title: [Demands and expectations of parents who refuse vaccinations and perspective of health professional on the refusal to vaccinate].
abstract: OBJECTIVE
  To examine the opinions, beliefs and attitudes about vaccination, of parents who decide not to vaccinate their children. To determine the opinions and attitudes of the health professionals on the behaviour towards childhood vaccination.
  
  
  METHODS
  Qualitative research based on semi-structured interviews and focal groups in Granada, Spain, including parents who chose to not vaccinate their children, and healthcare professionals who can provide a technical point of view. An analysis was made of the semantic content, and answers were categorized in thematic units.
  
  
  RESULTS
  The parents argued on the benefit of suffering vaccine-preventable diseases in a natural way, without non-natural, aggressive or toxic products. Vaccination was considered unnecessary, if given adequate hygienic-sanitary conditions, effectiveness unproven and more dangerous than the diseases they prevent, especially the polyvalent vaccines. They believed that vaccination programs are moved by biased studies and interests other than prevention. Health care professionals believe that they had fears without scientific basis, which requires improving information systems.
  
  
  CONCLUSIONS
  Non-vaccinators are unaware of the benefit/risk ratio between the vaccination and the individual risk for preventable diseases, and ask for informed consent. Health care professionals believe that non-vaccinators' arguments are not correctly contrasted and expose the existence of failures in actual vaccination coverage and information registration systems. It was suggested to centralize registers and compare them in schools, working with local leaders and reporting regularly on the status of vaccine-preventable diseases.
authors.affiliation: Unidad de Gestión Clínica Medicina Preventiva, Vigilancia y Promoción de la Salud, Hospital Universitario Virgen de las Nieves, Granada, España. Electronic address: silviamartinezdiz@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Martínez-Diz
authors.affiliation: Pediatra Centro de Salud Albaycín, Granada, España.
authors.forename: M
authors.initials: M
authors.lastname: Martínez Romero
authors.affiliation: Unidad de Gestión Clínica Medicina Preventiva, Vigilancia y Promoción de la Salud, Hospital Universitario San Cecilio, Granada, España.
authors.forename: M
authors.initials: M
authors.lastname: Fernández-Prada
authors.affiliation: Escuela Andaluza de Salud Pública, Granada, España.
authors.forename: M
authors.initials: M
authors.lastname: Cruz Piqueras
authors.affiliation: Unidad de Gestión Clínica Cuidados Críticos y Urgencias, Hospital Universitario Virgen de las Nieves, Granada, España.
authors.forename: R
authors.initials: R
authors.lastname: Molina Ruano
authors.affiliation: Unidad de Gestión Clínica Medicina Preventiva, Vigilancia y Promoción de la Salud, Hospital Universitario Virgen de las Nieves, Granada, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Fernández Sierra
mesh_terms: D001294:Attitude to Health; D002648:Child; D006282:Health Personnel; D006801:Humans; D010290:Parents; D011795:Surveys and Questionnaires; D016312:Treatment Refusal; D014611:Vaccination
keywords: Cobertura de vacunación; Consentimiento informado; Immunization coverage; Informed consent; Investigación cualitativa; Mandatory vaccination; Public health; Qualitative research; Rechazo al tratamiento; Salud pública; Treatment refusal; Vaccines; Vacunación obligatoria; Vacunas