Parental vaccine hesitancy in Brazil: results from a household survey
Vaccine-hesitant parents delay or refuse their children’s immunization and constitute a significant public health concern. Our study aims to measure parental vaccination hesitancy and its associated factors in parents residing in Campo Grande, Mato Grosso do Sul State, Brazil. From September 2022 to...
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2025-07-01
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2025000701404&lng=en&tlng=en |
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| author | Ana Isabel do Nascimento Danilo dos Santos Conrado Lisany Krug Mareto Micael Viana de Azevedo João Cesar Pereira da Cunha Gabriel Serrano Ramires Koch Laysa Gomes Osório Samara Tessari Pires Letícia Suemi Arakaki Sara Raquel Pinto Borges Robson França Gomes e Silva Rodrigo Mayer Pucci João Guilherme de Novaes Corrêa João Vitor Barrio Maria Eduarda de Souza Rodrigues Márcio José de Medeiros Ana Paula Sayuri Sato Maria Elizabeth Araújo Ajalla Cláudia Du Bocage Santos Pinto Everton Falcão de Oliveira |
| author_facet | Ana Isabel do Nascimento Danilo dos Santos Conrado Lisany Krug Mareto Micael Viana de Azevedo João Cesar Pereira da Cunha Gabriel Serrano Ramires Koch Laysa Gomes Osório Samara Tessari Pires Letícia Suemi Arakaki Sara Raquel Pinto Borges Robson França Gomes e Silva Rodrigo Mayer Pucci João Guilherme de Novaes Corrêa João Vitor Barrio Maria Eduarda de Souza Rodrigues Márcio José de Medeiros Ana Paula Sayuri Sato Maria Elizabeth Araújo Ajalla Cláudia Du Bocage Santos Pinto Everton Falcão de Oliveira |
| author_sort | Ana Isabel do Nascimento |
| collection | DOAJ |
| description | Vaccine-hesitant parents delay or refuse their children’s immunization and constitute a significant public health concern. Our study aims to measure parental vaccination hesitancy and its associated factors in parents residing in Campo Grande, Mato Grosso do Sul State, Brazil. From September 2022 to October 2023, a cross-sectional study aligned to a household survey was carried out to measure vaccination coverage in Campo Grande. The two-stage cluster sampling proposed by the World Health Organization to estimate vaccination coverage was adopted in this study. All residing parents of children aged under 12 years were included. Data were collected by face-to-face interviews using the SAGE Working Group questionnaire to assess parental vaccine hesitancy. We classified the reasons for hesitancy under the 3C conceptual model of vaccine hesitancy determinants. Descriptive statistics characterized the study population and a univariate and multivariate logistic regression assessed the association between hesitancy and other study variables. This study included 158 parents, 39.2% of whom hesitated to get their children immunized. COVID-19 vaccines produced the greatest hesitancy (77.4%). Participants mentioned lack of confidence as the most common motive for their hesitancy (85.5%). Hesitant parents resided in bigger households (aOR = 1.31; 95%CI: 1.02; 1.72), believed there were reasons for not immunizing children (aOR = 4.02; 95%CI: 1.41; 12.77), and hesitated to get their own vaccines (aOR = 3.74; 95%CI: 1.80; 8.16). Results suggest an association of parental hesitancy with socioeconomical and behavioral factors. |
| format | Article |
| id | doaj-art-099705b72dfe461ba5db55f327d1fb73 |
| institution | DOAJ |
| issn | 1678-4464 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj-art-099705b72dfe461ba5db55f327d1fb732025-08-20T02:48:30ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642025-07-0141710.1590/0102-311xen195724Parental vaccine hesitancy in Brazil: results from a household surveyAna Isabel do Nascimentohttps://orcid.org/0000-0002-2473-0054Danilo dos Santos Conradohttps://orcid.org/0000-0002-3884-3236Lisany Krug Maretohttps://orcid.org/0009-0006-9975-5359Micael Viana de Azevedohttps://orcid.org/0000-0002-8248-2669João Cesar Pereira da Cunhahttps://orcid.org/0000-0002-7092-882XGabriel Serrano Ramires