ArticlePediatrics2020
Parental Hesitancy About Routine Childhood and Influenza Vaccinations: A National Survey.
Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 184 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
184 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of caregiver hesitancy for vaccinations in children and its associated factors: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Willingness, refusal and influential factors of parents to vaccinate their children against the COVID-19: A systematic review and meta-analysis.Preventive medicine · 2022Pooled it
- Clinician Perceptions of the Impact of Switching HPV Vaccine Initiation to 9-10 Years.Pediatrics · 2026Trial
- Narrative Reminder Recall to Improve Pediatric Influenza Vaccination: A Pilot Randomized Clinical Trial.JAMA network open · 2026Trial
- Vaccinating for My Family or for My Community? The Effect of Message Framing on Parental Intention to Vaccinate during the COVID Pandemic.International journal of behavioral medicine · 2025Trial
- Video and Infographic Messages From Primary Care Physicians and Influenza Vaccination Rates: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Effect of text message reminders to improve paediatric immunisation rates: a randomised controlled quality improvement project.BMJ quality & safety · 2025Trial
- Pediatric practice experiences with second dose influenza vaccination: An AAP Pediatric Research in Office Settings (PROS) Study.Public health · 2024Trial
- Effect of Personalized Messages Sent by a Health System's Patient Portal on Influenza Vaccination Rates: a Randomized Clinical Trial.Journal of general internal medicine · 2022Trial
- Patient Portal Reminders for Pediatric Influenza Vaccinations: A Randomized Clinical Trial.Pediatrics · 2021Trial
- The effect of screening for vaccine hesitancy on the subsequent development of hesitancy: a randomized controlled trial, Houston, TX.Human vaccines & immunotherapeutics · 2021Trial
- Trial
- An Exploratory Study of Rural Parents' Knowledge and Attitudes About HPV Vaccination Following a Healthcare Visit With Their Child's Primary Care Provider.Journal of primary care & community healthTrial
- Trial
- Comparative analysis of parental hesitancy toward influenza vaccination for children versus themselves in post-pandemic China: A cross-sectional study.Human vaccines & immunotherapeutics · 2026Article
- Gender-neutral prevention: HPV vaccination willingness and related cancer awareness among Chinese parents of boys and girls.Human vaccines & immunotherapeutics · 2026Article
- Gaps in Routine Childhood Immunization Among Low-Income Children at 24 Months (2019-2024).AJPM focus · 2026Article
- A Parent-Facing Decision Aid About Childhood Vaccination: Co-development Study Adapting a Shared Decision-Making Approach to Support Evidence-Guided Decision-Making.Journal of participatory medicine · 2026Article
- Safety Profiles of Seasonal Influenza Vaccines in Chinese Children and Adolescents: A Pooled Analysis of Five Clinical Studies.Infectious diseases and therapy · 2026Article
- Parental Vaccine Hesitancy in the Post-COVID-19 Era: Results from a Cross-Sectional Survey in the United States, 2025.Vaccines · 2026Article
124 more citing papers are in PubMed but not listed here.
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Authors and funding
11 authors.
Funding
Abstract
BACKGROUND AND
objectivesThe World Health Organization has designated vaccine hesitancy as 1 of the 10 leading threats to global health, yet there is limited current national data on prevalence of hesitancy among US parents. Among a nationally representative sample of US parents, we aimed to (1) assess and compare prevalence of hesitancy and factors driving hesitancy for routine childhood and influenza vaccination and (2) examine associations between sociodemographic characteristics and hesitancy for routine childhood or influenza vaccination.
methodsIn February 2019, we surveyed families with children using the largest online panel generating representative US samples. After weighting, we assessed hesitancy using a modified 5-point Vaccine Hesitancy Scale and labeled parents as hesitant if they scored >3.
resultsA total of 2176 of 4445 parents sampled completed the survey (response rate 49%). Hesitancy prevalence was 6.1% for routine childhood and 25.8% for influenza vaccines; 12% strongly and 27% somewhat agreed they had concerns about serious side effects of both routine childhood and influenza vaccines. A total of 70% strongly agreed that routine childhood vaccines are effective versus 26% for influenza vaccine (
conclusionsAlmost 1 in 15 US parents are hesitant about routine childhood vaccines, whereas >1 in 4 are hesitant about influenza vaccine. Furthermore, 1 in 8 parents are concerned about vaccine safety for both routine childhood and influenza vaccines, and only 1 in 4 believe influenza vaccine is effective. Vaccine hesitancy, particularly for influenza vaccine, is prevalent in the United States.
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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.