Parental Beliefs, Logistical Challenges, and Improvement Opportunities for Vaccination among Children Ages 19-35 Months Experiencing Homelessness

Gennaro, Erica; Caleb, Susan; Torres, Rachel; Alexander-Parrish, Ronika; Thoburn, Elizabeth; Fu, Linda Y.

doi:10.1016/j.jpeds.2021.04.029

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Although not that remarkably high, finances may be a factor which may require further investigation to provide a possible issue as it may indicate loss of daily income. Nevertheless, these finding is like that of Gennaro et al, (2021), where it was found that mothers' decisions may vary in considering finances as a factor in vaccination adherence.…”

Section: Care Providerssupporting

confidence: 57%

Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines

Maturan

Fabroa

2022

MJN

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Vaccination is a universal health development initiative which aims to save millions of lives every year. Vaccines reduce the risks of acquiring many diseases by developing antibodies and boots the immune system of the body. Aim: This paper aims to determine the mothers’ perceptions on pediatric vaccination guided by the components of the Health Belief Model. It is likewise aimed to determine the correlation of the mother’s perception to their vaccination adherence. Methods: This study utilized a cross-sectional design utilizing a self-report scale. Participants composed of mothers who have children aged one year old and below, from Ormoc City, Philippines. Results: It revealed that mothers’ have high perceived threat (m=3.76, SD=0.77), perceived benefits (m=3.82, SD=0.84), and perceived self-efficacy (m=3.78, SD=0.79), towards vaccination. Similarly, cues to action revealed a high mean score of 3.86 (SD=0.88). On the other hand, factors such as financial (m=2.83; SD=1.06), personal (m=2.12, SD=1.02), Spiritual (m=2.29, SD=1.01), Geographical (m=2.172; SD=1.54), and Health Care Professional's Approach (m=2.26; SD=0.99) were not considered as a barrier among the participants. Among the perceptions identified, we found a positive correlation between a mother's perceived threat (r=0.290, p=<0.001), perceived benefits (r=0.147, p=0.001), and perceived self-efficacy (r=0.217, p=0.001) to their vaccination adherence. On the other hand, among the perceived barriers, only personal beliefs (r=1.78, p=<0.001) and the approach of health care providers (r=-0.096, p=0.038) revealed a significant negative relationship to a mother's adherence to vaccination. Conclusion: Related factors such as perceived threat, benefit, and self-efficacy are facilitative, while personal beliefs and negative approaches health care personnel can be barriers to immunization. When a mother's perception outweighs their perceived barriers, they are more likely to submit to vaccination.

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Section: Care Providerssupporting

confidence: 57%

Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines

Maturan

Fabroa

2022

MJN

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“…The large majority of studies that investigated MMR vaccine hesitancy were in concert with the analysis of other childhood vaccines. Supplementary Materials Table S3 provides additional information on the characteristics of the included studies [ 11 , 12 , 22 , 23 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , …”

Section: Resultsmentioning

confidence: 99%

Why Parents Say No to Having Their Children Vaccinated against Measles: A Systematic Review of the Social Determinants of Parental Perceptions on MMR Vaccine Hesitancy

et al. 2023

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Ongoing outbreaks of measles threaten its elimination status in the United States. Its resurgence points to lower parental vaccine confidence and local pockets of unvaccinated and undervaccinated individuals. The geographic clustering of hesitancy to MMR indicates the presence of social drivers that shape parental perceptions and decisions on immunization. Through a qualitative systematic review of published literature (n = 115 articles; 7 databases), we determined major themes regarding parental reasons for MMR vaccine hesitancy, social context of MMR vaccine hesitancy, and trustworthy vaccine information sources. Fear of autism was the most cited reason for MMR hesitancy. The social drivers of vaccine hesitancy included primary care/healthcare, education, economy, and government/policy factors. Social factors, such as income and education, exerted a bidirectional influence, which facilitated or hindered vaccine compliance depending on how the social determinant was experienced. Fear of autism was the most cited reason for MMR hesitancy. Vaccine hesitancy to MMR and other childhood vaccines clustered in middle- to high-income areas among mothers with a college-level education or higher who preferred internet/social media narratives over physician-based vaccine information. They had low parental trust, low perceived disease susceptibility, and were skeptical of vaccine safety and benefits. Combating MMR vaccine misinformation and hesitancy requires intersectoral and multifaceted approaches at various socioecological levels to address the social drivers of vaccine behavior.

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Vaccine acceptance, determinants, and attitudes toward vaccine among people experiencing homelessness: a systematic review and meta-analysis

Nguyen,

Alagbo,

Hassan

et al. 2023

BMC Infect Dis

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Background COVID-19 has caused millions of deaths globally, with vulnerable populations such as people experiencing homelessness (PEH) at higher risk. This systematic review and meta-analysis aims to identify the prevalence and key factors contributing to vaccine acceptance experienced by PEH. Methods The protocol of this study was registered in PROSPERO (CRD42023391659). We included studies that reported relevant information about vaccine acceptance or vaccine hesitant/refusal among PEH. Eight databases were systematically searched in January 2023. Meta-analysis was conducted for the prevalence of vaccine acceptance, vaccine uptake, and factors associated with vaccine acceptance. Attitudes toward vaccines were combined into bar charts. Result A total of 29 papers were included in this systematic review and 19 papers were included for meta-analysis. The pooled prevalence of COVID-19 vaccine acceptance among PEH was 66% (95%CI: 58%-73%). Our meta-regression showed vaccine acceptance was significantly increased over time. Moreover, subgroup meta-analysis showed that PEH were more likely to accept the COVID-19 vaccine after June 2021 (78%, 95%CI: 65%-86%) compared with earlier period (56%, 95%CI: 54%-59%). Subgroup meta-analysis also revealed that women and participants without underlying medical condition (chronic diseases) were significantly less likely to accept the COVID-19 vaccine, compared to men and those with medical conditions, respectively. Conclusion The study emphasizes the need for targeted public health interventions aimed at increasing vaccine acceptance among PEH, especially at the early stage of the pandemic, among females, those without underlying medical conditions, being Black (in Canada and the USA), and young people. These interventions should address the common concerns of vaccine safety, adverse effects, effectiveness, and distrust in health care systems. In addition to offering vaccinations in different areas convenient to them, education programs could be established to increase vaccine acceptance among PEH.

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Parental Beliefs, Logistical Challenges, and Improvement Opportunities for Vaccination among Children Ages 19-35 Months Experiencing Homelessness

Cited by 3 publications

References 24 publications

Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines

Perceptions on Pediatric Vaccination and Adherence: A Study among Mothers in the Philippines

Why Parents Say No to Having Their Children Vaccinated against Measles: A Systematic Review of the Social Determinants of Parental Perceptions on MMR Vaccine Hesitancy

Vaccine acceptance, determinants, and attitudes toward vaccine among people experiencing homelessness: a systematic review and meta-analysis

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