ArticleBMC public health2012
How orthodox protestant parents decide on the vaccination of their children: a qualitative study.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.
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Who cites it
52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.
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- Factors that influence parents' and informal caregivers' views and practices regarding routine childhood vaccination: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2021Pooled it
- Under-vaccinated groups in Europe and their beliefs, attitudes and reasons for non-vaccination; two systematic reviews.BMC public health · 2018Pooled it
- Parents' and informal caregivers' views and experiences of communication about routine childhood vaccination: a synthesis of qualitative evidence.The Cochrane database of systematic reviews · 2017Pooled it
- A missed opportunity: faith leaders and the HPV vaccination effort in Addis Ababa, Ethiopia.Global health action · 2026Article
- Religion, Politics, and Vaccines: Elaborating the Integrative Public Policy Acceptance (IPAC) Framework Through HPV Vaccine Program Acceptance Among Religious Leaders in Bangladesh.International journal of health policy and management · 2026Article
- Heterogeneity in vaccination attitudes and behavior within an outwardly homogenous religious group: a cross-sectional study of the Ultra-Orthodox Jewish population in Safed, Israel.International journal for equity in health · 2025Article
- The decrease in childhood vaccination coverage and its sociodemographic determinants, the Netherlands, birth cohorts 2008 to 2020.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025Article
- What made people (more) positive toward the COVID-19 vaccine? Exploring positive and negative deviance perspectives.BMC public health · 2025Article
- Preparing for future pandemics: A qualitative exploration of social media in light of the COVID-19 pandemic and vaccine hesitancy.PLOS global public health · 2025Article
- The Science-spirituality Nexus: Religion and the COVID-19 vaccination campaigns in Tanzania.Journal of public health in Africa · 2025Article
- Determinants of incomplete immunization and factors for missed opportunities in urban Dhaka: A cross-sectional study.PloS one · 2025Article
- Article
- Faith and vaccination: a scoping review of the relationships between religious beliefs and vaccine hesitancy.BMC public health · 2024Article
- The Impact of COVID-19 Vaccine Controversy on Parents' Perceptions of Routine Vaccinations.Cureus · 2024Article
- Review
- Analysis of individual characteristics influencing user polarization in COVID-19 vaccine hesitancy.Computers in human behavior · 2023Article
- Considerable doubt about rubella screening and vaccination among unvaccinated orthodox protestant women: a mixed-methods study.BMC public health · 2023Article
- Parents' Willingness to Vaccinate Children for COVID-19: Conspiracy Theories, Information Sources, and Perceived Responsibility.Journal of health communication · 2023Article
- A structural equation modelling approach to understanding the determinants of childhood vaccination in Nigeria, Uganda and Guinea.PLOS global public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite high vaccination coverage, there have recently been epidemics of vaccine preventable diseases in the Netherlands, largely confined to an orthodox protestant minority with religious objections to vaccination. The orthodox protestant minority consists of various denominations with either low, intermediate or high vaccination coverage. All orthodox protestant denominations leave the final decision to vaccinate or not up to their individual members.
methodsTo gain insight into how orthodox protestant parents decide on vaccination, what arguments they use, and the consequences of their decisions, we conducted an in-depth interview study of both vaccinating and non-vaccinating orthodox protestant parents selected via purposeful sampling. The interviews were thematically coded by two analysts using the software program Atlas.ti. The initial coding results were reviewed, discussed, and refined by the analysts until consensus was reached. Emerging concepts were assessed for consistency using the constant comparative method from grounded theory.
resultsAfter 27 interviews, data saturation was reached. Based on characteristics of the decision-making process (tradition vs. deliberation) and outcome (vaccinate or not), 4 subgroups of parents could be distinguished: traditionally non-vaccinating parents, deliberately non-vaccinating parents, deliberately vaccinating parents, and traditionally vaccinating parents. Except for the traditionally vaccinating parents, all used predominantly religious arguments to justify their vaccination decisions. Also with the exception of the traditionally vaccinating parents, all reported facing fears that they had made the wrong decision. This fear was most tangible among the deliberately vaccinating parents who thought they might be punished immediately by God for vaccinating their children and interpreted any side effects as a sign to stop vaccinating.
conclusionsPolicy makers and health care professionals should stimulate orthodox protestant parents to make a deliberate vaccination choice but also realize that a deliberate choice does not necessarily mean a choice to vaccinate.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.