Parental Hesitancy Response Prevalence by Their Child’s Influenza Vaccination Status Subgroup, and Child Influenza Vaccination Coverage by Parental Hesitancy Response, Children Age 6 Months to 17 Years, United States, 2017–2018 and 2018–2019 Influenza Seasons, NIS-Flu
| . | Parental VH Question Responses by Subgroup Defined by Child’s Influenza Vaccination Status . | Child’s Influenza Vaccination Coverage (≥1 dose) . | ||||
|---|---|---|---|---|---|---|
| 2017–2018 Influenza Season . | 2018–2019 Influenza Season . | 2017–2018 Influenza Season . | 2018–2019 Influenza Season . | |||
| Vaccinated Subgroup, % (95% CI) . | Unvaccinated Subgroup, % (95% CI) . | Vaccinated Subgroup, % (95% CI) . | Unvaccinated Subgroup, % (95% CI) . | Adjusteda % (95% CI) . | Adjusted % (95% CI) . | |
| Overall, how hesitant about childhood shots would you consider yourself to be? | ||||||
| Somewhat or very hesitant | 17.1 (16.1–18.0) | 37.5 (36.0–39.1) | 12.7 (11.9–13.6) | 30.4 (28.9–32.0) | 38.2 (36.3–40.1)* | 41.4 (39.2–43.6)* |
| Not at all or not that hesitant | 82.9 (82.0–83.9) | 62.5 (60.9–64.0) | 87.3 (86.4–88.1) | 69.6 (68.0–71.1) | 63.9 (62.8–65.1)* | 67.0 (65.9–68.0)* |
| APD | −25.8 | −25.6 | ||||
| Is child administered vaccines following a standard schedule, or some other schedule, such as the Sears schedule? | ||||||
| Standard schedule | 96.2 (95.7–96.6) | 90.4 (89.5–91.2) | 96.1 (95.6–96.5) | 90.3 (89.3–91.2) | 58.9 (57.8–59.9)* | 63.5 (62.5–64.4)* |
| Some other schedule | 3.8 (3.4–4.3) | 9.6 (8.8–10.5) | 3.9 (3.5–4.4) | 9.7 (8.8–10.7) | 34.1 (30.6–37.7)* | 39.7 (36.0–43.4)* |
| APD | 24.7 | 23.7 | ||||
| Did concerns about the number of vaccines child gets at one time impact your decision to get child vaccinated? | ||||||
| Yes | 16.6 (15.7–17.5) | 31.2 (29.7–32.6) | 14.6 (13.8–15.5) | 26.3 (24.9–27.7) | 41.4 (39.4–43.4)* | 47.3 (45.2–49.5)* |
| No | 83.4 (82.5–84.3) | 68.8 (67.4–70.3) | 85.4 (84.5–86.2) | 73.7 (72.3–75.1) | 62.0 (60.9–63.1)* | 65.4 (64.4–66.5)* |
| APD | −20.6 | −18.1 | ||||
| Did concern about serious, long-term side effects impact your decision to get child vaccinated? | ||||||
| Yes | 19.0 (18.1–20.0) | 38.3 (36.8–39.8) | 14.8 (14.0–15.7) | 32.9 (31.4–34.4) | 40.6 (38.7–42.4)* | 43.2 (41.2–45.2)* |
| No | 81.0 (80.0–81.9) | 61.7 (60.2–63.2) | 85.2 (84.3–86.0) | 67.1 (65.6–68.6) | 63.6 (62.4–64.7)* | 67.2 (66.2–68.3)* |
| APD | −23.0 | −24.1 | ||||
| Do you personally know anyone who has had a serious, long-term side effect from a vaccine? | ||||||
| Yes | 9.5 (8.8–10.3) | 22.1 (20.8–23.5) | 8.8 (8.1–9.5) | 21.2 (19.8–22.5) | 37.7 (35.3–40.2)* | 41.4 (38.8–44.1)* |
| No | 90.5 (89.7–91.2) | 77.9 (76.5–79.2) | 91.2 (90.5–91.9) | 78.8 (77.5–80.2) | 60.7 (59.6–61.8)* | 65.2 (64.2–66.2)* |
| APD | −23.0 | −23.8 | ||||
| Is child’s doctor or health provider your most trusted source of information about childhood vaccines? | ||||||
| Yes | 87.4 (86.5–88.2) | 76.6 (75.1–77.9) | 89.3 (88.6–90.0) | 79.5 (78.1–80.8) | 60.5 (59.4–61.6)* | 64.7 (63.7–65.7)* |
| No | 12.6 (11.8–13.5) | 23.4 (22.1–24.9) | 10.7 (10.0–11.4) | 20.5 (19.2–21.9) | 41.9 (39.5–44.2)* | 45.8 (43.3–48.3)* |
| APD | 18.6 | 18.9 | ||||
| . | Parental VH Question Responses by Subgroup Defined by Child’s Influenza Vaccination Status . | Child’s Influenza Vaccination Coverage (≥1 dose) . | ||||
|---|---|---|---|---|---|---|
| 2017–2018 Influenza Season . | 2018–2019 Influenza Season . | 2017–2018 Influenza Season . | 2018–2019 Influenza Season . | |||
