Eiden Amanda L, Mackie deMauri S, Modi Kushal, Drakeley Sheila, Mercadante Amanda R, Bhatti Alexandra, DiFranzo Anthony
Merck & Co., Inc., Rahway, NJ, USA.
Oracle Life Science, Austin, TX, USA.
Vaccine. 2025 Mar 19;50:126807. doi: 10.1016/j.vaccine.2025.126807. Epub 2025 Feb 1.
Approaches best suited for encouraging adults to vaccinate themselves may differ from those for encouraging parents to vaccinate their children.
To describe vaccine hesitancy and literacy among the US adult population.
This cross-sectional survey assessed vaccine hesitancy and literacy among the US adult population (aged 18-60), grouped by their role as decision makers (parents for their children aged <18 vs. adults for themselves). Results were also examined among adults without children aged <18 by race and by household income. Data were collected using multiple-choice questions, which are reported as numbers and percentages, or a 5-point Likert scale.
Respondents included 1875 adults: 1183 adults without children aged <18 (63.1 %) and 692 parents of children aged <18 (36.9 %). Respondents generally agreed that vaccines are safe, effective, and a good way to protect themselves or their families. Respondents generally disagreed that vaccines are dangerous and overused and were neutral to claiming religious exemptions from vaccination. Most respondents trusted vaccines that had been available for two years or less (59.7 %). Respondents received most vaccine information from doctors' offices, public health sources, or pharmacies. Comparing parents with other adults, parents followed advice from friends, family, and colleagues more than other adults (p < 0.001) and parents felt they understood vaccine information better than other adults (p < 0.001). Parents were also more comfortable researching vaccine information than were other adults (p = 0.005). Adults reported pharmacies were most convenient of all points of care, and parents reported them second most convenient.
Education about vaccine safety and the importance of childhood vaccinations among social networks may increase acceptance among vaccine-hesitant parents. Strategies focusing on increasing vaccine promotion at pharmacies may be effective for reducing vaccine hesitancy for all adults.
最适合鼓励成年人自行接种疫苗的方法可能与鼓励父母为孩子接种疫苗的方法有所不同。
描述美国成年人群体中的疫苗犹豫和认知情况。
这项横断面调查评估了美国成年人群体（年龄在18 - 60岁）中的疫苗犹豫和认知情况，根据他们作为决策者的角色进行分组（为18岁以下子女决策的父母与为自己决策的成年人）。还按种族和家庭收入对18岁以下无子女的成年人进行了结果分析。数据通过多项选择题收集，以数字和百分比形式报告，或采用5点李克特量表。
受访者包括1875名成年人：1183名18岁以下无子女的成年人（63.1%）和692名18岁以下子女的父母（36.9%）。受访者普遍认为疫苗是安全、有效的，是保护自己或家人的好方法。受访者普遍不同意疫苗危险且过度使用的观点，对于声称因宗教原因免种疫苗持中立态度。大多数受访者信任上市两年及以内的疫苗（59.7%）。受访者获取的大多数疫苗信息来自医生办公室、公共卫生机构或药店。与其他成年人相比，父母比其他成年人更听从朋友、家人和同事的建议（p < 0.001），且父母觉得自己比其他成年人更了解疫苗信息（p < 0.001）。父母在研究疫苗信息方面也比其他成年人更自在（p = 0.005）。成年人表示药店是所有医疗服务点中最便利的，而父母则表示药店是第二便利的。
在社交网络中开展关于疫苗安全性及儿童疫苗接种重要性的教育，可能会提高对疫苗犹豫的父母的接受度。侧重于在药店加强疫苗推广的策略可能对减少所有成年人的疫苗犹豫有效。
