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Vaccine confidence among mothers of young children, Slovenia, 2016

We conducted the first nationwide survey in Slovenia to measure and characterise vaccine confidence among mothers of young children. This survey measured confidence in routine vaccines for children

Journal Title: Vaccine 2018-09-05, Vol.36 (37), p.5544-5550
Main Author: Učakar, Veronika
Other Authors: Fafangel, Mario , Kraigher, Alenka
Format: Electronic Article Electronic Article
Language: English
Subjects:
Adult
Child
Child, Preschool
Children
Confidence intervals
Correlation coefficient
Correlation coefficients
Cross-Sectional Studies
Cross-sectional study
Demographics
Female
Health care
Health Knowledge, Attitudes, Practice
Health promotion
Health Surveys
Humans
Immunization
Immunization Programs
Infant
Information sources
Information systems
Interdisciplinary aspects
Measles
Medical personnel
Medical research
Medicine, Experimental
Mothers - psychology
Mumps
Parents
Parents & parenting
Pediatricians
Physicians
Pregnancy
Public health
Questionnaires
Rankings
Rubella
Slovenia
Statistics, Nonparametric
Surveys and Questionnaires
Vaccination
Vaccination - psychology
Vaccination - statistics & numerical data
Vaccination of children
Vaccine confidence
Vaccines
Vaccines - administration & dosage
Vaccines - adverse effects
Womens health
Young Adult
Quelle: Alma/SFX Local Collection
Publisher: Netherlands: Elsevier Ltd
ID: ISSN: 0264-410X
Link: https://www.ncbi.nlm.nih.gov/pubmed/30077482
Zum Text:
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title: Vaccine confidence among mothers of young children, Slovenia, 2016
format: Article
creator:
  • Učakar, Veronika
  • Fafangel, Mario
  • Kraigher, Alenka
subjects:
  • Adult
  • Child
  • Child, Preschool
  • Children
  • Confidence intervals
  • Correlation coefficient
  • Correlation coefficients
  • Cross-Sectional Studies
  • Cross-sectional study
  • Demographics
  • Female
  • Health care
  • Health Knowledge, Attitudes, Practice
  • Health promotion
  • Health Surveys
  • Humans
  • Immunization
  • Immunization Programs
  • Infant
  • Information sources
  • Information systems
  • Interdisciplinary aspects
  • Measles
  • Medical personnel
  • Medical research
  • Medicine, Experimental
  • Mothers - psychology
  • Mumps
  • Parents
  • Parents & parenting
  • Pediatricians
  • Physicians
  • Pregnancy
  • Public health
  • Questionnaires
  • Rankings
  • Rubella
  • Slovenia
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Vaccination
  • Vaccination - psychology
  • Vaccination - statistics & numerical data
  • Vaccination of children
  • Vaccine confidence
  • Vaccines
  • Vaccines - administration & dosage
  • Vaccines - adverse effects
  • Womens health
  • Young Adult
ispartof: Vaccine, 2018-09-05, Vol.36 (37), p.5544-5550
description: We conducted the first nationwide survey in Slovenia to measure and characterise vaccine confidence among mothers of young children. This survey measured confidence in routine vaccines for children
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0264-410X
fulltext: fulltext
issn:
  • 0264-410X
  • 1873-2518
url: Link


