Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease
Purpose: To determine the extent of and reasons for hesitancy toward vaccination among adults at high-risk for pneumococcal disease. Design: Cross-sectional. Setting: Online survey in March-April 2019 via QuestionPro. Subjects: Tennessee adults (18-64 years) at high-risk of pneumococcal disease (n =...
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| Veröffentlicht in: | American journal of health promotion 2021-09, Vol.35 (7), p.908-916 |
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| container_title | American journal of health promotion |
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| creator | Gatwood, Justin McKnight, Madison Frederick, Kelsey Hohmeier, Kenneth Kapan, Shiyar Chiu, Chi-Yang Renfro, Chelsea Hagemann, Tracy |
| description | Purpose:
To determine the extent of and reasons for hesitancy toward vaccination among adults at high-risk for pneumococcal disease.
Design:
Cross-sectional.
Setting:
Online survey in March-April 2019 via QuestionPro.
Subjects:
Tennessee adults (18-64 years) at high-risk of pneumococcal disease (n = 1,002).
Measures:
Modified version of the validated Vaccine Hesitancy Scale assessed vaccine-related beliefs, reasons for hesitancy, external influences on vaccination, and prior vaccination
Analysis:
Descriptive and inferential statistics provided an overview of the responses and comparisons among subgroups. Logistic regression determined the odds of being hesitant using the listed beliefs and influencers as predictors. Thematic analysis was performed on the qualitative data gathered from free response questions throughout the survey.
Results:
Analysis included 1,002 complete responses (12% response rate [total viewed = 8,331]) with 34.3% indicating hesitancy toward one or more recommended vaccinations, with 53% of which indicating hesitancy to the pneumococcal vaccine despite it being recommended by the Advisory Committee on Immunization Practices (ACIP) for all respondents. The odds of vaccine hesitancy or resistance were higher in minorities (OR: 1.6; 95% CI: 1.19-2.11), those not believing others like them get vaccinated (OR: 1.82; 95% CI: 1.262-2.613), and respondents recalling negative media about vaccines (OR: 2.56; 95% CI: 1.797-3.643).
Conclusions:
Patients at high-risk of pneumococcal disease lack awareness of the need for the recommended vaccine, and provider education may need improving to increase vaccination in this population. |
| doi_str_mv | 10.1177/0890117121998141 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2497079879</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0890117121998141</sage_id><sourcerecordid>2560018140</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-f73ec172670155994c31dcc2fe66ca00cd7cb8813a49e6bfb5cd1fa66dcdd48c3</originalsourceid><addsrcrecordid>eNp1kM1LAzEQxYMoWj_uniTgxcvqZD-SzbFotUJBKerFw5KdZOvqNqmbXbD_vamtCoKnGZjfe_N4hBwzOGdMiAvIJYSFxUzKnKVsiwxixvOIc4i3yWB1jlb3PbLv_StAnDGAXbKXJDwTeZoOyPPoozO2o66iymo6Nco762nlWvqkEGtr6Nj4ulMWl7S2dKj7pvNUdXRcz16iae3fvuB7a_q5Q4eoGnpV--BjDslOpRpvjjbzgDxejx4ux9Hk7ub2cjiJMMTookokBpmIuQCWZVKmmDCNGFeGc1QAqAWWec4SlUrDy6rMULNKca5R6zTH5ICcrX0XrXvvje-Kee3RNI2yxvW-iFMpQMhcyICe_kFfXd_akK6IMw7AQosQKFhT2DrvW1MVi7aeq3ZZMChWxRd_iw-Sk41xX86N_hF8Nx2AaA14NTO_X_81_ASY3ImL</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2560018140</pqid></control><display><type>article</type><title>Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease</title><source>MEDLINE</source><source>SAGE Complete</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Gatwood, Justin ; McKnight, Madison ; Frederick, Kelsey ; Hohmeier, Kenneth ; Kapan, Shiyar ; Chiu, Chi-Yang ; Renfro, Chelsea ; Hagemann, Tracy</creator><creatorcontrib>Gatwood, Justin ; McKnight, Madison ; Frederick, Kelsey ; Hohmeier, Kenneth ; Kapan, Shiyar ; Chiu, Chi-Yang ; Renfro, Chelsea ; Hagemann, Tracy</creatorcontrib><description>Purpose:
To determine the extent of and reasons for hesitancy toward vaccination among adults at high-risk for pneumococcal disease.
