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. 2019 Jun;24(25):1900053.
doi: 10.2807/1560-7917.ES.2019.24.25.1900053.

Population perception of mandatory childhood vaccination programme before its implementation, France, 2017

Pauline Mathieu  1 , Arnaud Gautier  2 , Jocelyn Raude  3 , Thomas Goronflot  1 , Titouan Launay  1 , Marion Debin  1 , Caroline Guerrisi  1 , Clément Turbelin  1 , Thomas Hanslik  1   4   5 , Christine Jestin  2 , Vittoria Colizza  1 , Thierry Blanchon  1 , Louise Rossignol  1
Affiliations

Population perception of mandatory childhood vaccination programme before its implementation, France, 2017

Pauline Mathieu et al. Euro Surveill. 2019 Jun.

Abstract

BackgroundVaccination policy in France was previously characterised by the coexistence of eight recommended and three mandatory vaccinations for children younger than 2 years old. These 11 vaccines are now mandatory for all children born after 1 January 2018.AimTo study the French population's opinion about this new policy and to assess factors associated with a positive opinion during this changing phase.MethodsA cross-sectional survey about vaccination was conducted from 16 November-19 December 2017 among the GrippeNet.fr cohort. Data were weighted for age, sex and education according to the French population. Univariate and multivariate analyses were performed to identify factors associated with a favourable opinion on mandatory vaccines' extension and defined in the '3Cs' model by the World Health Organization Strategic Advisory Group of Experts working group on vaccine hesitancy.ResultsOf the 3,222 participants (response rate 50.5%) and after adjustment, 64.5% agreed with the extension of mandatory vaccines. It was considered a necessary step by 68.7% of the study population, while 33.8% considered it unsafe for children and 56.9% saw it as authoritarian. Factors associated with a positive opinion about the extension of mandatory vaccines were components of the confidence, complacency and convenience dimensions of the '3Cs' model.ConclusionsIn our sample, two thirds of the French population was in favour of the extension of mandatory vaccines for children. Perception of vaccine safety and benefits were major predictors for positive and negative opinions about this new policy.

Keywords: France; immunisation; mandatory vaccination; public health policy; vaccine hesitancy; vaccine-preventable diseases; vaccines.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Results of the principal component analysis on the level of trust in different sources of vaccination information, perception of mandatory childhood vaccination programme study, France, 2017
Figure 2
Figure 2
Benefits and risks of vaccination, perception of mandatory childhood vaccination programme study, France, 2017 (n = 3,222)
See this image and copyright information in PMC

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