Too Many Shots?Parent, Nurse, and Physician Attitudes Toward Multiple Simultaneous Childhood Vaccinations
Diane J. Madlon-Kay, MD;
Peter G. Harper, MD, MPH
Arch Fam Med. 1994;3(7):610-613.
Abstract
Objective
To learn about parent, nurse, and family physician attitudes toward multiple simultaneous childhood vaccinations.
Design
Survey.
Setting
Thirty-two family practice clinics in Minnesota.
Patients/Participants
Forty-six volunteer Minnesota Academy of Family Physicians Research Network members, 42 of their nurses, and 342 parents of their patients aged less than 6 years who have had at least one injection.
Main Outcome Measures
Number of injections believed to be too many for a child to receive simultaneously and comfort level associated with children's receiving three simultaneous injectable vaccinations.
Results
Most parents, nurses, and physicians (71%, 76%, and 59%, respectively) think that three injections are too many for a child to receive at one visit. Similar percentages of parents, nurses, and physicians are uncomfortable with a child's receiving three injections at one visit. Sixty-seven percent of the physicians who do not offer universal new-born hepatitis B vaccinations cite the number of required simultaneous injections as a factor in that decision. Only 15% of physicians order all three recommended injections for most of their 15-month-old patients.
Conclusions
Most parents, nurses, and physicians are uncomfortable with three simultaneous injections for children. This discomfort may be a significant barrier to the adoption of the new immunization recommendations. The development of effective combination vaccines should be a research priority.
Author Affiliations
From the Department of Family and Community Medicine, St Paul (Minn)—Ramsey Medical Center.
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