Melissa B. Gilkey|Brooke E. Magnus|Paul L. Reiter|Annie?Laurie McRee|Amanda F. Dempsey|Noel T. Brewer
The Vaccination Confidence Scale: A brief measure of parents’ vaccination beliefs
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|The Ohio State University|The Ohio State University|University of Colorado Denver|University of North Carolina at Chapel Hill
success national immunization programs depends publics confidence vaccines sought develop scale measuring confidence adolescent vaccination diverse populations parentsdata came 9623 parents completed 2010 national immunization surveyteen annual populationbased telephone survey parents reported 13 17yearold child households used exploratory confirmatory factor analysis identify latent constructs underlying parents responses 8 vaccination belief survey items response scale 010 conceptualized using health belief model assessed scales psychometric properties overall across demographic subgroupsparents confidence adolescent vaccination generally high analyses provided support three factors assessing benefits vaccination mean85 harms vaccination mean33 trust healthcare providers mean90 model showed good fit overall comparative fit index097 across demographic subgroups although internal consistency variable three factors found lower confidence among several potentially vulnerable subpopulations including mothers lower levels education parents whose children hispanic ethnicity p005our brief threefactor scale offers efficient way measure confidence adolescent vaccination across demographic subgroups given evidence lower confidence educational attainment raceethnicity program planners consider factors health literacy cultural competence designing interventions promote adolescent vaccination ensure programs fully accessible