Date of Award

Spring 5-2009

Degree Type

Professional Report

Degree Name

Master of Public Health

Field of Study

Community Health


School of Public Health

First Advisor

Dr. Claudia Coggin


Objectives-The purpose of this literature review is to identify the health and illness attitudes, beliefs, and behaviors that are unique to parents who refuse to vaccinate their children.

Methods-Twelve published studies conducted in the United States between 1998 and 2008 were accumulated from three major database sources: PubMed, EBSCOhost, and Science Direct. Studies were evaluated based on common attitudes, beliefs and behaviors observed in the course of the studies.

Results: A total of ten studies were identified between 1998 and 2008 based on the inclusive criteria provided. Studies included one qualitative study, two case control studies, and seven cross-section studies. Parental concerns with vaccine safety ranged from 6.7%-93.4%, with the highest percentages of concern from parent with unvaccinated children.

Conclusion: Parental trust in vaccinations and their mandating is diminishing in the United States. Various measures are needed to be enforced in order to regain confidence in vaccination safety.