Population-based Childhood Immunization Education Intervention Program: Process and Impact Assessment
Abstract:
Background: Vaccine hesitancy remains a public health issue, given
the influence of parental belief, thoughts, feelings and perception on childhood
vaccination. We assessed the process and impact of education intervention public
health professionals conducted to eliminate the risks due to parental childhood
vaccine indecisions behaviors.
Methods: We used cross-sectional research method with behavioral theories-informed
tool to assess the process and impact of efforts on parental childhood vaccination
hesitancy in our sample. Chi square statistic and logistic regression model were
used to characterize the sample and test the study related hypotheses respectively.
Results: The overall response rate for the survey was 80% (359 of 450).
Sixty-three percent of the participants were female, 62% were employed full time,
and 77% were educated above secondary school level. Ninety-five percent of the 450
participants cast their votes of confidence for the safety and protectiveness of
childhood vaccines. In the multivariable logistic regression analysis, study participants
with positive response to TV as a good source of information were 4 times as likely
to perceive childhood immunization risks judged against those with negative response,
adjusted prevalence odds ratio (APOR) = 4.35, 95% Confidence Intervals (CI) = 0.10
– 0.74.
Conclusions: The source of information significantly influenced vaccine
hesitancy in our sample. These data is suggestive of the need for public health
education via mass media in reducing vaccine hesitancy.
Keywords: Childhood immunization, parental vaccine hesitancy; risk communications; behavior change; vaccine acceptance
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