1887
Research Open Access
Like 0

Abstract

Background

Vaccination policy in France was previously characterised by the coexistence of eight recommended and three mandatory vaccinations for children younger than 2 years old. These 11 vaccines are now mandatory for all children born after 1 January 2018.

Aim

To study the French population’s opinion about this new policy and to assess factors associated with a positive opinion during this changing phase.

Methods

A cross-sectional survey about vaccination was conducted from 16 November–19 December 2017 among the GrippeNet.fr cohort. Data were weighted for age, sex and education according to the French population. Univariate and multivariate analyses were performed to identify factors associated with a favourable opinion on mandatory vaccines’ extension and defined in the ‘3Cs’ model by the World Health Organization Strategic Advisory Group of Experts working group on vaccine hesitancy.

Results

Of the 3,222 participants (response rate 50.5%) and after adjustment, 64.5% agreed with the extension of mandatory vaccines. It was considered a necessary step by 68.7% of the study population, while 33.8% considered it unsafe for children and 56.9% saw it as authoritarian. Factors associated with a positive opinion about the extension of mandatory vaccines were components of the confidence, complacency and convenience dimensions of the ‘3Cs’ model.

Conclusions

In our sample, two thirds of the French population was in favour of the extension of mandatory vaccines for children. Perception of vaccine safety and benefits were major predictors for positive and negative opinions about this new policy.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2019.24.25.1900053
2019-06-20
2024-04-26
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2019.24.25.1900053
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/24/25/eurosurv-24-25-4.html?itemId=/content/10.2807/1560-7917.ES.2019.24.25.1900053&mimeType=html&fmt=ahah

