Cross-sectional, quantitative research on the perception of pharmacy students from the University of Santo Tomas and their parents toward vaccination
Keywords:Immunisation, Parent, Perception, Pharmacy, Student, Vaccination
Background: Vaccine hesitancy is a global concern wherein contributing factors are lack of vaccine confidence, mistrust, alternative parental beliefs, and inadequate information.
Methods: This study assessed and compared vaccine-related perceptions of pharmacy students and their guardians in the Philippines through a cross-sectional design survey using the 5C scale (confidence, complacency, constraints, calculations, and collective responsibility). Recruitment was stratified to ensure findings are equally represented. Bivariate non-parametric tests and linear regression analyses were applied.
Results: Findings revealed that students were more confident towards vaccines (p = 0.035), and more socially responsible (p = 0.023), while parents were more likely to seek vaccine-related information (p = 0.013). Students were less complacent (p = 0.014) to immunity and less likely to be hindered in getting vaccinated. Predictors of good vaccine-related behaviours were determined to affect the perceptions of students and parents. Higher health literacy has a positive impact on perceptions of vaccination.
Conclusion: This study identified a significant intergenerational difference in vaccine perception, which prompts vaccine-related information dissemination to be more targeted.
Aharon, A., Nehama, H., Rishpon, S., & Baron-Epel, O. (2017). Parents with high levels of communicative and critical health literacy are less likely to vaccinate their children. Patient Education and Counseling, 100(4), 768-775. https://doi.org/10.1016/j.pec.2016.11.016
Badur, S., Ota, M., Öztürk, S., Adegbola, R., & Dutta, A. (2020). Vaccine confidence: the keys to restoring trust. Human vaccines & Immunotherapeutics, 16(5), 1007–1017. https://doi.org/10.1080/21645515.2020.1740559
Betsch, C., Schmid, P., Heinemeier, D., Korn, L., Holtmann, C., & Böhm, R. (2018). Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PloS One, 13(12), 1-32, e0208601. https://doi.org/10.1371/journal.pone.0208601
Betsch, C., Böhm, R., Korn, L., & Holtmann, C. (2017). On the benefits of explaining herd immunity in vaccine advocacy. Nature Human Behaviour, 1(3). https://doi.org/10.1038/s41562-017-0056
Biasio, L. R., Bonaccorsi, G., Lorini, C., & Pecorelli, S. (2020). Assessing COVID-19 Vaccine Literacy: A Preliminary Online Survey. Human Vaccines & Immunotherapeutics, 16, 1-9. https://doi.org/10.20944/preprints202007.0295.v1
Carson, P. J., & Flood, A. T. (2017). Catholic social teaching and the duty to vaccinate. The American Journal of Bioethics, 17(4), 36-43. https://doi.org/10.1080/15265161.2017.1284914
Damnjanović, K., Graeber, J., Ilić, S., Lam, W. Y., Lep, Ž., Morales, S., Pulkkinen, T., & Vingerhoets, L. (2018). Parental Decision-Making on Childhood Vaccination. Frontiers in Psychology, 9, 735. https://doi.org/10.3389/fpsyg.2018.0073
Dayrit, M. M., Mendoza, R. U., & Valenzuela, S. A. (2020). The importance of effective risk communication and transparency: lessons from the dengue vaccine controversy in the Philippines. Journal of Public Health Policy, 41, 252-267. https://doi.org/10.1057/s41271-020-00232-3
Díaz Crescitelli, M. E., Ghirotto, L., Sisson, H., Sarli, L., Artioli, G., Bassi, M. C., Apiicciutoli, G., & Hayter, M. (2020). A meta-synthesis study of the key elements involved in childhood vaccine hesitancy. Public Health, 180, 38–45. https://doi.org/10.1016/j.puhe.2019.10.027
Gowda, C., Schaffer, S. E., Dombkowski, K. J., & Dempsey, A. F. (2012). Understanding attitudes toward adolescent vaccination and the decision-making dynamic among adolescents, parents and providers. BMC Public Health, 12(1), 509-519. https://doi.org/10.1186/1471-2458-12-509
