VACCINE DECISION-MAKING BEGINS IN PREGNANCY: CORRELATION BETWEEN VACCINE CONCERNS, INTENTIONS AND MATERNAL VACCINATION WITH SUBSEQUENT CHILDHOOD VACCINE UPTAKE

2017 ◽  
Author(s):  
Margie DANCHIN
Keyword(s):  
Decision Making ◽  
Vaccine Uptake ◽  
Maternal Vaccination ◽  
Childhood Vaccine ◽  
Vaccine Decision Making ◽  
In Pregnancy

Vaccine decision-making begins in pregnancy: Correlation between vaccine concerns, intentions and maternal vaccination with subsequent childhood vaccine uptake

Vaccine ◽  
2018 ◽  
Vol 36 (44) ◽  
pp. 6473-6479 ◽  
Author(s):  
M.H. Danchin ◽  
J. Costa-Pinto ◽  
K. Attwell ◽  
H. Willaby ◽  
K. Wiley ◽  
...  
Keyword(s):  
Decision Making ◽  
Vaccine Uptake ◽  
Maternal Vaccination ◽  
Childhood Vaccine ◽  
Vaccine Decision Making ◽  
In Pregnancy

scholarly journals Role of Healthcare Providers� Recommendation Style in HPV Vaccine Decision-Making among Haitian Parents and Female Patients

2017 ◽  
Vol 15 (3) ◽  
pp. 68-80 ◽  
Author(s):  
Dudith Pierre-Victor ◽  
Dionne P. Stephens ◽  
Rachel Clarke ◽  
Kemesha Gabbidon ◽  
Purnima Madhivanan
Keyword(s):  
Decision Making ◽  
Hpv Vaccine ◽  
Healthcare Providers ◽  
Preventive Measure ◽  
Vaccine Uptake ◽  
Transmitted Infection ◽  
Haitian Women ◽  
Female Patients ◽  
Vaccine Decision Making

Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers� recommendation style in Haitian parents� and female patients� HPV vaccine decision-making. Methods: Thirty selfidentified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV vaccine uptake. Additionally, the framing of the HPV vaccine message greatly influenced vaccine decisions. Messages that framed the vaccine as a preventive measure for cervical cancer or as a preventive vaccine without an emphasis on the sexual transmission route of the virus were most effective. Messages that framed the vaccine as a preventive measure against a sexually transmitted infection did not positively influence young women to be vaccinated. Conclusions: These findings indicate that providers� recommendation style highly affects HPV vaccine decision. Thus, appropriate HPV vaccine framing is important for encouraging vaccine uptake in this ethnic group.

scholarly journals A behavioral economics perspective on the COVID-19 vaccine amid public mistrust

2021 ◽  
Author(s):  
Jessica Londeree Saleska ◽  
Kristen R Choi
Keyword(s):  
Decision Making ◽  
Side Effects ◽  
Behavioral Economics ◽  
Cognitive Biases ◽  
Vaccine Development ◽  
Vaccine Uptake ◽  
Public Health Professionals ◽  
Human Decision ◽  
Vaccine Decision Making ◽  
To Receive

Abstract The COVID-19 vaccine development, testing, and approval processes have moved forward with unprecedented speed in 2020. Although several vaccine candidates have shown promising results in clinical trials, resulting in expedited approval for public use from the U.S. Food and Drug Administration, recent polls suggest that Americans strongly distrust the vaccine and its approval process. This mistrust stems from both the unusual speed of vaccine development and reports about side effects. This article applies insights from behavioral economics to consider how the general public may make decisions around whether or not to receive a future COVID-19 vaccine in a context of frequent side effects and preexisting mistrust. Three common cognitive biases shown to influence human decision-making under a behavioral economics framework are considered: confirmation bias, negativity bias, and optimism bias. Applying a behavioral economics framework to COVID-19 vaccine decision-making can elucidate potential barriers to vaccine uptake and points of intervention for clinicians and public health professionals.

scholarly journals To Vaccinate or Not? Decision-Making in the Time of COVID-19 Vaccines

2021 ◽  
pp. 153270862110565
Author(s):  
Candice Groenewald
Keyword(s):  
Decision Making ◽  
Social Responsibility ◽  
Social Scientist ◽  
Vaccine Uptake ◽  
Decision Making Process ◽  
Mixed Emotions ◽  
Vaccine Decision Making

Decision-making has become an important component of the COVID-19 pandemic. A particular decision that we are currently presented with is whether to take up COVID-19 vaccines or not. Through the lens of autoethnography, I present my personal “vaccine decision-making” process as a social scientist who, despite having mixed emotions toward COVID-19 vaccines, made the decision to get vaccinated. Recognizing the subjective nature of my narrative, autoethnography is valuable to produce knowledge that is meaningful, evocative, and relatable to different audiences. This article thus offers valuable insights into decision-making related to COVID-19 vaccine uptake, shedding light on the importance of vaccine literacy, trust, and social responsibility in this process.

scholarly journals “Until I Know It’s Safe for Me”: The Role of Timing in COVID-19 Vaccine Decision-Making and Vaccine Hesitancy

Vaccines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1417
Author(s):  
Eric B. Kennedy ◽  
Jean-François Daoust ◽  
Jenna Vikse ◽  
Vivian Nelson
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Second Step ◽  
Significant Research ◽  
Temporal Expressions ◽  
Decision Making Processes ◽  
Vaccine Decision Making

