Measuring vaccine hesitancy, confidence, trust and flu vaccine uptake: Results of a national survey of White and African American adults

Quinn, Sandra Crouse; Jamison, Amelia M.; An, Ji; Hancock, Gregory R.; Freimuth, Vicki S.

doi:10.1016/j.vaccine.2019.01.033

Cited by 218 publications

(210 citation statements)

References 34 publications

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“…Our research supports previous findings attesting to the importance of confidence and complacency in hesitancy to influenza vaccination uptake [14,15]. Reinders and colleagues found confidence as the most prevalent reason for not being vaccinated, specifically "being afraid of vaccination and its effects".…”

Section: Discussionsupporting

confidence: 91%

“…The most frequent reasons for hesitancy were due to low perceived risk of the disease, lack of trust in the authorities, and low perceived safety of the vaccine [14]. Crouse Quinn and colleagues developed quantitative indicators for each of the 3C components and found significant effects with influenza vaccine hesitancy in representative samples of African American and native white populations in the United States, as well as different measures of hesitancy across vaccines for different diseases [15].…”

Section: Introductionmentioning

confidence: 99%

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Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

González-Block

Calderón

Pelcastre‐Villafuerte

et al. 2020

PLoS ONE

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Introduction Influenza morbidity and mortality are significant in the countries of South America, yet influenza vaccination is as low as 56.7% among pregnant women, reaching 76.7% of adults with chronic diseases. This article measures the relative values for the vaccination hesitancy indicators of confidence, complacency and convenience by risk-groups in urban areas of five countries of South America with contrasting vaccination rates, analyzing their association with sociodemographic variables and self-reported immunization status. Methods An exit survey was applied to 640 individuals per country in Brazil, Chile, Paraguay, Peru and Uruguay, distributed equally across risk groups of older adults, adults with risk factors, children ≤6 and pregnant women. Indicators were constructed for vaccine confidence, complacency and convenience. Analysis of variance and multiple logistic analysis was undertaken. Results Adults with risk factors are somewhat more confident of the influenza vaccine yet also more complacent. Convenience is higher for mothers of minors. Children and older adults report higher levels of vaccination. The 3Cs are more different across countries than across risk groups, with values for Chile higher for confidence and those for Uruguay the lowest. Complacency is lower in Brazil and higher in Uruguay. Results suggest that confidence and complacency affect vaccination rates across risk groups and countries. Conclusions Influenza vaccine confidence, complacency and convenience have to be bolstered to improve effective coverage across all risk groups in the urban areas of the countries studied. The role played by country contextual and national vaccination programs has to be further researched in relation to effective coverage of influenza vaccine.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

González-Block

Calderón

Pelcastre‐Villafuerte

et al. 2020

PLoS ONE

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“…Public health and medical practitioners must prepare to promote acceptance of these vaccines. Vaccine hesitancy, which describes a range of stances toward vaccination, from deep skepticism about vaccine efficacy and safety to more mild concerns, has been identified by the World Health Organization as a major global health threat and is particularly prevalent in the United States ( MacDonald, 2015 ; Quinn et al, 2019 ; World Health Organization, 2019 ). Because scholars have argued that vaccine hesitancy is driven by context-specific factors including time and place as well as individual factors such as beliefs about threat of disease ( Brewer et al, 2007 ; Dubé et al, 2015 ; Larson et al, 2014 ), it is important to understand perceptions related to SARS-CoV-2 vaccination and to assess what factors may contribute to higher or lower intentions to vaccinate.…”

mentioning

confidence: 99%

A National Survey Assessing SARS-CoV-2 Vaccination Intentions: Implications for Future Public Health Communication Efforts

Head

Kasting

Sturm

et al. 2020

Science Communication

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160

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With SARS-CoV-2 vaccines under development, research is needed to assess intention to vaccinate. We conducted a survey ( N = 3,159) with U.S. adults in May 2020 assessing SARS-CoV-2 vaccine intentions, intentions with a provider recommendation, and sociodemographic and psychosocial variables. Participants had high SARS-CoV-2 vaccine intentions ( M = 5.23/7-point scale), which increased significantly with a provider recommendation ( M = 5.47). Hierarchical linear regression showed that less education and working in health care were associated with lower intent, and liberal political views, altruism, and COVID-19-related health beliefs were associated with higher intent. This work can inform interventions to increase vaccine uptake, ultimately reducing COVID-19-related morbidity and mortality.

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“…12 This article expands on some previous studies of the association of parental VH and child influenza vaccination coverage. [13][14][15][16][17]…”

mentioning

confidence: 99%

Parental Vaccine Hesitancy and Childhood Influenza Vaccination

et al. 2020

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OBJECTIVES: To quantify the prevalence of parental vaccine hesitancy (VH) in the United States and examine the association of VH with sociodemographics and childhood influenza vaccination coverage. METHODS: A 6-question VH module was included in the 2018 and 2019 National Immunization Survey-Flu, a telephone survey of households with children age 6 months to 17 years. RESULTS: The percentage of children having a parent reporting they were “hesitant about childhood shots” was 25.8% in 2018 and 19.5% in 2019. The prevalence of concern about the number of vaccines a child gets at one time impacting the decision to get their child vaccinated was 22.8% in 2018 and 19.1% in 2019; the prevalence of concern about serious, long-term side effects impacting the parent’s decision to get their child vaccinated was 27.3% in 2018 and 21.7% in 2019. Only small differences in VH by sociodemographic variables were found, except for an 11.9 percentage point higher prevalence of “hesitant about childhood shots” and 9.9 percentage point higher prevalence of concerns about serious, long-term side effects among parents of Black compared with white children. In both seasons studied, children of parents reporting they were “hesitant about childhood shots” had 26 percentage points lower influenza vaccination coverage compared with children of parents not reporting hesitancy. CONCLUSIONS: One in 5 children in the United States have a parent who is vaccine hesitant, and hesitancy is negatively associated with childhood influenza vaccination. Monitoring VH could help inform immunization programs as they develop and target methods to increase vaccine confidence and vaccination coverage.

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Measuring vaccine hesitancy, confidence, trust and flu vaccine uptake: Results of a national survey of White and African American adults

Cited by 218 publications

References 34 publications

Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

Influenza vaccination hesitancy in five countries of South America. Confidence, complacency and convenience as determinants of immunization rates

A National Survey Assessing SARS-CoV-2 Vaccination Intentions: Implications for Future Public Health Communication Efforts

Parental Vaccine Hesitancy and Childhood Influenza Vaccination

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