Background
Methods
Study Population
Sampling method
Approaching participants
Questionnaire
Question | Answer categories | First survey, NS | First survey, | Second survey, NSa
| Second survey, |
---|---|---|---|---|---|
LVC | LVC | ||||
N (%) | N (%) | N (%) | N (%) | ||
1. Did you/does your child participate in the NIP?b
| Yes | 5951 (96) | 992 (79) | 4420 (94) | 940 (73) |
No | 143 (2) | 242 (19) | 141 (3) | 330 (25) | |
Don't knowc
| 109 (2) | 18 (2) | 127 (3) | 26 (2) | |
64
d
|
6
d
|
41
d
|
6
d
| ||
2. Do you intend to accept any remaining vaccinations for your child?e
| 1. Surely yes | NA | NA | 1418 (68) | 291 (46) |
2. Yes | 484 (23) | 148 (23) | |||
3. Probably yes | 75 (4) | 35 (5) | |||
4. Unsure | 28 (1) | 13 (2) | |||
5. Probably not | 13 (1) | 24 (4) | |||
6. Surely not | 7 (0) | 82 (13) | |||
7. Not applicablef
| 52 (3) | 45 (7) | |||
83
d
|
5
d
| ||||
3. Has your/parents' opinion on vaccination changed with respect to the five years preceding the survey?b
| 1. No | 5514 (90) | 1101 (89) | 3866 (83) | 1086 (84) |
2. Yes, more inclined | 517 (8) | 112 (9) | 311 (7) | 81 (6) | |
3. Yes, less inclined | 128 (2) | 28 (2) | 147 (3) | 61 (5) | |
4. Don't know | NA | NA | 315 (7) | 66 (5) | |
108
d
|
17
d
|
90
d
|
8
d
|
Data analyses
Nonparticipation in the NIP
Parents' intention to accept any remaining vaccinations for their child
Changes in the opinion on vaccination between the 2006-07 and 1995-96 surveys
Results
Study population
Nonparticipation in the NIP
Variable (N) | Reported | Crudeb
| Adjusted | PAF in % |
---|---|---|---|---|
nonparticipation in the NIP in % | OR (95% CI) | OR (95% CI) | (95% CI) | |
Age (yrs)
| ||||
0-4 (1385) | 3 | 1.7 (0.8-3.7) | 1.4 (0.6-3.1) | |
5-9 (660) | 7 | 2.7 (1.2-6.0) | 2.0 (0.9-4.5) | |
10-29 (1470) | 3 | 3.0 (1.4-6.2) | 2.3 (1.1-4.9) | |
30-44 (991) | 1 | Reference | Reference | |
Gender
| ||||
Men (2051) | 3 | Reference | Reference | |
Women (2455) | 3 | 1.1 (0.8-1.6) | 1.1 (0.7-1.5) | |
Ethnicity
| ||||
Indigenous Dutch (3640) | 2 | Reference | Reference | |
Other Western (226) | 2 | 1.4 (0.5-3.5) | 1.4 (0.5-3.8) | |
Moroccan and Turkish (200) | 19 | 11.7 (6.8-20.1) | 7.1 (2.5-20.1) | 21.5 (4.3-36.7) |
Antilles and Aruba and Surinam (223) | 6 | 3.1 (1.5-6.1) | 3.3 (1.5-7.1) | 4.4 (-1.0-11.7) |
Other non-Western (217) | 8 | 4.5 (2.4-8.2) | 3.3 (1.6-7.1) | 6.1 (-1.2-14.4) |
Religion
| ||||
Reformed Congregations (59) | 17 | 12.5 (5.2-30.1) | 15.2 (6.1-37.8) | 7.4 (0.1-18.4) |
Reformed Bonders (129) | 6 | 4.2 (1.7-10.4) | 4.8 (1.9-12.1) | 5.2 (0.1-13.1) |
Other specific Protestant Church (805) | 2 | Reference | Reference | |
Catholics (1183) | 1 | 0.8 (0.4-1.6) | 0.8 (0.4-1.6) | |
Muslims (281) | 16 | 1.4 (0.6-3.8) | 1.2 (0.5-3.3) | |
Other religionc (204) | 7 | 2.2 (1.0-4.9) | 1,7 (0.7-3.9) | |
No religion (1845) | 2 | 0.8 (0.4-1.5) | 0.7 (0.4-1.4) | |
Degree of urbanization
| ||||
Very high (963) | 6 | Reference | Reference | |
High (1998) | 2 | 0.8 (0.5-1.3) | 0.6 (0.4-1.0) | |
Moderate (570) | 2 | 0.9 (0.4-1.9) | 0.6 (0.3-1.4) | |
Low (452) | 2 | 1.1 (0.4-3.3) | 1.3 (0.4-4.2) | |
