ArticleBMC pediatrics2017
Perceptions of measles, pneumonia, and meningitis vaccines among caregivers in Shanghai, China, and the health belief model: a cross-sectional study.
Article in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Potential factors influencing COVID-19 vaccine acceptance and hesitancy: A systematic review.PloS one · 2022Pooled it
- A systematic review of studies that measure parental vaccine attitudes and beliefs in childhood vaccination.BMC public health · 2020Pooled it
- Measles vaccine hesitancy among mothers in Yerevan, Armenia: A qualitative study.Journal of public health research · 2025Article
- Article
- The use of Health Belief Model (HBM) to explain factors underlying people to take the COVID-19 vaccine in Indonesia.Vaccine: X · 2023Article
- Psychological Distance, Construal Level, and Parental Vaccine Hesitancy for COVID-19, HPV, and Monkey Pox Vaccines.Science communication · 2023Article
- Article
- Vaccine hesitancy and receipt of mandatory and optional pediatric vaccines in Shanghai, China.Human vaccines & immunotherapeutics · 2022Article
- Article
- Factors affecting childhood immunization: Thematic analysis of parents and healthcare workers' perceptions.Human vaccines & immunotherapeutics · 2022Review
- Acceptance and willingness to pay under the different COVID-19 vaccines: A contingent valuation method.Research in social & administrative pharmacy : RSAP · 2022Article
- COVID-19 Vaccination Status and Hesitancy among Breast Cancer Patients after Two Years of Pandemic: A Cross-Sectional Survey.Vaccines · 2022Article
- Variations in COVID-19 Vaccine Attitudes and Acceptance among Refugees and Lebanese Nationals Pre- and Post-Vaccine Rollout in Lebanon.Vaccines · 2022Article
- Willingness of Caregivers to Have Their Children Vaccinated with Pneumococcal Vaccines in the Context of an Innovative Immunization Strategy - Weifang City, Shandong Province, 2021.China CDC weekly · 2022Article
- Factors influencing the acceptability of COVID-19 vaccination: A cross-sectional study from Malaysia.Vacunas · 2022Article
- Clinical characteristics, antimicrobial resistance, and risk factors for mortality in paediatric invasive pneumococcal disease in Beijing, 2012-2017.BMC infectious diseases · 2022Article
- Using Health Concept Surveying to Elicit Usable Evidence: Case Studies of a Novel Evaluation Methodology.JMIR human factors · 2022Article
- Health-care Workers' Willingness to Pay for COVID-19 Vaccines in Eastern Ethiopia: Using Contingent Valuation Method.ClinicoEconomics and outcomes research : CEOR · 2022Article
- Adopting social health insurance in Nepal: A mixed study.Frontiers in public health · 2022Article
- Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study.Journal of medical Internet research · 2021Article
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn China, the measles vaccine is offered for free whereas the pneumococcal vaccine is a for-fee vaccine. This difference has the potential to influence how caregivers evaluate whether a vaccine is important or necessary for their child, but it is unclear if models of health behavior, such as the Health Belief Model, reveal the same associations for different diseases. This study compares caregiver perceptions of different diseases (measles, pneumonia and meningitis); and characterizes associations between Health Belief Model constructs and both pneumococcal vaccine uptake and perceived vaccine necessity for pneumonia, measles, and meningitis.
methodsCaregivers of infants and young children between 8 months and 7 years of age from Shanghai (n = 619) completed a written survey on their perceptions of measles, pneumonia, and meningitis. We used logistic regression models to assess predictors of pneumococcal vaccine uptake and vaccine necessity.
resultsOnly 25.2% of children had received a pneumococcal vaccine, although most caregivers believed that pneumonia (80.8%) and meningitis (92.4%), as well as measles (93.2%), vaccines were serious enough to warrant a vaccine. Perceived safety was strongly associated with both pneumococcal vaccine uptake and perceived vaccine necessity, and non-locals had 1.70 times higher odds of pneumonia vaccine necessity than non-locals (95% CI: 1.01, 2.88).
conclusionsMost factors had a similar relationship with vaccine necessity, regardless of disease, indicating a common mechanism for how Chinese caregivers decided which vaccines are necessary. Because more caregivers believed meningitis needed a vaccine than pneumonia, health care workers should emphasize pneumococcal vaccination's ability to protect against meningitis.
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