Parental acceptance and knowledge of varicella vaccination in relation to socioeconomics in Sweden: A cross-sectional study
Varicella infection is a highly contagious disease which, whilst mild in most cases, can cause severe complications. Varicella vaccination is available privately in Sweden and is currently being reviewed for inclusion in the Swedish Public Health Agency’s national immunisation program (NIP). A cross...
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description | Varicella infection is a highly contagious disease which, whilst mild in most cases, can cause severe complications. Varicella vaccination is available privately in Sweden and is currently being reviewed for inclusion in the Swedish Public Health Agency’s national immunisation program (NIP). A cross-sectional study of parents of Swedish children aged 1–8 years (n = 2212) was conducted to understand parental acceptance, beliefs and knowledge around varicella infection and vaccination. Respondents generally viewed varicella infection as a mild disease, with only a small proportion aware of potential severe complications. While 65% of respondents were aware of the vaccine, only 15% had started the course of vaccination as of February 2019. Further, 43% of parents did not intend to vaccinate, most commonly due to lack of inclusion in the NIP, but also due to perception of mild disease. Nevertheless, if offered within the NIP, 85% of parents would be highly likely to vaccinate their child. A number of statistically significant differences in awareness and behaviours were observed between sociodemographic subgroups. In general, women were more aware of vaccination (72%) compared to men (58%). Among unemployed or respondents with elementary school education, awareness was below 43%, and among respondents with high income the awareness was above 75%. Similarly, among unemployed or respondents with a low income the vaccination rate was as low as 30% compared with at least 57% among respondents with a high income. Respondents from metropolitan areas, those with university degrees and respondents with a higher income were more likely to be aware of the varicella vaccine and to have vaccinated their child. Whilst inclusion in the NIP is clearly the main driver for uptake, these identified knowledge gaps should inform educational efforts to ensure that all parents are informed of the availability and benefits of the varicella vaccine independent of socioeconomic status. |
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Varicella vaccination is available privately in Sweden and is currently being reviewed for inclusion in the Swedish Public Health Agency’s national immunisation program (NIP). A cross-sectional study of parents of Swedish children aged 1–8 years (n = 2212) was conducted to understand parental acceptance, beliefs and knowledge around varicella infection and vaccination. Respondents generally viewed varicella infection as a mild disease, with only a small proportion aware of potential severe complications. While 65% of respondents were aware of the vaccine, only 15% had started the course of vaccination as of February 2019. Further, 43% of parents did not intend to vaccinate, most commonly due to lack of inclusion in the NIP, but also due to perception of mild disease. Nevertheless, if offered within the NIP, 85% of parents would be highly likely to vaccinate their child. A number of statistically significant differences in awareness and behaviours were observed between sociodemographic subgroups. In general, women were more aware of vaccination (72%) compared to men (58%). Among unemployed or respondents with elementary school education, awareness was below 43%, and among respondents with high income the awareness was above 75%. Similarly, among unemployed or respondents with a low income the vaccination rate was as low as 30% compared with at least 57% among respondents with a high income. Respondents from metropolitan areas, those with university degrees and respondents with a higher income were more likely to be aware of the varicella vaccine and to have vaccinated their child. Whilst inclusion in the NIP is clearly the main driver for uptake, these identified knowledge gaps should inform educational efforts to ensure that all parents are informed of the availability and benefits of the varicella vaccine independent of socioeconomic status.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0256642</identifier><identifier>PMID: 34673809</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Attitudes ; Beliefs, opinions and attitudes ; Chicken pox ; Children ; Children & youth ; Complications ; Cross-sectional studies ; Demographics ; Economic aspects ; Economic factors ; Family income ; Gender ; Immune system ; Immunization ; Income ; Infections ; Infectious diseases ; Metropolitan areas ; Parents ; Parents & parenting ; Polls & surveys ; Public health ; Public opinion ; Questionnaires ; Social aspects ; Social factors ; Socio-economic aspects ; Sociodemographics ; Socioeconomics ; Software ; Statistical analysis ; Subgroups ; Vaccination ; Vaccines ; Variables ; Varicella ; Varicella-zoster virus</subject><ispartof>PLOS ONE, 2021-10, Vol.16 (10), p.e0256642-e0256642</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Arnheim-Dahlström et al. 