Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study

•Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination. Vaccine hesitancy is a considerable issue in European countries and leads to low coverage ra...

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Bibliographic Details
Published in:Vaccine 2018-05, Vol.36 (23), p.3368-3374
Main Authors: Gualano, M.R., Bert, F., Voglino, G., Buttinelli, E., D'Errico, M.M., De Waure, C., Di Giovanni, P., Fantini, M.P., Giuliani, A.R., Marranzano, M., Masanotti, G., Massimi, A., Nante, N., Pennino, F., Squeri, R., Stefanati, A., Signorelli, C., Siliquini, R., Castaldi, S., Di Donna, F., Di Martino, G., Genovese, C., Golfera, M., Gori, D., Greco, P., Loperto, I., Miduri, A., Olivero, E., Prospero, E., Quattrocolo, F., Rossello, P., Rosso, A., Sisti, L.G., Stracci, F., Zappalà, G.
Format: Article
Language:English
Subjects:
Attitudes
Health care
Immunization
Information sources
Italy
Mandatory vaccination
Medical personnel
Motivation
Multicentre survey
Pregnancy
Restoration
Schools
Socioeconomics
Trends
Vaccine hesitancy
Vaccines
Womens health
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Summary:•Compulsory vaccination is generally welcome in Italy.•Mandatory vaccinations are not affected by social determinants.•Confidence in the health system determines the trustworthiness of mandatory vaccination. Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools. In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn. Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21–0.58, p 
ISSN:0264-410X
1873-2518
DOI:10.1016/j.vaccine.2018.04.029