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

Details

• Alternative Title:
  Am J Epidemiol
• Personal Author:
  Nguyen, Kimberly H. ; Srivastav, Anup ; Vaish, Akhil ; Singleton, James A.
• 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:
  Article Childhood Vaccines Population Attributable Fraction Vaccine Confidence Vaccine Hesitancy
• 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/
• Volume:
  191
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3be328012f4cee48a56e3026fcdb41ecca896910ca1e4f2db86ac356c9935316
• Download URL:
  https://stacks.cdc.gov/view/cdc/120921/cdc_120921_DS1.pdf
• File Type:
  [PDF - 177.85 KB ]