Very low (523) | 3 | 1.1 (0.6-2.2) | 1.1 (0.5-2.2) | |
Region
| ||||
Northeast (1023) | 3 | Reference | Reference | |
Central (843) | 2 | 0.8 (0.3-1.9) | 0.6 (0.2-1.6) | |
Northwest (1017) | 5 | 1.0 (0.6-1.8) | 0.8 (0.5-1.5) | |
Southwest (808) | 4 | 1.2 (0.6-2.3) | 1.0 (0.5-1.9) | |
Southeast (815) | 2 | 0.6 (0.3-1.2) | 0.7 (0.3-1.5) | |
No. of persons in household
| ||||
1 (203) | 2 | 0.8 (0.2-2.7) | ||
2 (516) | 1 | 0.6 (0.3-1.3) | ||
3 (990) | 3 | 1.2 (0.7-1.9) | ||
4 (1718) | 2 | Reference | ||
> 4 (1079) | 5 | 1.4 (0.9-2.1) | ||
Educational level
d
| ||||
Low (317) | 13 | 2.1 (1.2-3.7) | 2.5 (1.3-4.6) | 13.7 (-1.2-29.7) |
Moderate (2123) | 3 | 1.1 (0.7-1.7 | 1.4 (0.9-2.2) | |
High (2066) | 2 | Reference | Reference | |
Net monthly household income
e
| ||||
Low (569) | 9 | 2.1 (1.1-4.1) | 1.9 (1.0-4.0) | 13.1 (-8.1-32.1) |
Moderate (2051) | 2 | 1.0 (0.5-1.8) | 0.8 (0.4-1.6) | |
High (936) | 2 | Reference | Reference | |
Won't answer/missing answer (950) | 2 | 0.97 (0.5-1.9) | 0.9 (0.4-1.9) | |
Anthroposophy
| ||||
Yes (46) | 28 | 27.0 (12.8-57.0) | 39.2 (17.5-87.9) | 8.4 (2.3-17.6) |
No (4460) | 3 | Reference | Reference | |
Homeopathy
| ||||
Yes (75) | 5 | 2.6 (0.9-7.5) | ||
No (4431) | 3 | Reference | ||
Other alternative medicine
| ||||
Yes (36) | 8 | 2.6 (0.7-9.3) | ||
No (4470) | 3 | Reference | ||
Religious belief
| ||||
Yes (82) | 17 | 9.5 (4.8-18.6) | ||
No (4424) | 3 | Reference | ||
Other ideas influencing vaccination
| ||||
Yes (189) | 3 | 1.4 (0.6-3.3) | ||
No (4317) | 3 | Reference |
Parents' intention to accept any remaining vaccinations for their child
Variables (N) | Parents who reported less likely to accept any remaining vaccinations for their child in % | Crudeb OR | Adjusted OR (95% CI) |
---|---|---|---|
(95% CI) | |||
Age (yrs)
| |||
0-4 (1237) | 1 | 0.4 (0.2-0.9) | 0.7 (0.3-1.9) |
5-9 (507) | 4 | Reference | Reference |
Gender
| |||
Men (875) | 2 | Reference | Reference |
Women (869) | 2 | 1.2 (0.6-2.4) | 0.6 (0.2-1.5) |
Ethnicity
| |||
Indigenous Dutch (1315) | 1 | Reference | Reference |
Other Western (85) | 1 | 0.7 (0.1-5.7) | 1.5 (0.1-15.7) |
Moroccan and Turkish (94) | 7 | 3.7 (1.3-11.0) | 1.7 (0.4-8.1) |
Antilles and Aruba and Surinam (144) | 2 | 1.0 (0.3-4.1) | 1.0 (0.2-6.7) |
Other non-Western (106) | 5 | 2.4 (0.8-7.1) | 4.2 (1.1-16.5) |
Religion
| |||
Reformed Congregations (22) | 5 | 2.1 (0.2-19.8) | |
Reformed Bonders (53) | 2 | 1.4 (0.2-13.1) | |
Other specific Protestant Church (325) | 2 | Reference | |
Other religionc (679) | 3 | 1.4 (0.5-3.8) | |
No religion (665) | 1 | 0.4 (0.1-1.5) | |
Degree of urbanization
| |||
Very high (391) | 3 | Reference | Reference |
High (738) | 1 | 0.7 (0.3-1.9) | 0.8(0.2-3.0) |
Moderate (231) | 1 | 0.7 (0.2-2.9) | 1.3 (0.2-8.0) |
Low (181) | 1 | 1.6 (0.1-19.5) | 1.5 (0.1-35.5) |
Very low (203) | 4 | 2.3 (0.7-7.4) | 4.5 (0.99-20.1) |
Region
| |||
Northeast (379) | 1 | Reference | Reference |
Central (337) | 1 | 0.7 (0.1-6.6) | 0.9 (0.1-12.0) |
Northwest (434) | 4 | 2.0 (0.7-5.8) | 3.1 (0.6-14.9) |
Southwest (302) | 2 | 1.9 (0.5-7.6) | 1.0 (0.2-6.7) |
