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Vaccinophobia and Vaccine Controversies of the 21st Century pp 459–479Cite as

Insights from Public Health: A Framework for Understanding and Fostering Vaccine Acceptance

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Abstract

Achieving and maintaining high immunization rates requires high vaccine acceptance. Most parents or members of a targeted population need to believe in the value and benefits associated with an immunization recommendation and understand the basis for the recommendation. This puts forward a framework for understanding and fostering vaccine acceptance. Drawing upon published studies, the framework identifies six categories of cognitive factors that affect vaccine acceptance: vaccination recommendation awareness and knowledge; assumptions, expectations, and understanding; risk-related beliefs and perceptions; benefit-related beliefs and perceptions; beliefs and perceptions regarding vaccination recommendations; and confidence/trust related to the vaccine, immunization recommendation and health professionals, including government health officials. Along with examining how these categories can impact vaccine acceptance, the framework links them to a vaccine acceptance continuum that ranges from “vaccine refusal” to “strong vaccine acceptance.” The overall framework provides the basis for identifying strategies and approaches to achieve or extend vaccine acceptance.

The findings and conclusions in this chapter are those of the author(s) and do not necessarily represent the views of [the Centers for Disease Control and Prevention/the Agency for Toxic Substances and Disease Registry.

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Author information

Authors and Affiliations

  1. National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA

    Glen J. Nowak Ph.D.

  2. Advertising and Public Relations, College of Journalism and Mass Communication, University of Georgia, 120 Hooper Street, Athens, GA, 30602-3018, USA

    Glen J. Nowak Ph.D.

  3. Office of Health Communication, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA

    Kate LaVail Ph.D.

  4. Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA

    Allison Kennedy M.P.H.

  5. Communication Science, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA

    Kristine Sheedy Ph.D.

Authors
  1. Glen J. Nowak Ph.D.
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  2. Kate LaVail Ph.D.
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  3. Allison Kennedy M.P.H.
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  4. Kristine Sheedy Ph.D.
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Corresponding author

Correspondence to Glen J. Nowak Ph.D. .

Editor information

Editors and Affiliations

  1. , School of Medicine, Creighton University, North 30th Street,Suite 6814 601, Omaha, 68131, Nebraska, USA

    Archana Chatterjee

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Nowak, G.J., LaVail, K., Kennedy, A., Sheedy, K. (2013). Insights from Public Health: A Framework for Understanding and Fostering Vaccine Acceptance. In: Chatterjee, A. (eds) Vaccinophobia and Vaccine Controversies of the 21st Century. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7438-8_25

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  • DOI: https://doi.org/10.1007/978-1-4614-7438-8_25

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