Evidence map›Paper›PMID 38840254›Full record

ArticleBMC public health2024

Parents' attitudes towards the No Jab No Play legislation in Western Australia: a mixed methods study.

Sharyn Burns, Ranila Bhoyroo, Justine E Leavy, Jonine Jancey, Hanna Saltis, Lynne Millar, Jacqueline Hendriks, Linda Portsmouth, Jenny Tohotoa, Danveer Seewoo and 1 more

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In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

11 authors.

Sharyn BurnsCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia. s.burns@curtin.edu.au.
Ranila BhoyrooCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Justine E LeavyCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Jonine JanceyCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Hanna SaltisCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Lynne MillarTelethon Kids Institute, Perth, WA, 6102, Australia.
Jacqueline HendriksCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Linda PortsmouthCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Jenny TohotoaCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Danveer SeewooCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
Christina PollardCollaboration for Evidence, Research and Impact in Public Health, School of Population Health, Curtin University, Bentley, WA, 6102, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMandates provide a relatively cost-effective strategy to increase vaccinate rates. Since 2014, five Australian states have implemented No Jab No Play (NJPlay) policies that require children to be fully immunised to attend early childhood education and childcare services. In Western Australia, where this study was conducted, NJNPlay legislation was enacted in 2019. While most Australian families support vaccine mandates, there are a range of complexities and unintended consequences for some families. This research explores the impact on families of the NJNPlay legislation in Western Australia (WA).

methodsThis mixed-methods study used an online parent/carer survey (n = 261) representing 427 children and in-depth interviews (n = 18) to investigate: (1) the influence of the NJNPlay legislation on decision to vaccinate; and (2) the financial and emotional impacts of NJNPlay legislation. Descriptive and bivariate tests were used to analyse the survey data and open-ended questions and interviews were analysed using reflexive thematic analysis to capture the experience and the reality of participants.

resultsApproximately 60% of parents intended to vaccinate their child. Parents who had decided not to vaccinate their child/ren were significantly more likely to experience financial [p < 0.001] and emotional impacts [p < 0.001], compared to those who chose to vaccinate because of the mandate. Qualitative data were divided with around half of participants supporting childhood immunisation and NJNPlay with others discussing concerns. The themes (a) belief in the importance of vaccination and ease of access, (b) individual and community protection, and (c) vaccine effectiveness, safety and alternatives help understand how parents' beliefs and access may influence vaccination uptake. Unintended impacts of NJNPlay included: (a) lack of choice, pressure and coercion to vaccinate; (b) policy and community level stigma and discrimination; (c) financial and career impacts; and (d) loss of education opportunities.

conclusionsParents appreciation of funded immunisation programs and mandates which enhance individual and community protection was evident. However for others unintended consequences of the mandate resulted in significant social, emotional, financial and educational impacts. Long-term evidence highlights the positive impact of immunisation programs. Opinions of impacted families should be considered to alleviate mental health stressors.

Indexed as

Attitude to HealthChild HealthHealth PolicyImmunization ProgramsParentsVaccination CoverageAdultChildChild CareDecision MakingEducationEmploymentFemaleHealth Services AccessibilityHumansMaleVaccinesChildhood immunisationChildhood vaccinationEducational impactEmotional impactFinancial impactNo Jab No PlayNo Jab No Play PolicyParent attitudeVaccine mandates

Identifiers

PMID38840254
PMCPMC11155006

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.