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- Title
Vaccine Hesitancy Among Canadian Mothers: Differences in Attitudes Towards a Pediatric COVID-19 Vaccine Among Women Who Experience Intimate Partner Violence.
- Authors
Davidson, Cara A.; Jackson, Kimberley T.; Kennedy, Kelly; Stoyanovich, Ewelina; Mantler, Tara
- Abstract
Objectives: Vaccine hesitancy (VH) in maternal decision-making is important to understand to achieve community immunity targets and optimize pediatric COVID-19 vaccine adoption. COVID-19 is exacerbating the risk of intimate partner violence (IPV) for women in abusive relationships, a known risk factor for maternal VH. This project aimed to: (1) determine if IPV impacts maternal VH in Canada; and (2) understand maternal attitudes towards routine childhood vaccines and a pediatric COVID-19 vaccine in Canada. Methods: As part of a cross-sectional, quantitative study, 129 women completed an online survey. IPV was assessed using the Abuse Assessment Screen and the revised, short-form Composite Abuse Scale. The Parent Attitudes about Childhood Vaccines scale evaluated maternal attitudes towards routine vaccinations and a COVID-19 vaccine. Questions informed by the World Health Organization's Increasing Vaccination Model (IVM) evaluated perceived barriers and facilitators to COVID-19 vaccination. Results: In total, 14.5% of mothers were hesitant towards routine childhood vaccines, while 97.0% were hesitant towards a COVID-19 vaccine. Experiencing IPV was significantly associated with maternal COVID-19 VH (W = 683, p < 0.05). Social processes were identified as instrumental barriers and facilitators to COVID-19 vaccination, meaning that social norms and information sharing among social networks are critical in maternal vaccination decision-making. Conclusions for Practice: This study provides novel evidence of maternal IPV significantly impacting VH and the presence of strong maternal VH specific to a COVID-19 vaccine in the Canadian context. Further research is required to fully understand the factors that build confidence and mitigate hesitancy in mothers, especially mothers who have experienced IPV.
- Subjects
CANADA; KRUSKAL-Wallis Test; ATTITUDES of mothers; COVID-19 vaccines; CROSS-sectional method; INTIMATE partner violence; EXPERIENCE; QUALITATIVE research; SURVEYS; PSYCHOLOGICAL tests; VACCINE hesitancy; SOCIAL status; DESCRIPTIVE statistics; CHI-squared test; WOMEN'S health; MOTHER-child relationship
- Publication
Maternal & Child Health Journal, 2023, Vol 27, Issue 3, p566
- ISSN
1092-7875
- Publication type
Article
- DOI
10.1007/s10995-023-03610-x