{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:42:13Z","timestamp":1788874933293,"version":"build-2803163510"},"reference-count":44,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,3,11]],"date-time":"2019-03-11T00:00:00Z","timestamp":1552262400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2019,3,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vaccine hesitancy has increased worldwide with a subsequent decreasing of vaccination rates and outbreaks of vaccine-preventable diseases (i.e. measles, poliomyelitis and pertussis) in several developed countries, including Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods<\/jats:title>\n                    <jats:p>We conducted a survey to investigate the attitudes of a parents\u2019 sample about vaccinations by the distribution of questionnaires in six lower secondary schools of the Italian city of Messina.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Regarding vaccinations carried out on children, the declared vaccination coverage rates ranged widely between good coverage percentages for some vaccinations (Measles-Mumps-Rubella, Diphtheria-Tetanus-Pertussis), and very low coverage rates for others, especially for \u201cnew\u201d vaccinations (HPV, meningococcal, pneumococcal). The vaccinations carried out correlated negatively with both parents\u2019 age and their level of education. Moreover, a favourable parents\u2019 opinion was strongly influenced by a favourable opinion of the physician, while an unfavourable parents\u2019 opinion seemed conditioned by a direct or indirect knowledge of people harmed by vaccines. In addition, our data show that parents do not often know or partially know the real composition of the vaccines and the diseases prevented by vaccinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Data analysis shows that parents are, theoretically, favourable towards vaccinations but have little knowledge of such practices, sometimes not being unaware of the types of vaccines administrated to their children. Health education and communication of correct information are certainly the cornerstones to improve the situation and to fight the widespread and non-grounded fears about vaccines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4081\/jphr.2019.1436","type":"journal-article","created":{"date-parts":[[2019,3,11]],"date-time":"2019-03-11T16:47:44Z","timestamp":1552322864000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":105,"title":["Vaccine Hesitancy: An Overview on Parents' Opinions about Vaccination and Possible Reasons of Vaccine Refusal"],"prefix":"10.1177","volume":"8","author":[{"given":"Alessio","family":"Facciol\u00e0","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppa","family":"Visalli","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Orlando","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Paola","family":"Bertuccio","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Spataro","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Squeri","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isa","family":"Picerno","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela Di","family":"Pietro","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,3,11]]},"reference":[{"key":"bibr1-jphr.2019.1436","unstructured":"Centers for Disease Control and Prevention. Ten great public health achievements-United States, 1900-1999. MMWR Morb Mortal Wkly Rep 1999;48:241\u20133. Available from: https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/00056796.htm."},{"key":"bibr2-jphr.2019.1436","unstructured":"World Health Organization. Immunization summary - A statistical reference containing data through. 2013. Available from: http:\/\/www.who.int\/immunization\/monitoring_surveillance\/Immunization_Summary_2013.pdf"},{"key":"bibr3-jphr.2019.1436","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0806477"},{"key":"bibr4-jphr.2019.1436","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.502"},{"key":"bibr5-jphr.2019.1436","doi-asserted-by":"publisher","DOI":"10.4161\/hv.25085"},{"key":"bibr6-jphr.2019.1436","unstructured":"Ministero della Salute. Calendario Vaccinale. Available from: http:\/\/www.salute.gov.it\/portale\/vaccinazioni\/dettaglioContenutiVaccinazioni.jsp?lingua=italiano&id=4829&area=vaccinazioni&menu=vuoto."},{"key":"bibr7-jphr.2019.1436","unstructured":"Ministero della Salute. Coperture Vaccinali Pediatriche, i dati 2015. Available from: <http:\/\/www.salute.gov.it\/portale\/news\/p3_2_1_1_1.jsp?menu=notizie&p=dalministero&id=2718>"},{"key":"bibr8-jphr.2019.1436","first-page":"231","volume":"53","author":"Signorelli C","year":"2017","journal-title":"Ann Ist Super San"},{"key":"bibr9-jphr.2019.1436","unstructured":"Epicentro. Vaccinazioni. 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