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Review ArticlePractice

Addressing vaccine hesitancy

Clinical guidance for primary care physicians working with parents

Shixin (Cindy) Shen and Vinita Dubey
Canadian Family Physician March 2019, 65 (3) 175-181;
Shixin (Cindy) Shen
Resident in the Public Health and Preventive Medicine program at the University of Toronto in Ontario.
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  • For correspondence: cindy.shen@mail.utoronto.ca
Vinita Dubey
Associate Medical Officer of Health with Toronto Public Health and Adjunct Professor in the Dalla Lana School of Public Health at the University of Toronto.
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Abstract

Objective To provide primary care physicians with clinical guidance for addressing parental vaccine hesitancy.

Sources of information The PubMed database was searched for English-language articles published in the 10 years before January 1, 2018. Search terms included vaccine hesitancy or confidence or acceptance, parents or children, and communication, counseling, or clinical practice. References of identified articles were assessed for additional relevant articles. A separate gray literature search was conducted using Google to find best-practice guidelines from public health and health care organizations, knowledge translation materials for health care providers, and resources that could be used in discussions with parents about vaccines.

Main message Practical tips for addressing parental vaccine hesitancy in primary care include starting early, presenting vaccination as the default approach, building trust, being honest about side effects, providing reassurance on a robust vaccine safety system, focusing on protection of the child and community, telling stories, and addressing pain. Also provided are statements that providers could use in vaccination-related conversations; answers to commonly asked questions on benefits, safety, and immunologic aspects of vaccines; and links to a number of online resources for physicians and parents.

Conclusion Vaccine-hesitant parents who are on the fence far outnumber vaccine refusers; therefore, counseling this group might be more effective. Reasons behind vaccine hesitancy are complex and encompass more than just a knowledge deficit. As a trusted source of information on vaccines, family physicians play a key role in driving vaccine acceptance.

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Canadian Family Physician: 65 (3)
Canadian Family Physician
Vol. 65, Issue 3
1 Mar 2019
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Addressing vaccine hesitancy
Shixin (Cindy) Shen, Vinita Dubey
Canadian Family Physician Mar 2019, 65 (3) 175-181;

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Addressing vaccine hesitancy
Shixin (Cindy) Shen, Vinita Dubey
Canadian Family Physician Mar 2019, 65 (3) 175-181;
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