Reliability and validity of a survey to identify vaccine hesitancy among parents in Changxing county, Zhejiang province

Yu Hu · Yaping Chen · Hui Liang · Ying Wang

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Vaccine Coverage and Hesitancy Health Education and Validation Intramuscular injections and effects

Abstract

BACKGROUND: To evaluate the validity and reliability of a survey to identify vaccine hesitancy among parents. METHODS: Cross-sectional survey of parents of 19-35 month old children was conducted in Changxing County, Zhejiang Province, through a questionnaire developed for the survey of the vaccine hesitancy. Construct validity was assessed by linking parental responses to their child's immunization record. The association between mean% of days of under-immunization and the parental socio-demographics and the individual item response was explored via the univariate and multivariate analyses. Factor analysis was applied to confirm survey sub-domains and Cronbach's α to determine the internal consistency reliability of sub-domain scales. RESULTS: We approached 336 households while 285 of them agreed to participate in this study. Education level and the parental 'score of vaccination hesitancy' were significantly associated with the mean% of days of under-immunization. Cronbach's coefficients for the 3 sub-domain scales created by re-grouping the questionnaire's items were 0.71, 0.83, and 0.72, respectively. CONCLUSIONS: The survey represented a valid and reliable instrument to identify VHPs and it could help to screen parents to receive an intervention aimed at increasing acceptance of vaccinations.

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References

1994General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP)2008Parents With Doubts About Vaccines: Which Vaccines and Reasons Why 2000Do Parents Understand Immunizations? A National Telephone Survey 2010Parental Vaccine Safety Concerns in 2009 2006Association Between Health Care Providers' Influence on Parents Who Have Concerns About Vaccine Safety and Vaccination Coverage 2015Diagnosing the determinants of vaccine hesitancy in specific subgroups: The Guide to Tailoring Immunization Programmes (TIP)2005Parent Attitudes Toward Immunizations and Healthcare Providers 2005Immunization Attitudes and Beliefs Among Parents: Beyond a Dichotomous Perspective

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