Demographics of Vaccine Hesitancy in Chandigarh, India

Frontiers in Medicine

Bradley F. Carlson¹  Abigail R. Shotwell¹  Abram L. Wagner¹  Matthew L. Boulton²  Joseph L. Mathew³ 

[1] Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, United States;Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, United States;Division of Infectious Disease, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, United States;Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research Chandigarh, Chandigarh, India;

关键词: vaccine hesitancy;    India;    education;    religion;    caste;    vaccination coverage;   

DOI  :  10.3389/fmed.2020.585579

来源: Frontiers

【 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.

【 授权许可】

CC BY