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Addressing Vaccine Hesitancy: Clinical Guidance for Primary Care Physicians Working with Parents

Overview
Date 2019 Mar 15
PMID 30867173
Citations 94
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Abstract

Objective: To provide primary care physicians with clinical guidance for addressing parental vaccine hesitancy.

Sources Of Information: The PubMed database was searched for English-language articles published in the 10 years before January 1, 2018. Search terms included or or or and or . References of identified articles were assessed for additional relevant articles. A separate gray literature search was conducted using Google to find best-practice guidelines from public health and health care organizations, knowledge translation materials for health care providers, and resources that could be used in discussions with parents about vaccines.

Main Message: Practical tips for addressing parental vaccine hesitancy in primary care include starting early, presenting vaccination as the default approach, building trust, being honest about side effects, providing reassurance on a robust vaccine safety system, focusing on protection of the child and community, telling stories, and addressing pain. Also provided are statements that providers could use in vaccination-related conversations; answers to commonly asked questions on benefits, safety, and immunologic aspects of vaccines; and links to a number of online resources for physicians and parents.

Conclusion: Vaccine-hesitant parents who are on the fence far outnumber vaccine refusers; therefore, counseling this group might be more effective. Reasons behind vaccine hesitancy are complex and encompass more than just a knowledge deficit. As a trusted source of information on vaccines, family physicians play a key role in driving vaccine acceptance.

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References
1.
Fine P, Eames K, Heymann D . "Herd immunity": a rough guide. Clin Infect Dis. 2011; 52(7):911-6. DOI: 10.1093/cid/cir007. View

2.
Dube E, Gagnon D, Zhou Z, Deceuninck G . Parental Vaccine Hesitancy in Quebec (Canada). PLoS Curr. 2016; 8. PMC: 4801332. DOI: 10.1371/currents.outbreaks.9e239605f4d320c6ad27ce2aea5aaad2. View

3.
Dube E, Gagnon D, Ouakki M, Bettinger J, Guay M, Halperin S . Understanding Vaccine Hesitancy in Canada: Results of a Consultation Study by the Canadian Immunization Research Network. PLoS One. 2016; 11(6):e0156118. PMC: 4892544. DOI: 10.1371/journal.pone.0156118. View

4.
Hu Y, Chen Y, Wang Y, Song Q, Li Q . Prenatal vaccination education intervention improves both the mothers' knowledge and children's vaccination coverage: Evidence from randomized controlled trial from eastern China. Hum Vaccin Immunother. 2017; 13(6):1-8. PMC: 5489276. DOI: 10.1080/21645515.2017.1285476. View

5.
Scheifele D, Halperin S, Bettinger J . Childhood immunization rates in Canada are too low: UNICEF. Paediatr Child Health. 2014; 19(5):237-8. PMC: 4029243. DOI: 10.1093/pch/19.5.237. View