Ksenia Y. Eritsyan

Background. Runaway behavior among children in residential care is a serious social problem in all countries of the world. Existing scientific data on risk factors and motives of runaway from out-of-home care may not be absolutely relevant to the Russian cultural context.

Objective. To describe risk factors and the motives that cause children to runaway from residential care.

Design. A qualitative study that included 2 focus groups with staff and graduates of residential care supplemented by the analysis of 23 cases of child runaways from residential care in St. Petersburg.

Results. The study revealed the following runaway risk factors and motives: 1) running to parents or relatives, 2) romantic and/or sexual relations, 3) interaction with peers, 4) psychiatric problems, 5) addictive behavior, 6) avoidance of conflicts, 7) physical or emotional violence, 8) unmotivated runaways for entertainment, 9) problems adapting to the care institution, 10) dissatisfaction with the conditions at the care institution. Moreover, in this study, two different types of runaways have been identified, including relatively “true” runaways and those who are not psychologically experienced as such, but are only disobeying the formal rules of the care institution.

Conclusions. Runaways of children from residential care are extremely heterogeneous in nature. In further empirical studies, it should be taken into account that runaways may be true and formal. There can be multiple reasons for running away: the care institution itself, a child’s personality, or his or her social network outside of the care institution.

Immunization is one of the most significant achievements of public health over the last 100 years. Recently, however, people have been increasingly refusing to vaccinate. There are a large number of separate studies on how pervasive this behavior is and what fac- tors influence it, but no systematic review has been undertaken so far that looked at these studies as a whole. To conduct an analysis of studies that examine vaccine refusal and negative attitudes towards vaccination, focusing on the methodological approaches to the study of these problems and evaluation of their quality. A systematic review of English-language studies published between 1980 and 2015, using the Web of ScienceTM Core Collection database. The final review dealt with 31 papers. The studies in question were mainly conducted in North America and Western Europe. They were published three years after conclusion, on average. We have identified five different approaches to the study of these problems: 1) studies of parents’ attitudes and behavior; 2) analysis of vaccination records; 3) studies of attitudes and behavior among the general population; 4) studies of medical professionals’ attitudes, behavior, and experience; and 5) others. We found that theoretical models were not commonly used at the planning stage, while the studies also lacked a common approach to the operationalization of vaccine refusal, as well as of negative attitudes towards vaccination. Several promising directions have been identified for future studies on vaccine refusal and negative attitudes towards vac- cination.