Measuring vaccine hesitancy: Field testing the WHO SAGE Working Group on Vaccine Hesitancy survey tool in Guatemala

Domek, Gretchen J.; O’Leary, Sean T.; Bull, Sheana; Bronsert, Michael; Contreras-Roldan, Ingrid L.; Ventura, Guillermo Antonio Bolaños; Kempe, Allison; Asturias, Edwin J.

doi:10.1016/j.vaccine.2018.07.046

Cited by 142 publications

(159 citation statements)

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“…The belief of 22 (40.0%) of 55 participants who were previously hesitant has changed; they stated that now they believe vaccines are necessary. Vaccine hesitancy is a dynamic situation, and it may change over time and circumstances (12)(13)(14). Our outcome is notable because it shows that when an infectious agent and a pandemic arises, people need vaccination, and their opinions about vaccines may change.…”

Section: Discussionmentioning

confidence: 89%

Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination?

Yılmazbaş¹

2020

Erciyes Med J

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Objective: Vaccine hesitancy is driven by many factors and varies across time. People with vaccine hesitancy may change their decision in the case of COVID-19 pandemic. Our study aimed to evaluate parents' pandemic related perceived stress levels and its effects on vaccine hesitation, also their willingness towards the COVID-19 vaccine. Materials and Methods: This cross-sectional study was practiced with an open-access online survey program through social networks. Parents aged between 18 and 49 years, who had at least one child and agreed to participate in this study constituted the population (n=440). The questionnaire consisted of 14 questions about socio-demographic characteristics of parents, their attitudes and behaviors about childhood vaccines and the Perceived Stress Scale (PSS). Results: Four hundred forty parents participated in this study, 377 (85.7%) of them stated that they thought positively towards the vaccines, 55 (12.5%) were hesitant. After the pandemic, 22 (40.0%) of 55 participants who had hesitations stated that now they believe vaccines are necessary. Of all participants, 43.4% stated they would definitely, 30.5% would probably have the COVID-19 vaccine administered. Participants who had high-stress levels perceived more vaccine hesitation. Conclusion: Pandemia may change people's opinions about vaccine hesitancy. Even if an effective vaccine is developed in case of a pandemic, people need to be told correctly, to create a demand for vaccination.

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Section: Discussionmentioning

confidence: 89%

Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination?

Yılmazbaş¹

2020

Erciyes Med J

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“…The PACV survey gives instructions on how to convert to and interpret an overall vaccine hesitancy score, whereas we came up with ad hoc measures in the WHO SAGE Vaccine Hesitancy Scale. We note several limitations of using this scale, including items L5, L9, and L10 not correlating well with the other items (perhaps as a result of their questions having reversed directionality relative to the other questions) [14,16]. Although this survey was simple to administer and translate, future research should identify how individuals in different regions of the world with different educational backgrounds interpret a 5-point Likert scale.…”

Section: The Who Sage Vaccine Hesitancy Scalementioning

confidence: 99%

“…The WHO SAGE also developed a 10-item vaccine hesitancy scale to assess vaccine hesitancy and vaccine perceptions. [12] This has been implemented in Canada [13] and several LMICs-including Guatemala [14], Ethiopia [15], and China [16]. These studies have revealed interesting trends in the data-notably that a large proportion of the population believes in the effectiveness of vaccines, in general, while harboring some concerns about safety and the utility of certain vaccines.…”

Section: Introductionmentioning

confidence: 99%

“…Using previously conducted studies from five LMICs-including published studies from Guatemala [14], Ethiopia [15], and China [16], along with unpublished data from India and Bangladesh, this study aims to describe vaccine hesitancy in five LMICs using the WHO SAGE Vaccine Hesitancy Scale and compare country-specific vaccine hesitancy by education level.…”