References

  1. Larson HJ, de Figueiredo A, Xiahong Z, Schulz WS, Verger P, Johnston IG, et al. The State of Vaccine Confidence 2016: Global Insights Through a 67-Country Survey. EBioMedicine. 2016;12:295-301.  https://doi.org/10.1016/j.ebiom.2016.08.042  PMID: 27658738 
  2. Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. Addressing the vaccine confidence gap. Lancet. 2011;378(9790):526-35.  https://doi.org/10.1016/S0140-6736(11)60678-8  PMID: 21664679 
  3. Dubé E, Vivion M, MacDonald NE. Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Rev Vaccines. 2015;14(1):99-117.  https://doi.org/10.1586/14760584.2015.964212  PMID: 25373435 
  4. MacDonald NE, SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161-4.  https://doi.org/10.1016/j.vaccine.2015.04.036  PMID: 25896383 
  5. François G, Duclos P, Margolis H, Lavanchy D, Siegrist C-A, Meheus A, et al. Vaccine safety controversies and the future of vaccination programs. Pediatr Infect Dis J. 2005;24(11):953-61.  https://doi.org/10.1097/01.inf.0000183853.16113.a6  PMID: 16282928 
  6. Collange F, Fressard L, Pulcini C, Sebbah R, Peretti-Watel P, Verger P. General practitioners’ attitudes and behaviors toward HPV vaccination: A French national survey. Vaccine. 2016;34(6):762-8.  https://doi.org/10.1016/j.vaccine.2015.12.054  PMID: 26752063 
  7. Boiron K, Sarazin M, Debin M, Raude J, Rossignol L, Guerrisi C, et al. Opinion about seasonal influenza vaccination among the general population 3 years after the A(H1N1)pdm2009 influenza pandemic. Vaccine. 2015;33(48):6849-54.  https://doi.org/10.1016/j.vaccine.2015.08.067  PMID: 26322844 
  8. Dubé E, Bettinger JA, Halperin B, Bradet R, Lavoie F, Sauvageau C, et al. Determinants of parents’ decision to vaccinate their children against rotavirus: results of a longitudinal study. Health Educ Res. 2012;27(6):1069-80.  https://doi.org/10.1093/her/cys088  PMID: 22907535 
  9. Aquino F, Donzelli G, De Franco E, Privitera G, Lopalco PL, Carducci A. The web and public confidence in MMR vaccination in Italy. Vaccine. 2017;35(35) 35 Pt B;4494-8. PMID: 28736200 
  10. Stahl J-P, Cohen R, Denis F, Gaudelus J, Martinot A, Lery T, et al. The impact of the web and social networks on vaccination. New challenges and opportunities offered to fight against vaccine hesitancy. Med Mal Infect. 2016;46(3):117-22.  https://doi.org/10.1016/j.medmal.2016.02.002  PMID: 26987960 
  11. Gualano MR, Bert F, Voglino G, Buttinelli E, D’Errico MM, De Waure C, et al. Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study. Vaccine. 2018;36(23):3368-74.  https://doi.org/10.1016/j.vaccine.2018.04.029  PMID: 29729995 
  12. Santé publique France. Vaccination info service. French. Available from: https://vaccination-info-service.fr/
  13. Lévy-Bruhl Daniel, Desenclos Jean-Claude, Quelet Sylvie, Bourdillon François. Extension of French vaccination mandates: from the recommendation of the Steering Committee of the Citizen Consultation on Vaccination to the law. Euro Surveill. 2018;23(17):18-00048. PMID:29717696
  14. Humez M, Perrey C, Jestin C, Le Lay E. Obligation vaccinale : résultats d’une étude qualitative sur les connaissances et perceptions de la population générale en France. Vaccination des jeunes enfants : des données pour mieux comprendre l’action publique. [Mandatory vaccination: results of a qualitative study on knowledge and perceptions in the general population in France. Vaccination of young children: Data for a better understanding of public action.]. Bull Epidémiol Hebd. 2017;(Hors-série Vaccination):11-9. French.
  15. Yang YT, Reiss DR. French mandatory vaccine policy. Vaccine. 2018;36(11):1323-5.  https://doi.org/10.1016/j.vaccine.2018.01.073  PMID: 29426655 
  16. Ward JK, Colgrove J, Verger P. Why France is making eight new vaccines mandatory. Vaccine. 2018;36(14):1801-3.  https://doi.org/10.1016/j.vaccine.2018.02.095  PMID: 29506923 
  17. Lantos JD, Jackson MA, Opel DJ, Marcuse EK, Myers AL, Connelly BL. Controversies in vaccine mandates. Curr Probl Pediatr Adolesc Health Care. 2010;40(3):38-58.  https://doi.org/10.1016/j.cppeds.2010.01.003  PMID: 20230978 
  18. Day M. Doctor and MPs in Italy are assaulted after vaccination law is passed. BMJ. 2017;358:j3721.  https://doi.org/10.1136/bmj.j3721  PMID: 28768638 
  19. Bozzola E, Spina G, Russo R, Bozzola M, Corsello G, Villani A. Mandatory vaccinations in European countries, undocumented information, false news and the impact on vaccination uptake: the position of the Italian pediatric society. Ital J Pediatr. 2018;44(1):67.  https://doi.org/10.1186/s13052-018-0504-y  PMID: 29898770 
