Melissa B Gilkey1, Brooke E Magnus2, Paul L Reiter3, Annie-Laurie McRee4, Amanda F Dempsey5, Noel T Brewer6. 1. Lineberger Comprehensive Cancer Center, University of North Carolina, CB 7440, Chapel Hill, NC 27599, USA. Electronic address: gilkey@email.unc.edu. 2. Department of Psychology, University of North Carolina, CB 3270, Chapel Hill, NC 27599, USA. Electronic address: brooke.magnus@unc.edu. 3. Division of Cancer Prevention and Control, The Ohio State University, 1590 North High Street, Ste. 525, Columbus, OH 43201, USA. Electronic address: paul.reiter@osumc.edu. 4. Department of Health Behavior and Health Promotion, The Ohio State University, 354 Cunz Hall, 1841 Neil Ave, Columbus, OH 43210, USA. Electronic address: mcree.1@osu.edu. 5. Childen's Outcomes Research Program, University of Colorado Denver, 13199 E Montview Blvd, Mail Stop F443, Aurora, CO 80045, USA. Electronic address: amanda.dempsey@ucdenver.edu. 6. Department of Health Behavior, University of North Carolina, CB 7440, Chapel Hill, NC 27599, USA. Electronic address: ntb@unc.edu.
Abstract
PURPOSE: The success of national immunization programs depends on the public's confidence in vaccines. We sought to develop a scale for measuring confidence about adolescent vaccination in diverse populations of parents. METHODS: Data came from 9623 parents who completed the 2010 National Immunization Survey-Teen, an annual, population-based telephone survey. Parents reported on a 13- to 17-year-old child in their households. We used exploratory and confirmatory factor analysis to identify latent constructs underlying parents' responses to 8 vaccination belief survey items (response scale 0-10) conceptualized using the Health Belief Model. We assessed the scale's psychometric properties overall and across demographic subgroups. RESULTS: Parents' confidence about adolescent vaccination was generally high. Analyses provided support for three factors assessing benefits of vaccination (mean=8.5), harms of vaccination (mean=3.3), and trust in healthcare providers (mean=9.0). The model showed good fit both overall (comparative fit index=0.97) and across demographic subgroups, although internal consistency was variable for the three factors. We found lower confidence among several potentially vulnerable subpopulations, including mothers with lower levels of education and parents whose children were of Hispanic ethnicity (both p<0.05). CONCLUSIONS: Our brief, three-factor scale offers an efficient way to measure confidence in adolescent vaccination across demographic subgroups. Given evidence of lower confidence by educational attainment and race/ethnicity, program planners should consider factors such as health literacy and cultural competence when designing interventions to promote adolescent vaccination to ensure these programs are fully accessible.
PURPOSE: The success of national immunization programs depends on the public's confidence in vaccines. We sought to develop a scale for measuring confidence about adolescent vaccination in diverse populations of parents. METHODS: Data came from 9623 parents who completed the 2010 National Immunization Survey-Teen, an annual, population-based telephone survey. Parents reported on a 13- to 17-year-old child in their households. We used exploratory and confirmatory factor analysis to identify latent constructs underlying parents' responses to 8 vaccination belief survey items (response scale 0-10) conceptualized using the Health Belief Model. We assessed the scale's psychometric properties overall and across demographic subgroups. RESULTS: Parents' confidence about adolescent vaccination was generally high. Analyses provided support for three factors assessing benefits of vaccination (mean=8.5), harms of vaccination (mean=3.3), and trust in healthcare providers (mean=9.0). The model showed good fit both overall (comparative fit index=0.97) and across demographic subgroups, although internal consistency was variable for the three factors. We found lower confidence among several potentially vulnerable subpopulations, including mothers with lower levels of education and parents whose children were of Hispanic ethnicity (both p<0.05). CONCLUSIONS: Our brief, three-factor scale offers an efficient way to measure confidence in adolescent vaccination across demographic subgroups. Given evidence of lower confidence by educational attainment and race/ethnicity, program planners should consider factors such as health literacy and cultural competence when designing interventions to promote adolescent vaccination to ensure these programs are fully accessible.
Authors: Philip J Smith; Sharon G Humiston; Edgar K Marcuse; Zhen Zhao; Christina G Dorell; Cynthia Howes; Beth Hibbs Journal: Public Health Rep Date: 2011 Jul-Aug Impact factor: 2.792
Authors: Stephanie L Small; Carolyn M Sampselle; Kristy K Martyn; Amanda F Dempsey Journal: J Am Assoc Nurse Pract Date: 2013-08-22 Impact factor: 1.165
Authors: Paul M Darden; David M Thompson; James R Roberts; Jessica J Hale; Charlene Pope; Monique Naifeh; Robert M Jacobson Journal: Pediatrics Date: 2013-03-18 Impact factor: 7.124
Authors: Noel T Brewer; Sami L Gottlieb; Paul L Reiter; Annie-Laurie McRee; Nicole Liddon; Lauri Markowitz; Jennifer S Smith Journal: Sex Transm Dis Date: 2011-03 Impact factor: 2.830
Authors: Annie-Laurie McRee; Noel T Brewer; Paul L Reiter; Sami L Gottlieb; Jennifer S Smith Journal: Sex Transm Dis Date: 2010-04 Impact factor: 2.830
Authors: Paula M Frew; Raphiel Murden; C Christina Mehta; Allison T Chamberlain; Alan R Hinman; Glen Nowak; Judith Mendel; Ann Aikin; Laura A Randall; Allison L Hargreaves; Saad B Omer; Walter A Orenstein; Robert A Bednarczyk Journal: Vaccine Date: 2018-11-30 Impact factor: 3.641
Authors: Parth D Shah; William A Calo; Melissa B Gilkey; Marcella H Boynton; Susan Alton Dailey; Karen G Todd; Meagan O Robichaud; Marjorie A Margolis; Noel T Brewer Journal: Pediatrics Date: 2019-01-22 Impact factor: 7.124
Authors: Tiffany D Pomares; Alison M Buttenheim; Avnika B Amin; Caroline M Joyce; Rachael M Porter; Robert A Bednarczyk; Saad B Omer Journal: Hum Vaccin Immunother Date: 2019-12-20 Impact factor: 3.452
Authors: Aaron S Wallace; Kathleen Wannemuehler; George Bonsu; Melissa Wardle; Mawuli Nyaku; Kwame Amponsah-Achiano; John F Dadzie; Frederick O Sarpong; Walter A Orenstein; Eli S Rosenberg; Saad B Omer Journal: Vaccine Date: 2019-01-11 Impact factor: 3.641
Authors: Melissa B Gilkey; Mo Zhou; Annie-Laurie McRee; Melanie L Kornides; John F P Bridges Journal: Cancer Epidemiol Biomarkers Prev Date: 2018-06-14 Impact factor: 4.254