Measuring vaccine acceptance among Canadian parents: A survey of the Canadian Immunization Research Network |
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| Institution: | 1. Département de médecine sociale et préventive, Université Laval, Québec, Québec, Canada;2. Maladies infectieuses, Institut national de santé publique du Québec, Québec, Québec, Canada;3. Maladies infectieuses et immunitaires, Centre de recherche du CHU de Québec – Université Laval, Québec, Québec, Canada;4. Vaccine Evaluation Center, BC Children’s Hospital, and University of British Columbia, Vancouver, British Columbia, Canada;5. Département de médecine familiale et de médecine d’urgence, Université Laval, Québec, Québec, Canada;6. Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec – Université Laval, Québec, Québec, Canada;7. Nursing Faculty, University of Alberta, Edmonton, Alberta, Canada;8. Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada;9. Department of Psychology, University of Western Ontario, London, Ontario, Canada;10. Department of Obstetrics and Gynaecology, University of Western Ontario, London, Ontario, Canada;11. Department of Production Animal Health, University of Calgary, Calgary, Alberta, Canada;12. Alberta Health Services, Calgary, Alberta, Canada;1. Department of Pharmacology and Toxicology, University of Texas Medical Branch, Galveston, TX 77555-0436, United States;2. Sealy Center for Vaccine Development, University of Texas Medical Branch, Galveston, TX 77555-0436, United States;3. Department of Pediatrics, University of Texas Medical Branch, Galveston, TX 77555-0436, United States;4. Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, TX 77555-0436, United States;1. Real-time Syndromic Surveillance Team, National Infection Service, Public Health England, 1st Floor, 5 St Philips Place, Birmingham B3 2PW, United Kingdom;2. The Phoenix Partnership (TPP), TPP House, 129 Low Lane, Horsforth, Leeds LS18 5PX, United Kingdom;3. Public Health England West Midlands, 6th Floor, 5 St Philips Place, Birmingham B3 2PW, United Kingdom;4. Immunisation, Hepatitis and Blood Safety Department, National Infection Service, Public Health England, 61 Colindale Avenue, London NW9 5EQ, United Kingdom;5. Royal College of General Practitioners Research and Surveillance Centre, University of Surrey, Section of Clinical Medicine and Ageing, Guildford, Surrey GU2 7XH, United Kingdom;1. Immunization Safety Office, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), United States;2. HIV Incidence and Case Surveillance Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), United States;3. Flexcare Medical Staffing, Roseville, CA, United States;1. Immunization Safety Office, Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, United States;2. Division of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, United States;3. Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, United States;1. Department of Primary and Community Care, Radboudumc, 117 ELG, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands;2. Municipal Health Service Utrecht Region, P.O. Box 51, 3700 AB Zeist, The Netherlands;3. Department of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands;4. Scientific Institute for Quality of Healthcare, IQ Healthcare, Radboudumc, 114 IQ, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands |
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| Abstract: | Parental decision making about childhood vaccinations is complex and multidimensional. There is a perception that the number of parents having concerns regarding childhood vaccinations has been increasing in Canada. The aim of this study was to explore vaccine hesitancy among Canadian parents and to examine factors associated with a parent’s intention to vaccinate his/her child. Informed by the Theory of Planned Behaviour (TPB) this study assesses potential associations between parents’ knowledge, attitudes and beliefs toward vaccination and their intention to vaccinate their child in the future. A national sample of Canadian parents of children aged 24–59 months (N = 2013) was surveyed using an online survey methodology. Half of the surveyed parents strongly intended to have their child vaccinated in the future. Parents’ information needs and searches as well as parents’ trust in different institutions were associated with intention to vaccinate. Parents who reported having frequently looked for vaccine information, who considered that it was their role as parents to question vaccines, or who had previously experienced difficulty accessing vaccination services were less likely to strongly intend to vaccinate their child in the future. Parents who had a high level of trust in doctors and public health were most likely to strongly intend to vaccinate their child. Results of the multivariate analysis showed that positive attitudes (aOR = 8.0; 95% CI: 6.0, 10.4), higher perceived social support (aOR = 3.0; 95% CI: 2.3, 3.93), and higher perceived behavioural control (aOR = 1.8; 95% CI: 1.4, 2.43) were associated with parents’ intention to vaccinate their child. Findings of this study suggest that trust-building interventions that promote pro-vaccine social norms and that address negative attitudes toward vaccination could enhance vaccine acceptance among Canadian parents. |
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| Keywords: | Vaccination Knowledge Attitudes Behaviours Parents Survey |
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