The document summarizes key findings from the Childhood Immunization Attitudes and Behavior Survey (ChIMPS) conducted in 2016 using a national mobile panel. Some key findings include:
- Over 95% of respondents across racial/ethnic groups reported their child received all recommended vaccines.
- 61.8% of Caucasian respondents reported their child received the flu vaccine since July 2016, compared to over 75% of other racial/ethnic groups.
- 20-25% of respondents across racial/ethnic groups reported ever delaying a recommended vaccine, while 3.6-14.3% decided not to give their child a vaccine.
- Over 90% of respondents across racial/eth
Findings from a National Situation Analysis of Orphans and Vulnerable Childre...MEASURE Evaluation
Led by Mathew Ngunga.
A Child Status Network webinar on the findings from a national situation analysis of orphans and vulnerable children in Zambia – a report from the baseline study of the STEPS OVC project.
A comment in Nature, signed by over 800 researchers, called for a rise up against statistical significance. This was followed by a special issue of The American Statistician aimed at halting the use of the term "statistically significant", and new guidelines for statistical reporting in the New England Journal of Medicine. These slides discuss the broader context of the "p-value crisis" and alternatives for communicating the conclusions after statistical analyses.
Target audience: Medical researchers; Scientists involved in conducting or interpreting analyses and communicating the results of scientific research, as well as readers of scientific publications.
Learning objectives:
To understand the context of the reproducibility crisis in medical research.
To learn about problems with p-values and alternatives to report findings.
To understand how (not) to interpret significant and insignificant findings.
To learn how to communicate research findings in a modest, thoughtful, and transparent way.
Front End Redesign: Serving Children Effectively Starting with the Right Ass...Gregory Kurth
This was a presentation on evidence-based practices for child welfare safety assessments. The presentation created a comprehensive framework for rationalizing safety decisions and planning with services.
Findings from a National Situation Analysis of Orphans and Vulnerable Childre...MEASURE Evaluation
Led by Mathew Ngunga.
A Child Status Network webinar on the findings from a national situation analysis of orphans and vulnerable children in Zambia – a report from the baseline study of the STEPS OVC project.
A comment in Nature, signed by over 800 researchers, called for a rise up against statistical significance. This was followed by a special issue of The American Statistician aimed at halting the use of the term "statistically significant", and new guidelines for statistical reporting in the New England Journal of Medicine. These slides discuss the broader context of the "p-value crisis" and alternatives for communicating the conclusions after statistical analyses.
Target audience: Medical researchers; Scientists involved in conducting or interpreting analyses and communicating the results of scientific research, as well as readers of scientific publications.
Learning objectives:
To understand the context of the reproducibility crisis in medical research.
To learn about problems with p-values and alternatives to report findings.
To understand how (not) to interpret significant and insignificant findings.
To learn how to communicate research findings in a modest, thoughtful, and transparent way.
Front End Redesign: Serving Children Effectively Starting with the Right Ass...Gregory Kurth
This was a presentation on evidence-based practices for child welfare safety assessments. The presentation created a comprehensive framework for rationalizing safety decisions and planning with services.
Insights into patient preferences on telemedicine, wearables
and post-discharge care - We asked more than 2,000 Americans how they currently connect with healthcare providers. Their answers may surprise you - This survey was conducted online within the United States by Harris Poll on behalf of Salesforce from June 8-10, 2016, among 2,025 U.S. adults ages 18 and older, among whom 1,736 have health insurance and a primary care doctor. This online survey is not based on a probability sample, and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables, please contact Joel Steinfeld at jsteinfeld@salesforce.com.
Evaluation of Immunization Coverage among Children between 12 - 23 Months of ...QUESTJOURNAL
Introduction:Immunization is one of the well known and most effective method of preventing childhood diseases. Aims And Objectives:1) To describe socio-demographic profile of children between 12-23 months of age attending immunization centre, RIMS, Ranchi. 2) To Evaluate the factors affecting immunization status among children between 12-23 months of age attending immunization centre, RIMS, Ranchi. Materials and Methods: The study was cross-sectional and descriptive type. Place of study was immunization centre, RIMS, Ranchi. Study duration was from 1 September to 30 November 2016. Results: In the present study 110 Children were studied in which maximum number were 19 months of age. Majority were hindu (79.9%) male(63.6%) of Urban locality(92.7%). Education of the parents was found to be significantly associated with the immunization status of children. Conclusion: Increasing the literacy status of the parents can alone can bring a major difference in immunization coverage among Children.
