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dc.contributor.authorGilkey, Melissa B.en_US
dc.contributor.authorMcRee, Annie-Laurieen_US
dc.contributor.authorMagnus, Brooke E.en_US
dc.contributor.authorReiter, Paul L.en_US
dc.contributor.authorDempsey, Amanda F.en_US
dc.contributor.authorBrewer, Noel T.en_US
dc.date.accessioned2016-08-09T14:52:13Z
dc.date.issued2016en_US
dc.identifier.citationGilkey, Melissa B., Annie-Laurie McRee, Brooke E. Magnus, Paul L. Reiter, Amanda F. Dempsey, and Noel T. Brewer. 2016. “Vaccination Confidence and Parental Refusal/Delay of Early Childhood Vaccines.” PLoS ONE 11 (7): e0159087. doi:10.1371/journal.pone.0159087. http://dx.doi.org/10.1371/journal.pone.0159087.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:27822093
dc.description.abstractObjective: To support efforts to address parental hesitancy towards early childhood vaccination, we sought to validate the Vaccination Confidence Scale using data from a large, population-based sample of U.S. parents. Methods: We used weighted data from 9,354 parents who completed the 2011 National Immunization Survey. Parents reported on the immunization history of a 19- to 35-month-old child in their households. Healthcare providers then verified children’s vaccination status for vaccines including measles, mumps, and rubella (MMR), varicella, and seasonal flu. We used separate multivariable logistic regression models to assess associations between parents’ mean scores on the 8-item Vaccination Confidence Scale and vaccine refusal, vaccine delay, and vaccination status. Results: A substantial minority of parents reported a history of vaccine refusal (15%) or delay (27%). Vaccination confidence was negatively associated with refusal of any vaccine (odds ratio [OR] = 0.58, 95% confidence interval [CI], 0.54–0.63) as well as refusal of MMR, varicella, and flu vaccines specifically. Negative associations between vaccination confidence and measures of vaccine delay were more moderate, including delay of any vaccine (OR = 0.81, 95% CI, 0.76–0.86). Vaccination confidence was positively associated with having received vaccines, including MMR (OR = 1.53, 95% CI, 1.40–1.68), varicella (OR = 1.54, 95% CI, 1.42–1.66), and flu vaccines (OR = 1.32, 95% CI, 1.23–1.42). Conclusions: Vaccination confidence was consistently associated with early childhood vaccination behavior across multiple vaccine types. Our findings support expanding the application of the Vaccination Confidence Scale to measure vaccination beliefs among parents of young children.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0159087en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4938536/pdf/en
dash.licenseLAAen_US
dc.subjectBiology and Life Sciencesen
dc.subjectImmunologyen
dc.subjectVaccination and Immunizationen
dc.subjectMedicine and Health Sciencesen
dc.subjectPublic and Occupational Healthen
dc.subjectPreventive Medicineen
dc.subjectBiology and life sciencesen
dc.subjectVaccination and immunizationen
dc.subjectVaccinesen
dc.subjectViral vaccinesen
dc.subjectMMR vaccineen
dc.subjectMedicine and health sciencesen
dc.subjectPublic and occupational healthen
dc.subjectPreventive medicineen
dc.subjectMicrobiologyen
dc.subjectVirologyen
dc.subjectOrganismsen
dc.subjectVirusesen
dc.subjectDNA virusesen
dc.subjectHerpesvirusesen
dc.subjectVaricella Zoster Virusen
dc.subjectMedical Microbiologyen
dc.subjectMicrobial Pathogensen
dc.subjectViral Pathogensen
dc.subjectPathology and Laboratory Medicineen
dc.subjectPathogensen
dc.subjectSurvey Researchen
dc.subjectSurveysen
dc.subjectBehavioren
dc.subjectPeople and Placesen
dc.subjectPopulation Groupingsen
dc.subjectAge Groupsen
dc.subjectAdolescentsen
dc.subjectChildrenen
dc.subjectFamiliesen
dc.titleVaccination Confidence and Parental Refusal/Delay of Early Childhood Vaccinesen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dash.depositing.authorGilkey, Melissa B.en_US
dc.date.available2016-08-09T14:52:13Z
dc.identifier.doi10.1371/journal.pone.0159087*
dash.contributor.affiliatedGilkey, Melissa B.


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