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Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries
Vaccine hesitancy is a continuum of behaviors ranging from delay in receipt to vaccination refusal. Prior studies have typically focused on high-income countries, where vaccine hesitancy is particularly prevalent in more affluent groups, but the relationship between socioeconomic status and vaccine...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963484/ https://www.ncbi.nlm.nih.gov/pubmed/31635270 http://dx.doi.org/10.3390/vaccines7040155 |
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author | Wagner, Abram L. Masters, Nina B. Domek, Gretchen J. Mathew, Joseph L. Sun, Xiaodong Asturias, Edwin J. Ren, Jia Huang, Zhuoying Contreras-Roldan, Ingrid L. Gebremeskel, Berhanu Boulton, Matthew L. |
author_facet | Wagner, Abram L. Masters, Nina B. Domek, Gretchen J. Mathew, Joseph L. Sun, Xiaodong Asturias, Edwin J. Ren, Jia Huang, Zhuoying Contreras-Roldan, Ingrid L. Gebremeskel, Berhanu Boulton, Matthew L. |
author_sort | Wagner, Abram L. |
collection | PubMed |
description | Vaccine hesitancy is a continuum of behaviors ranging from delay in receipt to vaccination refusal. Prior studies have typically focused on high-income countries, where vaccine hesitancy is particularly prevalent in more affluent groups, but the relationship between socioeconomic status and vaccine hesitancy in Low- and Middle-Income Countries (LMICs) is less clear. The aim of this study was to describe vaccine hesitancy in five LMICs. Mothers of children in Sirajganj, Bangladesh (n = 60), Shanghai, China (n = 788), Addis Ababa, Ethiopia (n = 341), Guatemala City and Quetzaltenango, Guatemala (n = 767), and Chandigarh, India (n = 309), completed a survey between 2016 and 2018 using the WHO’s 10-item Vaccine Hesitancy Scale. The scores of different constructs were compared across countries and by the mother’s education level using linear regression models with generalized estimating equations. Compared to mothers in China, mothers in Bangladesh perceived less vaccination benefit (β: 0.56, P = 0.0001), however, mothers in Ethiopia (β: −0.54, P < 0.0001) and Guatemala (β: −0.74, P = 0.0004) perceived greater benefit. Education level was not significantly linked with vaccine hesitancy. Local circumstances are important to consider when developing programs to promote vaccines. We did not find consistent associations between education and vaccine hesitancy. More research is needed to understand socio-cultural influences on vaccine decision-making. |
format | Online Article Text |
id | pubmed-6963484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69634842020-01-30 Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries Wagner, Abram L. Masters, Nina B. Domek, Gretchen J. Mathew, Joseph L. Sun, Xiaodong Asturias, Edwin J. Ren, Jia Huang, Zhuoying Contreras-Roldan, Ingrid L. Gebremeskel, Berhanu Boulton, Matthew L. Vaccines (Basel) Article Vaccine hesitancy is a continuum of behaviors ranging from delay in receipt to vaccination refusal. Prior studies have typically focused on high-income countries, where vaccine hesitancy is particularly prevalent in more affluent groups, but the relationship between socioeconomic status and vaccine hesitancy in Low- and Middle-Income Countries (LMICs) is less clear. The aim of this study was to describe vaccine hesitancy in five LMICs. Mothers of children in Sirajganj, Bangladesh (n = 60), Shanghai, China (n = 788), Addis Ababa, Ethiopia (n = 341), Guatemala City and Quetzaltenango, Guatemala (n = 767), and Chandigarh, India (n = 309), completed a survey between 2016 and 2018 using the WHO’s 10-item Vaccine Hesitancy Scale. The scores of different constructs were compared across countries and by the mother’s education level using linear regression models with generalized estimating equations. Compared to mothers in China, mothers in Bangladesh perceived less vaccination benefit (β: 0.56, P = 0.0001), however, mothers in Ethiopia (β: −0.54, P < 0.0001) and Guatemala (β: −0.74, P = 0.0004) perceived greater benefit. Education level was not significantly linked with vaccine hesitancy. Local circumstances are important to consider when developing programs to promote vaccines. We did not find consistent associations between education and vaccine hesitancy. More research is needed to understand socio-cultural influences on vaccine decision-making. MDPI 2019-10-18 /pmc/articles/PMC6963484/ /pubmed/31635270 http://dx.doi.org/10.3390/vaccines7040155 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Wagner, Abram L. Masters, Nina B. Domek, Gretchen J. Mathew, Joseph L. Sun, Xiaodong Asturias, Edwin J. Ren, Jia Huang, Zhuoying Contreras-Roldan, Ingrid L. Gebremeskel, Berhanu Boulton, Matthew L. Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries |
title | Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries |
title_full | Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries |
title_fullStr | Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries |
title_full_unstemmed | Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries |
title_short | Comparisons of Vaccine Hesitancy across Five Low- and Middle-Income Countries |
title_sort | comparisons of vaccine hesitancy across five low- and middle-income countries |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963484/ https://www.ncbi.nlm.nih.gov/pubmed/31635270 http://dx.doi.org/10.3390/vaccines7040155 |
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