Presented by Richard Crosby, PhD, DDI Endowed Professor and Chair, Department of Health Behavior, University of Kentucky at the 2012 National Chlamydia Coalition meeting.
Insights into patient preferences on telemedicine, wearables
and post-discharge care - We asked more than 2,000 Americans how they currently connect with healthcare providers. Their answers may surprise you - This survey was conducted online within the United States by Harris Poll on behalf of Salesforce from June 8-10, 2016, among 2,025 U.S. adults ages 18 and older, among whom 1,736 have health insurance and a primary care doctor. This online survey is not based on a probability sample, and therefore no estimate of theoretical sampling error can be calculated. For complete survey methodology, including weighting variables, please contact Joel Steinfeld at jsteinfeld@salesforce.com.
Evaluation of Immunization Coverage among Children between 12 - 23 Months of ...QUESTJOURNAL
Introduction:Immunization is one of the well known and most effective method of preventing childhood diseases. Aims And Objectives:1) To describe socio-demographic profile of children between 12-23 months of age attending immunization centre, RIMS, Ranchi. 2) To Evaluate the factors affecting immunization status among children between 12-23 months of age attending immunization centre, RIMS, Ranchi. Materials and Methods: The study was cross-sectional and descriptive type. Place of study was immunization centre, RIMS, Ranchi. Study duration was from 1 September to 30 November 2016. Results: In the present study 110 Children were studied in which maximum number were 19 months of age. Majority were hindu (79.9%) male(63.6%) of Urban locality(92.7%). Education of the parents was found to be significantly associated with the immunization status of children. Conclusion: Increasing the literacy status of the parents can alone can bring a major difference in immunization coverage among Children.
Presented by Richard Crosby, PhD, DDI Endowed Professor and Chair, Department of Health Behavior, University of Kentucky at the 2012 National Chlamydia Coalition meeting.
FedCASIC 2019: Survey Respondent Segmentation: Trust in Government SurveysLew Berman
Surveys are universally experiencing falling response rates and rising data collection costs. Numerous studies focused on nonrespondents and the risk of bias Many people don’t respond to surveys. We explore the reasons why they participate to help inform ways to motivate more people to respond. This work is
Sparked by the market research conducted for the 2010 Census. We investigate attitudinal motivators and barriers to government survey participation, particularly health surveys.
FedCASIC 2019: Topic Salience and Propensity to Respond to Surveys: Findings ...Lew Berman
Main Theories on Nonresponse (Tourangeau and Piewes 2013) include Social Capital , Leverage-Salience Theory, Social Exchange Theory. The origins of Leverage-Salience Theory are from Groves and Couper (1998). Researchers observe that respondents vary in terms of the attributes of a survey request that they judge as relevant to their decision to participate. Thus Expert interviewers tailor the features of their request to heighten the salience of those elements they think will be most favorably received by potential respondent.
We look at topic salience and propensity to respond to surveys using findings from a study using a national mobile panel.
FedCASIC 2019: Designing, implementing, and analyzing Leverage Saliency Theor...Lew Berman
Description of an experiment using LST to determine who is more likely to participate in a survey based on survey topic. Specifically will incentive of $25 or $50 lead to an increase in participation, will increasing survey duration impact participation, do incentive and duration predict willingness to participate, and do the main effects vary across topics and importance.
IFD&TC 2012: Validating in-home Measures for the National Health Interview Su...Lew Berman
Design considerations for an experiment to validate that physical measures and blood can be collected in-home comparable to that collected in the CDC NHANES Mobile Examination Center. Results from the validation study would be used to confirm application of these methods for the CDC NHIS Study.
IFD&TC 2019: Technical Challenges and Solutions in Center ManagementLew Berman
This panel will discuss two sets of challenges and solutions in center management. Telephone based surveys typically use supervisory staff to live-monitor interviewers or manually review recordings for effective speech rate, properly reading a question, and accurately recording a response. General industry practice is to review 5-10% of all calls. However, these practices are labor intensive, subjective, and the evidence for this range of review is anecdotal. This panel will discuss current call center practices and new technical solutions for improving these practices. Spam blockers are having an increasing impact on our ability to contact respondents by phone. Panelists will share research about spam blockers, how they affect centers with different telephone systems, and possible solutions to ensure your calls get through to study participants.