Design:
Cross-sectional.
Setting:
Online survey in March-April 2019 via QuestionPro.
Subjects:
Tennessee adults (18-64 years) at high-risk of pneumococcal disease (n = 1,002).
Measures:
Modified version of the validated Vaccine Hesitancy Scale assessed vaccine-related beliefs, reasons for hesitancy, external influences on vaccination, and prior vaccination
Analysis:
Descriptive and inferential statistics provided an overview of the responses and comparisons among subgroups. Logistic regression determined the odds of being hesitant using the listed beliefs and influencers as predictors. Thematic analysis was performed on the qualitative data gathered from free response questions throughout the survey.
Results:
Analysis included 1,002 complete responses (12% response rate [total viewed = 8,331]) with 34.3% indicating hesitancy toward one or more recommended vaccinations, with 53% of which indicating hesitancy to the pneumococcal vaccine despite it being recommended by the Advisory Committee on Immunization Practices (ACIP) for all respondents. The odds of vaccine hesitancy or resistance were higher in minorities (OR: 1.6; 95% CI: 1.19-2.11), those not believing others like them get vaccinated (OR: 1.82; 95% CI: 1.262-2.613), and respondents recalling negative media about vaccines (OR: 2.56; 95% CI: 1.797-3.643).
Conclusions:
Patients at high-risk of pneumococcal disease lack awareness of the need for the recommended vaccine, and provider education may need improving to increase vaccination in this population.</description><identifier>ISSN: 0890-1171</identifier><identifier>EISSN: 2168-6602</identifier><identifier>DOI: 10.1177/0890117121998141</identifier><identifier>PMID: 33657844</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Adults ; Advisory committees ; Cross-Sectional Studies ; Health Knowledge, Attitudes, Practice ; Health promotion ; High risk ; Humans ; Immunization ; Middle Aged ; Minority groups ; Pneumococcal disease ; Pneumococcal Infections - prevention & control ; Polls & surveys ; Response rates ; Streptococcus infections ; Surveys and Questionnaires ; Vaccination ; Vaccines ; Young Adult</subject><ispartof>American journal of health promotion, 2021-09, Vol.35 (7), p.908-916</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-f73ec172670155994c31dcc2fe66ca00cd7cb8813a49e6bfb5cd1fa66dcdd48c3</citedby><cites>FETCH-LOGICAL-c365t-f73ec172670155994c31dcc2fe66ca00cd7cb8813a49e6bfb5cd1fa66dcdd48c3</cites><orcidid>0000-0002-4801-8555 ; 0000-0002-4090-8457</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0890117121998141$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0890117121998141$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,30978,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33657844$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gatwood, Justin</creatorcontrib><creatorcontrib>McKnight, Madison</creatorcontrib><creatorcontrib>Frederick, Kelsey</creatorcontrib><creatorcontrib>Hohmeier, Kenneth</creatorcontrib><creatorcontrib>Kapan, Shiyar</creatorcontrib><creatorcontrib>Chiu, Chi-Yang</creatorcontrib><creatorcontrib>Renfro, Chelsea</creatorcontrib><creatorcontrib>Hagemann, Tracy</creatorcontrib><title>Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease</title><title>American journal of health promotion</title><addtitle>Am J Health Promot</addtitle><description>Purpose:
To determine the extent of and reasons for hesitancy toward vaccination among adults at high-risk for pneumococcal disease.
Design:
Cross-sectional.
Setting:
Online survey in March-April 2019 via QuestionPro.
