Evidence map›Paper›PMID 37710197›Full record

ArticleBMC public health2023

Parental views and the key role of nurses for high vaccine acceptance in Sweden - a focus group study.

Emma Appelqvist, Madelene Danielsson, Asha Jama, Lina Schollin Ask, Christina Stenhammar, Ann Lindstrand, Kristian Riesbeck, Adam Roth

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Emma AppelqvistDepartment of Public Health Analysis and Data Management, Public Health Agency of Sweden, Stockholm, Sweden. emma.appelqvist@folkhalsomyndigheten.se.
Madelene DanielssonDepartment of Public Health Analysis and Data Management, Public Health Agency of Sweden, Stockholm, Sweden.
Asha JamaDepartment of Public Health Analysis and Data Management, Public Health Agency of Sweden, Stockholm, Sweden.
Lina Schollin AskDepartment of Public Health Analysis and Data Management, Public Health Agency of Sweden, Stockholm, Sweden.
Christina StenhammarDepartment of Public Health Analysis and Data Management, Public Health Agency of Sweden, Stockholm, Sweden.
Ann LindstrandDepartment of Immunization, Vaccines and Biologicals, Unit Essential Programme On Immunization, World Health Organization (WHO) Headquarters, Geneva, Switzerland.
Kristian RiesbeckClinical Microbiology, Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden.
Adam RothDepartment of Public Health Analysis and Data Management, Public Health Agency of Sweden, Stockholm, Sweden.
Public Health Agency of Sweden · SEKarolinska Institutet · SELund University · SEWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn Sweden, vaccine uptake is exceptionally high due to an efficient child immunization program. More than 97% of Swedish children were vaccinated at child health care centers (CHCs) according to the schedule at 2 years of age in 2021. From the age of 6 years, vaccinations are given within the school health care. Maintaining high vaccination coverage over time is one of the central motives to explore and understand drivers for vaccine acceptance. The current study aimed to assess parental vaccine acceptance concerning the national immunization program and explore factors contributing to the high vaccine acceptance in Sweden.

methodsParents of children aged 1-2 years and 8-12 years were recruited through purposive sampling and asked to participate in focus groups held in three cities in Sweden, in February and March 2019. In total, 47 parents participated in two focus groups per city, one session for parents of younger (1-2 years) and older (8-12 years) children respectively. The focus group discussions were analyzed using qualitative content analysis.

resultsParents of children aged 1-2 years expressed the themes; strong compliance to and protection of the value of vaccinations; parents feel safe with an attentive relationship with their nurse; the spectrum of communication needs is essential to meet. For parents to children aged 8-12 years, the themes expressed were; vaccinate to do good for the individual and society; a foundation of trust is built at CHCs for decisions later on; decisions for vaccination become more complex as children get older; communication changes as children get older and need to be explicit and tailored to the situation.

conclusionBoth individual and societal perspectives were shown to influence the vaccination decision for childhood immunizations, as manifested in parental reflections and experiences. As nurses have a key role, it is important to provide them with continued support and tools to facilitate their support for parents in making informed decisions. Continuous work for supporting driving factors for vaccination over time is needed to maintain high vaccine acceptance in Sweden.

Indexed as

NursesVaccinesChildChild, PreschoolFocus GroupsHumansParentsSwedenVaccinesChildhood vaccinationsNational immunization programVaccine acceptance

Identifiers

PMID37710197
PMCPMC10500778
OpenAlexW4386745666

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.