TABLE 1

Categorization of Parental Attitudes Toward Vaccines12,14

Immunization advocateParents agree that vaccines are necessary and safe. Parents have a strong relationship with their health care provider.
Go along to get alongParents do not question vaccines, would like to vaccinate their children, but may lack a detailed knowledge of vaccines.
Cautious acceptorParents may have minor concerns about vaccines but ultimately vaccinate their children.
Fence-sitterParents have significant concerns about vaccines and tend to be knowledgeable about vaccines. Parents may vaccinate their child or may refuse or delay vaccines. Parents may have significant concerns about vaccines and may have a neutral relationship with their health care provider.
RefuserParents refuse all vaccines for their child. Their reasons for refusal may include distrust in the medical system, safety concerns, and religious beliefs.