The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey

Vaccination programs are cost-effective for preventing communicable diseases, yet vaccine events caused vaccine crises among parents nationwide, which has created challenges for current and future vaccination programs. This study aimed to investigate parents’ emotional reactions (i.e., anger and anx...

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Main Authors: Ruyu Sun, Xiaomin Wang, Leesa Lin, Ning Zhang, Lu Li, Xudong Zhou
Format: Article
Language:English
Published: Taylor & Francis Group 2021-09-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.1907149
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author Ruyu Sun
Xiaomin Wang
Leesa Lin
Ning Zhang
Lu Li
Xudong Zhou
author_facet Ruyu Sun
Xiaomin Wang
Leesa Lin
Ning Zhang
Lu Li
Xudong Zhou
author_sort Ruyu Sun
collection DOAJ
description Vaccination programs are cost-effective for preventing communicable diseases, yet vaccine events caused vaccine crises among parents nationwide, which has created challenges for current and future vaccination programs. This study aimed to investigate parents’ emotional reactions (i.e., anger and anxiety) toward the 2018 vaccine event in China and explore the associations between parental emotional reactions and vaccine decision-making. A cross-sectional survey was conducted among 1,135 parents in 2018. Five-point Likert scales were provided for respondents to rank their anger and anxiety toward the event, and their vaccine-related trust and intentions before and after the event. Multiple logistic regression analyses were employed to explore the associations. Regarding the vaccine event, 576 (50.8%) and 402 (35.4%) respondents felt very angry and angry, and 310 (27.4%) and 516 (45.5%) respondents felt very anxious and anxious, respectively. Altogether, 797 (70.3%) respondents reported a lower trust in domestically produced vaccines after the event, and 704 (62.3%) respondents reported declines in intention to choose domestically produced vaccines for their children. Multiple logistic regression analyses revealed that anxiety was a predictor of lower trust and intention after the event (p < .001), anger was a predictor of lower trust (p = .005), and both were risk factors for declines in trust and intention (p < .01). This study confirmed that negative emotional reactions toward a vaccine event were important contributors for parental vaccine decisions. Health authorities and facilities are encouraged to act in a timely manner to reduce the public’s negative emotions by providing rapid crisis responses.
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spelling doaj.art-6b013bce6d354d6eb49d13bd12d54b4d2023-09-25T11:17:06ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-09-011793042305110.1080/21645515.2021.19071491907149The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional surveyRuyu Sun0Xiaomin Wang1Leesa Lin2Ning Zhang3Lu Li4Xudong Zhou5Zhejiang UniversityZhejiang UniversityLondon School of Hygiene & Tropical MedicineZhejiang UniversityZhejiang UniversityZhejiang UniversityVaccination programs are cost-effective for preventing communicable diseases, yet vaccine events caused vaccine crises among parents nationwide, which has created challenges for current and future vaccination programs. This study aimed to investigate parents’ emotional reactions (i.e., anger and anxiety) toward the 2018 vaccine event in China and explore the associations between parental emotional reactions and vaccine decision-making. A cross-sectional survey was conducted among 1,135 parents in 2018. Five-point Likert scales were provided for respondents to rank their anger and anxiety toward the event, and their vaccine-related trust and intentions before and after the event. Multiple logistic regression analyses were employed to explore the associations. Regarding the vaccine event, 576 (50.8%) and 402 (35.4%) respondents felt very angry and angry, and 310 (27.4%) and 516 (45.5%) respondents felt very anxious and anxious, respectively. Altogether, 797 (70.3%) respondents reported a lower trust in domestically produced vaccines after the event, and 704 (62.3%) respondents reported declines in intention to choose domestically produced vaccines for their children. Multiple logistic regression analyses revealed that anxiety was a predictor of lower trust and intention after the event (p < .001), anger was a predictor of lower trust (p = .005), and both were risk factors for declines in trust and intention (p < .01). This study confirmed that negative emotional reactions toward a vaccine event were important contributors for parental vaccine decisions. Health authorities and facilities are encouraged to act in a timely manner to reduce the public’s negative emotions by providing rapid crisis responses.http://dx.doi.org/10.1080/21645515.2021.1907149vaccine eventvaccine hesitancychinaangeranxietycrisis communication
spellingShingle Ruyu Sun
Xiaomin Wang
Leesa Lin
Ning Zhang
Lu Li
Xudong Zhou
The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey
Human Vaccines & Immunotherapeutics
vaccine event
vaccine hesitancy
china
anger
anxiety
crisis communication
title The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey
title_full The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey
title_fullStr The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey
title_full_unstemmed The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey
title_short The impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in China: A cross-sectional survey
title_sort impact of negative emotional reactions on parental vaccine hesitancy after the 2018 vaccine event in china a cross sectional survey
topic vaccine event
vaccine hesitancy
china
anger
anxiety
crisis communication
url http://dx.doi.org/10.1080/21645515.2021.1907149
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