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Immunization status and sociodemographic characteristics: The mediating role of beliefs, attitudes, and perceived control

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  • Prislin, R.
  • Dyer, J.A.
  • Blakely, C.H.
  • Johnson, C.D.

Abstract

Objectives. This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. Methods. Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person interviews were conducted with 4832 parents. Information about immunization was obtained from official records or from health care providers. Results. Differences in immunization among sociodemographic groups were mediated by beliefs about objective barriers to immunization, protection, medical contraindication, safety concerns, distrust, and natural immunity. Protection beliefs contributed to positive attitudes toward immunization; beliefs in natural immunity and safety concerns contributed by negative attitudes. Beliefs about objective barriers, distrust, safety concerns, and medical contraindications influenced perceived control over immunization. Positive attitudes and a strong sense of control contributed to higher immunization rates. Conclusions. These findings provide a basis for efficient educational campaigns by specifying which beliefs should be bolstered (because they facilitate proper immunization) and which should be targeted for change (because they hinder proper immunization) in various sociodemographic groups.

Suggested Citation

  • Prislin, R. & Dyer, J.A. & Blakely, C.H. & Johnson, C.D., 1998. "Immunization status and sociodemographic characteristics: The mediating role of beliefs, attitudes, and perceived control," American Journal of Public Health, American Public Health Association, vol. 88(12), pages 1821-1826.
    • Handle: RePEc:aph:ajpbhl:1998:88:12:1821-1826_5
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    Cited by:

    1. Kairiza, Terrence & Kembo, George & Chigusiwa, Lloyd, 2023. "Herding behavior in COVID-19 vaccine hesitancy in rural Zimbabwe: The moderating role of health information under heterogeneous household risk perceptions," Social Science & Medicine, Elsevier, vol. 323(C).
    2. Seddig, Daniel & Maskileyson, Dina & Davidov, Eldad & Ajzen, Icek & Schmidt, Peter, 2022. "Correlates of COVID-19 vaccination intentions: Attitudes, institutional trust, fear, conspiracy beliefs, and vaccine skepticism," Social Science & Medicine, Elsevier, vol. 302(C).
    3. Jennifer Bryer, 2014. "Black Parents’ Beliefs, Attitudes, and HPV Vaccine Intentions," Clinical Nursing Research, , vol. 23(4), pages 369-383, August.
    4. Argyris, Young Anna & Kim, Yongsuk & Roscizewski, Alexa & Song, Won, 2021. "The mediating role of vaccine hesitancy between maternal engagement with anti- and pro-vaccine social media posts and adolescent HPV-vaccine uptake rates in the US: The perspective of loss aversion in," Social Science & Medicine, Elsevier, vol. 282(C).
    5. John R. Litaker & Naomi Tamez & Carlos Lopez Bray & Wesley Durkalski & Richard Taylor, 2021. "Sociodemographic Factors Associated with Vaccine Hesitancy in Central Texas Immediately Prior to COVID-19 Vaccine Availability," IJERPH, MDPI, vol. 19(1), pages 1-14, December.
    6. Peretti-Watel, Patrick & Raude, Jocelyn & Sagaon-Teyssier, Luis & Constant, Aymery & Verger, Pierre & Beck, François, 2014. "Attitudes toward vaccination and the H1N1 vaccine: Poor people's unfounded fears or legitimate concerns of the elite?," Social Science & Medicine, Elsevier, vol. 109(C), pages 10-18.
    7. Marshall K. Cheney & Robert John, 2013. "Underutilization of Influenza Vaccine," SAGE Open, , vol. 3(2), pages 21582440134, April.
    8. Motta, Matthew & Callaghan, Timothy & Sylvester, Steven, 2018. "Knowing less but presuming more: Dunning-Kruger effects and the endorsement of anti-vaccine policy attitudes," Social Science & Medicine, Elsevier, vol. 211(C), pages 274-281.

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