Data Science Training and Workforce DevelopmentLew Berman
Overall, the demand for data science talent is outpacing the current supply, and many who are being trained in data science methods are pursuing careers in sectors other than public service or biomedical/behavioral research. On June 6, 2018 ICF hosted a workshop with participants from academia, industry
organizations and the federal government. This paper summarizes the key findings from this workshop.
Willingness and Reasons for Unlikeliness to Share Child Immunization Records ...Lew Berman
Poster presentation at the 2018 National Immunization Conference on willingness of survey participants to share child immunization records. The survey, The Childhood Immunization Mobile Panel Survey II (ChIMPS II), was a methodology study to assess mode, introduction, and content variations for the National Immunization Survey (NIS). This study used a smart phone panel because it offered easier administration, lower cost, and respondent convenience. One content variation focused on assessing the willingness of a respondent to provide permission for the Centers for Disease Control and Prevention (CDC) to access their children’s medical vaccine records. The objective of the poster analyses was to describes the willingness of respondents to share vaccine records with CDC as part of smartphone survey, and the reasons respondents gave for being unwilling or unsure about sharing their child’s medical records with CDC.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
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- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
FedCASIC 2017: Childhood Immunization Attitudes and Behavior: National Survey of Parents using a Mobile Panel
1. Childhood Immunization Attitudes and Behavior:
National Survey of Parents using a Mobile Panel
John Boyle PhD, ICF
Lewis Berman PhD MS, ICF
Glen Nowak, PhD, University of Georgia
James Dayton, MBA, ICF
Ronaldo Iachan, PhD, ICF
Deirdre Middleton, MPH ICF
2017 Federal CASIC Workshops April 11, 2017
2. 2
The Childhood Immunization Attitudes and Behavior Survey: Background
Childhood Immunization rates are a priority public health issue
National Immunization Survey (NIS) is primary tool for monitoring these rates
– Dual frame RDD sampling methodology to screen for children aged 19-35 months of age
– Household eligibility rate: 1.5% for landline, 3.3% for cell phone
NIS Challenges
– Low incidence population+ lack of targeted frame → Large sample needs to be screened
– Estimates needed for more than 50 geographic areas → Larger sample needed
– Immunization estimates based on provider records for children → Larger sample needed
– Declining response rates → Larger sample needed
The current methodology requires 7.5 million telephone numbers dialed to obtain 24,000 completed
interviews with parents of age-eligible children, to get 15,000 cases with adequate provider data
Since NIS cannot cover all public health issues associated with childhood immunization, such as vaccine
hesitancy, and resources are limited, alternative methods are needed to supplement it in a timely and cost-
efficient manner
3. 3
What Are the Alternatives for Large Samples of Low Incidence Populations?
Web
– The fastest and least expensive mode of data collection
Email addresses
– No national population based frame exists
Non-probability Web Panels
– Large enough (<1,000,000) to generate national samples of low incidence populations
– Have member profiles with characteristics (e.g., children in HH) that can reduce screening costs and time
Mobile panels
– Particularly appropriate in terms of coverage and use for web surveys of young adults --- 85% smart phone
ownership among 18-29 year olds, 79% among 30-49 year olds (PEW 2014)
4. 4
What Should I Know about Non-Probability Samples?
• Non-probability samples are not based on statistical models that allow us to estimate
sampling variability and calculate confidence limits about sample estimates
• However, they are not necessarily subject to other sources of total survey error to a
greater degree than probability samples (i.e., point estimate may be accurate even if
confidence interval cannot be calculated)
• AAPOR acknowledges that non-probability samples may be “fit for purpose” for certain
populations or study objectives
• CDC already uses non-probability samples to track immunization rates among key
populations at the beginning and end of flu season
• This study explores using a national mobile web panel as a particularly appropriate
method for exploring factors affecting childhood immunization in the population
5. 5
Methodology for 2016 ChIMPS
National sample drawn from national mobile panel with one million + members
Invitations were sent to adults with children in household from panel profile
Interviews conducted in English only
Interview length: 10.1 minutes (average)
10,000 invitations sent to households with children
1029 completed interviews with adults with children aged 19-35 months
All 50 states and District of Columbia represented in completed sample
Field period 12/16/16 to 12/21/16
6. 6
Relationship of Respondent to Target Child:
1st Child 19 – 35 Months (Base: All respondents)
What is your relationship to {S5}?
