knowledge and attitudes on childhood vaccinations provides insights that may assist in planning tailored intervention programs aimed to increase both vaccination coverage and timeliness.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Stein Zamir C,Israeli Adoi
10.1007/s10995-017-2272-5subject
Has Abstractpub_date
2017-05-01 00:00:00pages
1010-1017issue
5eissn
1092-7875issn
1573-6628pii
10.1007/s10995-017-2272-5journal_volume
21pub_type
杂志文章abstract::Previous studies have shown that maternal and child health nurses (MCH nurses) are in a unique position to help mothers with postpartum depression (PPD), but little has been done to understand the MCH nurses' day-to-day experience. This Australian study addresses that issue by analyzing the results of eight in-depth i...
journal_title:Maternal and child health journal
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更新日期:2012-12-01 00:00:00
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journal_title:Maternal and child health journal
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doi:10.1007/s10995-007-0261-9
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journal_title:Maternal and child health journal
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02803-7
更新日期:2019-12-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1011391700314
更新日期:2001-09-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02872-8
更新日期:2020-04-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022374728615
更新日期:1997-12-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0254-8
更新日期:2008-07-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s10995-014-1526-8
更新日期:2015-03-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1009582919267
更新日期:2000-03-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1320-z
更新日期:2014-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-007-0216-1
更新日期:2008-01-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1330-x
更新日期:2014-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-0025-3
更新日期:2006-01-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2040-y
更新日期:2016-12-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1658-x
更新日期:2015-07-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2575-1
更新日期:2018-12-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1441-z
更新日期:2014-10-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0122-y
更新日期:2006-11-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02743-2
更新日期:2019-08-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0804-y
更新日期:2012-05-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1023/a:1021823009297
更新日期:1998-09-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2413-x
更新日期:2018-04-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 信件
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更新日期:2020-11-01 00:00:00
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journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1438-7
更新日期:2014-10-01 00:00:00