Gretchen J. Domek|Sean T. O’Leary|Sheana Bull|Michael Bronsert|Ingrid L. Contreras-Roldan|Guillermo Antonio Bolaños Ventura|Allison Kempe|Edwin J. Asturias
Measuring vaccine hesitancy: Field testing the WHO SAGE Working Group on Vaccine Hesitancy survey tool in Guatemala
University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Center for Global Health|Outcomes Research Consortium|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Center for Global Health|Outcomes Research Consortium|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|Center for Global Health|Universidad del Valle de Guatemala|Centro de Epilepsia y Neurocirugía Funcional|Outcomes Research Consortium|University of Colorado Anschutz Medical Campus|Colorado School of Public Health|University of Colorado Anschutz Medical Campus|Center for Global Health
despite safe effective childhood immunizations decreased acceptance vaccines become emerging global problem sage working group vaccine hesitancy developed common diagnostic tool vaccine hesitancy scale vhs identify compare hesitancy different global settings field tested vhs rural urban guatemala analyzed data enrollment visit study conducted four public health clinics guatemala infants ages 6 weeks6 months presenting first wellness visit enrolled marchnovember 2016 parents completed demographic survey included 10 dichotomous 10 likert scale vhs questions chisquare fishers exact categorical anova test continuous variables used assess significance levels survey differences conducted factor analysis assess likert scale questions 1088 families screened 871 eligible 720 827 participated parent ever refused vaccination eight parents 11 reluctant hesitated get vaccination children however 408 n 294 parents said think parents like children vaccinated recommended vaccines factor analysis identified two underlying constructs eigenvalues 10 greater substantive lack variability response across likert scale consistent differences study clinics responded ordinal scaling results suggest problems interpretation vhs especially presence vaccine shortages using likert scale resonate across diverse cultural settings factor analysis suggests likert scale items onedimensional represent multiple constructs vaccine hesitancy suggest work needed refine survey improved reliability validity clinical trial registry nct02567006