Tammy A Santibanez1, Kimberly H Nguyen2, Stacie M Greby3, Allison Fisher2, Paul Scanlon4, Achal Bhatt2, Anup Srivastav2,5, James A Singleton2. 1. National Center for Immunization and Respiratory Diseases and afz5@cdc.gov. 2. National Center for Immunization and Respiratory Diseases and. 3. Centers for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia. 4. National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland; and. 5. Leidos Inc, Atlanta, Georgia.
Abstract
OBJECTIVES: To quantify the prevalence of parental vaccine hesitancy (VH) in the United States and examine the association of VH with sociodemographics and childhood influenza vaccination coverage. METHODS: A 6-question VH module was included in the 2018 and 2019 National Immunization Survey-Flu, a telephone survey of households with children age 6 months to 17 years. RESULTS: The percentage of children having a parent reporting they were "hesitant about childhood shots" was 25.8% in 2018 and 19.5% in 2019. The prevalence of concern about the number of vaccines a child gets at one time impacting the decision to get their child vaccinated was 22.8% in 2018 and 19.1% in 2019; the prevalence of concern about serious, long-term side effects impacting the parent's decision to get their child vaccinated was 27.3% in 2018 and 21.7% in 2019. Only small differences in VH by sociodemographic variables were found, except for an 11.9 percentage point higher prevalence of "hesitant about childhood shots" and 9.9 percentage point higher prevalence of concerns about serious, long-term side effects among parents of Black compared with white children. In both seasons studied, children of parents reporting they were "hesitant about childhood shots" had 26 percentage points lower influenza vaccination coverage compared with children of parents not reporting hesitancy. CONCLUSIONS: One in 5 children in the United States have a parent who is vaccine hesitant, and hesitancy is negatively associated with childhood influenza vaccination. Monitoring VH could help inform immunization programs as they develop and target methods to increase vaccine confidence and vaccination coverage.
OBJECTIVES: To quantify the prevalence of parental vaccine hesitancy (VH) in the United States and examine the association of VH with sociodemographics and childhood influenza vaccination coverage. METHODS: A 6-question VH module was included in the 2018 and 2019 National Immunization Survey-Flu, a telephone survey of households with children age 6 months to 17 years. RESULTS: The percentage of children having a parent reporting they were "hesitant about childhood shots" was 25.8% in 2018 and 19.5% in 2019. The prevalence of concern about the number of vaccines a child gets at one time impacting the decision to get their child vaccinated was 22.8% in 2018 and 19.1% in 2019; the prevalence of concern about serious, long-term side effects impacting the parent's decision to get their child vaccinated was 27.3% in 2018 and 21.7% in 2019. Only small differences in VH by sociodemographic variables were found, except for an 11.9 percentage point higher prevalence of "hesitant about childhood shots" and 9.9 percentage point higher prevalence of concerns about serious, long-term side effects among parents of Black compared with white children. In both seasons studied, children of parents reporting they were "hesitant about childhood shots" had 26 percentage points lower influenza vaccination coverage compared with children of parents not reporting hesitancy. CONCLUSIONS: One in 5 children in the United States have a parent who is vaccine hesitant, and hesitancy is negatively associated with childhood influenza vaccination. Monitoring VH could help inform immunization programs as they develop and target methods to increase vaccine confidence and vaccination coverage.
Authors: Adamos Hadjipanayis; Diego van Esso; Stefano Del Torso; Hans Jürgen Dornbusch; Kyriaki Michailidou; Nadia Minicuci; Ruzha Pancheva; Aida Mujkic; Karin Geitmann; Garyfallia Syridou; Peter Altorjai; Angela Pasinato; Arunas Valiulis; Paul Soler; Olga Cirstea; Károly Illy; Liesbeth Mollema; Artur Mazur; Ana Neves; Jernej Zavrsnik; Fedir Lapii; Elisavet Efstathiou; Mascha Kamphuis; Zachi Grossman Journal: Vaccine Date: 2019-12-14 Impact factor: 3.641
Authors: Peng-Jun Lu; Alissa O'Halloran; Leah Bryan; Erin D Kennedy; Helen Ding; Samuel B Graitcer; Tammy A Santibanez; Ankita Meghani; James A Singleton Journal: Am J Infect Control Date: 2014-05-03 Impact factor: 2.918
Authors: Robert McDonald; Patricia Schnabel Ruppert; Maria Souto; Dylan E Johns; Kevin McKay; Noelle Bessette; Lissette X McNulty; Jennifer E Crawford; Patrick Bryant; Maria Cecilia Mosquera; Sonya Frontin; Tatiana Deluna-Evans; Daniel E Regenye; Elizabeth F Zaremski; Vanessa J Landis; Bonnie Sullivan; Brian E Rumpf; Judi Doherty; Kathryn Sen; Eric Adler; Lisa DiFedele; Stephanie Ostrowski; Christine Compton; Elizabeth Rausch-Phung; Irina Gelman; Barbara Montana; Debra Blog; Bradley J Hutton; Howard A Zucker Journal: MMWR Morb Mortal Wkly Rep Date: 2019-05-17 Impact factor: 17.586
Authors: Holly A Hill; James A Singleton; David Yankey; Laurie D Elam-Evans; S Cassandra Pingali; Yoonjae Kang Journal: MMWR Morb Mortal Wkly Rep Date: 2019-10-18 Impact factor: 17.586
Authors: Kimberly H Nguyen; Anup Srivastav; Megan C Lindley; Allison Fisher; David Kim; Stacie M Greby; James Lee; James A Singleton Journal: Am J Prev Med Date: 2021-12-08 Impact factor: 5.043
Authors: Carlos Lerner; Christina Albertin; Alejandra Casillas; O Kenrik Duru; Michael K Ong; Sitaram Vangala; Sharon Humiston; Sharon Evans; Michael Sloyan; Craig R Fox; Jonathan E Bogard; Sarah Friedman; Peter G Szilagyi Journal: Pediatrics Date: 2021-08 Impact factor: 7.124