Evidence map›Paper›PMID 28771485›Full record

ArticlePloS one2017

The impact of access to immunization information on vaccine acceptance in three countries.

Lori K Handy, Stefania Maroudi, Maura Powell, Bakanuki Nfila, Charlotte Moser, Ingrid Japa, Ndibo Monyatsi, Elena Tzortzi, Ismini Kouzeli, Anthony Luberti and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
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  13. Clinician Communication to Address Vaccine Hesitancy.Pediatric clinics of North America · 2023
    Review
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  16. Infection Control and Hygienic Measures Practiced Among Audiologists in India.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 3 countries.

Lori K HandyDepartment of Pediatrics, The Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, United States of America.
Stefania MaroudiCollaborative Center for Clinical Epidemiology and Outcomes Research, Athens, Greece.
Maura PowellGlobal Health Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Bakanuki NfilaBotswana-UPenn Partnership, Gaborone, Botswana.
Charlotte MoserVaccine Education Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Ingrid JapaGlobal Health Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Ndibo MonyatsiChild Health Division, Ministry of Health, Gaborone, Botswana.
Elena TzortziCollaborative Center for Clinical Epidemiology and Outcomes Research, Athens, Greece.
Ismini KouzeliCollaborative Center for Clinical Epidemiology and Outcomes Research, Athens, Greece.
Anthony LubertiDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Maria TheodoridouCollaborative Center for Clinical Epidemiology and Outcomes Research, Athens, Greece.
Paul OffitDivision of Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Andrew SteenhoffGlobal Health Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Judy A SheaDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Kristen A FeemsterVaccine Education Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · USBotswana Open University · BWMinistry of Health · BW

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Infectious Diseases Epidemiology Training GrantT32AI055435 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2003 to 2023
$6.9M
Genetic Variants of Human Carboxylesterase 1 Influence the Activation and AntivirR21AI096345 · NIAID · UNIVERSITY OF FLORIDA · PI MARKOWITZ, JOHN S · 2011 to 2012
$403k
NIAID NIH HHS L40 AI107932NIAID NIH HHS P30 AI045008NIAID NIH HHS R21 AI096345NIAID NIH HHS T32 AI055435
6 · The paper itself

Abstract

introductionVaccine acceptance is a critical component of sustainable immunization programs, yet rates of vaccine hesitancy are rising. Increased access to misinformation through media and anti-vaccine advocacy is an important contributor to hesitancy in the United States and other high-income nations with robust immunization programs. Little is known about the content and effect of information sources on attitudes toward vaccination in settings with rapidly changing or unstable immunization programs.

objectiveThe objective of this study was to explore knowledge and attitudes regarding vaccines and vaccine-preventable diseases among caregivers and immunization providers in Botswana, the Dominican Republic, and Greece and examine how access to information impacts reported vaccine acceptance.

methodsWe conducted 37 focus groups and 14 semi-structured interviews with 96 providers and 153 caregivers in Botswana, the Dominican Republic, and Greece. Focus groups were conducted in Setswana, English, Spanish, or Greek; digitally recorded; and transcribed. Transcripts were translated into English, coded in qualitative data analysis software (NVivo 10, QSR International, Melbourne, Australia), and analyzed for common themes.

resultsDominant themes in all three countries included identification of health care providers or medical literature as the primary source of vaccine information, yet participants reported insufficient communication about vaccines was available. Comments about level of trust in the health care system and government contrasted between sites, with the highest level of trust reported in Botswana but lower levels of trust in Greece.

conclusionsIn Botswana, the Dominican Republic, and Greece, participants expressed reliance on health care providers for information and demonstrated a need for more communication about vaccines. Trust in the government and health care system influenced vaccine acceptance differently in each country, demonstrating the need for country-specific data that focus on vaccine acceptance to fully understand which drivers can be leveraged to improve implementation of immunization programs.

Indexed as

Access to InformationVaccinesBotswanaCommunicationDominican RepublicGreeceHumansPatient Acceptance of Health CareVaccinationVaccines

Identifiers

PMID28771485
PMCPMC5542683
OpenAlexW2743568378

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.