Section: Introductionmentioning

confidence: 99%

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Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries

et al. 2019

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Vaccine hesitancy is a continuum of behaviors ranging from delay in receipt to vaccination refusal. Prior studies have typically focused on high-income countries, where vaccine hesitancy is particularly prevalent in more affluent groups, but the relationship between socioeconomic status and vaccine hesitancy in Low- and Middle-Income Countries (LMICs) is less clear. The aim of this study was to describe vaccine hesitancy in five LMICs. Mothers of children in Sirajganj, Bangladesh (n = 60), Shanghai, China (n = 788), Addis Ababa, Ethiopia (n = 341), Guatemala City and Quetzaltenango, Guatemala (n = 767), and Chandigarh, India (n = 309), completed a survey between 2016 and 2018 using the WHO’s 10-item Vaccine Hesitancy Scale. The scores of different constructs were compared across countries and by the mother’s education level using linear regression models with generalized estimating equations. Compared to mothers in China, mothers in Bangladesh perceived less vaccination benefit (β: 0.56, P = 0.0001), however, mothers in Ethiopia (β: −0.54, P < 0.0001) and Guatemala (β: −0.74, P = 0.0004) perceived greater benefit. Education level was not significantly linked with vaccine hesitancy. Local circumstances are important to consider when developing programs to promote vaccines. We did not find consistent associations between education and vaccine hesitancy. More research is needed to understand socio-cultural influences on vaccine decision-making.

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“…6 In a study involving 720 parents in Guatemala, while none of the parents refused vaccination, only 1.1% expressed reluctance or hesitancy to have their children vaccinated. 17 A population-based study from Croatia found the rates of vaccine refusal and hesitancy as 10.6 and 19%, respectively, with higher rates at younger ages. 18 A study conducted in Malaysia reported the rate of parental vaccine hesitancy to be 11.6%, being more prevalent among unemployed parents, younger parents, parents with fewer children, and non-Muslim persons.…”

Section: Discussionmentioning

confidence: 99%

Parental Attitudes toward Vaccination in Turkey: A Face-to-Face Survey

Çağ

2020

Journal of Pediatric Infectious Diseases

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Objective Vaccination is the most effective and safest approach to protect public health and to prevent infectious diseases. Despite its great benefits, there has been a growing sense of distrust in the safety of vaccines and vaccination programs, leading to unwillingness to vaccinate or even refusal of vaccines altogether. The aim of this study was to determine parental attitudes toward vaccination and to derive information that would help develop appropriate strategies to tackle vaccine hesitancy and refusal (V-HR). Methods A 15-item questionnaire was administered during a face-to-face interview with 1,440 parents (88.1% women, median age: 32 years) whose children were followed up and treated in pediatric outpatient and/or inpatient clinics between July and September 2019. The influential factors on parental V-HR were statistically analyzed. Results The majority of the parents were in favor of vaccination without doubt (n = 1,184, 82.2%). The overall V-HR rate was 17.8%, with 16% of the parents (n = 230) expressing hesitancy and 1.8% (n = 26) completely refusing vaccination. Educational status significantly affected V-HR (p = 0.001), with a higher proportion of V-HR parents having a higher educational level (high school–university) than those having a lower educational status. The prevalence of V-HR was significantly higher among parents who drew vaccination-related information from written, visual, and social media (p < 0.001). Among the 256 parents, parental V-HR most commonly arose from perceived risk and safety concerns, with the feeling that vaccines might lead to another disease such as autism (57%), and the fear that vaccines might cause side effects (33%). Conclusion Parental V-HR has transformed into an alarming global health problem. Of particular importance is monitoring and assessing parental V-HR in every aspect, particularly the media sources that continuously disseminate misinformation about vaccination. Besides nationwide projects to encourage vaccination, appropriate utilization of the same media sources is needed to counteract V-HR and enhance awareness about the necessity and lifesaving benefits of vaccination.

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Measuring vaccine hesitancy: Field testing the WHO SAGE Working Group on Vaccine Hesitancy survey tool in Guatemala

Cited by 142 publications

References 40 publications

Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination?

Did Covid-19 Pandemic Changed Parents’ Approach To Vaccination?

Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries

Parental Attitudes toward Vaccination in Turkey: A Face-to-Face Survey

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