Understanding Vaccine Anxiety & Encouraging Vaccine Compliance - PowerPoint PPT Presentation

Understanding Vaccine Anxiety & Encouraging Vaccine Compliance in Michigan Mark Navin, Ph.D. Associate Professor, Oakland University Mark Largent, Ph.D. Professor, Michigan State University

Mark Largent, Ph.D. Historian Michigan State University

Mark Largent, Ph.D. Historian Michigan State University Mark Navin, Ph.D. Philosopher Oakland University

A Critical Moment for Compulsory Vaccination?

A Critical Moment for Compulsory Vaccination? Oregon VT NJ NY Conn California Arizona

100 Hib B 90 MMR Polio 80 DPT 70 60 50 Rotavirus 40 Hep A PCV 30 20 Varicella 10 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Record Record High High Vaccine Vaccine Compliance Waiver Rates Rates

Record Under- Record High Vaccinated High Vaccine Children Vaccine Compliance Without Waiver Rates Waivers Rates

Record Record High High Vaccine Vaccine Compliance Waiver Under- Rates Rates Vaccinated Children Without Waivers

Record Record High High Vaccine Vaccine Compliance Waiver Rates Rates Under- Vaccinated Children Without Waivers

How Can We Increase Compliance?

How Can We Increase Compliance? Jacobson v. Mass. (1905) is Insufficient

How Can We Increase Compliance? Jacobson v. Mass. (1905) is Insufficient We Can Only Impose Burdens

How Can We Increase Compliance? Jacobson v. Mass. (1905) is Insufficient We Can Only Impose Burdens Daycare and School Attendance Paperwork, Education Session, Medical Only

How Can We Increase Compliance? Jacobson v. Mass. (1905) is Insufficient We Can Only Impose Burdens Daycare and School Attendance Paperwork, Education Session, Medical Only Burdensome= Higher Compliance Burdensome= Tension with Other Social Goods

Research in Service of Vaccine Compliance

Research in Service of Vaccine Compliance The December 2014 MDCH Rule Change Created a Valuable Opportunity to Better Understand How to Increase Compliance

Research in Service of Vaccine Compliance Reveal how MI public health offices have implemented the December 2014 rules change

Research in Service of Vaccine Compliance Reveal how MI public health offices have implemented the December 2014 rules change Identify best practices for the exemption application process

Research in Service of Vaccine Compliance Identify the concerns of parents/guardians who request waivers

Research in Service of Vaccine Compliance Identify the concerns of parents/guardians who request waivers Explore whether parents/guardians with particular concerns are more persuadable than others – and how?

Research in Service of Vaccine Compliance Identify the concerns of parents/guardians who request waivers Explore whether parents/guardians with particular concerns are more persuadable than others – and how? Discover whether particular burdens lead to lower exemption rates

Research in Service of Vaccine Compliance Provide educators a sense of the concerns the parent/guardian in front of them has so they can tailor education sessions

Research in Service of Vaccine Compliance Provide educators a sense of the concerns the parent/guardian in front of them has so they can tailor education sessions Give parents/guardians voice

Research in Service of Vaccine Compliance Provide educators a sense of the concerns the parent/guardian in front of them has so they can tailor education sessions Give parents/guardians voice Determine whether giving parents/guardians voice increases compliance

Research in Service of Vaccine Compliance Responding to the Opportunity: Survey of the Attitudes, Concerns, and Information Sources of Parents/Guardians Seeking Waivers Piloted by Oakland County Early in 2015

Results from the Pilot Study Where Do You Get Your Information About Vaccines? Family Physician or Pediatrician 92.0% Informational Websites 69.6% Friends or Family 54.5% News Reports 41.1% Chiropractor 38.4% Other Alternative Health Care Provider 33.9% Television or Radio Programs 31.3% Online Parenting Communities 31.3% Social Media (e.g., Facebook, Twitter) 20.5% Books 9.8% Research 7.1% Peer-Reviewed Scientific/Medical Lit 4.5%

Results from the Pilot Study % strongly or % strongly or moderately distrust moderately trust Pharma 54.7 5.3 Federal Government 33.7 15.8 FDA 43.2 13.7 CDC 30.5 13.7 Mich State Government 25.3 20.0 Scientists 12.6 30.5 Local School Admins 9.5 34.7 Medical Professionals 9.5 40.0

Going Forward 1) Implementation of Revised Survey of Parents/Guardians Seeking Waivers

Going Forward 1) Implementation of Revised Survey of Parents/Guardians Seeking Waivers 2) Survey of Michigan Health Departments’ Policies, Procedures, and Experiences with December 2014 Rule Change

Understanding Vaccine Anxiety & Encouraging Vaccine Compliance in Michigan Mark Navin, Ph.D. Associate Professor, Oakland University Mark Largent, Ph.D. Professor, Michigan State University