Uncertainty and Negative Emotions in Parental Decision-making on Childhood Vaccinations: Extending the Theory of Planned Behavior to the Context of Conflicting Health Information

Li, Jo-Yun; Wen, Taylor Jing; McKeever, Robert; Kim, Joon Kyoung

doi:10.1080/10810730.2021.1913677

Cited by 19 publications

(16 citation statements)

References 40 publications

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“…Social demographics, attitudes, beliefs, and social norms can influence a person's willingness to obtain a vaccine (Bennett et al 2011;Zimmerman et al 2003;Price et al 2021). The Theory of Planned Behavior suggests that attitudes and beliefs influence intention (e.g., the intention to take the vaccine), which in turn is a strong predictor of specific health behaviors (actually taking the vaccine) (Ajzen 2002;Hagger et al 2016;Li et al 2021). Health related attitudes and beliefs vary across sociodemographic segments of the population.…”

Section: Introductionmentioning

confidence: 99%

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

et al. 2021

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Although vaccination has been identified as an effective measure of reducing the spread of COVID-19, hesitancy to obtain a vaccine for COVID-19 has been shared. The aim of this cross-national study was to examine (i) the willingness in the general population to take the COVID-19 vaccine nine months after the pandemic outbreak and (ii) the willingness to take the vaccine in relation to sociodemographic variables, whether one has experienced COVID-19 infection, concerns about health and family, and trust in the authorities’ information about the pandemic. A cross-sectional survey design was used to collect data online in Norway, the UK, the USA, and Australia. Chi-Square tests or Fisher’s Exact test were used to analyze the data. Logistic regression analysis was used to assess direct associations between the independent variables and the outcome. Within the total sample (n = 3474), living in a city, having a college education, being concerned about your own health and the health of next of kin, and trusting information provided by authorities increased the likelihood of reporting willingness to take the COVID-19 vaccine. Across all countries, participants who reported trust in the authorities’ information about COVID-19 demonstrated a significantly higher plausibility of taking the COVID-19 vaccine.

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Section: Introductionmentioning

confidence: 99%

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

et al. 2021

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“… 61 62 Programmes and interventions that help to interpret conflicting information and cope with uncertainty are necessary. 63 Based on WHO recommendation, individuals who are undecided about receiving vaccination are potential target groups for future interventions that encourage vaccination. 64 These interventions for improving the vaccine uptake are not likely to affect the attitude of those who are entirely against vaccination, and better to not target these groups primarily.…”

Section: Discussionmentioning

confidence: 99%

“…The uncertainty is usually caused by conflicting information and contributes to negative emotions, which can impact individuals’ attitudes toward health-related behaviour such as vaccination 61 62. Programmes and interventions that help to interpret conflicting information and cope with uncertainty are necessary 63. Based on WHO recommendation, individuals who are undecided about receiving vaccination are potential target groups for future interventions that encourage vaccination 64.…”

Section: Discussionmentioning

confidence: 99%

Psychological and situational factors associated with COVID-19 vaccine intention among postpartum women in Pakistan: a cross-sectional study

et al. 2022

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ObjectivesContributing factors to COVID-19 vaccination intention in low-income and middle-income countries have received little attention. This study examined COVID-19-related anxiety and obsessive thoughts and situational factors associated with Pakistani postpartum women’s intention to get COVID-19 vaccination.DesignCross-sectional study administering a survey by a telephone interview format between 15 July and 10 September 2020.SettingFour centres of Aga Khan Hospital for Women and Children—Garden, Kharadar, Karimabad and Hyderabad—in Sindh Province, Pakistan.ParticipantsWomen who were enrolled in our longitudinal Pakistani cohort study were approached (n=1395), and 990 women (71%) participated in the survey, of which 941 women who were in their postpartum period were included in the final analysis.Primary outcome measure and factorsCOVID-19 vaccine intention, sociodemographic and COVID-19-related factors, Coronavirus anxiety, obsession with COVID-19 and work and social adjustment were assessed. Multiple multinomial logistic regression analysis was used to identify factors associated with women’s intentions.ResultsMost women would accept a COVID-19 vaccine for themselves (66.7%). Only 24.4% of women were undecided about vaccination against COVID-19, and a small number of women rejected the COVID-19 vaccine (8.8%). Women with primary education were less likely to take a COVID-19 vaccine willingly than those with higher education. COVID-19 vaccine uncertainty and refusal were predicted by having no experience of COVID-19 infection, childbirth during the pandemic, having no symptoms of Coronavirus anxiety and obsession with COVID-19. Predictors for women’s intention to vaccinate themselves and their children against COVID-19 were similar.ConclusionUnderstanding the factors shaping women’s intention to vaccinate themselves or their children would enable evidence-based strategies by healthcare providers to enhance the uptake of the COVID-19 vaccine and achieve herd immunity against Coronavirus.

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“…This strategy may also support vaccine-hesitant parents to make an informed choice, rather than the “non-choice” a participant described. Suggested initiatives to help parents who are vaccine hesitant or reluctant include clearer communication strategies, establishment of a therapeutic alliance, health literacy, and empowerment [ 28 , 29 ]. Our finding that parents who lingered in indecision had no one to talk with about their doubts and felt they did not belong anywhere is likely related to the identified mutual intolerance between supporters and opponents.…”

Section: Discussionmentioning

confidence: 99%

Parents’ and Health Professionals’ Attitudes to Advancing Primary MMR Vaccine Administration from Fifteen to Six Months of Age—A Qualitative Thematic Analysis Embedded in a Randomized Trial

et al. 2022

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Declining levels and duration of passively acquired maternal antibodies prompted a Danish trial to test the feasibility of advancing administration of the first measles, mumps, and rubella vaccine (MMR1) from 15 to 6 months of age. A trial-embedded qualitative study aimed to understand parents’ (N = 24) and health professionals’ (N = 11) attitudes about the measles, mumps, and rubella vaccine (MMR) in general and about advancing MMR1 administration. Overly positive parent attitudes were contrasted by members of a vaccine-skeptical organization including parents considering that their child was seriously vaccine-injured long ago. Parents’ attitudes to advancing MMR1 mirrored their attitudes about the MMR vaccine in general, with four positions along a continuum of trust in the healthcare system: unquestioning trust, acceptance after careful consideration, challenging indecisiveness, and defensive rejection. Low tolerance was identified between vaccine supporters and vaccine opponents. Parents of children with perceived serious vaccine-related injuries described lifelong unresolved feelings of guilt. Supporters of advanced MMR1 saw it as a timely and convenient administration of a well-known vaccine, whereas opponents feared it would disturb the children’s immature immune systems and emphasized difficulties in recognizing side effects so early in life. Health professionals were supportive of advancing the MMR1 vaccine and they carefully challenged the parents. Current MMR vaccine supporters show readiness to advance MMR1 administration.

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Uncertainty and Negative Emotions in Parental Decision-making on Childhood Vaccinations: Extending the Theory of Planned Behavior to the Context of Conflicting Health Information

Cited by 19 publications

References 40 publications

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

Willingness to Take the COVID-19 Vaccine as Reported Nine Months after the Pandemic Outbreak: A Cross-National Study

Psychological and situational factors associated with COVID-19 vaccine intention among postpartum women in Pakistan: a cross-sectional study

Parents’ and Health Professionals’ Attitudes to Advancing Primary MMR Vaccine Administration from Fifteen to Six Months of Age—A Qualitative Thematic Analysis Embedded in a Randomized Trial

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