Kochhttps://orcid.org/0000-0002-9424-5492Laysa Gomes Osóriohttps://orcid.org/0009-0004-4571-0644Samara Tessari Pireshttps://orcid.org/0000-0003-1419-1576Letícia Suemi Arakakihttps://orcid.org/0000-0001-6650-7152Sara Raquel Pinto Borgeshttps://orcid.org/0009-0003-4882-6960Robson França Gomes e Silvahttps://orcid.org/0000-0001-8931-4310Rodrigo Mayer Puccihttps://orcid.org/0000-0003-1913-2479João Guilherme de Novaes Corrêahttps://orcid.org/0009-0005-1215-508XJoão Vitor Barriohttps://orcid.org/0009-0000-2339-5744Maria Eduarda de Souza Rodrigueshttps://orcid.org/0000-0001-9350-415XMárcio José de Medeiroshttps://orcid.org/0000-0001-8562-256XAna Paula Sayuri Satohttps://orcid.org/0000-0001-8601-5884Maria Elizabeth Araújo Ajallahttps://orcid.org/0000-0002-0678-2782Cláudia Du Bocage Santos Pintohttps://orcid.org/0000-0002-5478-4977Everton Falcão de Oliveirahttps://orcid.org/0000-0002-0074-5278Vaccine-hesitant parents delay or refuse their children’s immunization and constitute a significant public health concern. Our study aims to measure parental vaccination hesitancy and its associated factors in parents residing in Campo Grande, Mato Grosso do Sul State, Brazil. From September 2022 to October 2023, a cross-sectional study aligned to a household survey was carried out to measure vaccination coverage in Campo Grande. The two-stage cluster sampling proposed by the World Health Organization to estimate vaccination coverage was adopted in this study. All residing parents of children aged under 12 years were included. Data were collected by face-to-face interviews using the SAGE Working Group questionnaire to assess parental vaccine hesitancy. We classified the reasons for hesitancy under the 3C conceptual model of vaccine hesitancy determinants. Descriptive statistics characterized the study population and a univariate and multivariate logistic regression assessed the association between hesitancy and other study variables. This study included 158 parents, 39.2% of whom hesitated to get their children immunized. COVID-19 vaccines produced the greatest hesitancy (77.4%). Participants mentioned lack of confidence as the most common motive for their hesitancy (85.5%). Hesitant parents resided in bigger households (aOR = 1.31; 95%CI: 1.02; 1.72), believed there were reasons for not immunizing children (aOR = 4.02; 95%CI: 1.41; 12.77), and hesitated to get their own vaccines (aOR = 3.74; 95%CI: 1.80; 8.16). Results suggest an association of parental hesitancy with socioeconomical and behavioral factors.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2025000701404&lng=en&tlng=enVaccination HesitancyImmunizationCOVID-19 |
| spellingShingle | Ana Isabel do Nascimento Danilo dos Santos Conrado Lisany Krug Mareto Micael Viana de Azevedo João Cesar Pereira da Cunha Gabriel Serrano Ramires Koch Laysa Gomes Osório Samara Tessari Pires Letícia Suemi Arakaki Sara Raquel Pinto Borges Robson França Gomes e Silva Rodrigo Mayer Pucci João Guilherme de Novaes Corrêa João Vitor Barrio Maria Eduarda de Souza Rodrigues Márcio José de Medeiros Ana Paula Sayuri Sato Maria Elizabeth Araújo Ajalla Cláudia Du Bocage Santos Pinto Everton Falcão de Oliveira Parental vaccine hesitancy in Brazil: results from a household survey Cadernos de Saúde Pública Vaccination Hesitancy Immunization COVID-19 |
| title | Parental vaccine hesitancy in Brazil: results from a household survey |
| title_full | Parental vaccine hesitancy in Brazil: results from a household survey |
| title_fullStr | Parental vaccine hesitancy in Brazil: results from a household survey |
| title_full_unstemmed | Parental vaccine hesitancy in Brazil: results from a household survey |
| title_short | Parental vaccine hesitancy in Brazil: results from a household survey |
| title_sort | parental vaccine hesitancy in brazil results from a household survey |
| topic | Vaccination Hesitancy Immunization COVID-19 |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2025000701404&lng=en&tlng=en |
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