Perceptions of childhood immunization in a minority community: qualitative study


Henderson, L; Millett, C; Thorogood, N; (2008) Perceptions of childhood immunization in a minority community: qualitative study. Journal of the Royal Society of Medicine, 101 (5). pp. 244-251. ISSN 0141-0768 DOI: 10.1258/jrsm.2008.070363

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Abstract

Objective To assess reasons for low uptake. of immunization amongst orthodox Jewish families. Design Qualitative interviews with 25 orthodox Jewish mothers and 10 local health care workers. Setting The orthodox Jewish community in North East London. Main outcome measures Identification of views on immunization in the orthodox Jewish community. Results In a community assumed to be relatively insulated from direct media influence, word of mouth is nevertheless a potent source of rumours about vaccination clangers. The origins of these may lie in media scares that contribute to anxieties about MMR. At the same time, close community cohesion leads to a sense of relative safety in relation to tuberculosis, with consequent low rates of BCG uptake. Thus low uptake of different immunizations arises from enhanced feelings of both safety and danger. Low uptake was not found to be due to the practical difficulties associated with large families, or to perceived insensitive Cultural practices of health care providers. Conclusions The views and practices of members of this community are not homogeneous and may change over time. It is important that assumptions concerning the role of religious beliefs do not act as an obstacle for providing clear messages concerning immunization, and community norms may be challenged by explicitly using its social networks to communicate more positive messages about immunization. The study provides a useful example of how social networks may reinforce or challenge misinformation about health and risk and the complex nature of decision making about children's health.

Item Type: Article
Keywords: ORTHODOX JEWISH-COMMUNITY, HEALTH BELIEFS, COMMUNICATION, CHILDREN, LONDON
Faculty and Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Research Centre: Vaccine Centre
PubMed ID: 18463280
Web of Science ID: 256176000014
URI: http://researchonline.lshtm.ac.uk/id/eprint/7508

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