Socioeconomic Determinants in Vaccine Hesitancy and Vaccine Refusal in Italy

Vaccines
Chiara BertoncelloSilvia Cocchio

Abstract

Childhood vaccination has been a milestone in the control of infectious diseases. However, even in countries offering equal access to vaccination, a number of vaccine-preventable diseases have re-emerged. Suboptimal vaccination coverage has been called into question. The aim was to explore socioeconomic inequalities in vaccine hesitancy and outright refusal. Families with at least one child aged between 3 months and 7 years were involved through an online survey. Families were classified as provaccine, hesitant, or antivaccine. The association between socioeconomic determinants and hesitancy/refusal was investigated with a logistic-regression model. A total of 3865 questionnaires were collected: 64.0% of families were provaccine, 32.4% hesitant, and 3.6% antivaccine. Rising levels of perceived economic hardship were associated with hesitancy (adjusted odds ratio (AOR) from 1.34 to 1.59), and lower parental education was significantly associated with refusal (AOR from 1.89 to 3.39). Family economic hardship and parental education did not move in parallel. Economic hardship was a determinant of hesitancy. Lower education was a predictor of outright refusal without affecting hesitancy. These findings may serve as warnings, and fur...Continue Reading

References

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Citations

Jul 16, 2020·Vaccines·Maria Teresa Montagna Gisio-SItI Working Group
Aug 6, 2020·International Journal of Environmental Research and Public Health·Mariusz Duplaga
Feb 18, 2021·Human Vaccines & Immunotherapeutics·Khalid A Al-RegaieyMuhammad Iqbal
Jan 14, 2021·International Journal of Environmental Research and Public Health·Ibrahim A SalesYazed Al Ruthia
Jan 8, 2021·The Pediatric Infectious Disease Journal·Metin YigitEmrah Senel
Apr 4, 2021·Vaccines·Teresa GavaruzziLorella Lotto
May 8, 2021·Nature Medicine·Briana ChristophersCatharine Boothroyd
Jun 3, 2021·Vaccines·Abanoub RiadOn Behalf Of Iads-Score
May 18, 2021·International Journal of Clinical Practice·Meltem Yılmaz, Mustafa Kursat Sahin
Dec 24, 2021·Disaster Medicine and Public Health Preparedness·İlknur DoluHacer Yalnız Dilcen

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