Factors associated with the willingness of primary caregivers to avail of a dengue vaccine for their 9 to 14-year-olds in an urban community in the Philippines
To help address the need for preventive measures against dengue fever, a leading cause of child mortality in the Philippines, vaccine trials are ongoing and a tetravalent vaccine (Dengvaxia™, Sanofi Pasteur) has been developed. It is hypothesized that while acceptability would be high among primary...
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| Veröffentlicht in: | Vaccine 2020-01, Vol.38 (1), p.54-62 |
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| creator | Reyes, Ma. Sophia Graciela L. Lee, Karen Mae G. Pedron, Adrianna Michelle L. Pimentel, Jennel Mae T. Pinlac, Paul Adrian V. |
| description | To help address the need for preventive measures against dengue fever, a leading cause of child mortality in the Philippines, vaccine trials are ongoing and a tetravalent vaccine (Dengvaxia™, Sanofi Pasteur) has been developed. It is hypothesized that while acceptability would be high among primary caregivers (i.e., parents/guardians), the willingness to have one's child immunized against dengue would be associated with socio-demographic variables, attitudes and knowledge regarding dengue and vaccination, and past experience with dengue. This study aimed to assess the aforementioned factors’ association with primary caregivers’ willingness to avail of a dengue vaccine for their 9 to 14-year-old children in an urban community in the Philippines.
A cross-sectional study utilizing interviews was conducted to determine which factors were associated with willingness-to-avail assuming a free vaccine, and a case study utilizing a focus group discussion was employed to capture some underlying reasons for their willingness. Data were analyzed using multiple logistic regression and thematic analysis.
Among the 202 study participants, 193 (95.54%) were willing to avail of the vaccine. There was a high probability of vaccine acceptance by primary caregivers (95.54%), with good attitude towards vaccination (≥12/15 points) [aOR 10.62, 90% CI (1.73–26.28)] and large household size (>5) [aOR 9.63, 90% CI (2.04–45.58)] being positively associated with willingness-to-avail, and good knowledge regarding dengue fever [aOR 0.10, 90% CI (0.03–0.74)] and older age (>44 years) [aOR 0.14, 90% CI (0.03–0.61)] being negatively associated.
Crude analysis showed that household size, knowledge regarding dengue, and attitude towards vaccination were significantly associated with willingness. Multivariate analysis revealed that these factors and the primary caregiver’s age were associated with willingness. Thematic analysis showed various perceptions regarding dengue and vaccination. Knowing these factors are associated with willingness-to-avail of the vaccine may help in understanding the audience of health promotion projects aimed at increasing immunization coverage. |
| doi_str_mv | 10.1016/j.vaccine.2019.10.001 |
| format | Article |
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A cross-sectional study utilizing interviews was conducted to determine which factors were associated with willingness-to-avail assuming a free vaccine, and a case study utilizing a focus group discussion was employed to capture some underlying reasons for their willingness. Data were analyzed using multiple logistic regression and thematic analysis.
Among the 202 study participants, 193 (95.54%) were willing to avail of the vaccine. There was a high probability of vaccine acceptance by primary caregivers (95.54%), with good attitude towards vaccination (≥12/15 points) [aOR 10.62, 90% CI (1.73–26.28)] and large household size (>5) [aOR 9.63, 90% CI (2.04–45.58)] being positively associated with willingness-to-avail, and good knowledge regarding dengue fever [aOR 0.10, 90% CI (0.03–0.74)] and older age (>44 years) [aOR 0.14, 90% CI (0.03–0.61)] being negatively associated.
