Different Reasons for Not Completing Routine Vaccinations Among Jewish and Arab Children in Israel
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Minority communities are at high risk for low childhood vaccination coverage rates. This paper compared the rate of children not fully vaccinated and the reasons for that between Jewish (majority) and Arab (minority) children in Israel. This cross-sectional study screened the medical files of 14,232 children (12,360 Jewish and 1872 Arab), registered at Mother-Child Health Clinics in two large geographical area, to identify children who did not complete the last dose of hepatitis B and DTaP or first dose of MMR vaccines. We compared the reasons for not completing the vaccine schedule registered by the nurses between Jewish and Arab children. We identified 1052 children who did not complete at least one of the vaccines: 975 Jewish children and 77 Arab children. Four causal categories were identified: medical reasons, parental decision, parental behaviour, and organizational reasons. Multinomial logistic regression analysis was performed to analyze the reasons for not completing the vaccination protocol. Arab children compared to Jewish children were more likely not to complete the vaccination protocol due to medical reasons (OR 3.81, CI 1.53–9.49) and less likely due to the reason parental decision (OR 0.35, CI 0.13–0.96). Therefore, patterns of reasons for not completing vaccinations vary, depending on population. Interventions to reduce the number of children not fully vaccinated should be tailored to the specific population.
Key wordsMinority community Child vaccinations Reasons for non-vaccination
Conceptualization: Anat Amit Aharon, Haim Nehama, Shmuel Rishpon, Orna Baron-Epel. Data curation: Anat Amit Aharon, Shmuel Rishpon, Orna Baron-Epel. Formal analysis: Anat Amit Aharon. Funding acquisition: Orna Baron-Epel, Shmuel Rishpon, Haim Nehama. Investigation: Anat Amit Aharon. Methodology: Anat Amit Aharon, Haim Nehama, Shmuel Rishpon, Orna Baron-Epel. Project administration: Anat Amit Aharon. Supervision: Orna Baron-Epel, Shmuel Rishpon. Validation: Anat Amit Aharon, Orna Baron-Epel, Shmuel Rishpon. Writing—original draft: Anat Amit Aharon, Orna Baron-Epel. Writing—review and editing: Anat Amit Aharon, Orna Baron-Epel, Shmuel Rishpon, Haim Nehama.
This work was supported by the Israel National Institute for Health Policy Research, under Grant number 2012/149/R.
Compliance with Ethical Standards
The study was approved by the Ethics Committee for Studies with Human Participants at the University of Haifa (approved no. 032/12).
Conflict of Interest
The authors declare that they have no conflict of interest.
- 2.Forster AS, Rockliffe L, Chorley AJ, Marlow LAV, Bedford H, Smith SG, et al. Ethnicity-specific factors influencing childhood immunisation decisions among Black and Asian minority ethnic groups in the UK: a systematic review of qualitative research. J Epidemiol Community Health. 2017;71(6):544–9.CrossRefGoogle Scholar
- 7.C B S. statistic annual for Israel. Central Bureau Statistics [Internet]. 2019 Jun; Available from: https://www.cbs.gov.il/he/publications/Pages/2019/הירחון-הסטטיסטי-לישראל%2D%2D-יולי-2019.aspx. Accessed 13 Aug 2019
- 8.C B S. IMMUNIZATION COVERAGE OF TWO-YEAR-OLDS. Statistical annual for Israel [Internet]. 2013; Available from: https://www.cbs.gov.il/he/pages/search/SearchResultsMain.aspx?k=חיסונים. Accessed 13 Aug 2019
- 12.Vaysblay E. The national imunization in Israel [Internet]. Knesset Israel: center of research; 2008 Jan [cited 2019 Oct 8]. Available from: https://fs.knesset.gov.il/globaldocs/MMM/69546b58-e9f7-e411-80c8-00155d010977/2_69546b58-e9f7-e411-80c8-00155d010977_11_8183.pdf
- 13.Field A. Discovering statistics using IBM SPSS statistics. 4th ed. London: SAGE Publications Ltd; 2013.Google Scholar
- 23.Sarid O, Shraga Y, Tzvikal G, Pereg H. Influence of ethnic cultural background of mothers and their beliefs on health on childhood vaccine behavior. Social security [Internet]. 2015 Feb; 96:112–87. Available from: http://www.btl.gov.il/Publications/Social_Security/bitachon96/Documents/50-sarid.pdf. Accessed 20 Oct 2019
- 28.Amit Aharon A, Nehama H, Rishpon S, Baron-Epel O. Reasons why parents do not comply with recommended pediatric vaccines. The Israel national institute for health policy research; 2013 [cited 2019 Oct 19]. Available from: http://file:///C:/Users/anat/Downloads/The 205th International Jerusalem-Program and book of abstracts 6 2013 CoverS.pdf. Accessed 19 Oct 2019.Google Scholar