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Varicella vaccination is available privately in Sweden and is currently being reviewed for inclusion in the Swedish Public Health Agency’s national immunisation program (NIP). A cross-sectional study of parents of Swedish children aged 1–8 years (n = 2212) was conducted to understand parental acceptance, beliefs and knowledge around varicella infection and vaccination. Respondents generally viewed varicella infection as a mild disease, with only a small proportion aware of potential severe complications. While 65% of respondents were aware of the vaccine, only 15% had started the course of vaccination as of February 2019. Further, 43% of parents did not intend to vaccinate, most commonly due to lack of inclusion in the NIP, but also due to perception of mild disease. Nevertheless, if offered within the NIP, 85% of parents would be highly likely to vaccinate their child. A number of statistically significant differences in awareness and behaviours were observed between sociodemographic subgroups. In general, women were more aware of vaccination (72%) compared to men (58%). Among unemployed or respondents with elementary school education, awareness was below 43%, and among respondents with high income the awareness was above 75%. Similarly, among unemployed or respondents with a low income the vaccination rate was as low as 30% compared with at least 57% among respondents with a high income. Respondents from metropolitan areas, those with university degrees and respondents with a higher income were more likely to be aware of the varicella vaccine and to have vaccinated their child. 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arnheim-Dahlström, Lisen</au><au>Zarabi, Natalie</au><au>Hagen, Karin</au><au>Bencina, Goran</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parental acceptance and knowledge of varicella vaccination in relation to socioeconomics in Sweden: A cross-sectional study</atitle><jtitle>PLOS ONE</jtitle><date>2021-10-21</date><risdate>2021</risdate><volume>16</volume><issue>10</issue><spage>e0256642</spage><epage>e0256642</epage><pages>e0256642-e0256642</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Varicella infection is a highly contagious disease which, whilst mild in most cases, can cause severe complications. Varicella vaccination is available privately in Sweden and is currently being reviewed for inclusion in the Swedish Public Health Agency’s national immunisation program (NIP). A cross-sectional study of parents of Swedish children aged 1–8 years (n = 2212) was conducted to understand parental acceptance, beliefs and knowledge around varicella infection and vaccination. Respondents generally viewed varicella infection as a mild disease, with only a small proportion aware of potential severe complications. While 65% of respondents were aware of the vaccine, only 15% had started the course of vaccination as of February 2019. Further, 43% of parents did not intend to vaccinate, most commonly due to lack of inclusion in the NIP, but also due to perception of mild disease. Nevertheless, if offered within the NIP, 85% of parents would be highly likely to vaccinate their child. A number of statistically significant differences in awareness and behaviours were observed between sociodemographic subgroups. In general, women were more aware of vaccination (72%) compared to men (58%). Among unemployed or respondents with elementary school education, awareness was below 43%, and among respondents with high income the awareness was above 75%. Similarly, among unemployed or respondents with a low income the vaccination rate was as low as 30% compared with at least 57% among respondents with a high income. Respondents from metropolitan areas, those with university degrees and respondents with a higher income were more likely to be aware of the varicella vaccine and to have vaccinated their child. Whilst inclusion in the NIP is clearly the main driver for uptake, these identified knowledge gaps should inform educational efforts to ensure that all parents are informed of the availability and benefits of the varicella vaccine independent of socioeconomic status.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34673809</pmid><doi>10.1371/journal.pone.0256642</doi><tpages>e0256642</tpages><orcidid>https://orcid.org/0000-0002-9964-5866</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Attitudes Beliefs, opinions and attitudes Chicken pox Children Children & youth Complications Cross-sectional studies Demographics Economic aspects Economic factors Family income Gender Immune system Immunization Income Infections Infectious diseases Metropolitan areas Parents Parents & parenting Polls & surveys Public health Public opinion Questionnaires Social aspects Social factors Socio-economic aspects Sociodemographics Socioeconomics Software Statistical analysis Subgroups Vaccination Vaccines Variables Varicella Varicella-zoster virus |
title | Parental acceptance and knowledge of varicella vaccination in relation to socioeconomics in Sweden: A cross-sectional study |
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