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Vaccine Sentiments and Under-vaccination: New Paper

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. 

Title: “Vaccinesentiments and under-vaccination: Attitudes and behaviour around Measles,Mumps, and Rubella vaccine (MMR) in an Australian cohort”

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.

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