Education level modifies parental hesitancy about COVID-19 vaccinations for their children

Tang, Siyu; Liu, Xin; Jia, Yingnan; Chen, Hao; Zheng, Pinpin; Fu, Hua; Xiao, Qianyi

doi:10.1016/j.vaccine.2022.11.060

Cited by 15 publications

(9 citation statements)

References 48 publications

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“…Furthermore, in this study, the parent’s educational attainment did not correlate with any of the study outcomes. Currently, there is no concordance in the literature on the role of parent’s educational attainment in their children’s vaccinations [ 26 – 27 ]. According to recent evidence, factors more specific than parent’s educational attainment, such as health literacy or vaccination literacy, may have a greater impact on children’s vaccination uptake [ 28 – 29 ].…”

Section: Discussionmentioning

confidence: 99%

Rates and determinants of Rotavirus vaccine uptake among children in Italy: a cross-sectional study within the 2022 OBVIOUS* project

La Fauci,

Soldà,

Di Valerio

et al. 2024

BMC Public Health

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Introduction The World Health Organization defines rotavirus as among the most severe causes of viral gastroenteritis affecting children under 5 year old. Italy and other European countries do not release disaggregated data on rotavirus vaccination coverage. This study aimed to assess the uptake and drivers of rotavirus vaccination in Italy. Methods We administered a survey to 10,000 Italian citizens recruited via an online panel and proportionate to key demographic strata. We examined rotavirus vaccine uptake among parents whose youngest child was aged 6 weeks to 4 years, their sociodemographic characteristics, their beliefs about vaccine administration, and who recommended the rotavirus vaccination. Results A total of 711 respondents met the inclusion criteria for the rotavirus vaccine questionnaire. The uptake was estimated at 60.3% nationwide (66.4% among mothers and 50.2% among fathers). Being a mother and living in cities/suburbs was significantly associated with a higher likelihood of vaccine uptake, while fathers were more likely to be uncertain of their children’s vaccine status. Living in Central Italy and having friends/relatives opposed to vaccination were found to be significantly associated with a lower likelihood of vaccine uptake, while parents’ education level and children’s demographics were not found to correlate with any outcomes. In 90.3% of cases, the rotavirus vaccination was recalled as being recommended by a paediatrician. Conclusions Consistent collection of behavioural preferences and socioeconomic characteristics of recipients of rotavirus vaccine campaigns, their epidemiological information, cost-benefit, and national policy data are crucial for designing effective vaccination strategies in Italy and other European countries with similar social profiles to reach the target uptake.

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Section: Discussionmentioning

confidence: 99%

Rates and determinants of Rotavirus vaccine uptake among children in Italy: a cross-sectional study within the 2022 OBVIOUS* project

La Fauci,

Soldà,

Di Valerio

et al. 2024

BMC Public Health

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“… 23 Accordingly, this study demonstrates that African, non-Spanish European or South American parents have reduced probabilities of knowing about bronchiolitis compared to Spanish ones. Hence, it emphasizes that not education per se is important, 24 , 25 but a special effort must be made with immigrant parents to address negative views on vaccination and immunization and improve their confidence in them. In line with this, during the campaign that followed the survey, all informative materials were translated to include different nationalities, and may have positively influenced the high percentage of adherence.…”

Section: Discussionmentioning

confidence: 99%

Parental knowledge on the respiratory syncytial virus before the nirsevimab immunization program: Attitudes toward immunization in an autonomous community of Spain

Zornoza Moreno,

Pérez Martín,

Moreno

et al. 2024

Human Vaccines & Immunotherapeutics

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“…Nevertheless, the correlation between vaccine hesitancy and education level is debatable. For instance, in some cases, vaccine hesitancy is higher among well-educated parents and caregivers due to their social status and better access to vaccine-related information [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

A Behavioural-Theory-Based Qualitative Study of the Beliefs and Perceptions of Marginalised Populations towards Community Volunteering to Increase Measles Immunisation Coverage in Sabah, Malaysia

et al. 2023

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The development of the measles-containing vaccine (MCV) has rendered measles a largely preventable disease. In the state of Sabah in Malaysia, a complete course of measles immunisation for infants involves vaccinations at the ages of six, nine, and twelve months. However, it is difficult for marginalised populations to receive a complete course of measles immunisation. This present study used behavioural theory (BT) to examine the beliefs and perceptions of a marginalised population towards community volunteering as a method of increasing the immunisation coverage of measles. Marginalised populations living in Kota Kinabalu, Sabah, more specifically, Malaysian citizens living in urban slums and squatter areas, as well as legal and illegal migrants, were extensively interviewed in person for this qualitative study. The 40 respondents were either the parents or primary caregivers of at least one child under the age of five. The components of the Health Belief Model were then used to examine the collected data. The respondents had poor awareness of the measles disease and perceived the disease as not severe, with some even refusing immunisation. The perceived barriers to receiving vaccinations included a nomadic lifestyle; issues with finances, citizenship status, language, and weather; failing to remember immunisation schedules; a fear of health care personnel; having too many children; and a lack of female autonomy in vaccine decision-making. However, the respondents were receptive towards community-based programmes and many welcomed a recall or reminder system, especially when the volunteers were family members or neighbours who spoke the same language and knew their village well. A few, however, found it awkward to have volunteers assisting them. Evidence-based decision making may increase measles immunisation coverage in marginalised populations. The components of the Health Belief Model validated that the respondents lacked awareness of the measles disease and viewed it and its effects as not severe. Therefore, future volunteer programmes should prioritise increasing the receptivity and self-control of marginalised populations to overcome barriers that hinder community involvement. A community-based volunteer programme is highly recommended to increase measles immunisation coverage.

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Education level modifies parental hesitancy about COVID-19 vaccinations for their children

Cited by 15 publications

References 48 publications

Rates and determinants of Rotavirus vaccine uptake among children in Italy: a cross-sectional study within the 2022 OBVIOUS* project

Rates and determinants of Rotavirus vaccine uptake among children in Italy: a cross-sectional study within the 2022 OBVIOUS* project

Parental knowledge on the respiratory syncytial virus before the nirsevimab immunization program: Attitudes toward immunization in an autonomous community of Spain

A Behavioural-Theory-Based Qualitative Study of the Beliefs and Perceptions of Marginalised Populations towards Community Volunteering to Increase Measles Immunisation Coverage in Sabah, Malaysia

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