TABLE 3

Promoters and Inhibitors of Accepting Vaccination

Promoters of accepting vaccination
    Vaccinators
        Trusting the doctor
        Feeling satisfied by the pediatrician's discussion
        Feeling that vaccinating is the cultural norm
        Believing in the social contract
        Having positive past experiences with vaccines
        Wanting to prevent disease
Inhibitors of accepting vaccination
    Vaccinators
        Fearing mistakes being made
Both vaccinators and nonvaccinators
        Believing children get the disease anyway (especially chicken pox and influenza)
        Believing that vaccine-preventable diseases are not so bad (eg, chicken pox)
    Nonvaccinators
        Feeling alienated by and distrusting the pediatrician
        Having a previous negative experience with the medical establishment resulting in distrust
        Having a trusting relationship with an influential naturopath/homeopath or other person who supported not vaccinating
        Distrusting the doctor's information: doctor does not know and does not have the time
        Distrusting motives: vaccination is just a money-maker for pediatricians and vaccine industry
        Believing that diseases are not around, are not serious, or are easily treatable
        Worrying about permanent adverse effects (eg, autism)
        Feeling that since other children are vaccinated their child is not at risk (“reverse social contract”)