Southeast (292) | 2 | 2.0 (0.5-7.6) | 5.7 (0.97-33.4) |
Educational level
d
| |||
Low (77) | 8 | 1.4 (0.4-5.4) | |
Moderate (832) | 2 | 1.0 (0.5-2.0) | |
High (835) | 2 | Reference | |
Net monthly household income
e
| |||
Low (137) | 7 | 3.0 (0.7-11.9) | |
Moderate (863) | 2 | 1.5 (0.5-4.6) | |
High (405) | 1 | Reference | |
Won't answer/missing answer (339) | 2 | 1.3 (0.4-4.9) | |
No. of persons in household
| |||
1-2 (42) | 2 | 1.0 (0.1-8.7) | |
3 (451) | 1 | 0.6 (0.2-1.7) | |
4 (800) | 2 | Reference | |
> 4 (451) | 3 | 1.3 (0.6-2.7) | |
Health status child
| |||
Excellent/very well (1196) | 2 | Reference | |
Well/moderate/poor (548) | 3 | 1.6 (0.8-3.3) | |
Anthroposophic/
homeopathic/
other alternative medicine beliefs
| |||
Yes (83) | 13 | 13.4 (5.9-30.3) | |
No (1661) | 1 | Reference | |
Religious belief
| |||
Yes (38) | 11 | 6.8 (2.1-22.4) | |
No (1706) | 2 | Reference | |
Other ideas influencing vaccination
| |||
Yes (93) | 8 | 5.7 (2.3-14.1) | |
No (1651) | 2 | Reference | |
Maximum no. of injections
| |||
0 (13) | 54 | 110.7 (9.5- > ∞) | 27.7 (1.6-486.6) |
1 (307) | 6 | 3.6 (0.4-29.1) | 1.5 (0.1-16.5) |
2 (1376) | 1 | 0.4 (0.1-3.5) | 0.2 (0.0-2.7) |
> 2 and each number is acceptable (48) | 2 | Reference | Reference |
Vaccinations protect health own child
| |||
Strongly agree/agree (1659) | 1 | Reference | Reference |
Neutral/disagree/strongly disagree (85) | 25 | 36.7 (16.5-81.4) | 9.2 (3.0-27.8) |
Vaccinating healthy children is not necessary
| |||
Strongly agree/agree (57) | 19 | 39.4 (14.4-107.5) | 6.1 (1.6-23.7) |
Neutral (115) | 12 | 17.7 (7.3-42.9) | 4.0 (1.2-13.0) |
Disagree/strongly disagree (1572) | 1 | Reference | Reference |
Doubt safety vaccinations
| |||
Strongly agree/agree (181) | 12 | 15.6 (6.9-35.1) | 3.5 (1.1-11.0) |
Neutral (423) | 1 | 1.0 (0.3-3.4) | 0.4 (0.1-1.8) |
Disagree/strongly disagree (1140) | 1 | Reference | Reference |
Immune system does not develop well due to vaccination
| |||
Strongly agree/agree (144) | 13 | 15.8 (6.9-36.1) | |
Neutral (376) | 2 | 1.7 (0.6-4.7) | |
Disagree/strongly disagree (1224) | 1 | Reference | |
Vaccinations protect health of others
| |||
Strongly agree/agree (1275) | 2 | Reference | |
Neutral (369) | 2 | 1.2 (0.5-2.8) | |
Disagree/strongly disagree (100) | 5 | 2.5 (0.9-7.1) |
Changes in the opinion on vaccination between the 2006-07 and 1995-96 surveys
Nationwide sampleb
| N (%) | Crude OR (95%CI) | Adjusted OR (95%CI) |
---|---|---|---|
More inclined to accept vaccination | |||
First survey | 498 (8) | Reference | Reference |
Second survey | 268 (7) | 0.8 (0.7-0.9)c
| 0.8 (0.7-0.9)d
|
Less inclined to accept vaccination
| |||
First survey | 122 (2) | Reference | Reference |
Second survey | 131 (3) | 1.4 (1.1-1.9)c
| 1.3 (1.0-1.7)d
|
Low vaccination coverage sample
e
| |||
More inclined to accept vaccination
| |||
First survey | 108 (9) | Reference | Reference |
Second survey | 76 (6) | 0.7 (0.5-1.0)f
| 0.6 (0.5-0.9)g
|
Less inclined to accept vaccination
| |||
First survey | 27 (2) | Reference | Reference |
Second survey | 60 (5) | 2.2 (1.4-3.5)f
| 2.0 (1.2-3.2)g
|