In this lecture, we are going to focus on the survey results from Parental Rights and Children’s Health Care survey that you completed last week.
Let’s begin with a little context by going over some of the demographic information. Roughly 2/3 of the survey respondents were women, and about 1/3 were men. They were varied in terms of their educational attainment, but as you can see, most of them had some college or a college degree. In terms of income, over half of the sample had household incomes of over $50,000, and just over a third of the sample had incomes of less than 50k per year. In general, they attended religious services frequently, or somewhat frequently, The vast majority were currently married, , and most of the respondents had 2 or more children.
Finally, most of the respondents identifying that they were the primary parent to manage their children's health care. With about 69% saying yes they were.
Half of the respondents agreed with this statement, and another almost 1/3 somewhat agreed with this statement, so, on average, the respondents in the survey thought that mandatory vaccinations were a good thing. A reason why this could be might have to do with the idea of the public good that is involved, that is that you protect more than just your child when vaccinations are given vaccinations, but are protecting the larger group that is out there.
Here you can see that we have about an equal split. About 50% agree with this statement, and about 50% disagree.
In Utah, a parent may obtain vaccination exemptions because of religious or philosophical reasons. Here you see that about 65% of the respondents feel that vaccination exemptions should be harder to obtain, which is consistent with the majority of respondents thinking that vaccinations should be mandatory.
Just over half of the respondents agree with this statement, but the other half think that it is not easy to remember and keep track of a child’s immunization schedule.
Here, we have almost 70% of the respondents agreeing or strongly agreeing with this statement, and a minority of the respondents disagreeing with seasonal flu shots. Now, seasonal flu shots in contrast with vaccinations are not mandated by the state, so this is something that is done voluntarily by parents.
Answers to open ended questions. You can see that they are quite mixed. Most often, it seemed like people who answered this questions expressed concerns about the short term health issues raised after receiving vaccines. Then you can see on the last one, on Father said that he was in favor of it, but his wife wasn’t, which raises the issues of conflict between parents when making decisions about their children’s health care. I’ll give you a minute to read through these responses and then we will move on.
Now were are going to focus on health care issues that relate to older children. Here we have about 2/3 of the respondents strongly agreeing or somewhat agreeing, suggesting that there is general understanding that this is a positive thing to do in terms of cancer prevention.
Yet, when faced with the statement that…there are more conflicted views out there. We have about 36% of the respondents agreeing with that statement, but we have another 52% of the respondents who disagree with this statement, which it is not. I want to be clear about that, that the non mandatory status of the HPV vaccine is consistent with public opinion that it should be vonlutary.
Clear consistent agreement with this statement.
Here is contrast, there was considerable disagreement. There were about 57% who agreed with this statement, but there were about 34 percent who disagreed.
Here, recognize that by advertising this vaccine on television, adolescents are being given greater information on which they might base their reproductive health decisions, particularly adolescent girls obviously, and thus the answers to this question may reflect some parents attitudes about whether they want their children to be making these decisions on their own or whether they want to be involved. You can see that there are pros and cons on both sides of the issue, but as parents work through these tough issues, part of what’s going on is the difficulty of letting go of making certain decisions for their chidlren.
Here the vast majority somewhat or strongly disagreed with this statement, but a sizeable minority, 27% did agree with this statement.
Here there was strong agreement or somewhat agreement on the part of 85% of the respondents. Note that when we are talking about sex education, we are really talking about intervention again on the part of the state, because sex education by and large is occurring through the schools and therefore the state is involved.
Again, we have almost 70% saying that they either somewhat or strongly agree with this statement. But about 25% somewhat or strongly disagreeing.
Here we have a big split. We have about 34% who strongly agree or somewhat agree with this statement, and we have 61% who either somewhat or strongly disagree with it. Again, this is speaking to the role of the state in terms of intervening with teenagers with respect to their reproductive health.
Interestingly enough, given the strong support of the states intervention through sex education, respondents in this survey also exhibit strong support for parent’s exercising control over what type of sex education their child receives. We have 65% who somewhat agree or strongly agree who agree with that statement.
Here there is overwhelming support in terms of 93% somewhat or strongly agreeing with this statement. So, there is clearly a strong opinion that parents do have a role in terms of educating their children in terms of issues regarding reproductive health.
Again, there is a mixture of opinions being offered here, and I will give you some time to read through these on your own.
