Population-based Childhood Immunization Education Intervention Program: Did Parental Hesitancy Risk Perception Translate to Risk Avoidance?
Abstract:
Introduction: Vaccines are the most effective prevention tools to eliminate or significantly
decrease the incidence of many prevalent vaccine-preventable diseases (VPDs). Risk
factors associated with parents’ child immunization hesitancy constituted a major
difficulty to routine immunization program to prevent and control infant VPDs. Earlier,
we reported that parents’ risk perception of infancy vaccination doubtfulness was
remarkable after proper evidence-based information, parental infant immunization
indecision risks perception translation to strong-willed early-days immunization
behaviors remains unsubstantiated.
Methods: We used cross-sectional research method with pilot tested behavioral
theories-informed tool to judge whether the observed parental infancy immunization
risk acuity actually transformed into risk avoidance to vaccinate their children.
Results: The results of this study (N = 359) showed that all respondents had
significant awareness of childhood immunization. Among the respondents, 95% reported
high school and above education levels and 54% gainfully employed. After correction
for confounding with multivariable logistic regression analysis, study participants
that had good risk perception were 4 times as likely to vaccinate their children
compared with participants with poor perception, adjusted POR (APOR) = 4.05, CI
= 1.12 – 14.73.
Conclusions: The activities of public health professionals empowered parents to
progressively perceive and avoid childhood vaccination risks relevant to healthier
children. The findings from this study have far-reaching implications for broad
beneficial and effective infant morbidity and mortality reduction. Addressing parents’
specific questions and concerns adequately helped make more informed choices to
improve complete wellbeing.
Keywords: Parental childhood vaccination hesitancy; effective risk-benefit communication; information seeking/processing; risk perception,
Protection motivation; risk avoidance.
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