Parental Hesitancy About Routine Childhood and Influenza Vaccinations: A National Survey

被引:256
作者
Kempe, Allison [1 ,2 ,3 ]
Saville, Alison W. [1 ,2 ]
Albertin, Christina [4 ,5 ]
Zimet, Gregory [6 ]
Breck, Abigail [4 ,5 ]
Helmkamp, Laura [1 ,2 ]
Vangala, Sitaram [7 ]
Dickinson, L. Miriam [1 ,2 ]
Rand, Cindy [8 ]
Humiston, Sharon [9 ]
Szilagyi, Peter G. [4 ,5 ]
机构
[1] Univ Colorado, Adult & Child Consortium Hlth Outcomes Res & Deli, Sch Med, Aurora, CO USA
[2] Childrens Hosp Colorado, Aurora, CO USA
[3] Univ Colorado, Dept Pediat, Sch Med, Aurora, CO USA
[4] Univ Calif Los Angeles, Dept Pediat, Mattel Childrens Hosp, Los Angeles, CA 90024 USA
[5] Univ Calif Los Angeles, Los Angeles, CA USA
[6] Indiana Univ, Sch Med, Dept Pediat, Indianapolis, IN 46202 USA
[7] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med Stat Core, Los Angeles, CA 90095 USA
[8] Univ Rochester, Sch Med & Dent, Dept Pediat, Rochester, NY 14642 USA
[9] Childrens Mercy Kansas City, Dept Pediat, Kansas City, MO USA
基金
美国国家卫生研究院;
关键词
RESPIRATORY SYNCYTIAL VIRUS; VACCINE HESITANCY; UNITED-STATES; SEASONAL INFLUENZA; IMMUNIZATION REQUIREMENTS; ADVISORY-COMMITTEE; ASSOCIATION; ATTITUDES; MEASLES; HOSPITALIZATIONS;
D O I
10.1542/peds.2019-3852
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In this study, we assessed the prevalence of hesitancy about routine childhood and childhood influenza vaccination among a nationally representative sample of US parents. BACKGROUND AND OBJECTIVES:The World Health Organization has designated vaccine hesitancy as 1 of the 10 leading threats to global health, yet there is limited current national data on prevalence of hesitancy among US parents. Among a nationally representative sample of US parents, we aimed to (1) assess and compare prevalence of hesitancy and factors driving hesitancy for routine childhood and influenza vaccination and (2) examine associations between sociodemographic characteristics and hesitancy for routine childhood or influenza vaccination.METHODS:In February 2019, we surveyed families with children using the largest online panel generating representative US samples. After weighting, we assessed hesitancy using a modified 5-point Vaccine Hesitancy Scale and labeled parents as hesitant if they scored >3.RESULTS:A total of 2176 of 4445 parents sampled completed the survey (response rate 49%). Hesitancy prevalence was 6.1% for routine childhood and 25.8% for influenza vaccines; 12% strongly and 27% somewhat agreed they had concerns about serious side effects of both routine childhood and influenza vaccines. A total of 70% strongly agreed that routine childhood vaccines are effective versus 26% for influenza vaccine (P < .001). In multivariable models, an educational level lower than a bachelor's degree and household income <400% of the federal poverty level predicted hesitancy about both routine childhood and influenza vaccines.CONCLUSIONS:Almost 1 in 15 US parents are hesitant about routine childhood vaccines, whereas >1 in 4 are hesitant about influenza vaccine. Furthermore, 1 in 8 parents are concerned about vaccine safety for both routine childhood and influenza vaccines, and only 1 in 4 believe influenza vaccine is effective. Vaccine hesitancy, particularly for influenza vaccine, is prevalent in the United States.
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页数:12
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