Nurses' Perceptions Of MMR Vaccine Hesitancy In An Area With Low Vaccination Coverage

Pediatric Health Med Ther. 2019 Dec 18:10:177-182. doi: 10.2147/PHMT.S212921. eCollection 2019.

Abstract

Background and aim: Measles, mumps, and rubella vaccine (MMR) coverage is low in an area in the Northern part of Stockholm, Sweden. The overall aim of this study was to explore the perceptions, views, and experiences of child health clinic nurses related to vaccine hesitancy in Rinkeby and Tensta.

Methods: The study focused specifically on hesitancy towards measles-mumps-rubella (MMR) vaccination. Eleven in-depth interviews were conducted in Swedish with female nurses who were directly responsible for vaccination programmes. Their thoughts and experiences were sought using probing and question rephrasing techniques. Transcripts of the data were analysed using content analysis.

Results: Four themes emerged, namely hesitancy among Somali parents, lack of confidence in the MMR vaccine, loss of confidence in other vaccines due to mistrust of the MMR vaccine, and complacency regarding vaccination in general.

Conclusion: There is a strong influence of fear of vaccine-induced autism among parents in the Somali community in areas of Stockholm, that requires continued attention by the health care providers.

Keywords: MMR vaccine; Stockholm; measles; nurses; vaccine hesitancy.