Code Option CHIMPS % NIS %
1 Mother (step, foster, adoptive) or female guardian 63.3% 69.0%
2 Father (step, foster, adoptive) or male guardian 29.3% 23.4%
3 Grandparent 2.5% 5.9%
7 Other family member or friend 4.9% 1.7%
7. 7
Age Group of Eligible Child
29.5%
43.6%
26.9%
29.5% 30.0%
40.5%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
19-23 months 24-29 months 30-35 months
CHIMPS NIS
S3: Please tell me the month, day, and year of birth of the (FIRST/NEXT) child in your household who is
between 19-35 months old. (Converted to months of age.) N=1099 age-eligible children
8. 8
Gender of Eligible Child
51.8%
48.2%
51.4%
48.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male Female
CHIMPS NIS
S4. Is the child born on (date) male or female? N=1099 age-eligible children
11. 11
Child Received All Recommended Vaccines
CBF01 - (Has your child / have all of your children) received all of the vaccines that are
recommended for children up to his / her age? (Base: All respondents: n=1029)
95.7% 96.0% 96.3% 96.2% 97.8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian (n=670) African-American (n=100) Hispanic (n=161) Asian (n=53) Other (n=45)
Yes
12. 12
Child had Flu Vaccine Since July 1, 2016
BBX. Since July 1, 2016 has (S5) had a flu vaccination? There are two types of flu vaccinations. One is a
shot and the other is a spray, mist, or drop in the nose. (Base: All respondents: n=1029)
61.8%
67.0% 67.1%
81.1%
75.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian (n=670) African-American (n=100) Hispanic (n=161) Asian (n=53) Other (n=45)
Yes
13. 13
Ever Delayed Recommended Vaccine for Child
A1: Have you ever delayed having your child or children get a recommended vaccine for reasons other than illness or
allergy? By delayed we mean put off, but ultimately ended up having it done. (Base: All respondents: n=1029)
20.3%
25.0% 24.2% 22.6%
37.8%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Caucasian (n=670) African-American (n=100) Hispanic (n=161) Asian (n=53) Other (n=45)
Yes
14. 14
Ever Decided Not to Give Vaccine to Child
B2: Have you ever decided not to have your child or children get a recommended vaccine for reasons other than
illness or allergy? (Base: Never delayed a recommended vaccine: n=800)
3.6%
8.0%
4.9% 4.9%
14.3%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian (n=524) African-American (n=75) Hispanic (n=122) Asian (n=41) Other (n=28)
Yes
15. 15
Plan for Child to Get All Remaining Vaccines
B3: Do you plan or intend to have your child or children get all the remaining recommended vaccines?
(Base: All respondents: n=1029)
97.2%
94.0%
96.9% 100.0%
91.1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian (n=670) African-American (n=100) Hispanic (n=161) Asian (n=53) Other (n=45)
Yes
16. 16
Painful for Children to Get So Many Shots: Agree
Att1: Please indicate how much you would agree or disagree with the following statement. It is painful for children to receive so many
shots during one doctor visit. (Base: All respondents: n=1029)
26%
39% 38% 34% 32%
48%
44% 47%
47%
41%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
17. 17
Children Receive too Many Vaccines in one Doctor’s Visit : Agree
Att2: Please indicate how much you would agree or disagree with the following statement. Children receive too many vaccines in one
doctor's visit. (Base: All respondents: n=1029)
20%
25% 25%
19% 16%
31%
35%
39%
45%
42%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
18. 18
Too Many Vaccines in the First 3-years of life: Agree
Att3: Please indicate how much you would agree or disagree with the following statement. Children get too many vaccines during the
first three years of life. (Base: All respondents: n=1029)
17%
29% 29% 29%
16%
22%
25%
30%
37%
36%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
19. 19
Vaccines May Cause Learning Disabilities, Such as Autism: Agree
Att4: Please indicate how much you would agree or disagree with the following statement. Vaccines may cause learning disabilities,
such as autism. (Base: All respondents: n=1029)
8%
21%
12%
5%
10%
12%
18%
15%
14%
21%
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
20. 20
Some Vaccines Have Unsafe Ingredients: Agree
Att5: Please indicate how much you would agree or disagree with the following statement. Some vaccines have ingredients that are
unsafe. (Base: All respondents: n=1029)
13%
27%
14%
8%
13%
27%
41%
30%
35%
37%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
21. 21
Some Vaccines Prevent Unlikely Diseases: Agree
Att6: Please indicate how much you would agree or disagree with the following statement. Some vaccines are given to children to
prevent diseases they are not likely to get. (Base: All respondents: n=1029)
.
