{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:52:21Z","timestamp":1768344741875,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T00:00:00Z","timestamp":1511395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NHMRC Career Development Fellowship"},{"name":"National Centre for Immunisation Research and Surveillance"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Despite Australia's high vaccination rates, an estimated 3.3% of children are under\u2010vaccinated due to vaccine refusal and the proportion of parents with concerns is unclear. Amongst Australian parents, we aimed to determine the prevalence of vaccine concerns, resources and health\u2010care providers (<jats:styled-content style=\"fixed-case\">HCPs<\/jats:styled-content>) accessed and satisfaction with these resources in two different settings. We also aimed to identify relationships between the level of vaccine concern, socio\u2010economic status and vaccine uptake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Parents of children under 5 years attending general paediatric clinics in a tertiary paediatric hospital (<jats:italic>n<\/jats:italic>\u2009=\u2009301\/398, 76%) and children under 19 months attending community maternal child health centres (<jats:italic>n<\/jats:italic>\u2009=\u2009311\/391, 81%) completed the survey. Vaccination status was obtained from the Australian Childhood Immunisation Register.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Despite high support for vaccination (98%, confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 97\u201399), 43% of parents reported vaccine concerns (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 40\u201347) including the number of vaccines given in the first 2 years (25%, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 22 to 29), vaccine ingredients (22%, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 19\u201325), allergies (18%, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 15\u201321), weakening of the immune system (17%, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 14\u201320) and autism (11%, <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 8\u201313). <jats:styled-content style=\"fixed-case\">HCPs<\/jats:styled-content> were the most commonly accessed and trusted information source. In all, 23% of parents reported insufficient knowledge to make good vaccination decisions (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 20\u201326). There was little evidence of an association between parental vaccine acceptance or socio\u2010economic status and vaccination status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite high support for vaccines, nearly half of Australian parents have some concerns and a quarter lack vaccine decision\u2010making confidence regarding childhood vaccines. Parents frequently access and report high trust in <jats:styled-content style=\"fixed-case\">HCPs<\/jats:styled-content>, who are best placed to address parental vaccine concerns through provision of clear information, using effective communication strategies. Further research in more highly hesitant populations is required to determine the relationship between the level and nature of vaccination concerns and vaccine uptake.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13790","type":"journal-article","created":{"date-parts":[[2017,11,23]],"date-time":"2017-11-23T13:32:54Z","timestamp":1511443974000},"page":"522-529","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Parental Immunisation Needs and Attitudes Survey in paediatric hospital clinics and community maternal and child health centres in Melbourne, Australia"],"prefix":"10.1111","volume":"54","author":[{"given":"Jessica C","family":"Costa\u2010Pinto","sequence":"first","affiliation":[{"name":"Department of General Medicine Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold W","family":"Willaby","sequence":"additional","affiliation":[{"name":"School of Public Health University of Sydney, Sydney Medical School  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Leask","sequence":"additional","affiliation":[{"name":"School of Public Health University of Sydney, Sydney Medical School  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monsurul","family":"Hoq","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit Murdoch Childrens Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Schuster","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit Murdoch Childrens Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Ghazarian","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacinta","family":"O'Keefe","sequence":"additional","affiliation":[{"name":"Vaccine and Immunisation Research Group Murdoch Childrens Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margie H","family":"Danchin","sequence":"additional","affiliation":[{"name":"Department of General Medicine Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Vaccine and Immunisation Research Group Murdoch Childrens Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics and School of Population and Global Health University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.040089"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4557-0090-5.00017-3"},{"key":"e_1_2_9_4_1","unstructured":"Australian Government Department of Health.ACIR \u2013 Current Data.Canberra: The Government;2016. 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