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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  • 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/
  • Collection(s):
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