+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The role of herd immunity in parents' decision to vaccinate children: a systematic review



The role of herd immunity in parents' decision to vaccinate children: a systematic review



Pediatrics 130(3): 522-530



Herd immunity is an important benefit of childhood immunization, but it is unknown if the concept of benefit to others influences parents' decisions to immunize their children. Our objective was to determine if the concept of "benefit to others" has been found in the literature to influence parents' motivation for childhood immunization. We systematically searched Medline through October 2010 for articles on parental/guardian decision-making regarding child immunization. Studies were included if they presented original work, elicited responses from parents/guardians of children <18 years old, and addressed vaccinating children for the benefit of others. The search yielded 5876 titles; 91 articles were identified for full review. Twenty-nine studies met inclusion criteria. Seventeen studies identified benefit to others as 1 among several motivating factors for immunization by using interviews or focus groups. Nine studies included the concept of benefit to others in surveys but did not rank its relative importance. In 3 studies, the importance of benefit to others was ranked relative to other motivating factors. One to six percent of parents ranked benefit to others as their primary reason to vaccinate their children, and 37% of parents ranked benefit to others as their second most important factor in decision-making. There appears to be some parental willingness to immunize children for the benefit of others, but its relative importance as a motivator is largely unknown. Further work is needed to explore this concept as a possible motivational tool for increasing childhood immunization uptake.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056478034

Download citation: RISBibTeXText

PMID: 22926181

DOI: 10.1542/peds.2012-0140


Related references

Do grandparents influence parents' decision to vaccinate their children? A systematic review. Vaccine 36(49): 7456-7462, 2018

Determinants of parents' decision to vaccinate their children against rotavirus: results of a longitudinal study. Health Education Research 27(6): 1069-1080, 2012

Similarity of parents and physicians in the decision to vaccinate children against measles, mumps and rubella. International Journal of Public Health 57(2): 333-340, 2012

'What have you HEARD about the HERD?' Does education about local influenza vaccination coverage and herd immunity affect willingness to vaccinate?. Vaccine 36(28): 4118-4125, 2018

How and why researchers use the number needed to vaccinate to inform decision making--a systematic review. Vaccine 33(6): 753-758, 2015

Mobilize parents to vaccinate their children against hepatitis B: the role of the pediatrician. Archives de Pediatrie 17(3 Suppl): 6, 2010

Determinants of European parents' decision on the vaccination of their children against measles, mumps and rubella: A systematic review and meta-analysis. Human Vaccines and Immunotherapeutics 12(7): 1909-1923, 2016

A systematic review of the role of parents in the development of anxious cognitions in children. Journal of Anxiety Disorders 62: 15-25, 2019

Inclusion of the value of herd immunity in economic evaluations of vaccines. A systematic review of methods used. Vaccine 35(49 Pt B): 6828-6841, 2017

Mitochondrial disease: needs and problems of children, their parents and family. A systematic review and pilot study into the need for information of parents during the diagnostic phase. Journal of Inherited Metabolic Disease 30(3): 333-340, 2007

To vaccinate or not to vaccinate? Perspectives on HPV vaccination among girls, boys, and parents in the Netherlands: a Q-methodological study. Bmc Public Health 17(1): 872, 2017

Are parents more willing to vaccinate their children than themselves?. Journal of Health Psychology 21(5): 781-787, 2016

A systematic review of decision support needs of parents making child health decisions. Health Expectations 11(3): 232-251, 2008

Parents ask: Am I risking autism if I vaccinate my children?. Journal of Autism and Developmental Disorders 39(6): 962-963, 2009

Do surgeons and patients/parents value shared decision-making in pediatric surgery? A systematic review. Journal of Surgical Research 231: 49-53, 2018