Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study
To receive adequate protection against influenza, some children 6 months through 8 y old need two doses of influenza vaccine in a given season. Currently, only half of those receiving the first dose receive a second. Our objective was to assess vaccine hesitancy and influenza disease and vaccine kno...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-05-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2019.1707006 |
| _version_ | 1797677303878123520 |
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| author | Ekaterina Nekrasova Melissa S. Stockwell Russell Localio Justine Shults Chelsea Wynn Laura P. Shone Lindsay Berrigan Chelsea Kolff Miranda Griffith Andrew Johnson Alessandra Torres Douglas J. Opel Alexander G. Fiks |
| author_facet | Ekaterina Nekrasova Melissa S. Stockwell Russell Localio Justine Shults Chelsea Wynn Laura P. Shone Lindsay Berrigan Chelsea Kolff Miranda Griffith Andrew Johnson Alessandra Torres Douglas J. Opel Alexander G. Fiks |
| author_sort | Ekaterina Nekrasova |
| collection | DOAJ |
| description | To receive adequate protection against influenza, some children 6 months through 8 y old need two doses of influenza vaccine in a given season. Currently, only half of those receiving the first dose receive a second. Our objective was to assess vaccine hesitancy and influenza disease and vaccine knowledge, attitudes, and beliefs among caregivers of children who received the first of their two needed doses. As part of a national-randomized control trial of second dose text-message influenza vaccine reminders (2017–2018 season), a telephone survey collected caregiver and index child demographic information. Each child had received the first of two needed influenza vaccine doses. Caregivers completed a measure of general vaccine hesitancy – the five-question Parent Attitudes About Childhood Vaccines Survey Tool (PACV-5) – and questions about influenza infection and vaccine. We assessed associations between participant demographic characteristics, vaccine hesitancy, and influenza beliefs and calculated the standardized proportion of caregivers endorsing each outcome using logistic regression. Analyses included responses from 256 participants from 36 primary care practices in 24 states. Some caregivers (11.7%) reported moderate/high vaccine hesitancy and many had misperceptions about influenza disease and vaccine. In multivariable models, no single variable was consistently associated with inaccurate knowledge, attitudes, and beliefs. These results demonstrate that caregivers whose children received the first dose of influenza vaccine may still be vaccine hesitant and have inaccurate influenza beliefs. Pediatricians should consider broadly addressing inaccurate beliefs and promoting vaccination even after caregivers agree to the first dose. |
| first_indexed | 2024-03-11T22:43:14Z |
| format | Article |
| id | doaj.art-cc3d109521b94efb958ea209591f1a6a |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T22:43:14Z |
| publishDate | 2020-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-cc3d109521b94efb958ea209591f1a6a2023-09-22T08:45:35ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-05-011651070107710.1080/21645515.2019.17070061707006Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) studyEkaterina Nekrasova0Melissa S. Stockwell1Russell Localio2Justine Shults3Chelsea Wynn4Laura P. Shone5Lindsay Berrigan6Chelsea Kolff7Miranda Griffith8Andrew Johnson9Alessandra Torres10Douglas J. Opel11Alexander G. Fiks12The Children’s Hospital of PhiladelphiaColumbia UniversityUniversity of Pennsylvania, Perelman School of MedicineUniversity of Pennsylvania, Perelman School of MedicineColumbia UniversityDepartment of ResearchThe Children’s Hospital of PhiladelphiaColumbia UniversityDepartment of ResearchThe Children’s Hospital of PhiladelphiaDepartment of ResearchSeattle Children’s Research InstituteThe Children’s Hospital of PhiladelphiaTo receive adequate protection against influenza, some children 6 months through 8 y old need two doses of influenza vaccine in a given season. Currently, only half of those receiving the first dose receive a second. Our objective was to assess vaccine hesitancy and influenza disease and vaccine knowledge, attitudes, and beliefs among caregivers of children who received the first of their two needed doses. As part of a national-randomized control trial of second dose text-message influenza vaccine reminders (2017–2018 season), a telephone survey collected caregiver and index child demographic information. Each child had received the first of two needed influenza vaccine doses. Caregivers completed a measure of general vaccine hesitancy – the five-question Parent Attitudes About Childhood Vaccines Survey Tool (PACV-5) – and questions about influenza infection and vaccine. We assessed associations between participant demographic characteristics, vaccine hesitancy, and influenza beliefs and calculated the standardized proportion of caregivers endorsing each outcome using logistic regression. Analyses included responses from 256 participants from 36 primary care practices in 24 states. Some caregivers (11.7%) reported moderate/high vaccine hesitancy and many had misperceptions about influenza disease and vaccine. In multivariable models, no single variable was consistently associated with inaccurate knowledge, attitudes, and beliefs. These results demonstrate that caregivers whose children received the first dose of influenza vaccine may still be vaccine hesitant and have inaccurate influenza beliefs. Pediatricians should consider broadly addressing inaccurate beliefs and promoting vaccination even after caregivers agree to the first dose.http://dx.doi.org/10.1080/21645515.2019.1707006influenzainfluenza vaccinevaccine hesitancyprimary carechildhood vaccinationparent attitudes |
| spellingShingle | Ekaterina Nekrasova Melissa S. Stockwell Russell Localio Justine Shults Chelsea Wynn Laura P. Shone Lindsay Berrigan Chelsea Kolff Miranda Griffith Andrew Johnson Alessandra Torres Douglas J. Opel Alexander G. Fiks Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study Human Vaccines & Immunotherapeutics influenza influenza vaccine vaccine hesitancy primary care childhood vaccination parent attitudes |
| title | Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study |
| title_full | Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study |
| title_fullStr | Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study |
| title_full_unstemmed | Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study |
| title_short | Vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season: An American Academy of Pediatrics (AAP) Pediatric Research in Office Settings (PROS) study |
| title_sort | vaccine hesitancy and influenza beliefs among parents of children requiring a second dose of influenza vaccine in a season an american academy of pediatrics aap pediatric research in office settings pros study |
| topic | influenza influenza vaccine vaccine hesitancy primary care childhood vaccination parent attitudes |
| url | http://dx.doi.org/10.1080/21645515.2019.1707006 |
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