Parental awareness of Meningococcal B vaccines and willingness to vaccinate their teens

Basta, Nicole E.; Becker, Andrew B.; Li, Qingxiao; Nederhoff, Dawn

doi:10.1016/j.vaccine.2018.11.078

Cited by 27 publications

(40 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Empowering caregivers and health workers with immunization information can have a positive impact on vaccine confidence and uptake [26][27][28][29]. More opportunities to increase education among caregivers and provide them with the tools to advocate for vaccines are needed to reduce MOV.…”

Section: Discussionmentioning

confidence: 99%

Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities

Tabu

Shendale

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

Background In 2016, Kenya conducted a study of missed opportunities for vaccination (MOV)-when eligible children have contact with the health system but are not fully vaccinated-to explore some of the reasons for persistent low vaccination coverage. This paper details the qualitative findings from that assessment. Methods Using the World Health Organization MOV methodology, teams conducted focus group discussions among caregivers and health workers and in-depth interviews of key informants in 10 counties in Kenya. Caregivers of children <24 months of age visiting the selected health facilities on the day of the assessment were requested to participate in focus group discussions. Health workers were purposively sampled to capture a broad range of perspectives. Key informants were selected based on their perceived insight on immunization services at the county, sub-county, or health facility level. Results Six focus group discussions with caregivers, eight focus group discussions with health workers, and 35 in-depth interviews with key informants were completed. In general, caregivers had positive attitudes toward healthcare and vaccination services, but expressed a desire for increased education surrounding vaccination. In order to standardize vaccination checks at all health facility visits, health workers and key informants emphasized the need for additional trainings for all staff members on immunization. Health workers and key informants

show abstract

Section: Discussionmentioning

confidence: 99%

Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities

Tabu

Shendale

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…A handful of studies performed outside the United States have assessed parents' perceptions about the MenB vaccine and found most parents have heard of meningitis (80-86%) and wanted their child to receive the MenB vaccine (62-64%) [9][10][11][12]. Within the United States, to our knowledge, only two studies examined parents' awareness about and intention for their highschool-aged children to receive the MenB vaccine [13,14]. Among a 2017 convenience sample of 445 parents of Minnesota high school students, 72% had heard of meningitis, but only 20% were aware of the MenB vaccine [13].…”

Section: ]mentioning

confidence: 99%

Perceptions and Knowledge About the MenB Vaccine Among Parents of High School Students

et al. 2021

View full text Add to dashboard Cite

Serogroup B meningococcal disease (MenB) causes almost 60% of meningitis cases among adolescents and young adults. Yet, MenB vaccine coverage among adolescents remains below 10%. Since parents are the primary medical decision makers for adolescents, we examined MenB vaccination rates and parent attitudes about meningitis and the MenB vaccine. In 2018, in conjunction with a county-wide, school-based immunization campaign, we conducted a mixed methods study among parents of 16- to 17-year-olds. We facilitated focus groups asking parents about their knowledge of meningitis and reactions to educational materials and sent behavioral surveys based on Health Belief Model constructs to parents through the county high school system. Parents in three focus groups (n = 8; participation rate = 13%) expressed confusion about their child’s need to receive the MenB vaccine in addition to the meningococcal conjugate vaccine (MenACWY), but conveyed strong trust in their physicians’ recommendation. Among survey participants (n = 170), 70 (41%) had heard of the MenB vaccine. Among those 70 parents, the most common barriers to vaccination were concerns about side effects (55%) and uncertainty of susceptibility due to receipt of the MenACWY vaccine (30%). The percentage of teens that received at least one dose of the MenB vaccine was 50% (n = 35) by parent report and 23% (n = 16) by state vaccination records. Parents demonstrated uncertainty and confusion about the MenB vaccine particularly due to the existence of another meningitis vaccine and limited health care provider recommendations. Confirmatory studies of parent confusion about the MenB vaccine are needed to develop interventions.

show abstract

“…These results are corroborated by a growing body of evidence on the impact of the shared clinical decision-making (Category B) recommendation on MenB vaccine awareness and utilization. In a 2017 survey of parents of high school students in Minnesota, 75.5% of parents were generally aware of the availability of meningococcal vaccines, but 31% were aware specifically of the MenACWY vaccine and only 18 to 20% were specifically aware of either licensed MenB vaccine [ 30 ]. Even fewer parents (7%) understood that the MenB vaccine helps protect against MenB disease, which is not covered by MenACWY vaccination.…”

Section: Discussionmentioning

confidence: 99%

“…This survey had several strengths, including the use of the KnowledgePanel® as a data source, which is one of the most representative online panels in the United States, and has been successfully used in previous studies [25][26][27]. In addition, this study is one of the first national studies that corroborated findings from previously published regional studies evaluating MenB awareness [30]. Moreover, the use of addressbased sampling and population-weighting methodology ensured data broadly represented the diverse US population.…”

Section: Strengths and Limitationsmentioning

confidence: 93%

Parental awareness and utilization of meningococcal serogroup B vaccines in the United States

et al. 2020

View full text Add to dashboard Cite

Background Meningococcal serogroup B (MenB) is the most common cause of invasive meningococcal disease (IMD) in the United States. The US Advisory Committee on Immunization Practices (ACIP) recommends vaccination of healthy adolescents against MenB based on shared clinical decision-making (Category B recommendation). This survey assessed factors associated with MenB vaccine awareness, utilization, and interest among parents/guardians of US adolescents. Methods Survey participants were identified in 2016 through KnowledgePanel®, an online random sample of US households; population-based weighting methodology was used to ensure data reflected a demographically representative population sample. Adults with ≥1 dependent aged 16–19 years were eligible and completed an online questionnaire. Respondents were grouped in terms of MenB vaccination of their child as: 1) vaccinated, 2) intending to vaccinate, 3) MenB vaccine-unaware, or 4) vaccine-aware but not intending to vaccinate. Univariate and multivariate analyses were used to identify factors influencing MenB vaccine awareness and utilization; univariate analyses used the weighted proportion of each group or weighted means, and multivariate analyses used logistic regression models based on the weighted study sample of each group. Results Six hundred nineteen parents/guardians participated, corresponding to 26,266,700 members of the US population after weighting. MenB vaccine awareness was significantly associated with parent race and sex. Specifically, 57% of parents were unaware of MenB vaccines, and there was significantly higher lack of awareness among males and those of Hispanic or non-White ethnicity. In addition, 36% of unaware parents/guardians were interested in and seeking MenB vaccine information from their healthcare provider (HCP), and there was higher interest among parents of Hispanic ethnicity. ‘Vaccinated/intending to vaccinate’ versus ‘not intending to vaccinate’ and ‘vaccinated’ versus ‘intending to vaccinate’ were both strongly associated with whether an HCP had recommended vaccination (odds ratios, 4.81 [95% CI 2.46, 9.35] and 5.66 [95% CI 2.46, 12.87], respectively). Conclusions Racial and socioeconomic disparities exist in the awareness and utilization of MenB vaccines among parents/guardians of US adolescents. HCP discussion and recommendation are critical catalysts for MenB vaccination and underscore the need to accurately interpret and implement the shared clinical decision-making (Category B) recommendation.

show abstract

Parental awareness of Meningococcal B vaccines and willingness to vaccinate their teens

Cited by 27 publications

References 23 publications

Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities

Qualitative insights into reasons for missed opportunities for vaccination in Kenyan health facilities

Perceptions and Knowledge About the MenB Vaccine Among Parents of High School Students

Parental awareness and utilization of meningococcal serogroup B vaccines in the United States

Contact Info

Product

Resources

About