title: To close the childhood immunization gap, we need a richer understanding of parents' decision-making.
abstract: Vaccination is widely acknowledged as one of the most successful public health interventions globally and in most high-income countries childhood vaccination coverage rates are moderately high. Yet in many instances, immunisation rates remain below aspirational targets and have shown only modest progress toward those targets in recent years, despite concerted efforts to improve uptake. In part, coverage rates reflect individual parents' vaccination attitudes and decisions and, because vaccination decision-making is complex and context-specific, it remains challenging at individual and community levels to assist parents to make positive decisions. Consequently, in the search for opportunities to improve immunisation coverage, there has been a renewed research focus on parents' decision-making. This review provides an overview of the literature surrounding parents' vaccination decision-making, offering suggestions for where efforts to increase vaccination coverage should be targeted and identifying areas for further research.
authors: a North Coast Public Health , Mid North Coast Local Health District , Port Macquarie , New South Wales , Australia.
authors: Paul
authors: P
authors: Corben
authors: b School of Public Health , University of Sydney, University of Sydney , NSW , Australia.
authors: Julie
authors: J
authors: Leask
mesh_terms: D003657:Decision Making; D010290:Parents / Q000523:psychology*; D014611:Vaccination / Q000523:psychology* / Q000706:statistics & numerical data*
keywords: attitudes; beliefs; decision-making; hesitant parents; immunisation; parents; preventative behavior; vaccination