In times of declining immunization rates among children in many countries and an increasing threat of
potentially vaccine-preventable diseases, there is a strong need for new strategies to improve trust in vaccinations and
acceptance of recommendations, especially in parents of infants and children.
A survey to evaluate vaccination acceptance has been conducted in Vienna, Austria, based on a US CDC survey, applying
a cross-sectional approach with districts and public as well as private kindergartens and preschools as selection base. The
survey aimed to investigate the impact of parent satisfaction with, and overall trust in the physician on vaccine
acceptance, as well as the impact of quality and completeness of safety information delivered during the vaccination
Overall 1101 parents, predominantly (84.2%) mothers, participated in the survey. The majority (82.7%) of participants
had a generally positive view concerning childhood vaccination. However, 25.1% refused at least one of the
recommended vaccinations. In multivariate analysis, confidence in vaccinations was significantly influenced by education
(lower confidence at higher levels of education), gender (higher confidence in females), and positively associated with
trust in physician, smooth vaccination procedure, and information about vaccine risks. Similar results were obtained for
compliance with recommended vaccinations with information about vaccine benefits being the most important predictor.
This large survey indicates an important role of the physician in communicating balanced information about benefits and
risks associated with childhood vaccinations. A trustworthy parent-physician relationship is crucial for vaccination
decisions of parents.