15%
30%
20%
16%
22%
31%
36%
29%
27%
42%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
22. 22
Some Vaccines Prevent Non-Serious Diseases: Agree
Att7: Please indicate how much you would agree or disagree with the following statement. Some vaccines are given to children to
prevent diseases that are not serious. (Base: All respondents: n=1029)
.
10%
19%
13%
16%
23%
21%
23%
23%
30%
23%
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
0.5
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
23. 23
Vaccines are Important to My Child’s Health: Agree
Att8: Please indicate how much you would agree or disagree with the following statement. Childhood vaccines are important for my
child's health. (Base: All respondents: n=1029)
.
75%
63% 67% 68% 69%
20%
32% 27%
30% 31%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
24. 24
Childhood Vaccines are Effective: Agree
Att9: Please indicate how much you would agree or disagree with the following statement: Childhood vaccines are effective.
(Base: All respondents: n=1029)
70%
46%
58% 62% 61%
25%
42%
37%
37% 37%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
25. 25
Vaccination is Important to Community Health : Agree
Att10: Please indicate how much you would agree or disagree with the following statement: Having my child vaccinated is important for
the health of others in my community. (Base: All respondents: n=1029)
77%
63%
70%
65% 62%
17%
27%
24% 33%
33%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
26. 26
Vaccine Information from the Government is Reliable and Trustworthy: Agree
Att11: Please indicate how much you would agree or disagree with the following statement: The information I receive about vaccines
from the government is reliable and trustworthy. (Base: All respondents: n=1029)
37%
29%
35%
46% 49%
46%
44%
44%
50%
39%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Caucasian African-American Hispanic Asian Other
Strongly Somewhat
27. 27
Correlations between Vaccine Attitudes and Behavior
Had Flu
Vaccination
Plan to Have
Remaining Vaccines
Ever Delayed
Vaccination
Ever Decided Not to
Vaccinate
Too Painful -.082** -.111** .278** .120**
Too many in one visit -.139** -.171** .344** .182**
Too many in first 3 years -.113** -.199** .334** .211**
May cause learning disabilities -.074 -.250** .338** .289**
Have unsafe ingredients -.103** -.239** .361** .241**
Prevent unlikely diseases -.063 -.181** .250** .155**
Prevent diseases not serious -.079 -.203** .251** .202**
Important for my child’s health .185** .404** -.167** -.350**
Are effective .151** .375** -.177** -.312**
Important to health of others .203** .402** -.156** -.351**
Government information on
vaccines is reliable/trustworthy
.270** .315** -.140** -.235**
Pearson correlation. **Significant at .01 (two-tailed)
28. 28
Discussion
Mobile panel is an efficient and low cost approach for vaccination estimates in NIS age eligible children
Child gender matches NIS, however, NIS has a somewhat higher percentage of children in the 30-35 month old group. This could affect vaccine compliance.
For seasonal flu vaccination, minorities report higher rates of childhood vaccinations than do white parents, which is consistent with the CDC reports.
96% of parents report their children received their recommended vaccinations. While some children have had delays in getting vaccinations, few decided not to
immunize their children and most expect to get the remaining shots.
Nonetheless, there is concern among parents about the age children receive shots, number of shots, and associated perceived pain. And, there remains concern
about Autism. Most of these concerns are substantially higher among minorities than among white parents.
At the same time, there is agreement that vaccinations are effective and important to children and communities. And, the government can be trusted regarding
vaccine information. However, these positive attitudes are held by somewhat fewer minority parents than white parents.
There is a positive correlation between beliefs in the effectiveness and importance of vaccination and trust in government information, and immunization
behavior among parents of young children. Conversely, there is a positive correlation between concerns about pain and vaccine safety, and immunization delay
and avoidance among parents.
The public health education model posits a causal relationship between knowledge, attitudes, beliefs and behavior, which would make attitudes and beliefs
precursors of public health related behaviors.
At the present time, there is no ongoing surveillance system for immunization knowledge, attitudes and beliefs that might predict challenges and changes to
immunization behavior. A properly designed non-probability panel might represent an alternative to measuring such trends in the target population.