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Article

Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China

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NHC Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200032, China
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Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK
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Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
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Chinese Center for Disease Control and Prevention, Beijing 102200, China
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Key Laboratory of Public Health Safety (Ministry of Education), Fudan University, Shanghai 200032, China
*
Author to whom correspondence should be addressed.
Academic Editor: Davide Gori
Vaccines 2021, 9(3), 201; https://doi.org/10.3390/vaccines9030201
Received: 11 February 2021 / Revised: 23 February 2021 / Accepted: 23 February 2021 / Published: 28 February 2021
Access to vaccination information could influence public attitudes towards vaccination. This study investigated the number and types of vaccination-related information sources, and estimated their associations with vaccine confidence and hesitancy in China. In January 2019, we conducted a cross-sectional survey in China, and 2122 caregivers with children <6 years completed self-administered questionnaires. Logistic regressions were used to assess associations between caregivers’ primary information sources and vaccine confidence/hesitancy. A majority (72%) of caregivers had multiple sources of vaccination-related information. The proportions of caregivers reporting professional sources, media, and peers as primary information sources were 81%, 63%, and 26%. Internal migrants were less likely to get information from professional sources; more educated and wealthier caregivers reported more information sources and were more likely to get information from media and peers. Caregivers who reported professional information sources had significantly higher odds of being confident about the safety of vaccines and lower odds of being hesitant toward vaccination than those who did not. Caregivers who reported the media as a primary information source had significantly higher odds of being hesitant toward vaccination than those who did not. To address vaccine hesitancy, it is essential to promote universal access to professional vaccination-related information sources, and to use the media to disseminate evidence-based information and clarify misinformation. Health communication should target internal migrants, and more educated and wealthier caregivers. View Full-Text
Keywords: vaccine; confidence; hesitancy; vaccination information; China vaccine; confidence; hesitancy; vaccination information; China
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MDPI and ACS Style

Du, F.; Chantler, T.; Francis, M.R.; Sun, F.Y.; Zhang, X.; Han, K.; Rodewald, L.; Yu, H.; Tu, S.; Larson, H.; Hou, Z. Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China. Vaccines 2021, 9, 201. https://doi.org/10.3390/vaccines9030201

AMA Style

Du F, Chantler T, Francis MR, Sun FY, Zhang X, Han K, Rodewald L, Yu H, Tu S, Larson H, Hou Z. Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China. Vaccines. 2021; 9(3):201. https://doi.org/10.3390/vaccines9030201

Chicago/Turabian Style

Du, Fanxing, Tracey Chantler, Mark R. Francis, Fiona Y. Sun, Xuan Zhang, Kaiyi Han, Lance Rodewald, Hongjie Yu, Shiyi Tu, Heidi Larson, and Zhiyuan Hou. 2021. "Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China" Vaccines 9, no. 3: 201. https://doi.org/10.3390/vaccines9030201

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