Abram L Wagner1, Matthew L Boulton2, Xiaodong Sun3, Zhuoying Huang4, Irene A Harmsen5, Jia Ren6, Brian J Zikmund-Fisher7. 1. Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. Electronic address: awag@umich.edu. 2. Department of Epidemiology, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA; Department of Internal Medicine, Division of Infectious Diseases, University of Michigan Medical School, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: mboulton@umich.edu. 3. Department of Immunization Program, Shanghai Municipal Centers for Disease Control & Prevention, NO. 1380, West Zhongshan Road, 200336 Shanghai, China. Electronic address: sunxiaodong@scdc.sh.cn. 4. Department of Immunization Program, Shanghai Municipal Centers for Disease Control & Prevention, NO. 1380, West Zhongshan Road, 200336 Shanghai, China. Electronic address: huangzhuoying@scdc.sh.cn. 5. Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam, Amsterdam, The Netherlands. Electronic address: iharmsen@ggd.amsterdam.nl. 6. Department of Immunization Program, Shanghai Municipal Centers for Disease Control & Prevention, NO. 1380, West Zhongshan Road, 200336 Shanghai, China. Electronic address: renjia@scdc.sh.cn. 7. Department of Health Behavior & Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109, USA. Electronic address: bzikmund@umich.edu.
Abstract
BACKGROUND: Several new vaccines have been introduced into China in recent years, but some parents in China have shown concerns about the scheduling of vaccinations for young infants. This study explores caregiver concerns about children receiving multiple vaccines during a single visit and about vaccine administration in infants <6months, and assesses the degree to which these concerns are associated with ratings of the importance of different sources of vaccine information in Shanghai. METHODS: Caregivers of children 8months to 7years presenting at immunization clinics in Shanghai completed a survey about vaccine co-administration and vaccine administration <6months of age. Respondents provided ratings of information from different sources (Internet, family/friends, other parents) and trust in doctors. We analyzed vaccine concerns using linear regression analyses that included these information sources after adjusting for socioeconomic variables. RESULTS: Among 618 caregivers, 64% were concerned about vaccine co-administration and 31% were concerned about vaccine administration to infants <6months of age. Higher ratings of Internet as an important source of information were associated with greater concern about co-administration (β=0.11, 95% CI: 0.00, 0.22) and concern about administration at <6months of age (β=0.17, 95% CI: 0.05, 0.28). Higher ratings given to information from other parents corresponded to 0.24 points greater concern about vaccine co-administration (95% CI: 0.04, 0.44). More trust in doctors and ratings of information from friends and family were not associated with vaccine concerns. CONCLUSIONS: Caregiver concerns about vaccine scheduling may limit China's flexibility to add vaccines to its official immunization schedule. Reporting information about vaccine safety on the Internet and bringing groups of parents together to discuss vaccines might help to ameliorate concerns about vaccine scheduling.
BACKGROUND: Several new vaccines have been introduced into China in recent years, but some parents in China have shown concerns about the scheduling of vaccinations for young infants. This study explores caregiver concerns about children receiving multiple vaccines during a single visit and about vaccine administration in infants <6months, and assesses the degree to which these concerns are associated with ratings of the importance of different sources of vaccine information in Shanghai. METHODS: Caregivers of children 8months to 7years presenting at immunization clinics in Shanghai completed a survey about vaccine co-administration and vaccine administration <6months of age. Respondents provided ratings of information from different sources (Internet, family/friends, other parents) and trust in doctors. We analyzed vaccine concerns using linear regression analyses that included these information sources after adjusting for socioeconomic variables. RESULTS: Among 618 caregivers, 64% were concerned about vaccine co-administration and 31% were concerned about vaccine administration to infants <6months of age. Higher ratings of Internet as an important source of information were associated with greater concern about co-administration (β=0.11, 95% CI: 0.00, 0.22) and concern about administration at <6months of age (β=0.17, 95% CI: 0.05, 0.28). Higher ratings given to information from other parents corresponded to 0.24 points greater concern about vaccine co-administration (95% CI: 0.04, 0.44). More trust in doctors and ratings of information from friends and family were not associated with vaccine concerns. CONCLUSIONS: Caregiver concerns about vaccine scheduling may limit China's flexibility to add vaccines to its official immunization schedule. Reporting information about vaccine safety on the Internet and bringing groups of parents together to discuss vaccines might help to ameliorate concerns about vaccine scheduling.
Authors: Cara Bess Janusz; Abram L Wagner; Nina B Masters; Yaxing Ding; Ying Zhang; David W Hutton; Matthew L Boulton Journal: Vaccine Date: 2020-05-22 Impact factor: 3.641
Authors: Zhuoying Huang; Abram L Wagner; Muzi Lin; Xiaodong Sun; Brian J Zikmund-Fisher; Matthew L Boulton; Jia Ren; Lisa A Prosser Journal: Hum Vaccin Immunother Date: 2020-01-24 Impact factor: 3.452
Authors: Matthew L Boulton; Xiexiu Wang; Abram L Wagner; Ying Zhang; Bradley F Carlson; Brenda W Gillespie; Yaxing Ding Journal: J Infect Dis Date: 2017-11-27 Impact factor: 5.226
Authors: Abram L Wagner; Zhuoying Huang; Jia Ren; Megan Laffoon; Mengdi Ji; Leah C Pinckney; Xiaodong Sun; Lisa A Prosser; Matthew L Boulton; Brian J Zikmund-Fisher Journal: Am J Prev Med Date: 2020-11-12 Impact factor: 5.043
Authors: Jia Ren; Abram L Wagner; Anna Zheng; Xiaodong Sun; Matthew L Boulton; Zhuoying Huang; Brian J Zikmund-Fisher Journal: PLoS One Date: 2018-12-13 Impact factor: 3.240
Authors: Xiaodong Sun; Zhuoying Huang; Abram L Wagner; Lisa A Prosser; Erzhan Xu; Jia Ren; Bei Wang; Wenlu Yan; Brian J Zikmund-Fisher Journal: BMC Public Health Date: 2018-06-28 Impact factor: 3.295
Authors: Jessica M Finlay; Lindsay C Kobayashi; Abram L Wagner; Julia M Porth; Zhenke Wu; Matthew L Boulton Journal: J Community Health Date: 2022-01-25