This thesis was designed to explore and describe the beliefs and behaviours of young adults (parents or future parents) in relation to immunization. Data were collected via in-depth interviews with 36 young adults (current university students) that resulted in more than 600 pages of documnetation for detailed analysis. Nursing and non-nursing student informants were compared under the categories of young adults who delay or refuse immunizations due to alternative health practices, vaccine concerns or religion. What emerged from the study was that young adults displayed lack of knowledge and disinterest about the immune system, immunizations and communicable diseases. This display of apathy towards disease prevention could subsequently contribute to a decrease in the population's herd immunity in the next generation. A review of more than 300 published journal articles and books was completed and integrated into a mosaic of Canadian immunization practice. Policy recommendations based on these findings are presented. / x, 223 leaves : ill. ; 28 cm.

The purpose of this grounded theory study was two-fold; first, to explore how mothers develop an understanding of childhood immunization which contributes to the decision¬making process resulting in a decision not to participate in immunization. Second, the perceptions of childhood immunization of health care professionals were also examined. The understanding and decision-making process of eight mothers was compared with the perceptions of twelve health care professionals. A number of themes were constructed from the research and a grounded theory was developed which emphasizes the importance of collaboration between non-immunizing mothers and health care professionals to promote positive health outcomes in children. The findings will assist health care professionals in understanding the factors contributing to the immunization decision-making process, which will subsequently support in delivering immunization programs. Recommendations to promote support and respect for parents' decision not to immunize their children, and assist in educating parents on immunization are also included. / xiii, 275 leaves ; 29 cm