A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months

Vaccine hesitancy is a top ten global health threat that can negatively impact COVID-19 vaccine uptake. It is assumed that vaccine refusers hold deep, negative beliefs, while acceptors hold strong, positive beliefs. However, vaccine hesitancy exists along a continuum and is multidimensional, varying...

Full description

Bibliographic Details
Main Authors: Kimberly K. Walker, Katharine J. Head, Heather Owens, Gregory D. Zimet
Format: Article
Language:English
Published: Taylor & Francis Group 2021-10-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.1942713
_version_ 1797673939371032576
author Kimberly K. Walker
Katharine J. Head
Heather Owens
Gregory D. Zimet
author_facet Kimberly K. Walker
Katharine J. Head
Heather Owens
Gregory D. Zimet
author_sort Kimberly K. Walker
collection DOAJ
description Vaccine hesitancy is a top ten global health threat that can negatively impact COVID-19 vaccine uptake. It is assumed that vaccine refusers hold deep, negative beliefs, while acceptors hold strong, positive beliefs. However, vaccine hesitancy exists along a continuum and is multidimensional, varying by time, place, vaccine, subgroup, and person. Guided by the Health Belief Model and vaccine hesitancy frameworks, the study purpose was to qualitatively explore maternal COVID-19 threat perceptions and willingness to accept a COVID-19 vaccine in light of their expressed vaccine hesitancy toward past school required and routinely recommended vaccines and the HPV vaccine for their children. Researchers conducted twenty-five interviews with US Midwestern mothers during the early COVID-19 pandemic months. Mothers were grouped by vaccine hesitancy categories and thematic analysis was used to analyze the data within and across categories. Results showed that prior vaccine hesitancy attitudes and behavior did not fully capture maternal acceptance of COVID-19 vaccine or perception of COVID-19 threat. Perceptions of COVID-19 threat did influence mothers’ decisions about COVID-19 protective behaviors (e.g., handwashing, mask wearing, and distancing). However, mothers were hesitant to accept the COVID-19 vaccine across vaccine hesitancy categories, primarily citing concerns about safety, efficacy, and confusion over conflicting information as barriers to immediate COVID-19 vaccine acceptance. Findings indicate that mothers cannot be grouped together based on hesitancy about, or acceptance of, other vaccines for purposes of assuming COVID-19 preventive behavior adherence or anticipated COVID-19 vaccine acceptance.
first_indexed 2024-03-11T21:51:41Z
format Article
id doaj.art-a5ad220eed2c4458a1ca6f667558338f
institution Directory Open Access Journal
issn 2164-5515
2164-554X
language English
last_indexed 2024-03-11T21:51:41Z
publishDate 2021-10-01
publisher Taylor & Francis Group
record_format Article
series Human Vaccines & Immunotherapeutics
spelling doaj.art-a5ad220eed2c4458a1ca6f667558338f2023-09-26T08:59:29ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-10-0117103355336410.1080/21645515.2021.19427131942713A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic monthsKimberly K. Walker0Katharine J. Head1Heather Owens2Gregory D. Zimet3University of South FloridaIndiana University-Purdue University IndianapolisUniversity of South FloridaIndiana University School of MedicineVaccine hesitancy is a top ten global health threat that can negatively impact COVID-19 vaccine uptake. It is assumed that vaccine refusers hold deep, negative beliefs, while acceptors hold strong, positive beliefs. However, vaccine hesitancy exists along a continuum and is multidimensional, varying by time, place, vaccine, subgroup, and person. Guided by the Health Belief Model and vaccine hesitancy frameworks, the study purpose was to qualitatively explore maternal COVID-19 threat perceptions and willingness to accept a COVID-19 vaccine in light of their expressed vaccine hesitancy toward past school required and routinely recommended vaccines and the HPV vaccine for their children. Researchers conducted twenty-five interviews with US Midwestern mothers during the early COVID-19 pandemic months. Mothers were grouped by vaccine hesitancy categories and thematic analysis was used to analyze the data within and across categories. Results showed that prior vaccine hesitancy attitudes and behavior did not fully capture maternal acceptance of COVID-19 vaccine or perception of COVID-19 threat. Perceptions of COVID-19 threat did influence mothers’ decisions about COVID-19 protective behaviors (e.g., handwashing, mask wearing, and distancing). However, mothers were hesitant to accept the COVID-19 vaccine across vaccine hesitancy categories, primarily citing concerns about safety, efficacy, and confusion over conflicting information as barriers to immediate COVID-19 vaccine acceptance. Findings indicate that mothers cannot be grouped together based on hesitancy about, or acceptance of, other vaccines for purposes of assuming COVID-19 preventive behavior adherence or anticipated COVID-19 vaccine acceptance.http://dx.doi.org/10.1080/21645515.2021.1942713covid-19 vaccinesars-cov-2vaccine hesitancymaternalqualitativethreat
spellingShingle Kimberly K. Walker
Katharine J. Head
Heather Owens
Gregory D. Zimet
A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months
Human Vaccines & Immunotherapeutics
covid-19 vaccine
sars-cov-2
vaccine hesitancy
maternal
qualitative
threat
title A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months
title_full A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months
title_fullStr A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months
title_full_unstemmed A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months
title_short A qualitative study exploring the relationship between mothers’ vaccine hesitancy and health beliefs with COVID-19 vaccination intention and prevention during the early pandemic months
title_sort qualitative study exploring the relationship between mothers vaccine hesitancy and health beliefs with covid 19 vaccination intention and prevention during the early pandemic months
topic covid-19 vaccine
sars-cov-2
vaccine hesitancy
maternal
qualitative
threat
url http://dx.doi.org/10.1080/21645515.2021.1942713
work_keys_str_mv AT kimberlykwalker aqualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT katharinejhead aqualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT heatherowens aqualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT gregorydzimet aqualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT kimberlykwalker qualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT katharinejhead qualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT heatherowens qualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths
AT gregorydzimet qualitativestudyexploringtherelationshipbetweenmothersvaccinehesitancyandhealthbeliefswithcovid19vaccinationintentionandpreventionduringtheearlypandemicmonths