Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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
_version_ 1783488289977663488
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
work_keys_str_mv AT wagnerabraml comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT mastersninab comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT domekgretchenj comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT mathewjosephl comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT sunxiaodong comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT asturiasedwinj comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT renjia comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT huangzhuoying comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT contrerasroldaningridl comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT gebremeskelberhanu comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries
AT boultonmatthewl comparisonsofvaccinehesitancyacrossfivelowandmiddleincomecountries