Harmsen, I. A., Mollema, L., Ruiter, R. A., Paulussen, T. G., de Melker, H. E., & Kok, G. (2013). Why parents refuse childhood vaccination: a qualitative study using online focus groups. BMC public health, 13(1), 1-8. https://doi.org/10.1186/1471-2458-13-1183
Hadjipanayis, A., van Esso, D., del Torso, S., Dornbusch, H. J., Michailidou, K., Minicuci, N., Pancheva, R., Mujkic, A., Geitmann, K., Syridou, G., Altorjai, P., Pasinato, A., Valiulis, A., Soler, P., Cirstea, O., Illy, K., Mollema, L., Mazur, A., Neves, A., Zavrsnik, J., Lapii, F., Efstathiou, E., Kamphuis, M., & Grossman, Z. (2020). Vaccine confidence Among Parents: Large scale study in eighteen European countries. Vaccine, 38(6), 1505–1512
Hoogink, J., Verelst, F., Kessels, R., Hoek, A. J., Timen, A., Willem, L., Beutels, P., Wallinga, J., & Wit, G. A. (2020). Preferential differences in vaccination decision-making for oneself or one’s child in The Netherlands: A discrete choice experiment. BMC Public Health, 20(1), 1-14. https://doi.org/10.1186/s12889-020-08844-w
Hotez, P. J., Nuzhath, T., & Colwell, B. (2020). Combating vaccine hesitancy and other 21st century social determinants in the global fight against measles. Current Opinion in Virology, 41, 1-7. DOI: https://doi.org/10.1016/j.coviro.2020.01.001
Larson, H. J., Jarrett, C., Eckersberger, E., Smith, D.M., & Paterson, P. (2014). Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012. Vaccine, 32(19), 2150–2159. https://doi.org/10.1016/j.vaccine.2014.01.081
Larson, H. J., Schulz, W. S., Tucker, J. D., & Smith, D. M. (2015). Measuring vaccine confidence: introducing a global vaccine confidence index. PLoS currents, 7: 1-29, https://doi.org/10.1371/currents.outbreaks.ce0f6177bc97332602a8e3fe7d7f7cc4
Larson, H. J. (2018). Politics and public trust shape vaccine risk perceptions. Nature Human Behaviour, 2(5), 316. https://doi.org/10.1038/s41562-018-0331-6
Mckee, C., Bohannon, K. (2016). Exploring the Reasons Behind Parental Refusal of Vaccines. The Journal of Pediatric Pharmacology and Therapeutics, 21(2), 104–109. https://doi.org/10.5863/1551-6776-21.2.104
Opel, D. J., Taylor, J. A., Mangione-Smith, R., Solomon, C., Zhao, C., Catz, S., & Martin, D. (2011). Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine, 29(38), 6598–6605. https://doi.org/10.1016/j.vaccine.2011.06.115
Pelcic, G., Karacic, S., Mikirtichan, G. L., Kubar, O. I., Leavitt, F. J., Cheng-tek Tai, M., Morishita, N., Vuletic, S., & Tomasevic, L. (2016). Religious exception for vaccination or religious excuses for avoiding vaccination. Croatian Medical Journal, 57(5), 516-521. https://doi.org/10.3325/cmj.2016.57.516
Quadri-Sheriff, M., Hendrix, K. S., Downs, S. M., Sturm, L. A., Zimet, G. D., & Finnell, S. M. (2012). The role of herd immunity in parents' decision to Vaccinate Children: A systematic review. Pediatrics, 130(3), 522-530. https://doi.org/10.1542/peds.2012-0140
Remy, V., Largeron, N., Quilici, S., & Carroll, S. (2014). The Economic Value of Vaccination: Why Prevention Is Wealth. Value in Health, 17(7), A450. https://doi.org/10.1016/j.jval.2014.08.1211
Shen, S. & Dubey, V. (2019). Addressing vaccine hesitancy: Clinical guidance for primary care physicians working with parents. Canadian Family Physician, 65(3):175-181
Wang, B., Giles, L., Afzali, H. H., Clarke, M., Ratcliffe, J., Chen, G., & Marshall, H. (2016). Adolescent confidence in immunisation: Assessing and comparing attitudes of adolescents and adults. Vaccine, 34(46), 5595-5603. https://doi.org/10.1016/j.vaccine.2016.09.040
Weston, D., Blackburn, R., Potts, H. W., & Hayward, A. C. (2017). Predictors of self and parental vaccination decisions in England during the 2009 H1N1 pandemic: Analysis of the Flu Watch pandemic cohort data. Vaccine, 35(31), 3875-3882. https://doi.org/10.1016/j.vaccine.2017.05.061
Wilson, S. L., & Wiysonge, C. (2020). Social media and vaccine hesitancy. BMJ global health, 5(10), e004206. https://doi.org/10.1136/bmjgh-2020-004206