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why do some parents choose not to vaccinate

More parents are refusing to vaccinate their children now than a decade ago, but the reasons for refusals have changed, a new study suggests. Parents who their kids are now more likely to say their reason is that they do not see a need for vaccination, the researchers found. Pediatricians should continue to talk to parents who have concerns about vaccines to try to, said study co-author Dr. Catherine Hough-Telford, a pediatrician at the University of Alabama at Birmingham. In the study, researchers surveyed 627 pediatricians in 2013 and asked them whether their patients parents had ever refused a vaccination, or had asked to delay a vaccination. The researchers also asked pediatricians about their impressions of parents reasons for refusing or delaying their kids vaccination. The survey was a follow-up to an earlier one, with the same questions, conducted in 2006. [
The researchers found that in 2013, 87 percent of pediatricians surveyed said they encountered vaccine refusals from parents of their patients, up from 75 percent of pediatricians who said the same in 2006. This drop in what pediatricians perceive lines up with other research that has reported increasing rates of for nonmedical reasons, and increasing rates of children who are not receiving all or some of the vaccines they should receive for optimal health benefits, the researchers said in their study, published today (Aug. 29) in the journal Pediatrics. Pediatricians perceived that parents reasons for delaying vaccines were different from reasons that parents refused vaccinations altogether. For example, in the new survey, parents seemed to most commonly delay vaccination because they were concerned about their children s discomfort, and out of children s immune systems. In contrast, parents who refused to vaccinate their kids more commonly did so because they considered vaccines unnecessary, the researchers found. The percentage of pediatricians who said they perceived that parents refused to vaccinate their kids because they increased by 10 percent from 2006 to 2013, the researchers found.

However, parents concerns about the now-well-refuted link between vaccines and autism declined during this time period, from 74 percent of pediatricians who perceived it to be one of the top reasons for vaccine refusal among parents in 2006 to 64 percent in 2013. [ The 2006 survey was conducted just after the first human papillomavirus (HPV) vaccine was approved but before it was widely offered by pediatricians to patients, the researchers said. Although this vaccine has been shown to be effective against cervical cancer and other cancers, it has a lower acceptance rate than other vaccines. The increase in vaccine refusal rates observed in the study may be partially explained by the fact that the HPV vaccine was recommended around the time the second survey was conducted in 2013, and to use this vaccine for their kids. Still, the rise in the perceived rates of vaccine refusal and delay are likely more complex than a single vaccine, the researchers said. For example, pediatricians reported that, though some parents refused just one vaccine, others refused more than one vaccine, Hough-Telford said in a statement. One reason more parents may now think vaccines are unnecessary is that vaccine-preventable diseases are rare these days, and the public s memory of these diseases may be fading, Hough-Telford said. However, since the data for the study was last collected in 2013, there have been a couple of, particularly one in California, she noted. I think that that has potentially changed some perceptions about immunizations but I think it needs to be studied further, she told Live Science. Originally published on Live Science. What is HPV? Human papillomavirus, also known as HPV, is a common virus that affects the skin and moist areas that line the body, such as the cervix. It is spread by skin-to-skin contact and can be transmitted through sexual activity. Most people will come into contact with HPV at some point in their life, and in most cases the body will get rid of the virus on its own.

However, in some cases the virus can cause cell changes which can increase the risk of some cancers, such as. There are over 100 different types of HPV, but two types in particular (types 16 and 18) cause 70% of cases. In 2008 a vaccination was introduced which protects against these two types of HPV. It also protects against two other types of HPV that donвt cause cancer, but do cause. The vaccination is mainly given through schools to girls aged 12-13 (in school year 8). The vaccine is given in two separate injections. Why was this study done? but, there are some girls who do not. Research has shown that girls from ethnic minority backgrounds are less likely to have the vaccination than White British girls. , published this week, we investigated why this might be the case. What did we do? We did thirty-three face-to-face interviews with parents from ethnic minority backgrounds, whose daughters both had and had not got the vaccine. We also did interviews with parents from White British backgrounds, whose daughters had not got the vaccine, so that we could see whether there were any differences between what parents from different ethnic backgrounds were saying. All but one of the people we interviewed were mothers. What did we find? Parents have concerns about the vaccine Parents had concerns about side effects of the vaccine and its effectiveness, despite the vaccine being recognised as safe by the and. Some parents were worried that the benefits of having the vaccination might not outweigh the risks. Other parents worried that it might encourage girls to be more sexually active. Other peopleвs opinions and experiences are important Some parentsв vaccination decisions were affected by things they had heard from other people about the vaccination. A number of parents had got information from others about the vaccine and some parents had heard about girls who happened to become unwell after having the vaccine and whose parents thought this must have been caused by the vaccine. Parents need more information Many parents had not heard about the vaccine before their daughter was invited to have it.

Some parents felt like they had not been provided with enough information about the vaccine and others chose to research it themselves. В Some parents prefer to protect their daughters using other methods Although there isnвt any evidence that complementary medicines can prevent HPV, some parents preferred to use them instead of vaccination and some encouraged a healthy lifestyle to prevent illness. Others thought that better ways to prevent their daughter from getting an HPV infection would be to encourage them to have safe sex, to educate them about sex or for their daughters to not have sex before marriage. A few parents believed illness was caused by things outside their control, such as God. Some parents donвt trust authorities A number of parents believed that the introduction of the vaccine was driven by pharmaceutical companies wanting to make money. Some of these parents lacked faith in the government and why it had chosen to introduce the vaccine. Emotions influence vaccination decisions Some parents felt that they might regret the decision if they vaccinated, whilst others felt they might regret their decision if they did not. What did we conclude? In general, many of the things parents spoke to us about were said by parents from all different ethnic backgrounds. However, there were some issues that were only brought up by parents from ethnic minority backgrounds. These included preferring their daughters to wait until marriage before having sex and believing that cervical cancer is caused by things that are out of their control. The results of this study suggest to us that any future attempts to try and increase uptake of the vaccination need to consider issues that are important to parents from ethnic minority backgrounds. It may be helpful to involve community group leaders and religious leaders when designing future interventions, to ensure that it is appropriate and well considered. В

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