Assessing determinants of the intention to accept a pertussis cocooning vaccination: A survey among Dutch parents |
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| Affiliation: | 1. Department of Primary and Community Care, Radboudumc, 117 ELG, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;2. Municipal Health Service Utrecht Region, P.O. Box 51, 3700 AB Zeist, The Netherlands;3. Department of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands;4. Scientific Institute for Quality of Healthcare, IQ Healthcare, Radboudumc, 114 IQ, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;1. Vaccinology and Immunology Research Trials Unit, Women''s and Children''s Hospital, Women''s and Children''s Health Network, Adelaide, Australia;2. School of Medicine, The University of Adelaide, Adelaide, Australia;3. School of Population Health, The University of Adelaide, Adelaide, Australia;4. Robinson Research Institute, The University of Adelaide, Adelaide, Australia;1. Department of Infection Control, Fukushima Medical University, Fukushima, Japan;2. Kitakata Jin Hinyouki-Clinic, Kitakata, Japan;3. Department of Infection Control and Prevention, Division of Medical and Environmental Safety, Kagoshima University, Kagoshima, Japan;4. Department of Emergency and Critical Care Medicine, Fukushima Medical University, Fukushima, Japan;5. Department of Infection Control and Laboratory Diagnostics, Tohoku University Graduate School of Medicine, Sendai, Japan;1. Department of Health Science, Dongduk Women''s University, Seoul, South Korea;2. Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, MA, USA;3. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA;1. School of Public Health and Community Medicine, University of New South Wales (UNSW), Australia;2. National Centre for Immunization Research and Surveillance of Vaccine Preventable Diseases, The Children''s Hospital Network, Westmead, NSW, Australia;3. National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, ACT, Australia;4. The Sax Institute, Sydney, Australia;1. Chongqing Centre for Disease Control and Prevention, Chongqing, China;2. Department of Medical Statistics, School of Management and Public Health, Chongqing Medical University, Chongqing, China;1. Centre for the Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium;2. Post-doctoral Research Fellow of the Fund of Scientific Research (FWO), Belgium;3. Centre for Health Economic Research and Modelling Infectious Diseases, Vaccine and Infectious Disease Institute, University of Antwerp, Antwerp, Belgium;4. Interuniversity Institute for Biostatistics and statistical Bioinformatics, Hasselt University, Diepenbeek, Belgium;5. Centre for Youth Health Care, Department of Public Health and Primary Care, KU Leuven, University of Leuven, Belgium |
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| Abstract: | IntroductionPertussis cocooning is one of the strategies aiming to prevent the potential harm of pertussis in infants by vaccinating (among others) their parents. Several countries adopted this strategy, but uptake is a problem. Determinants of parental uptake are important in the design of an effective vaccination programme. Therefore, this study aims to assess parents’ intention to accept a pertussis cocooning vaccination and its determinants.MethodsA 98 item questionnaire was developed based on a theoretical framework, assessing parents’ intention to accept a pertussis cocooning vaccination and its personal and psychosocial determinants. In addition, beliefs underlying parents’ attitude towards pertussis cocooning vaccination were assessed. Both logistic and linear regression analysis were used to assess univariate and multivariate associations amongst study variables.ResultsParents returned 282 questionnaires. The majority of the parents (78%) reported a positive intention to accept a pertussis cocooning vaccination. Attitude (OR 6.6, p < .001), anticipated negative affect in response to non acceptance (OR 1.65, p < .001), anticipated negative affect in response to acceptance (OR 0.55, p .040) and decisional uncertainty (OR 0.52, p .002) were significantly associated with intention. General vaccination beliefs (β 0.58, p < .001), moral norm (β 0.22, p < .001), perceived susceptibility of pertussis in children (β 0.10, p.004), and efficacy outcome expectations (β 0.15, p.011) were significant correlates of attitude towards pertussis cocooning vaccination.ConclusionThe parental intention to accept a pertussis cocooning vaccination in this study is rather high. Targeting the identified determinants of parents’ acceptance in a pertussis cocooning vaccination programme is crucial to secure that intention is translated into actual vaccination uptake. |
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| Keywords: | Whooping cough Pertussis Vaccination Immunization Beliefs Behaviour change Implementation science Theory-based behavioural interventions |
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