Crude analysis showed that household size, knowledge regarding dengue, and attitude towards vaccination were significantly associated with willingness. Multivariate analysis revealed that these factors and the primary caregiver’s age were associated with willingness. Thematic analysis showed various perceptions regarding dengue and vaccination. Knowing these factors are associated with willingness-to-avail of the vaccine may help in understanding the audience of health promotion projects aimed at increasing immunization coverage.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2019.10.001</identifier><identifier>PMID: 31668819</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Age groups ; Attitudes ; Caregivers ; Caregivers - psychology ; Child ; Child mortality ; Children ; Children & youth ; Clinical trials ; Cross-Sectional Studies ; Demographic variables ; Demographics ; Dengue - epidemiology ; Dengue - prevention & control ; Dengue - psychology ; Dengue fever ; Dengue vaccine ; Dengue Vaccines - administration & dosage ; Female ; Fever ; Health belief model ; Health Knowledge, Attitudes, Practice ; Health promotion ; Humans ; Immunization ; Male ; Middle Aged ; Multivariate analysis ; Patient Acceptance of Health Care - psychology ; Philippines - epidemiology ; Public health ; Regression analysis ; Statistical analysis ; Tropical diseases ; Urban areas ; Urban Population ; Vaccination ; Vaccine acceptance ; Vaccines ; Vector-borne diseases ; Viral diseases</subject><ispartof>Vaccine, 2020-01, Vol.38 (1), p.54-62</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>2019. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-326aba35e7cc21d0cb1bd30af5075fe55e4e3b1910b70f9d58afc088025fa6393</citedby><cites>FETCH-LOGICAL-c393t-326aba35e7cc21d0cb1bd30af5075fe55e4e3b1910b70f9d58afc088025fa6393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2320933430?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31668819$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reyes, Ma. Sophia Graciela L.</creatorcontrib><creatorcontrib>Lee, Karen Mae G.</creatorcontrib><creatorcontrib>Pedron, Adrianna Michelle L.</creatorcontrib><creatorcontrib>Pimentel, Jennel Mae T.</creatorcontrib><creatorcontrib>Pinlac, Paul Adrian V.</creatorcontrib><title>Factors associated with the willingness of primary caregivers to avail of a dengue vaccine for their 9 to 14-year-olds in an urban community in the Philippines</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>To help address the need for preventive measures against dengue fever, a leading cause of child mortality in the Philippines, vaccine trials are ongoing and a tetravalent vaccine (Dengvaxia™, Sanofi Pasteur) has been developed. It is hypothesized that while acceptability would be high among primary caregivers (i.e., parents/guardians), the willingness to have one's child immunized against dengue would be associated with socio-demographic variables, attitudes and knowledge regarding dengue and vaccination, and past experience with dengue. This study aimed to assess the aforementioned factors’ association with primary caregivers’ willingness to avail of a dengue vaccine for their 9 to 14-year-old children in an urban community in the Philippines.
A cross-sectional study utilizing interviews was conducted to determine which factors were associated with willingness-to-avail assuming a free vaccine, and a case study utilizing a focus group discussion was employed to capture some underlying reasons for their willingness. Data were analyzed using multiple logistic regression and thematic analysis.
Among the 202 study participants, 193 (95.54%) were willing to avail of the vaccine. There was a high probability of vaccine acceptance by primary caregivers (95.54%), with good attitude towards vaccination (≥12/15 points) [aOR 10.62, 90% CI (1.73–26.28)] and large household size (>5) [aOR 9.63, 90% CI (2.04–45.58)] being positively associated with willingness-to-avail, and good knowledge regarding dengue fever [aOR 0.10, 90% CI (0.03–0.74)] and older age (>44 years) [aOR 0.14, 90% CI (0.03–0.61)] being negatively associated.
Crude analysis showed that household size, knowledge regarding dengue, and attitude towards vaccination were significantly associated with willingness. Multivariate analysis revealed that these factors and the primary caregiver’s age were associated with willingness. Thematic analysis showed various perceptions regarding dengue and vaccination. Knowing these factors are associated with willingness-to-avail of the vaccine may help in understanding the audience of health promotion projects aimed at increasing immunization coverage.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age groups</subject><subject>Attitudes</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Child</subject><subject>Child mortality</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical trials</subject><subject>Cross-Sectional Studies</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Dengue - epidemiology</subject><subject>Dengue - prevention & control</subject><subject>Dengue - psychology</subject><subject>Dengue fever</subject><subject>Dengue vaccine</subject><subject>Dengue Vaccines - administration & dosage</subject><subject>Female</subject><subject>Fever</subject><subject>Health belief model</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health promotion</subject><subject>Humans</subject><subject>Immunization</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Philippines - epidemiology</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Statistical analysis</subject><subject>Tropical diseases</subject><subject>Urban