Inzicht in vaccinatiedeelname: clustering van ouders die hun kinderen deels of niet laten vaccineren volgens het Rijksvaccinatieprogramma in de GGD-regio West-Brabant
摘要
To gain insight into the characteristics of groups of parents who choose not to, or only partially, vaccinate their child according to the National Immunization Program (RVP).
MethodThe study population consists of parents and children from birth cohorts 2020–2021 (infants) and 2012–2013 (school-aged children). Vaccination data from the Digital Youth Healthcare Record, publicly available data on environmental characteristics from Statistics Netherlands (CBS), and data on parental COVID-19 vaccination status were used. Cluster analyses were performed for non-vaccinated infants, partially vaccinated infants, and non-vaccinated school-aged children.
ResultsThree clusters were identified among non-vaccinated infants, two among partially vaccinated infants, and six among non-vaccinated school-aged children. These clusters were summarized into four overarching groups. The first group includes children from socioeconomically vulnerable, highly urbanized, and culturally diverse areas. The second group consists of children from the Dutch Bible Belt, characterized by low cultural diversity and younger mothers with larger families. The third group comprises children from average to relatively favorable socioeconomic areas. The fourth group includes children living in the most wealthy areas, with higher household incomes and low cultural diversity.
ConclusionThis study provides novel insights into different groups of parents who decline RVP vaccinations for their children. While the group of non-vaccinated children in socially vulnerable areas aligns with existing findings, we identified two novel groups in average to highly wealthy areas of which the motives behind vaccine refusal remain unclear.