Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review
Vaccination uptake has decreased globally in recent years, with a subsequent rise of vaccine-preventable diseases. Travellers, immunocompromised patients (ICP), and healthcare workers (HCW) are groups at increased risk for (severe) infectious diseases due to their behaviour, health, or occupation, r...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-08-01
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| Series: | Vaccines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-393X/8/3/480 |
| _version_ | 1797555371284365312 |
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| author | Laura Doornekamp Leanne van Leeuwen Eric van Gorp Helene Voeten Marco Goeijenbier |
| author_facet | Laura Doornekamp Leanne van Leeuwen Eric van Gorp Helene Voeten Marco Goeijenbier |
| author_sort | Laura Doornekamp |
| collection | DOAJ |
| description | Vaccination uptake has decreased globally in recent years, with a subsequent rise of vaccine-preventable diseases. Travellers, immunocompromised patients (ICP), and healthcare workers (HCW) are groups at increased risk for (severe) infectious diseases due to their behaviour, health, or occupation, respectively. While targeted vaccination guidelines are available, vaccination uptake seems low. In this review, we give a comprehensive overview of determinants—based on the integrated change model—predicting vaccination uptake in these groups. In travellers, low perceived risk of infection and low awareness of vaccination recommendations contributed to low uptake. Additionally, ICP were often unaware of the recommended vaccinations. A physician’s recommendation is strongly correlated with higher uptake. Furthermore, ICP appeared to be mainly concerned about the risks of vaccination and fear of deterioration of their underlying disease. For HCW, perceived risk of (the severity of) infection for themselves and for their patients together with perceived benefits of vaccination contribute most to their vaccination behaviour. As the determinants that affect uptake are numerous and diverse, we argue that future studies and interventions should be based on multifactorial health behaviour models, especially for travellers and ICP as only a limited number of such studies is available yet. |
| first_indexed | 2024-03-10T16:46:31Z |
| format | Article |
| id | doaj.art-0d761ac5335247ddb7f33fe49908830c |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T16:46:31Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-0d761ac5335247ddb7f33fe49908830c2023-11-20T11:33:04ZengMDPI AGVaccines2076-393X2020-08-018348010.3390/vaccines8030480Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature ReviewLaura Doornekamp0Leanne van Leeuwen1Eric van Gorp2Helene Voeten3Marco Goeijenbier4Department of Viroscience, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsDepartment of Viroscience, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsDepartment of Viroscience, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsMunicipal Public Health Service Rotterdam-Rijnmond, Schiedamsedijk 95, 3011 EN Rotterdam, The NetherlandsDepartment of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD Rotterdam, The NetherlandsVaccination uptake has decreased globally in recent years, with a subsequent rise of vaccine-preventable diseases. Travellers, immunocompromised patients (ICP), and healthcare workers (HCW) are groups at increased risk for (severe) infectious diseases due to their behaviour, health, or occupation, respectively. While targeted vaccination guidelines are available, vaccination uptake seems low. In this review, we give a comprehensive overview of determinants—based on the integrated change model—predicting vaccination uptake in these groups. In travellers, low perceived risk of infection and low awareness of vaccination recommendations contributed to low uptake. Additionally, ICP were often unaware of the recommended vaccinations. A physician’s recommendation is strongly correlated with higher uptake. Furthermore, ICP appeared to be mainly concerned about the risks of vaccination and fear of deterioration of their underlying disease. For HCW, perceived risk of (the severity of) infection for themselves and for their patients together with perceived benefits of vaccination contribute most to their vaccination behaviour. As the determinants that affect uptake are numerous and diverse, we argue that future studies and interventions should be based on multifactorial health behaviour models, especially for travellers and ICP as only a limited number of such studies is available yet.https://www.mdpi.com/2076-393X/8/3/480vaccination uptakevaccine refusalvaccine hesitancyrisk groupsimmunocompromisedtravellers |
| spellingShingle | Laura Doornekamp Leanne van Leeuwen Eric van Gorp Helene Voeten Marco Goeijenbier Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review Vaccines vaccination uptake vaccine refusal vaccine hesitancy risk groups immunocompromised travellers |
| title | Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review |
| title_full | Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review |
| title_fullStr | Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review |
| title_full_unstemmed | Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review |
| title_short | Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review |
| title_sort | determinants of vaccination uptake in risk populations a comprehensive literature review |
| topic | vaccination uptake vaccine refusal vaccine hesitancy risk groups immunocompromised travellers |
| url | https://www.mdpi.com/2076-393X/8/3/480 |
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