Population attributable fraction of non-vaccination of child and adolescent vaccines attributed to parental vaccine hesitancy, 2018-2019
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Population attributable fraction of non-vaccination of child and adolescent vaccines attributed to parental vaccine hesitancy, 2018-2019

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  • English
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    Details:

    • Alternative Title:
      Am J Epidemiol
    • Personal Author:
    • Description:
      Background and Objectives

      Understanding the role of vaccine hesitancy in under-vaccination or non-vaccination of childhood vaccines is important for increasing vaccine confidence and uptake.

      Methods

      We used data from April to June interviews in the 2018 and 2019 National Immunization Survey (NIS)-Flu (n=78,725), a nationally representative cross-sectional household cellular telephone survey. We determined the adjusted population attributable fraction (PAF) for each recommended childhood vaccine to assess the contribution of vaccine hesitancy to the observed non-vaccination level. Hesitancy is defined as being somewhat or very hesitant toward childhood vaccines. Furthermore, we assessed the PAF of non-vaccination for influenza by sociodemographic characteristics, Health and Human Services (HHS) region, and state.

      Results

      The proportion of non-vaccination attributed to parental vaccine hesitancy was lowest for hepatitis B (HepB) birth dose vaccine (6.5%) and highest for ≥3 dose diphtheria and tetanus toxoids, and acellular pertussis (DTaP) vaccine (31.3%). The PAF of non-vaccination on influenza non-vaccination was highest for non-Hispanic White and Black populations (15.4%), households with high educational (17.7%) and income levels (16.5%), and urban areas (16.1%).. Among states, PAF ranged from 25.4% (New Hampshire) to 7.5% (Louisiana).

      Conclusions

      Implementing strategies to increase vaccination confidence and uptake are important, particularly during the COVID-19 pandemic.

    • Subjects:
    • Source:
      Am J Epidemiol. 191(9):1626-1635
    • Pubmed ID:
      35292806
    • Pubmed Central ID:
      PMC9444805
    • Document Type:
      Journal Article
    • Funding:
      CC999999/ImCDC/Intramural CDC HHSUnited States/
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