| Vaccinated Subgroup, % (95% CI) . | Unvaccinated Subgroup, % (95% CI) . | Vaccinated Subgroup, % (95% CI) . | Unvaccinated Subgroup, % (95% CI) . | Adjusteda % (95% CI) . | Adjusted % (95% CI) . | |
| Overall, how hesitant about childhood shots would you consider yourself to be? | ||||||
| Somewhat or very hesitant | 17.1 (16.1–18.0) | 37.5 (36.0–39.1) | 12.7 (11.9–13.6) | 30.4 (28.9–32.0) | 38.2 (36.3–40.1)* | 41.4 (39.2–43.6)* |
| Not at all or not that hesitant | 82.9 (82.0–83.9) | 62.5 (60.9–64.0) | 87.3 (86.4–88.1) | 69.6 (68.0–71.1) | 63.9 (62.8–65.1)* | 67.0 (65.9–68.0)* |
| APD | −25.8 | −25.6 | ||||
| Is child administered vaccines following a standard schedule, or some other schedule, such as the Sears schedule? | ||||||
| Standard schedule | 96.2 (95.7–96.6) | 90.4 (89.5–91.2) | 96.1 (95.6–96.5) | 90.3 (89.3–91.2) | 58.9 (57.8–59.9)* | 63.5 (62.5–64.4)* |
| Some other schedule | 3.8 (3.4–4.3) | 9.6 (8.8–10.5) | 3.9 (3.5–4.4) | 9.7 (8.8–10.7) | 34.1 (30.6–37.7)* | 39.7 (36.0–43.4)* |
| APD | 24.7 | 23.7 | ||||
| Did concerns about the number of vaccines child gets at one time impact your decision to get child vaccinated? | ||||||
| Yes | 16.6 (15.7–17.5) | 31.2 (29.7–32.6) | 14.6 (13.8–15.5) | 26.3 (24.9–27.7) | 41.4 (39.4–43.4)* | 47.3 (45.2–49.5)* |
| No | 83.4 (82.5–84.3) | 68.8 (67.4–70.3) | 85.4 (84.5–86.2) | 73.7 (72.3–75.1) | 62.0 (60.9–63.1)* | 65.4 (64.4–66.5)* |
| APD | −20.6 | −18.1 | ||||
| Did concern about serious, long-term side effects impact your decision to get child vaccinated? | ||||||
| Yes | 19.0 (18.1–20.0) | 38.3 (36.8–39.8) | 14.8 (14.0–15.7) | 32.9 (31.4–34.4) | 40.6 (38.7–42.4)* | 43.2 (41.2–45.2)* |
| No | 81.0 (80.0–81.9) | 61.7 (60.2–63.2) | 85.2 (84.3–86.0) | 67.1 (65.6–68.6) | 63.6 (62.4–64.7)* | 67.2 (66.2–68.3)* |
| APD | −23.0 | −24.1 | ||||
| Do you personally know anyone who has had a serious, long-term side effect from a vaccine? | ||||||
| Yes | 9.5 (8.8–10.3) | 22.1 (20.8–23.5) | 8.8 (8.1–9.5) | 21.2 (19.8–22.5) | 37.7 (35.3–40.2)* | 41.4 (38.8–44.1)* |
| No | 90.5 (89.7–91.2) | 77.9 (76.5–79.2) | 91.2 (90.5–91.9) | 78.8 (77.5–80.2) | 60.7 (59.6–61.8)* | 65.2 (64.2–66.2)* |
| APD | −23.0 | −23.8 | ||||
| Is child’s doctor or health provider your most trusted source of information about childhood vaccines? | ||||||
| Yes | 87.4 (86.5–88.2) | 76.6 (75.1–77.9) | 89.3 (88.6–90.0) | 79.5 (78.1–80.8) | 60.5 (59.4–61.6)* | 64.7 (63.7–65.7)* |
| No | 12.6 (11.8–13.5) | 23.4 (22.1–24.9) | 10.7 (10.0–11.4) | 20.5 (19.2–21.9) | 41.9 (39.5–44.2)* | 45.8 (43.3–48.3)* |
| APD | 18.6 | 18.9 | ||||
APD, adjusted prevalence difference.
Adjusted estimates are based on multivariable logistic regression models, 1 model for each hesitancy question included, with vaccination status as the dependent variable and the hesitancy question and the following variables as independent variables to test for the independent effects of the hesitancy question on vaccination status: child’s age, child’s race and ethnicity, household income, number of children in the household, mother’s education, respondent relationship to the child, and metropolitan statistical area of residence (categories of the sociodemographic variables are the same as those in Table 1).
Vaccination coverage estimates are significantly different, P < .05, when comparing the 2 groups defined by the hesitancy question responses.