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Confidence and barriers: Analysis of factors associated with timely routine childhood vaccination in Canada during the COVID-19 pandemic.
MacKay, Harry; Gretton, Jeremy D; Chyderiotis, Sandra; Elliott, Stephanie; Howarth, Ana; Guo, Catherine; Mastroianni, Angela; Kormos, Christine; Leifer, Jessica; Conway, Lauryn; Morrissey, Mark D.
Afiliação
  • MacKay H; Behavioural Science Office, Centre for Surveillance, Integrated Insights, and Risk Assessment, Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Canada; Impact Canada, Impact & Innovation Unit, Privy Council Office, Canada.
  • Gretton JD; Behavioural Science Office, Centre for Surveillance, Integrated Insights, and Risk Assessment, Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Canada.
  • Chyderiotis S; Vaccination Behaviour and Confidence, Centre for Immunization Surveillance and Programs, Infectious Diseases and Vaccination Programs Branch, Public Health Agency of Canada, Canada.
  • Elliott S; Vaccination Behaviour and Confidence, Centre for Immunization Surveillance and Programs, Infectious Diseases and Vaccination Programs Branch, Public Health Agency of Canada, Canada.
  • Howarth A; Infectious Diseases and Vaccination Programs Branch, Public Health Agency of Canada, Canada.
  • Guo C; Behavioural Science Office, Centre for Surveillance, Integrated Insights, and Risk Assessment, Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Canada.
  • Mastroianni A; Behavioural Science Office, Centre for Surveillance, Integrated Insights, and Risk Assessment, Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Canada; Impact Canada, Impact & Innovation Unit, Privy Council Office, Canada.
  • Kormos C; Impact Canada, Impact & Innovation Unit, Privy Council Office, Canada.
  • Leifer J; Impact Canada, Impact & Innovation Unit, Privy Council Office, Canada.
  • Conway L; Impact Canada, Impact & Innovation Unit, Privy Council Office, Canada.
  • Morrissey MD; Behavioural Science Office, Centre for Surveillance, Integrated Insights, and Risk Assessment, Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Canada. Electronic address: mark.morrissey@phac-aspc.gc.ca.
Vaccine ; 42(24): 126236, 2024 Oct 24.
Article em En | MEDLINE | ID: mdl-39217774
ABSTRACT
Routine childhood vaccination is a crucial component of public health in Canada and worldwide. To facilitate catch-up from the global decline in routine vaccination caused by the COVID-19 pandemic, and toward the ongoing pursuit of coverage goals, vaccination programs must understand barriers to vaccine access imposed or exacerbated by the pandemic. We conducted a regionally representative online survey in January 2023 including 2036 Canadian parents with children under the age of 18. We used the COM-B model of behaviour to examine factors influencing vaccination timeliness during the pandemic. We assessed Capability with measures of vaccine understanding and decision difficulty, and Motivation with a measure of vaccine confidence. Opportunity was assessed through parents' self-reported experience with barriers to vaccination. Twenty-four percent of surveyed parents reported having missed or delayed one of their children's scheduled routine vaccinations since the beginning of the pandemic, though most parents reported having either caught up or the intention to catch up soon. In the absence of opportunity barriers, motivation was associated with timely vaccination for children aged 0-4 years (aOR = 1.81, 95 % CI 1.14-2.84). However, experience with one or more opportunity barriers, particularly clinic closures and difficulties getting an appointment, eliminated this relationship, suggesting perennial and new pandemic-associated barriers are a critical challenge to vaccine coverage goals in Canada.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pais / Vacinação / COVID-19 Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Região como assunto: America do norte Idioma: En Revista: Vaccine Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Canadá País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pais / Vacinação / COVID-19 Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Região como assunto: America do norte Idioma: En Revista: Vaccine Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Canadá País de publicação: Holanda