Intensity of the phenomenon of refusal to subject children to preventive vaccinations in the years 2002-2016 based on analysis of primary health care medical records

• Autorzy: Sochocka L. , Widera A. , Szwamel K.
• Języki publikacji: EN

Abstrakty

EN

Background: Vaccinations are the most effective method for preventing infectious diseases. Massive implementation of long-term vaccinations strategies has resulted in elimination or a reduced incidence of many infectious diseases. Aim of the study: To evaluate the intensity of the phenomenon of refusal to subject children to preventive vaccinations by attempting to characterize the parental group who refuse to vaccinate their children, determining the type and number of unrealized vaccinations, and identifying the reasons for being unvaccinated. Material and methods: The research material was medical records from the Non-Public Heath Care Unit in Opole. It concerned implementation of the Protective Vaccine Program over the years 2002-2016. A method of retrospective analysis of medical records using modern technology was applied. Results: The phenomenon of refusal to subject children to preventive vaccinations is increasing. In the years 2002-2016, our retrospective analysis identified that 81 vaccinations (0.8% of the 10,057 vaccinations) were not carried out. The largest percentage of unrealized vaccinations involved hepatitis B (23.4%). Parents refusing to vaccinate their children were adults (Median = 31 years old, range: 27-36 years) and predominantly living in cities (87.88%). The reasons for abandoning mandatory vaccinations were not reporting with a child for vaccination (48.1%), deliberate refusal to subject a child to the vaccination (28.4%) and postponement of vaccination due to contraindications (23.5%). Conclusions: The vaccination coverage level in the study area was assessed as satisfactory and is comparable to the results obtained on the national scale. The scale of the refusal for preventive vaccinations is not an epidemiological threat currently. However, it requires constant monitoring, and educational and information actions directed at parents/guardians.

• Wydawca: -
• Czasopismo: Medical Science Pulse
• Rocznik: 2018
• Tom: 12
• Numer: 3
• Opis fizyczny: p.27-31,fig.,ref.

Twórcy

autor

Sochocka L.

• Faculty of Medical Sciences, Department of Nursing, Opole Medical School, Opole, Poland

autor

Widera A.

• "Vita" Non-Public Heath Care Unit Okos, Horbowy – Hordynska, Partnership Company of Doctors, Poland

autor

Szwamel K.

• Faculty of Medical Sciences, Department of Nursing, Opole Medical School, Opole, Poland

Bibliografia

• 1. Kalendarz szczepień i programy szczepień ochronnych w Polsce wczoraj i dziś. Essentiamedica 2009; 4: 16–18. (in Polish).
• 2. Ustawa o zapobieganiu i zwalczaniu zakażeń i chorób zakaźnych u ludzi z 2008, Dz.U. Nr 234, poz. 1570 z dnia 5 grudnia 2008. (in Polish).
• 3. Augustynowicz A, Wrześniewska-Wal I. Aspekty prawne obowiązkowych szczepień ochronnych u dzieci. Pediatr Pol 2013; 88(1): 120–126. (in Polish).
• 4. Hirte M. Szczepienia za i przeciw. Warszawa: Wydawnictwo Certa; 2014. (in Polish).
• 5. Bedford H, Elliman D. Współcześni przeciwnicy szczepień. Jak działają i jak na to reagować? Med Prakt Szczepienia 2013; 3(7): 15–20. (in Polish).
• 6. Andrzejewska D. Odmowa szczepień ochronnych. Aspekty zdrowotne, etyczne i prawne. Mag Pieleg Położ 2013; 9: 9–11. (in Polish).
• 7. Najwyższa Izba Kontroli. NIK o szczepieniach ochronnych [online] [cit. 17.11.2016]. Available from:https://www.nik.gov.pl/plik/id,10407,vp,12736.pdf. (in Polish).
• 8. National Institute of Public Health. Vaccinations in Poland [online] [cit. 05.01.2018]. Available from: http://wwwold.pzh.gov.pl/oldpage/epimeld/2015/Sz_2015.pdf. (in Polish).
• 9. Dáňová J, Šálek J, Kocourková A, Čelko AM. Factors associated with parental refusal of routine vaccination in the Czech Republic. Cent Eur J Public Health 2015 Dec; 23(4): 321–323.
• 10. Grzesiowski P. Rodzic odmawiający szczepienia dziecka. Komentarz. Pediatr Dypl 2014; 18(2): 61. (in Polish).
• 11. Rashid H, Khandaker G, Booy R. Vaccination and herd immunity: what more do we know? Curr Opin Infect Dis 2012 Jun; 25(3): 243–249.
• 12. Paradowska-Stankiewicz I. Szczepienia a odporność zbiorowiskowa – komentarz. Med Prakt Szczepienia 2013; 1(5): 99–100. (in Polish).
• 13. NIK. Informacje o wynikach kontroli. System szczepień ochronnych dzieci. Nr ewid. 209/2015/P15/080/LKR [online] [cit. 5.01.2018]. Available from: https://www.nik.gov.pl/plik/id,10407,vp,12736.pdf. (in Polish).
• 14. Markiewicz M, Wysocka M. Obowiązkowe szczepienia ochronne trzeba rozszerzać a nie ograniczać. Puls Medycyny 2016; 7(7): 4. (in Polish).
• 15. Rudkowski Z. Pouczające doświadczenia. Dlaczego należy się szczepić? Medium Biul Dolnoslask Izby Lek 2015; 10(303): 4–5. (in Polish).
• 16. CBOS. Opinie na temat szczepień ochronnych dzieci. Warszawa 2013 [online] [cit. 5.01.2018]. Available from: http://www.cbos.pl/SPISKOM.POL/2013/K_172_13.PDF. (in Polish).

Identyfikatory

DOI

10.5604/01.3001.0012.5064