areas</subject><subject>Urban Population</subject><subject>Vaccination</subject><subject>Vaccine acceptance</subject><subject>Vaccines</subject><subject>Vector-borne diseases</subject><subject>Viral diseases</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc-KFDEQxoMo7rj6CErAi5ceK0mn_5xEll1XWNCDgreQTqpnMnQnY9I9Mk_jq5pm2j148ZKEL7_6qqiPkNcMtgxY9f6wPWljnMctB9ZmbQvAnpANa2pRcMmap2QDvCqLksGPK_IipQMASMHa5-RKsKpqGtZuyO87baYQE9UpBeP0hJb-ctOeTnvMj2FwfucxJRp6eoxu1PFMjY64cyfMVVOg-qTdsHxratHvZqTrYLQPcbFxkbYLyMrijDoWYbCJOk-1p3Ps8mnCOM7eTedFXfp-3bvBHY_ZI70kz3o9JHy13tfk-93tt5v74uHLp883Hx8KI1oxFYJXutNCYm0MZxZMxzorQPcSatmjlFii6FjLoKuhb61sdG-gaYDLXlfZ4pq8u_geY_g5Y5rU6JLBYdAew5wUFwxq3rRNmdG3_6CHMEefp8sUh1aIUkCm5IUyMaQUsVfr-hQDtSSoDmpdlFoSXOScYK57s7rP3Yj2sepvZBn4cAEwr-PkMKpkHHqD1kU0k7LB_afFH-0tsL8</recordid><startdate>20200103</startdate><enddate>20200103</enddate><creator>Reyes, Ma. Sophia Graciela L.</creator><creator>Lee, Karen Mae G.</creator><creator>Pedron, Adrianna Michelle L.</creator><creator>Pimentel, Jennel Mae T.</creator><creator>Pinlac, Paul Adrian V.</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20200103</creationdate><title>Factors associated with the willingness of primary caregivers to avail of a dengue vaccine for their 9 to 14-year-olds in an urban community in the Philippines</title><author>Reyes, Ma. 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Sophia Graciela L.</creatorcontrib><creatorcontrib>Lee, Karen Mae G.</creatorcontrib><creatorcontrib>Pedron, Adrianna Michelle L.</creatorcontrib><creatorcontrib>Pimentel, Jennel Mae T.</creatorcontrib><creatorcontrib>Pinlac, Paul Adrian V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Vaccine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reyes, Ma. Sophia Graciela L.</au><au>Lee, Karen Mae G.</au><au>Pedron, Adrianna Michelle L.</au><au>Pimentel, Jennel Mae T.</au><au>Pinlac, Paul Adrian V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with the willingness of primary caregivers to avail of a dengue vaccine for their 9 to 14-year-olds in an urban community in the Philippines</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2020-01-03</date><risdate>2020</risdate><volume>38</volume><issue>1</issue><spage>54</spage><epage>62</epage><pages>54-62</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><abstract>To help address the need for preventive measures against dengue fever, a leading cause of child mortality in the Philippines, vaccine trials are ongoing and a tetravalent vaccine (Dengvaxia™, Sanofi Pasteur) has been developed. It is hypothesized that while acceptability would be high among primary caregivers (i.e., parents/guardians), the willingness to have one's child immunized against dengue would be associated with socio-demographic variables, attitudes and knowledge regarding dengue and vaccination, and past experience with dengue. This study aimed to assess the aforementioned factors’ association with primary caregivers’ willingness to avail of a dengue vaccine for their 9 to 14-year-old children in an urban community in the Philippines.
A cross-sectional study utilizing interviews was conducted to determine which factors were associated with willingness-to-avail assuming a free vaccine, and a case study utilizing a focus group discussion was employed to capture some underlying reasons for their willingness. Data were analyzed using multiple logistic regression and thematic analysis.
Among the 202 study participants, 193 (95.54%) were willing to avail of the vaccine. There was a high probability of vaccine acceptance by primary caregivers (95.54%), with good attitude towards vaccination (≥12/15 points) [aOR 10.62, 90% CI (1.73–26.28)] and large household size (>5) [aOR 9.63, 90% CI (2.04–45.58)] being positively associated with willingness-to-avail, and good knowledge regarding dengue fever [aOR 0.10, 90% CI (0.03–0.74)] and older age (>44 years) [aOR 0.14, 90% CI (0.03–0.61)] being negatively associated.
Crude analysis showed that household size, knowledge regarding dengue, and attitude towards vaccination were significantly associated with willingness. Multivariate analysis revealed that these factors and the primary caregiver’s age were associated with willingness. Thematic analysis showed various perceptions regarding dengue and vaccination. Knowing these factors are associated with willingness-to-avail of the vaccine may help in understanding the audience of health promotion projects aimed at increasing immunization coverage.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>31668819</pmid><doi>10.1016/j.vaccine.2019.10.001</doi><tpages>9</tpages></addata></record> |
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| subjects | Adolescent Adult Age groups Attitudes Caregivers Caregivers - psychology Child Child mortality Children Children & youth Clinical trials Cross-Sectional Studies Demographic variables Demographics Dengue - epidemiology Dengue - prevention & control Dengue - psychology Dengue fever Dengue vaccine Dengue Vaccines - administration & dosage Female Fever Health belief model Health Knowledge, Attitudes, Practice Health promotion Humans Immunization Male Middle Aged Multivariate analysis Patient Acceptance of Health Care - psychology Philippines - epidemiology Public health Regression analysis Statistical analysis Tropical diseases Urban areas Urban Population Vaccination Vaccine acceptance Vaccines Vector-borne diseases Viral diseases |
| title | Factors associated with the willingness of primary caregivers to avail of a dengue vaccine for their 9 to 14-year-olds in an urban community in the Philippines |
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