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Demographics of Vaccine Hesitancy in Chandigarh, India

The impact of vaccine hesitancy on childhood immunization in low- and middle-income countries remains largely uncharacterized. This study describes the sociodemographic patterns of vaccine hesitancy in Chandigarh, India. Mothers of children <5 years old were sampled from a two-stage cluster, syst...

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Autores principales: Wagner, Abram L., Shotwell, Abigail R., Boulton, Matthew L., Carlson, Bradley F., Mathew, Joseph L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7844137/
https://www.ncbi.nlm.nih.gov/pubmed/33521011
http://dx.doi.org/10.3389/fmed.2020.585579
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author Wagner, Abram L.
Shotwell, Abigail R.
Boulton, Matthew L.
Carlson, Bradley F.
Mathew, Joseph L.
author_facet Wagner, Abram L.
Shotwell, Abigail R.
Boulton, Matthew L.
Carlson, Bradley F.
Mathew, Joseph L.
author_sort Wagner, Abram L.
collection PubMed
description The impact of vaccine hesitancy on childhood immunization in low- and middle-income countries remains largely uncharacterized. This study describes the sociodemographic patterns of vaccine hesitancy in Chandigarh, India. Mothers of children <5 years old were sampled from a two-stage cluster, systematic sample based on Anganwadi child care centers in Chandigarh. Vaccine hesitancy was measured using a 10-item Vaccine Hesitancy Scale, which was dichotomized. A multivariable logistic regression assessed the association between socioeconomic factors and vaccine hesitancy score. Among 305 mothers, >97% of mothers thought childhood vaccines were important, effective, and were a good way to protect against disease. However, many preferred their child to receive fewer co-administered vaccines (69%), and were concerned about side effects (39%). Compared to the “other caste” group, scheduled castes or scheduled tribes had 3.48 times greater odds of vaccine hesitancy (95% CI: 1.52, 7.99). Those with a high school education had 0.10 times the odds of vaccine hesitancy compared to those with less education (95% CI: 0.02, 0.61). Finally, those having more antenatal care visits were less vaccine hesitant (≥4 vs. <4 visits OR: 0.028, 95% CI: 0.1, 0.76). As India adds more vaccines to its Universal Immunization Program, consideration should be given to addressing maternal concerns about vaccination, in particular about adverse events and co-administration of multiple vaccines.
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spelling pubmed-78441372021-01-30 Demographics of Vaccine Hesitancy in Chandigarh, India Wagner, Abram L. Shotwell, Abigail R. Boulton, Matthew L. Carlson, Bradley F. Mathew, Joseph L. Front Med (Lausanne) Medicine The impact of vaccine hesitancy on childhood immunization in low- and middle-income countries remains largely uncharacterized. This study describes the sociodemographic patterns of vaccine hesitancy in Chandigarh, India. Mothers of children <5 years old were sampled from a two-stage cluster, systematic sample based on Anganwadi child care centers in Chandigarh. Vaccine hesitancy was measured using a 10-item Vaccine Hesitancy Scale, which was dichotomized. A multivariable logistic regression assessed the association between socioeconomic factors and vaccine hesitancy score. Among 305 mothers, >97% of mothers thought childhood vaccines were important, effective, and were a good way to protect against disease. However, many preferred their child to receive fewer co-administered vaccines (69%), and were concerned about side effects (39%). Compared to the “other caste” group, scheduled castes or scheduled tribes had 3.48 times greater odds of vaccine hesitancy (95% CI: 1.52, 7.99). Those with a high school education had 0.10 times the odds of vaccine hesitancy compared to those with less education (95% CI: 0.02, 0.61). Finally, those having more antenatal care visits were less vaccine hesitant (≥4 vs. <4 visits OR: 0.028, 95% CI: 0.1, 0.76). As India adds more vaccines to its Universal Immunization Program, consideration should be given to addressing maternal concerns about vaccination, in particular about adverse events and co-administration of multiple vaccines. Frontiers Media S.A. 2021-01-15 /pmc/articles/PMC7844137/ /pubmed/33521011 http://dx.doi.org/10.3389/fmed.2020.585579 Text en Copyright © 2021 Wagner, Shotwell, Boulton, Carlson and Mathew. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Wagner, Abram L.
Shotwell, Abigail R.
Boulton, Matthew L.
Carlson, Bradley F.
Mathew, Joseph L.
Demographics of Vaccine Hesitancy in Chandigarh, India
title Demographics of Vaccine Hesitancy in Chandigarh, India
title_full Demographics of Vaccine Hesitancy in Chandigarh, India
title_fullStr Demographics of Vaccine Hesitancy in Chandigarh, India
title_full_unstemmed Demographics of Vaccine Hesitancy in Chandigarh, India
title_short Demographics of Vaccine Hesitancy in Chandigarh, India
title_sort demographics of vaccine hesitancy in chandigarh, india
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7844137/
https://www.ncbi.nlm.nih.gov/pubmed/33521011
http://dx.doi.org/10.3389/fmed.2020.585579
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