Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers

Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Qualitative Analysis of Mothers' Decision-Making About Vaccines for Infants: The Importance of Trust

Andrea L. Benin, Daryl J. Wisler-Scher, Eve Colson, Eugene D. Shapiro and Eric S. Holmboe
Pediatrics May 2006, 117 (5) 1532-1541; DOI: https://doi.org/10.1542/peds.2005-1728
Andrea L. Benin
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daryl J. Wisler-Scher
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eve Colson
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eugene D. Shapiro
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eric S. Holmboe
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF

Abstract

BACKGROUND. The high visibility of controversies regarding vaccination makes it increasingly important to understand how parents decide whether to vaccinate their infants.

OBJECTIVE. The purpose of this research was to investigate decision-making about vaccinations for infants.

DESIGN. We conducted qualitative, open-ended interviews.

PARTICIPANTS. Subjects included mothers 1 to 3 days postpartum and again at 3 to 6 months.

RESULTS. We addressed 3 topics: attitudes to vaccination, knowledge about vaccination, and decision-making. Mothers who intended to have their infants vaccinated (“vaccinators,” n = 25) either agreed with or did not question vaccination or they accepted vaccination but had significant concerns. Mothers who did not intend to vaccinate (“nonvaccinators,” n = 8) either completely rejected vaccination or they purposely delayed vaccinating/chose only some vaccines. Knowledge about which vaccines are recommended for children was poor among both vaccinators and nonvaccinators. The theme of trust in the medical profession was the central concept that underpinned all of the themes about decision-making. Promoters of vaccination included trusting the pediatrician, feeling satisfied by the pediatrician’s discussion about vaccines, not wanting to diverge from the cultural norm, and wanting to adhere to the social contact. Inhibitors included feeling alienated by or unable to trust the pediatrician, having a trusting relationship with an influential homeopath/naturopath or other person who did not believe in vaccinating, worry about permanent side effects, beliefs that vaccine-preventable diseases are not serious, and feeling that since other children are vaccinated their child is not at risk.

CONCLUSION. Trust or lack of trust and a relationship with a pediatrician or another influential person were pivotal for decision-making of new mothers about vaccinating their children. Attempts to work with mothers who are concerned about vaccinating their infants should focus not only on providing facts about vaccines but also on developing trusting and positive relationships.

  • immunizations
  • vaccination
  • attitudes
  • parents
  • qualitative research
  • Accepted October 17, 2005.
  • Copyright © 2006 by the American Academy of Pediatrics

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics
Vol. 117, Issue 5
May 2006
  • Table of Contents
  • Index by author
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Qualitative Analysis of Mothers' Decision-Making About Vaccines for Infants: The Importance of Trust
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Qualitative Analysis of Mothers' Decision-Making About Vaccines for Infants: The Importance of Trust
Andrea L. Benin, Daryl J. Wisler-Scher, Eve Colson, Eugene D. Shapiro, Eric S. Holmboe
Pediatrics May 2006, 117 (5) 1532-1541; DOI: 10.1542/peds.2005-1728

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Qualitative Analysis of Mothers' Decision-Making About Vaccines for Infants: The Importance of Trust
Andrea L. Benin, Daryl J. Wisler-Scher, Eve Colson, Eugene D. Shapiro, Eric S. Holmboe
Pediatrics May 2006, 117 (5) 1532-1541; DOI: 10.1542/peds.2005-1728
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Abstract
    • METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgments
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Motivational Interviewing for Maternal Immunisation (MI4MI) study: a protocol for an implementation study of a clinician vaccine communication intervention for prenatal care settings
  • Vaccine hesitancy and non-vaccination in an Irish paediatric outpatient population
  • 'Presumptively Initiating Vaccines and Optimizing Talk with Motivational Interviewing (PIVOT with MI) trial: a protocol for a cluster randomised controlled trial of a clinician vaccine communication intervention
  • Determinants of vaccine hesitancy in Switzerland: study protocol of a mixed-methods national research programme
  • Repondre a lhesitation face a la vaccination: Conseils cliniques a lintention des medecins de premiere ligne qui travaillent avec les parents
  • Addressing vaccine hesitancy: Clinical guidance for primary care physicians working with parents
  • Parent-Provider Communication of HPV Vaccine Hesitancy
  • Parents uptake of human papillomavirus vaccines for their children: a systematic review and meta-analysis of observational studies
  • Refusal of Vitamin K Administration in Newborns
  • UK parents attitudes towards meningococcal group B (MenB) vaccination: a qualitative analysis
  • Practical Approaches to Optimize Adolescent Immunization
  • Vaccine trust and the limits of information
  • Countering Vaccine Hesitancy
  • Physician Communication Training and Parental Vaccine Hesitancy: A Randomized Trial
  • Physician Response to Parental Requests to Spread Out the Recommended Vaccine Schedule
  • Pro-vaccine messages may be counterproductive among vaccine-hesitant parents
  • Do Provaccine Messages Actually Backfire?
  • The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits
  • Research and Statistics: Qualitative Research Methods
  • The Role of Herd Immunity in Parents' Decision to Vaccinate Children: A Systematic Review
  • The Legitimacy of Vaccine Critics: What Is Left after the Autism Hypothesis?
  • Vaccine Attitudes, Concerns, and Information Sources Reported by Parents of Young Children: Results From the 2009 HealthStyles Survey
  • Sources and Perceived Credibility of Vaccine-Safety Information for Parents
  • Parents With Doubts About Vaccines: Which Vaccines and Reasons Why
  • From compulsory to voluntary immunisation: Italy's National Vaccination Plan (2005-7) and the ethical and organisational challenges facing public health policy-makers across Europe
  • Preserver les relations avec les parents anti-vaccins: Cinq suggestions tirees de la psychologie sociale
  • Preserving relationships with antivaccine parents: Five suggestions from social psychology
  • Addressing Parents' Concerns About Childhood Immunizations: A Tutorial for Primary Care Providers
  • Association Between Health Care Providers' Influence on Parents Who Have Concerns About Vaccine Safety and Vaccination Coverage
  • Google Scholar

More in this TOC Section

  • Predictive Models of Neurodevelopmental Outcomes After Neonatal Hypoxic-Ischemic Encephalopathy
  • A Technology-Assisted Language Intervention for Children Who Are Deaf or Hard of Hearing: A Randomized Clinical Trial
  • Standard Versus Long Peripheral Catheters for Multiday IV Therapy: A Randomized Controlled Trial
Show more Articles

Similar Articles

Subjects

  • Infectious Disease
    • Infectious Disease
    • Vaccine/Immunization
  • Fetus/Newborn Infant
    • Fetus/Newborn Infant
  • Journal Info
  • Editorial Board
  • Editorial Policies
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Open Access
  • Reviewer Guidelines
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
American Academy of Pediatrics

© 2021 American Academy of Pediatrics