  20. Debin M, Turbelin C, Blanchon T, Bonmarin I, Falchi A, Hanslik T, et al. Evaluating the feasibility and participants’ representativeness of an online nationwide surveillance system for influenza in France. PLoS One. 2013;8(9):e73675.  https://doi.org/10.1371/journal.pone.0073675  PMID: 24040020 
  21. Nicolay N, Lévy-Bruhl D, Gautier A, Jestin C, Jauffret-Roustide M. Mandatory immunization: the point of view of the French general population and practitioners. Vaccine. 2008;26(43):5484-93.  https://doi.org/10.1016/j.vaccine.2008.07.058  PMID: 18703109 
  22. Rey D, Fressard L, Cortaredona S, Bocquier A, Gautier A, Peretti-Watel P, et al. Vaccine hesitancy in the French population in 2016, and its association with vaccine uptake and perceived vaccine risk-benefit balance. Euro Surveill. 2018;23(17).  https://doi.org/10.2807/1560-7917.ES.2018.23.17.17-00816  PMID: 29717693 
  23. MacDonald NE, SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161-4.  https://doi.org/10.1016/j.vaccine.2015.04.036  PMID: 25896383 
  24. Gautier A, Jestin C, Chemlal K. Groupe Baromètre santé 2016. FRA. Adhésion à la vaccination en France : résultats du Baromètre santé 2016. Vaccination des jeunes enfants : des données pour mieux comprendre l’action publique. [Acceptance of immunization in France: results from the 2016 Health Barometer. Vaccination of young children: Data for a better understanding of public action]. Bull Epidémiol Hebd. 2017;(Hors-série Vaccination):21-7. French.
  25. Giambi C, Fabiani M, D’Ancona F, Ferrara L, Fiacchini D, Gallo T, et al. Parental vaccine hesitancy in Italy - Results from a national survey. Vaccine. 2018;36(6):779-87.  https://doi.org/10.1016/j.vaccine.2017.12.074  PMID: 29325822 
  26. Smith PJ, Humiston SG, Marcuse EK, Zhao Z, Dorell CG, Howes C, et al. Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model. Public Health Rep. 2011;126(2_suppl) Suppl 2;135-46.  https://doi.org/10.1177/00333549111260S215  PMID: 21812176 
  27. Forster AS, Rockliffe L, Chorley AJ, Marlow LAV, Bedford H, Smith SG, et al. A qualitative systematic review of factors influencing parents’ vaccination decision-making in the United Kingdom. SSM Popul Health. 2016;2:603-12.  https://doi.org/10.1016/j.ssmph.2016.07.005  PMID: 28018959 
  28. Dubé E, Gagnon D, Nickels E, Jeram S, Schuster M. Mapping vaccine hesitancy--country-specific characteristics of a global phenomenon. Vaccine. 2014;32(49):6649-54.  https://doi.org/10.1016/j.vaccine.2014.09.039  PMID: 25280436 
  29. Kennedy AM, Brown CJ, Gust DA. Vaccine beliefs of parents who oppose compulsory vaccination. Public Health Rep. 2005;120(3):252-8.  https://doi.org/10.1177/003335490512000306  PMID: 16134564 
  30. Mergler MJ, Omer SB, Pan WKY, Navar-Boggan AM, Orenstein W, Marcuse EK, et al. Association of vaccine-related attitudes and beliefs between parents and health care providers. Vaccine. 2013;31(41):4591-5.  https://doi.org/10.1016/j.vaccine.2013.07.039  PMID: 23896424 
  31. Verger P, Fressard L, Collange F, Gautier A, Jestin C, Launay O, et al. Vaccine Hesitancy Among General Practitioners and Its Determinants During Controversies: A National Cross-sectional Survey in France. EBioMedicine. 2015;2(8):891-7.  https://doi.org/10.1016/j.ebiom.2015.06.018  PMID: 26425696 
  32. Raude J, Fressard L, Gautier A, Pulcini C, Peretti-Watel P, Verger P. Opening the ‘Vaccine Hesitancy’ black box: how trust in institutions affects French GPs’ vaccination practices. Expert Rev Vaccines. 2016;15(7):937-48.  https://doi.org/10.1080/14760584.2016.1184092  PMID: 27140417 
  33. Bocquier A, Ward J, Raude J, Peretti-Watel P, Verger P. Socioeconomic differences in childhood vaccination in developed countries: a systematic review of quantitative studies. Expert Rev Vaccines. 2017;16(11):1107-18.  https://doi.org/10.1080/14760584.2017.1381020  PMID: 28914112 
  34. Larson HJ, Jarrett C, Eckersberger E, Smith DMD, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007-2012. Vaccine. 2014;32(19):2150-9.  https://doi.org/10.1016/j.vaccine.2014.01.081  PMID: 24598724 
  35. Santé publique France. Couverture vaccinale grippe par région, par saison et dans chaque groupe d’âge [Influenza vaccine coverage by region, season and age group]. Saint Maurice: Santé publique France. French. Available from: http://invs.santepubliquefrance.fr/Dossiers-thematiques/Maladies-infectieuses/Maladies-a-prevention-vaccinale/Couverture-vaccinale/Donnees/Grippe/Infra-nationales/Couverture-vaccinale-grippe-par-region-par-saison-et-dans-chaque-groupe-d-age
/content/10.2807/1560-7917.ES.2019.24.25.1900053
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error