Subjects:
Tennessee adults (18-64 years) at high-risk of pneumococcal disease (n = 1,002).
Measures:
Modified version of the validated Vaccine Hesitancy Scale assessed vaccine-related beliefs, reasons for hesitancy, external influences on vaccination, and prior vaccination
Analysis:
Descriptive and inferential statistics provided an overview of the responses and comparisons among subgroups. Logistic regression determined the odds of being hesitant using the listed beliefs and influencers as predictors. Thematic analysis was performed on the qualitative data gathered from free response questions throughout the survey.
Results:
Analysis included 1,002 complete responses (12% response rate [total viewed = 8,331]) with 34.3% indicating hesitancy toward one or more recommended vaccinations, with 53% of which indicating hesitancy to the pneumococcal vaccine despite it being recommended by the Advisory Committee on Immunization Practices (ACIP) for all respondents. The odds of vaccine hesitancy or resistance were higher in minorities (OR: 1.6; 95% CI: 1.19-2.11), those not believing others like them get vaccinated (OR: 1.82; 95% CI: 1.262-2.613), and respondents recalling negative media about vaccines (OR: 2.56; 95% CI: 1.797-3.643).
Conclusions:
Patients at high-risk of pneumococcal disease lack awareness of the need for the recommended vaccine, and provider education may need improving to increase vaccination in this population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Advisory committees</subject><subject>Cross-Sectional Studies</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health promotion</subject><subject>High risk</subject><subject>Humans</subject><subject>Immunization</subject><subject>Middle Aged</subject><subject>Minority groups</subject><subject>Pneumococcal disease</subject><subject>Pneumococcal Infections - prevention & control</subject><subject>Polls & surveys</subject><subject>Response rates</subject><subject>Streptococcus infections</subject><subject>Surveys and Questionnaires</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>Young Adult</subject><issn>0890-1171</issn><issn>2168-6602</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kM1LAzEQxYMoWj_uniTgxcvqZD-SzbFotUJBKerFw5KdZOvqNqmbXbD_vamtCoKnGZjfe_N4hBwzOGdMiAvIJYSFxUzKnKVsiwxixvOIc4i3yWB1jlb3PbLv_StAnDGAXbKXJDwTeZoOyPPoozO2o66iymo6Nco762nlWvqkEGtr6Nj4ulMWl7S2dKj7pvNUdXRcz16iae3fvuB7a_q5Q4eoGnpV--BjDslOpRpvjjbzgDxejx4ux9Hk7ub2cjiJMMTookokBpmIuQCWZVKmmDCNGFeGc1QAqAWWec4SlUrDy6rMULNKca5R6zTH5ICcrX0XrXvvje-Kee3RNI2yxvW-iFMpQMhcyICe_kFfXd_akK6IMw7AQosQKFhT2DrvW1MVi7aeq3ZZMChWxRd_iw-Sk41xX86N_hF8Nx2AaA14NTO_X_81_ASY3ImL</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Gatwood, Justin</creator><creator>McKnight, Madison</creator><creator>Frederick, Kelsey</creator><creator>Hohmeier, Kenneth</creator><creator>Kapan, Shiyar</creator><creator>Chiu, Chi-Yang</creator><creator>Renfro, Chelsea</creator><creator>Hagemann, Tracy</creator><general>SAGE Publications</general><general>American Journal of Health Promotion</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>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4801-8555</orcidid><orcidid>https://orcid.org/0000-0002-4090-8457</orcidid></search><sort><creationdate>202109</creationdate><title>Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease</title><author>Gatwood, Justin ; McKnight, Madison ; Frederick, Kelsey ; Hohmeier, Kenneth ; Kapan, Shiyar ; Chiu, Chi-Yang ; Renfro, Chelsea ; Hagemann, Tracy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-f73ec172670155994c31dcc2fe66ca00cd7cb8813a49e6bfb5cd1fa66dcdd48c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Advisory committees</topic><topic>Cross-Sectional Studies</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health promotion</topic><topic>High risk</topic><topic>Humans</topic><topic>Immunization</topic><topic>Middle Aged</topic><topic>Minority groups</topic><topic>Pneumococcal disease</topic><topic>Pneumococcal