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Community perceptions of vaccine advocacy for children under five in rural Guatemala

Historically, partnerships with community leaders (e.g., religious leaders, teachers) have been critical to building vaccination confidence, but leaders may be increasingly vaccine hesitant. In rural Guatemala, the extent of vaccine hesitancy among community leaders is unclear, as are their percepti...

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Autores principales: Williams, Joshua T. B., Robinson, Kelsey, Abbott, Elizabeth, Rojop, Neudy, Shiffman, Michelle, Rice, John D., O’Leary, Sean T., Asturias, Edwin J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202271/
https://www.ncbi.nlm.nih.gov/pubmed/37216324
http://dx.doi.org/10.1371/journal.pgph.0000728
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author Williams, Joshua T. B.
Robinson, Kelsey
Abbott, Elizabeth
Rojop, Neudy
Shiffman, Michelle
Rice, John D.
O’Leary, Sean T.
Asturias, Edwin J.
author_facet Williams, Joshua T. B.
Robinson, Kelsey
Abbott, Elizabeth
Rojop, Neudy
Shiffman, Michelle
Rice, John D.
O’Leary, Sean T.
Asturias, Edwin J.
author_sort Williams, Joshua T. B.
collection PubMed
description Historically, partnerships with community leaders (e.g., religious leaders, teachers) have been critical to building vaccination confidence, but leaders may be increasingly vaccine hesitant. In rural Guatemala, the extent of vaccine hesitancy among community leaders is unclear, as are their perceptions of advocacy for childhood vaccines. We sought to: (i) compare Guatemalan religious leaders’ and community leaders’ attitudes toward childhood vaccines, (ii) describe leaders’ experiences and comfort with vaccination advocacy, and (iii) describe community members’ trust in them as vaccination advocates. In 2019, we surveyed religious leaders, other community leaders, and parents of children under five in rural Guatemala. We recorded participant demographic information and assessed participant vaccine hesitancy regarding childhood vaccines. We analyzed data descriptively and via adjusted regression modeling. Our sample included 50 religious leaders, 50 community leaders, and 150 community members (response rate: 99%); 14% of religious leaders and community leaders were vaccine hesitant, similar to community members (P = 0.71). In the prior year, 47% of leaders had spoken about vaccines in their formal role; 85% felt responsible to do so. Only 28% of parents trusted politicians “a lot” for vaccine advice, versus doctors (72%; P < 0.01), nurses (62%; P < 0.01), religious leaders (49%; P < 0.01), and teachers (48%; P < 0.01). In this study, religious leaders and community leaders were willing but incompletely engaged vaccination advocates. Most community members trusted doctors and nurses a lot for vaccination advice; half trusted teachers and religious leaders similarly. Public health officials in rural Guatemala can complement efforts by doctors and nurses through partnerships with teachers and religious leaders to increase vaccination confidence and delivery.
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spelling pubmed-102022712023-05-23 Community perceptions of vaccine advocacy for children under five in rural Guatemala Williams, Joshua T. B. Robinson, Kelsey Abbott, Elizabeth Rojop, Neudy Shiffman, Michelle Rice, John D. O’Leary, Sean T. Asturias, Edwin J. PLOS Glob Public Health Research Article Historically, partnerships with community leaders (e.g., religious leaders, teachers) have been critical to building vaccination confidence, but leaders may be increasingly vaccine hesitant. In rural Guatemala, the extent of vaccine hesitancy among community leaders is unclear, as are their perceptions of advocacy for childhood vaccines. We sought to: (i) compare Guatemalan religious leaders’ and community leaders’ attitudes toward childhood vaccines, (ii) describe leaders’ experiences and comfort with vaccination advocacy, and (iii) describe community members’ trust in them as vaccination advocates. In 2019, we surveyed religious leaders, other community leaders, and parents of children under five in rural Guatemala. We recorded participant demographic information and assessed participant vaccine hesitancy regarding childhood vaccines. We analyzed data descriptively and via adjusted regression modeling. Our sample included 50 religious leaders, 50 community leaders, and 150 community members (response rate: 99%); 14% of religious leaders and community leaders were vaccine hesitant, similar to community members (P = 0.71). In the prior year, 47% of leaders had spoken about vaccines in their formal role; 85% felt responsible to do so. Only 28% of parents trusted politicians “a lot” for vaccine advice, versus doctors (72%; P < 0.01), nurses (62%; P < 0.01), religious leaders (49%; P < 0.01), and teachers (48%; P < 0.01). In this study, religious leaders and community leaders were willing but incompletely engaged vaccination advocates. Most community members trusted doctors and nurses a lot for vaccination advice; half trusted teachers and religious leaders similarly. Public health officials in rural Guatemala can complement efforts by doctors and nurses through partnerships with teachers and religious leaders to increase vaccination confidence and delivery. Public Library of Science 2023-05-22 /pmc/articles/PMC10202271/ /pubmed/37216324 http://dx.doi.org/10.1371/journal.pgph.0000728 Text en © 2023 Williams et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Williams, Joshua T. B.
Robinson, Kelsey
Abbott, Elizabeth
Rojop, Neudy
Shiffman, Michelle
Rice, John D.
O’Leary, Sean T.
Asturias, Edwin J.
Community perceptions of vaccine advocacy for children under five in rural Guatemala
title Community perceptions of vaccine advocacy for children under five in rural Guatemala
title_full Community perceptions of vaccine advocacy for children under five in rural Guatemala
title_fullStr Community perceptions of vaccine advocacy for children under five in rural Guatemala
title_full_unstemmed Community perceptions of vaccine advocacy for children under five in rural Guatemala
title_short Community perceptions of vaccine advocacy for children under five in rural Guatemala
title_sort community perceptions of vaccine advocacy for children under five in rural guatemala
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202271/
https://www.ncbi.nlm.nih.gov/pubmed/37216324
http://dx.doi.org/10.1371/journal.pgph.0000728
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