.@ANGLIhere and my paper "Vaccine sentiments and under-vaccination" is now out about in the world and online for everyone to see: https://t.co/bEn4HBE75w
— Mathew Toll (@MGHToll) November 18, 2020
New paper out co-authored with Ang
Li on the issue of vaccine hesitancy and under-vaccination that looks
at the factors associated with vaccine attitudes (very strongly agree with
vaccines to very strongly disagree with vaccines) and vaccine behaviours around
the MMR vaccine (full dosage, partial dosage, no dosage). And the
consistency between factors associated with attitudes and behaviours, showing
when practical barriers impede the translation of positive vaccine attitudes
into full uptake.
Abstract:
Objective
The study aimed to examine the
consistency in factors associated with attitudes towards vaccination and MMR
vaccination status.
Methods
Using the nationally representative
Longitudinal Study of Australian Children matched with the Australian Childhood
Immunisation Register, 4,779 children were included from 2004-2005 to 2010–11.
Different MMR vaccine dosages and general attitude towards vaccination were
modelled individually with multinomial logit regressions, controlling for
demographic, socioeconomic, and health related factors of the children and
their primary carers.
Results
The group with non-vaccination and
negative attitudes was characterised by more siblings and older parents; the
group with under-vaccination but positive attitudes was characterised by younger
parental age; and the group with under-vaccination and neutral attitudes was
characterised by less socioeconomically advantaged areas. The presence of
parental medical condition(s), being private or public renters, and higher
parental education were associated with under-vaccination but not with
attitudes towards vaccination, whilst parental religion was associated with
attitudes towards vaccination but not reflected in the vaccine uptake.
Conclusions
Vaccine attitudes were largely
consistent with MRR vaccine outcomes. However, there was variation in the
associations of factors with vaccine attitudes and uptake. The results have
implications for different policy designs that target subgroups with consistent
or inconsistent vaccination attitudes and behaviour. Parents with intentional
and unintentional under-vaccination are of policy concern and require different
policy solutions.
Here is a share link that allows free access for the first 50 days: https://t.co/XJlSK3Jcix?amp=1
