A qualitative study of vaccination behaviour amongst female Polish migrants in Edinburgh,Scotland |
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| Institution: | 1. NHS Lothian, Directorate of Public Health and Health Policy, Edinburgh, UK;2. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK;1. University of Hradec Kralove, Faculty of Science, Hradec Kralove, Czech Republic;2. Charles University, Faculty of Medicine in Hradec Kralove, Department of Social Medicine, Hradec Kralove, Czech Republic;3. SUNY Upstate Medical University, Department of Pediatrics, Division of Pediatric Infectious Diseases, Syracuse, NY, USA;4. University of Defence, Faculty of Military Health Sciences, Hradec Kralove, Czech Republic;5. Children’s Faculty Hospital Kosice, Department of Pediatric Infectious Diseases, Kosice, Slovakia;6. Biovomed, Hradec Kralove, Czech Republic;1. Department of Public Health, Auckland University of Technology, 640 Great South Road, Manukau, Auckland 2025, New Zealand;2. John W. Scott Health Sciences Library, University of Alberta, 2K3.28 Walter C. Mackenzie Health Sciences Centre, Edmonton, Alberta T6G 2E1, Canada;3. Department of Pediatrics, University of Alberta, 116 Street and 85 Avenue, Edmonton, Alberta T6G 2R3, Canada;1. Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware Street, Minneapolis, MN 55414, USA;2. University of Minnesota Physician Smiley’s Clinic, 2020 E 28th Street, Minneapolis, MN 55407, USA;1. Usher Institute of Population Health Sciences and Informatics, Old Medical School, Teviot Place, University of Edinburgh, Scotland EH8 9AG, UK;2. NHS Lothian, Directorate of Public Health and Health Policy, National Health Service Scotland, 2-4 Waterloo Place, Edinburgh EH1 3EG, UK;1. Migrant Health Research Group, Institute for Infection and Immunity, St George''s, University of London, London, UK;2. Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK;3. Department of Paediatrics, University of Ottawa, ON, Canada;4. International Organization for Migration, Nairobi, Kenya;5. International Organization for Migration, Manila, Philippines;6. Office for Health Improvement and Disparities, Department of Health and Social Care, London, UK |
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| Abstract: | Vaccine hesitancy is increasing and failure to vaccinate is well-recognised in Europe as a contributing factor to outbreaks of infectious diseases. In Lothian and Scotland, low vaccine uptake has been seen in migrants – notably in the Polish group who have arrived since 2004. The recent Vaccine Confidence in European Union report highlights a concerning recent decline in vaccine confidence in Poland.We held three focus groups containing 13 Polish women about the childhood vaccination programme in Lothian, with specific focus on influenza and Human Papillomavirus vaccinations. Key emergent themes were: trust in the national vaccination policy, trust in the vaccination providers (health professionals), trust in the individual vaccines, balancing the risk of disease, and language and communication.Polish norms, beliefs and behaviours shape how Polish migrants navigate the UK health system and its vaccination programme. While not confident in the Scottish primary care model and its generalist practitioners, the participants liked the ethos of informed consent in Scotland and compared this favourably with the compulsory vaccination policy in Poland. There was a belief that vaccines in Scotland were of higher quality than Poland and with fewer adverse effects.Respondents reported returning to Poland for specialist clinical appointments and diagnostic testing. They regularly access Polish clinical expertise and their opinions about health are influenced by Polish friends and family. They say they have difficulty finding official UK Government and health authority vaccination material and often access Polish media, online resources and information. They are familiar with anti-vaccination activities in Poland.Consequently, there are important unmet information needs for this group of parents who may not be making truly informed choices about vaccination. This requires further investigation especially as migration continues and declining immunisation uptake is reported in many countries across Europe. |
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| Keywords: | Hesitancy Vaccine Immunisation Polish Scotland UK |
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