Factors Influencing Vaccination in Korea: Findings From Focus Group Interviews
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초록
Objectives: Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination. Methods: The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found. Results: A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups. Conclusions: The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.
Abstract
Objectives: Immunization is considered one of the most successful and cost-effective public health interventions protecting communities from preventable infectious diseases. The Korean government set up a dedicated workforce for national immunization in 2003, and since then has made strides in improving vaccination coverage across the nation. However, some groups remain relatively vulnerable and require intervention, and it is necessary to address unmet needs to prevent outbreaks of communicable diseases. This study was conducted to characterize persistent challenges to vaccination. Methods: The study adopted a qualitative method in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist. Three focus group interviews were conducted with 15 professionals in charge of vaccination-related duties. The interviews were conducted according to a semi-structured guideline, and thematic analysis was carried out. Data saturation was confirmed when the researchers agreed that no more new codes could be found. Results: A total of 4 main topics and 11 subtopics were introduced regarding barriers to vaccination. The main topics were vaccine hesitancy, personal circumstances, lack of information, and misclassification. Among them, vaccine hesitancy was confirmed to be the most significant factor impeding vaccination. It was also found that the factors hindering vaccination had changed over time and disproportionately affected certain groups. Conclusions: The study identified ongoing unmet needs and barriers to vaccination despite the accomplishments of the National Immunization Program. The results have implications for establishing tailored interventions that target context- and group-specific barriers to improve timely and complete vaccination coverage.
참고문헌 (40)
- Campos-Outcalt D, "Immunization update: what's changed, what's on the way", J Fam Pract, 64(3), pp.177~180 (2015)
- Khabbaz RF, "Challenges of infectious diseases in the USA", Lancet, 384(9937), pp.53~63 (2014)[DOI]
- "National childhood vaccination coverage among children aged 3 years in Korea 2017" (2016)[URL]
- Smith M, "Vaccine safety: medical contraindications, myths, and risk communication", Pediatr Rev, 36(6), pp.227~238 (2015)[DOI]
- Krueger RA, "Focus groups: a practical guide for applied research", pp.3~27 (2000), Sage Publications
- Tong A, "Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups", Int J Qual Health Care, 19(6), pp.349~357 (2007)[DOI]
- Braun V, "Using thematic analysis in psychology", Qual Res Psychol, 3(2), pp.77~101 (2006)[DOI]
- Vaccination coverage and barriers in hard to reach children, "Park HS", Korea Centers for Disease Control and Prevention, 10~ (2010)
- Evaluation of national burden project for essential national vaccination cost, "Lee SK", Korea Centers for Disease Control and Prevention, 143~ (2010)
- Strategic proposal for the improvement of immunization by the immunization program evaluation, "Yoon SJ", Ministry of Health and Welfare, 87~88 (2012)
- Investigation and management of children with no vaccinations recorded on the national immunization registry information system, "Lee SK", Korea Centers for Disease Control and Prevention, 32~33 (2016)
- Edwards KM, "Countering vaccine hesitancy", Pediatrics, 138(3), pp.e20162146~ (2016)[DOI]
- 최인영, "온라인 커뮤니티에 따른 영·유아 예방접종에 대한 정보습득 경로 및 지식수준 비교", 예방의학회지, 40(4), pp.291~196 (2007), 대한예방의학회
- Rosselli R, "The old and the new: vaccine hesitancy in the era of the Web 2.0. Challenges and opportunities", J Prev Med Hyg, 57(1), pp.E47~E50 (2016)
- Hough-Telford C, "Vaccine delays, refusals, and patient dismissals: a survey of pediatricians", Pediatrics, 138(3), pp.e20162127~ (2016)[DOI]
- Dube E, "Understanding vaccine hesitancy in Canada: results of a consultation study by the Canadian Immunization Research Network", PLoS One, 11(6), pp.e0156118~ (2016)[DOI]
- de St Maurice A, "Vaccine hesitancy in children-a call for action", Children (Basel), 3(2), pp.7~ (2016)
- 임정우, "예방접종에 대한 부모의 인식에 관한 조사", Clinical and Experimental Pediatrics, 49(3), pp.251~257 (2006), 대한소아청소년과학회
- Larson HJ, "Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012", Vaccine, 32(19), pp.2150~2159 (2014)[DOI]
- McCauley MM, "Exploring the choice to refuse or delay vaccines: a national survey of parents of 6- through 23-month-olds", Acad Pediatr, 12(5), pp.375~383 (2012)[DOI]
- Gust DA, "Parents with doubts about vaccines: which vaccines and reasons why", Pediatrics, 122(4), pp.718~725 (2008)[DOI]
- Sandhofer MJ, "Vaccine hesitancy in Austria: a cross-sectional survey", Wien Klin Wochenschr, 129(1-2), pp.59~64 (2017)[DOI]
- Report of the SAGE working group on vaccine hesitancy, "World Health Organization", ~ (2014)
- Byung-Kwang Yoo, "How to Improve Influenza Vaccination Rates in the U.S.", 예방의학회지, 44(4), pp.141~148 (2011), 대한예방의학회
- Dube E, "Strategies intended to address vaccine hesitancy: review of published reviews", Vaccine, 33(34), pp.4191~4203 (2015)[DOI]
- Thomson A, "Vaccine hesitancy: a vade mecum v1.0", Vaccine, 34(17), pp.1989~1992 (2016)[DOI]
- MacDonald NE, "Vaccine hesitancy: definition, scope and determinants", Vaccine, 33(34), pp.4161~4164 (2015)[DOI]
- "The P process: five steps to strategic communication"[URL]
- "Guide to tailoring immunization programmes"[URL]
- Gullion JS, "Deciding to opt out of childhood vaccination mandates", Public Health Nurs, 25(5), pp.401~408 (2008)[DOI]
- Smith PJ, "Association between health care providers' influence on parents who have concerns about vaccine safety and vaccination coverage", Pediatrics, 118(5), pp.e1287~e1292 (2006)[DOI]
- Smailbegovic MS, "Why do parents decide against immunization? The effect of health beliefs and health professionals", Child Care Health Dev, 29(4), pp.303~311 (2003)[DOI]
- Kennedy A, "Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey", Pediatrics, 127(Suppl 1), pp.S92~S99 (2011)[DOI]
- Gellin BG, "Do parents understand immunizations? A national telephone survey", Pediatrics, 106(5), pp.1097~1102 (2000)[DOI]
- Zimmerman RK, "Vaccine criticism on the world wide web", J Med Internet Res, 7(2), pp.e17~ (2005)[DOI]
- Ventola CL, "Immunization in the United States: recommendations, barriers, and measures to improve compliance. Part 1: childhood vaccinations", P T, 41(7), pp.426~436 (2016)
- Kimmel SR, "Addressing immunization barriers, benefits, and risks", J Fam Pract, 56(2 Suppl Vaccines), pp.S61~S69 (2007)
- Goldstein S, "Health communication and vaccine hesitancy", Vaccine, 33(34), pp.4212~4214 (2015)[DOI]
- Kempe A, "Prevalence of parental concerns about childhood vaccines: the experience of primary care physicians", Am J Prev Med, 40(5), pp.548~555 (2011)[DOI]
- Opel DJ, "The architecture of provider-parent vaccine discussions at health supervision visits", Pediatrics, 132(6), pp.1037~1046 (2013)[DOI]