title: Factors influencing African-American mothers' concerns about immunization safety: a summary of focus group findings.
abstract: OBJECTIVE
  To examine the vaccine safety concerns of African-American mothers who, despite concerns, have their children immunized.
  
  
  METHODS
  Six focus groups of Atlanta-area African-American mothers who were very concerned about vaccine safety but whose children were fully vaccinated were conducted.
  
  
  RESULTS
  Major factors influencing participants' concerns about immunizations included: lack of information and mistrust of the medical community and government. Factors that convinced parents to have their child immunized despite their concerns included social norms and/or laws supporting immunization and fear of the consequences of not immunizing. Suggestions given to reduce concerns included improving available information that addressed their concerns and provider-patient communication.
  
  
  CONCLUSIONS
  Addressing mothers' concerns about immunization is important both from an ethical perspective, in assuring that they are fully informed of the risks and benefits of immunizations, as well as from a practical one, in reducing the possibility that they will decide not to immunize their child. Changes in the childhood immunization process should be made to reduce parental concern about vaccine safety. Some changes that may be considered include improved provider communication about immunizations and additional tailored information about the necessity and safety of vaccines.
authors.affiliation: National Immunization Program Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. ibs8@cdc.gov
authors.forename: Irene
authors.initials: I
authors.lastname: Shui
authors.forename: Allison
authors.initials: A
authors.lastname: Kennedy
authors.forename: Karen
authors.initials: K
authors.lastname: Wooten
authors.forename: Benjamin
authors.initials: B
authors.lastname: Schwartz
authors.forename: Deborah
authors.initials: D
authors.lastname: Gust
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D001294:Attitude to Health / Q000208:ethnology*; D015331:Cohort Studies; D003140:Communicable Disease Control / Q000458:organization & administration*; D003257:Consumer Product Safety; D004522:Educational Status; D005260:Female; D017144:Focus Groups / Q000379:methods*; D006801:Humans; D007114:Immunization / Q000592:standards* / Q000639:trends; D009034:Mother-Child Relations; D009035:Mothers; D010349:Patient Compliance; D018570:Risk Assessment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000592:standards / Q000639:trends; D014612:Vaccines / Q000009:adverse effects
chemical_list: D014612:Vaccines