Demographics of Vaccine Hesitancy in Chandigarh, India

医学 接种疫苗 社会经济地位 可能性 逻辑回归 优势比 免疫 人口学 儿科 人口统计学的 种姓 星团(航天器) 家庭医学 环境卫生 免疫学 人口 内科学 程序设计语言 抗原 社会学 哲学 语言学 计算机科学
作者
Abram L. Wagner,Abigail Shotwell,Matthew L. Boulton,Bradley F. Carlson,Joseph L. Mathew
出处
期刊:Frontiers in Medicine [Frontiers Media SA]
卷期号:7 被引量:41
标识
DOI:10.3389/fmed.2020.585579
摘要

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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