Beliefs and behaviours: understanding chiropractors and immunization.
BACKGROUND
Concerns have been raised about the beliefs and behaviours of chiropractors related to immunization; however, none have systematically examined the relationships between beliefs and behaviours.


OBJECTIVE
We examine the immunization-related behaviours and beliefs of chiropractors in Alberta, Canada, and explore the relationship of beliefs to immunization-related behaviours with patients.


METHODS
Data were collected in 2002 from a postal survey of Alberta chiropractors. The questionnaire inquired about six behaviours of interest in the six months prior to survey (gave information about risks/benefits of vaccination; advised patients in favour/against have self/children immunized; counselled on freedom of choice; directed to sources of information on immunization). It included items addressing beliefs and norms related to immunization.


RESULTS
The response rate was 78.2% (503/643). Immunization arose with patients at least monthly for 36.5% of respondents, and at least weekly for 9.2%. One quarter advised patients in favour and 27% against having themselves/their children immunized. A parsimonious model of chiropractor pro/anti-vaccination behaviours included beliefs about the efficacy/safety of vaccination, chiropractic philosophy and individual rights.


CONCLUSIONS
Similar proportions of chiropractors advise patients in favour or against immunization. A small minority deals with immunization issues frequently. Behaviours can be understood in the context of beliefs.
Russell
Margaret L
ML
Department of Community Health Sciences, Faculty of Medicine, The University of Calgary, 3330 Hospital Dr NW, Calgary, Alta., Canada T2N 4N1. mlrussel@ucalgary.ca
Injeyan
H Stephen
HS
Verhoef
Marja J
MJ
Eliasziw
Michael
M
D001291:Attitude of Health Personnel; D002170:Canada; D002684:Chiropractic; D006801:Humans; D007114:Immunization; D005791:Patient Care; D011795:Surveys and Questionnaires; D014612:Vaccines / Q000008:administration & dosage
D014612:Vaccines