For example, they are more supportive of vaccinations and state intervention in sex education than they are supportive of say pre-natal testing. But, there is great variation in opinion out there and this is clearly an evolving issue. Also, as children get older, tension between children’s own preferences and their parents preferences regarding their own health care will also continue to grow.
Survey Results<br />Parental Rights and Children’s Health Care<br />
Demographics<br />Marital Status<br />Gender<br />Income<br />Education<br />Number of Children<br />Religious Service Attendance<br />
Are you the primary parent to manage your child(ren)’s health care?<br />
Childhood vaccinations should be mandatory.<br />
Although there are recommendations about when to receive vaccinations, parents should be able to decide when their children should be vaccinated.<br />
Vaccination exemptions should be harder to obtain.<br />
It is easy to remember and keep track of a child’s immunization schedule.<br />
Seasonal flu shots for children are an effective means for preventing unwanted illness.<br />
What were your experiences with vaccinating your child(ren)?<br />
The HPV vaccine is a useful tool for preventing cervical cancer.<br />
Other options for protecting against the HPV virus, such as only having one sexual partner or using condoms, should be promoted.<br />
Receiving the HPV vaccines may created a false-sense of security, leading to increased sexual activity among teenagers.<br />
Do you think it is a good idea for the HPV vaccine to be advertised on television? Why or why not?<br />Answered No<br />Answered Yes<br /><ul><li>I don't think that its a good idea because if they see that might get that false sense of security. It appears to me that people would think that this vaccine is fool proof and the will take advantage of this and think that it will stop pregnancy.
No I don’t think it should, because it puts in people's minds that it is okay to be sexually active.
No, it should be handled between the family and doctor.
I don't think it should be advertised its like telling young girls it is ok
No, because it will give teenagers a false sense and they would be less likely to use protection.
I think it should not be advertised. I think it gives people a green light for sexual activity</li></ul>Yes, I think it is a good idea. Cervical cancer can come from other sources not just having sex so I think it is important to get the vaccine and for women to be educated.<br />I think that a lot of people may not know about this vaccine because it is relatively new, so some form of advertising may be necessary.<br />I think it's fine if it's advertised on television, just to get the word out there, people might as well know what their options are.<br />Yes, I do think this should be made into commercials so there is greater awareness.<br />Yes. Education is a powerful tool<br />Yes, because there is almost always misconceptions tied to these types of vaccinations.<br />
Sex education in public schools should only focus on abstinence. <br />
Sex education should provide information about both the health benefits and possible side effects of all contraceptives and barrier methods. <br />
The amount of sex education in schools should be increased. <br />
Teachers should not be allowed to encourage the use of contraceptives among sexually active teenagers. <br />
Parents should be able to choose between abstinence-only sex education or a more comprehensive approach depending on their child(ren)’s needs. <br />
Parents have a greater responsibility than schools to educate their children about sex. <br />
Please discuss your thoughts on the current sex education curriculum taught in schools. <br />I think that kids need to know about sex and that abstinence doesn't work for everyone so they need to know how to have safe sex.<br />I haven't had any children old enough to go through sex education, but I believe that many parents don't know how to or don't want to talk to their children about sex and contraceptives so I believe that school is a great alternative. I think that teenagers need to know there are options out there should they decide to have sex.<br />I don't feel that there is a sex education curriculum.. it is lacking incredibly. I'm sure no kid learns anything from that program, and learns everything they know from friends, and media. I wish there was more emphasis on abstinence.<br />The how's of contraception and how to use them should not be taught in school, only in the home.<br />I do think it should increase. I will teach my own children so that what ever they do learn in school they will already be educated about it.<br />I don't think we should shy away from sex education. I think children need to know EXACTLY what it is and what the consequences are.<br />I do believe that it is first the parents' responsibility to educate the children and then the school can either reiterate what was already taught or expound more. I have come to realize that if you want to have your child abstain from sex then they need to be made aware of things, when this is done appropriately it most often takes away the curiosity to try and explore. It just makes sense that when you are educated in something and know how things work you are less curious to find things out on your own.<br />I think that most of that needs to be taught at home, but I know that this doesn't happen all that much.<br />Inadequate. Should allow more discussion about use and benefits/risk with contraceptives. <br />
Reviewing…<br />Parents’ opinions about the role of the state in regard to children’s health varies considerably. <br />Generally, parents are more likely to be supportive of state intervention when children are older.<br />Vaccinations<br />Sex education<br />As health related technology continues to grow, we should expect the tensions between parental rights and state rights regarding children’s health care to also grow. <br />