Infections - prevention & control</topic><topic>Polls & surveys</topic><topic>Response rates</topic><topic>Streptococcus infections</topic><topic>Surveys and Questionnaires</topic><topic>Vaccination</topic><topic>Vaccines</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gatwood, Justin</creatorcontrib><creatorcontrib>McKnight, Madison</creatorcontrib><creatorcontrib>Frederick, Kelsey</creatorcontrib><creatorcontrib>Hohmeier, Kenneth</creatorcontrib><creatorcontrib>Kapan, Shiyar</creatorcontrib><creatorcontrib>Chiu, Chi-Yang</creatorcontrib><creatorcontrib>Renfro, Chelsea</creatorcontrib><creatorcontrib>Hagemann, Tracy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of health promotion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gatwood, Justin</au><au>McKnight, Madison</au><au>Frederick, Kelsey</au><au>Hohmeier, Kenneth</au><au>Kapan, Shiyar</au><au>Chiu, Chi-Yang</au><au>Renfro, Chelsea</au><au>Hagemann, Tracy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease</atitle><jtitle>American journal of health promotion</jtitle><addtitle>Am J Health Promot</addtitle><date>2021-09</date><risdate>2021</risdate><volume>35</volume><issue>7</issue><spage>908</spage><epage>916</epage><pages>908-916</pages><issn>0890-1171</issn><eissn>2168-6602</eissn><abstract>Purpose:
To determine the extent of and reasons for hesitancy toward vaccination among adults at high-risk for pneumococcal disease.
Design:
Cross-sectional.
Setting:
Online survey in March-April 2019 via QuestionPro.
Subjects:
Tennessee adults (18-64 years) at high-risk of pneumococcal disease (n = 1,002).
Measures:
Modified version of the validated Vaccine Hesitancy Scale assessed vaccine-related beliefs, reasons for hesitancy, external influences on vaccination, and prior vaccination
Analysis:
Descriptive and inferential statistics provided an overview of the responses and comparisons among subgroups. Logistic regression determined the odds of being hesitant using the listed beliefs and influencers as predictors. Thematic analysis was performed on the qualitative data gathered from free response questions throughout the survey.
Results:
Analysis included 1,002 complete responses (12% response rate [total viewed = 8,331]) with 34.3% indicating hesitancy toward one or more recommended vaccinations, with 53% of which indicating hesitancy to the pneumococcal vaccine despite it being recommended by the Advisory Committee on Immunization Practices (ACIP) for all respondents. The odds of vaccine hesitancy or resistance were higher in minorities (OR: 1.6; 95% CI: 1.19-2.11), those not believing others like them get vaccinated (OR: 1.82; 95% CI: 1.262-2.613), and respondents recalling negative media about vaccines (OR: 2.56; 95% CI: 1.797-3.643).
Conclusions:
Patients at high-risk of pneumococcal disease lack awareness of the need for the recommended vaccine, and provider education may need improving to increase vaccination in this population.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33657844</pmid><doi>10.1177/0890117121998141</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4801-8555</orcidid><orcidid>https://orcid.org/0000-0002-4090-8457</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0890-1171 |
| ispartof | American journal of health promotion, 2021-09, Vol.35 (7), p.908-916 |
| issn | 0890-1171 2168-6602 |
| language | eng |
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| source | MEDLINE; SAGE Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Adult Adults Advisory committees Cross-Sectional Studies Health Knowledge, Attitudes, Practice Health promotion High risk Humans Immunization Middle Aged Minority groups Pneumococcal disease Pneumococcal Infections - prevention & control Polls & surveys Response rates Streptococcus infections Surveys and Questionnaires Vaccination Vaccines Young Adult |
| title | Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease |
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