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descriptionWe conducted the first nationwide survey in Slovenia to measure and characterise vaccine confidence among mothers of young children. This survey measured confidence in routine vaccines for children <2 years of age and in the information sources about these vaccinations to provide baseline data for public health actions to maintain and improve vaccination coverage. We randomly selected women giving birth in 2014–15 from the national perinatal information system (N = 39,497). Participants were asked to rate statements measuring vaccine confidence, including confidence in their child’s paediatrician, the Slovenian healthcare system, and different paediatric vaccination information sources. We estimated vaccine confidence with 95% confidence intervals (CI), for seven socio-demographic characteristics for mothers with young children. Spearman’s rank correlation coefficient was used to assess correlations between vaccine confidence and the confidence in the health system or child's paediatrician. We sent out 3854 questionnaires, the response rate was 44.4%. While 46.8% (95% CI: 44.4–49.2%) mothers were confident in vaccines, 34.2% (95% CI: 32.0–36.6%) were undecided. We found a correlation (Spearman's rho = 0.457) between vaccine confidence and confidence in the child’s paediatrician. Mothers that were confident in paediatrician were more likely to be confident in vaccines (odds ratio: 7.7; 95% CI: 5.3–11.3). Overall, the most frequently trusted information source were physicians (84.6%). In contrast, among mothers not at all confident in vaccines, 51.9% reported friends as the trusted information source. More than half of mothers had low vaccine confidence or were undecided regarding their confidence. While vaccination coverage in Slovenia is high, these levels warrant public health intervention, particularly with the undecided mothers. Communication strategies should focus first on undecided parents and involve physicians, who for many are the most trusted vaccine information source. Different approaches will likely be required for those who are not at all confident in vaccines.
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subjectAdult ; Child ; Child, Preschool ; Children ; Confidence intervals ; Correlation coefficient ; Correlation coefficients ; Cross-Sectional Studies ; Cross-sectional study ; Demographics ; Female ; Health care ; Health Knowledge, Attitudes, Practice ; Health promotion ; Health Surveys ; Humans ; Immunization ; Immunization Programs ; Infant ; Information sources ; Information systems ; Interdisciplinary aspects ; Measles ; Medical personnel ; Medical research ; Medicine, Experimental ; Mothers - psychology ; Mumps ; Parents ; Parents & parenting ; Pediatricians ; Physicians ; Pregnancy ; Public health ; Questionnaires ; Rankings ; Rubella ; Slovenia ; Statistics, Nonparametric ; Surveys and Questionnaires ; Vaccination ; Vaccination - psychology ; Vaccination - statistics & numerical data ; Vaccination of children ; Vaccine confidence ; Vaccines ; Vaccines - administration & dosage ; Vaccines - adverse effects ; Womens health ; Young Adult
ispartofVaccine, 2018-09-05, Vol.36 (37), p.5544-5550
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abstractWe conducted the first nationwide survey in Slovenia to measure and characterise vaccine confidence among mothers of young children. This survey measured confidence in routine vaccines for children <2 years of age and in the information sources about these vaccinations to provide baseline data for public health actions to maintain and improve vaccination coverage. We randomly selected women giving birth in 2014–15 from the national perinatal information system (N = 39,497). Participants were asked to rate statements measuring vaccine confidence, including confidence in their child’s paediatrician, the Slovenian healthcare system, and different paediatric vaccination information sources. We estimated vaccine confidence with 95% confidence intervals (CI), for seven socio-demographic characteristics for mothers with young children. Spearman’s rank correlation coefficient was used to assess correlations between vaccine confidence and the confidence in the health system or child's paediatrician. We sent out 3854 questionnaires, the response rate was 44.4%. While 46.8% (95% CI: 44.4–49.2%) mothers were confident in vaccines, 34.2% (95% CI: 32.0–36.6%) were undecided. We found a correlation (Spearman's rho = 0.457) between vaccine confidence and confidence in the child’s paediatrician. Mothers that were confident in paediatrician were more likely to be confident in vaccines (odds ratio: 7.7; 95% CI: 5.3–11.3). Overall, the most frequently trusted information source were physicians (84.6%). In contrast, among mothers not at all confident in vaccines, 51.9% reported friends as the trusted information source. More than half of mothers had low vaccine confidence or were undecided regarding their confidence. While vaccination coverage in Slovenia is high, these levels warrant public health intervention, particularly with the undecided mothers. Communication strategies should focus first on undecided parents and involve physicians, who for many are the most trusted vaccine information source. Different approaches will likely be required for those who are not at all confident in vaccines.
copNetherlands
pubElsevier Ltd
pmid30077482
doi10.1016/j.vaccine.2018.07.062