Evidence map›Paper›PMID 29162054›Full record

ArticleBMC pediatrics2017

"Lay epidemiology": an important factor in Danish parents' decision of whether to allow their child to receive a BCG vaccination. A qualitative exploration of parental perspective.

Gitte Thybo Pihl, Helle Johannessen, Jette Ammentorp, Jane Schmidt Jensen, Poul-Erik Kofoed

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 51% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Revisiting Candidacy: What Might It Offer Cancer Prevention?International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Gitte Thybo PihlDepartment of Paediatrics, Lillebaelt Hospital, Skovvangen 2-8, DK-6000, Kolding, Denmark. gitte.thybo.pihl@rsyd.dk.
Helle JohannessenFaculty of Health Sciences, University of Southern Denmark, J.B. Winsløws Vej 19, 3. sal, DK-5000, Odense C, Denmark.
Jette AmmentorpFaculty of Health Sciences, University of Southern Denmark, J.B. Winsløws Vej 19, 3. sal, DK-5000, Odense C, Denmark.
Jane Schmidt JensenHealth Services Research Unit, Lillebaelt Hospital, Kabbeltoft 25, DK-7100, Vejle, Denmark.
Poul-Erik KofoedDepartment of Paediatrics, Lillebaelt Hospital, Skovvangen 2-8, DK-6000, Kolding, Denmark.
University of Southern Denmark · DKLillebaelt Hospital · DK

Funding

The Danish National Research Foundation DNRF108
6 · The paper itself

Abstract

backgroundVaccination is used worldwide to prevent infectious diseases. However, vaccination programmes in western countries face challenges in sustaining high coverage rates. The aim of this study was to explore how parents in Denmark make a decision about whether to allow their child to receive a Bacille Calmette Guerin vaccine at birth for the purpose of achieving non-specific effects on the immune system.

methodsA total of five focus groups were conducted with expectant mothers and fathers. Written information about the vaccine and information about the hypothesis of non-specific effects of the vaccine were delivered in order to discuss considerations and determinants of parents' decisions.

resultsHeritable factors and the possibility of stimulating the immune system of the child to achieve less atopic diseases and fewer infections were identified as arguments in favour of receiving the BCG vaccine. Arguments against receiving BCG mainly focused on concerns about its described and non-described side effects. Both arguments for and arguments against the vaccine were seen as parents attempt to make an individual risk evaluation for their child. Attitudes and beliefs in the local network were identified as important for parents' decisions. DISCUSSION: It is discussed how "lay epidemiology" characterizes parents' risk evaluation as an individual addition to the population-based risk declaration. It is furthermore discussed how health professionals should engage with both the empirical element and the value element of "Lay epidemiology".

conclusion"Lay epidemiology" forms the basis for the parental decision of whether to allow their child to receive a BCG vaccination. Attitudes and beliefs about the causes and distribution of illnesses in the family or local network influence parents' risk evaluations. It would be ideal for parents if health professionals focused their communication about the BCG vaccine on individual risk evaluations.

Indexed as

BCG VaccineDecision MakingEpidemiologyHealth Knowledge, Attitudes, PracticeAdultDenmarkFemaleFocus GroupsHumansMaleParentsQualitative ResearchRisk AssessmentVaccinationBCG VaccineDecision makingHeterologous immunity.Lay epidemiologyPatient-provider communicationRisk evaluationVaccine safety concernsValues

Identifiers

PMID29162054
PMCPMC5698925
OpenAlexW2768676056

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.