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Matthews LJ, Nowak SA, Gidengil CC, Chen C, Stubbersfield JM, Tehrani JJ, Parker AM. Belief correlations with parental vaccine hesitancy: Results from a national survey. AMERICAN ANTHROPOLOGIST 2022; 124:291-306. [PMID: 35601007 PMCID: PMC9111381 DOI: 10.1111/aman.13714] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 08/03/2021] [Indexed: 11/28/2022]
Abstract
We conducted a nationally representative survey of parents’ beliefs and self‐reported behaviors regarding childhood vaccinations. Using Bayesian selection among multivariate models, we found that beliefs, even those without any vaccine or health content, predicted vaccine‐hesitant behaviors better than demographics, social network effects, or scientific reasoning. The multivariate structure of beliefs combined many types of ideation that included concerns about both conspiracies and side effects. Although they are not strongly related to vaccine‐hesitant behavior, demographics were key predictors of beliefs. Our results support some of the previously proposed pro‐vaccination messaging strategies and suggest some new strategies not previously considered.
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Affiliation(s)
| | - Sarah A. Nowak
- Department of Pathology & Laboratory Medicine University of Vermont Burlington VT 05405 USA
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Bednarczyk RA, King AR, Lahijani A, Omer SB. Current landscape of nonmedical vaccination exemptions in the United States: impact of policy changes. Expert Rev Vaccines 2019; 18:175-190. [PMID: 30572729 DOI: 10.1080/14760584.2019.1562344] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
INTRODUCTION In the United States, high childhood vaccination coverage has reduced the morbidity and mortality due to vaccine-preventable diseases. The success of vaccination programs in achieving this high coverage is due, in part, to vaccination mandates for school entry. All states have such mandates, but there is heterogeneity across the states in the allowance of non-medical exemptions (e.g. religious or personal belief exemptions) to these mandates. AREAS COVERED We examine historical trends in non-medical exemption prevalence in the US, discuss recent state-level policy changes that may impact non-medical exemption prevalence, and review recent studies on the association between non-medical exemptions and infectious disease outbreaks. EXPERT COMMENTARY State-level implementation of mandates, and related allowances for medical and non-medical exemptions, varies greatly across the United States. Non-medical exemption rates have increased over the last two decades, with an increased risk of disease outbreaks in clusters of children with non-medical exemptions due to differences in state laws. Recent efforts to address non-medical exemption rates range from incorporating additional administrative requirements for exemptions and disallowance of any non-medical exemptions. Continued monitoring is needed to evaluate the impact of these changes on exemption rates, to develop optimal childhood vaccination policy across the United States.
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Affiliation(s)
- Robert A Bednarczyk
- a Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , GA , USA.,b Department of Epidemiology, Rollins School of Public Health , Emory University , Atlanta , GA , USA.,c Emory Vaccine Center , Emory University , Atlanta , GA , USA
| | - Adrian R King
- a Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , GA , USA
| | - Ariana Lahijani
- a Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , GA , USA
| | - Saad B Omer
- a Hubert Department of Global Health, Rollins School of Public Health , Emory University , Atlanta , GA , USA.,b Department of Epidemiology, Rollins School of Public Health , Emory University , Atlanta , GA , USA.,c Emory Vaccine Center , Emory University , Atlanta , GA , USA.,d Department of Pediatrics , School of Medicine, Emory University , Atlanta , GA , USA
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