Managing the COVID-19 pandemic—and other communicable diseases—involves broad societal uptake of vaccines. As has been demonstrated, however, vaccine uptake is often uneven and incomplete across populations. This is a substantial challenge that must be addressed by public health efforts. To this point, significant research has focused on demographic and attitudinal correlates with vaccine hesitancy to understand uptake patterns. In this study, however, we advance understandings of individual decision-making processes involved in vaccine uptake through a mixed-methods investigation of the role of timing in COVID-19 vaccine choices. In the first step, a survey experiment, we find the timing of vaccine rollout (i.e., when a vaccine becomes available to the respondent) has a significant impact on public decision-making. Not only is there a higher level of acceptance when the vaccine becomes available at a later time, but delayed availability is correlated with both lower levels of ‘desire to wait’ and ‘total rejection’ of the vaccine. In a second step, we explore associated qualitative data, finding that temporal expressions (i.e., professing a desire to wait) can serve as a proxy for underlying non-temporal rationales, like concerns around safety, efficacy, personal situations, or altruism. By identifying these patterns, as well as the complexities of underlying factors, through a mixed-methods investigation, we can inform better vaccine-related policy and public messaging, as well as enhance our understanding of how individuals make decisions about vaccines in the context of COVID-19.

Approach to dyspnoea in pregnancy in the COVID-19 era

2020 ◽  
Vol 19 (4) ◽  
pp. 230-234
Author(s):  
Anita Banerjee ◽  
◽  
Lindsay A Arrandale ◽  
Srividhya Sankaran ◽  
Guy W Glover ◽  
...  
Keyword(s):  
Decision Making ◽  
Pregnant Women ◽  
Correct Diagnosis ◽  
Case Series ◽  
Differential Diagnoses ◽  
Shared Decision ◽  
First Case ◽  
Compromise Design ◽  
A Current ◽  
In Pregnancy

Importance: Dyspnoea and hypoxia in pregnant women during the COVID-19 pandemic may be due to causes other than SARS Co-V-2 infection which should not be ignored. Shared decision-making regarding early delivery is paramount. Objective: To highlight and discuss the differential diagnoses of dyspnoea and hypoxia in pregnant women and to discuss the risks versus benefit of delivery for maternal compromise. Design, setting and participants: Case series of two pregnant women who presented with dyspnoea and hypoxia during the COVID-19 pandemic. Results: Two pregnant women presented with dyspnoea and hypoxia. The first case had COVID-19 infection in the 3rd trimester. The second case had an exacerbation of asthma without concurrent COVID-19. Only the first case required intubation and delivery. Both recovered and were discharged home. Conclusion and relevance: Our two cases highlight the importance of making the correct diagnosis and timely decision-making to consider if delivery for maternal compromise is warranted. Whilst COVID-19 is a current healthcare concern other differential diagnoses must still be considered when pregnant women present with dyspnoea and hypoxia.

Timing of Vaccine Decision-Making Among First-Time Parents

2021 ◽  
Author(s):  
J. Nathan Yarnall ◽  
Carl Seashore ◽  
Carrie A. Phillipi ◽  
Joseph E. Hatch ◽  
Beth King ◽  
...  
Keyword(s):  
Decision Making ◽  
Vaccine Decision Making ◽  
First Time

scholarly journals What Determines Vaccine Hesitancy: Recommendations from Childhood Vaccine Hesitancy to Address COVID-19 Vaccine Hesitancy

Vaccines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 80
Author(s):  
Farren Rodrigues ◽  
Suzanne Block ◽  
Suruchi Sood
Keyword(s):  
Literature Review ◽  
Conceptual Model ◽  
Vaccine Uptake ◽  
Childhood Vaccination ◽  
Vaccine Hesitancy ◽  
Extensive Literature ◽  
Health Providers ◽  
Multifaceted Approach ◽  
What Works ◽  
Childhood Vaccine

Vaccine hesitancy is a prevalent and ongoing issue. However, due to the COVID-19 pandemic, additional attention has been brought to the topic of vaccine hesitancy. Vaccine hesitancy is a threat to the population’s health globally. This article aims to acquire insights from previous literature to determine what works to increase vaccine uptake and how we can apply this knowledge to increase COVID-19 vaccine uptake. Research has focused chiefly on childhood vaccination and the hesitancy of caregivers. After conducting an extensive literature review, we have created a conceptual model of indicators that influence vaccine uptake for health providers and caregivers, which can also be used for vaccine recipients. Overall, the reasons for vaccine hesitancy are complex; therefore, a multifaceted approach is needed to address it. Understanding the factors that affect vaccine hesitancy will aid in addressing hesitancy and, in turn, lead to an increase in vaccine uptake.

Primary Factors Influencing the Decision to Vaccinate Against COVID-19 in the United States: A Predictive Analytics Approach (Preprint)

2021 ◽  
Author(s):  
Serkan Varol ◽  
Serkan Catma ◽  
Diana Reindl ◽  
Elizabeth Serieux
Keyword(s):  
Machine Learning ◽  
Decision Making ◽  
Predictive Analytics ◽  
The United States ◽  
Machine Learning Techniques ◽  
Vaccine Hesitancy ◽  
Willingness To Accept ◽  
Perceptions And Attitudes ◽  
Learning Techniques ◽  
Vaccine Decision Making

BACKGROUND Vaccine refusal still poses a risk to reaching herd immunity in the United States. The existing literature focuses on identifying the predictors that would impact the willingness to accept (WTA) vaccines using survey data. These variables range from the socio-demographic characteristics of the participants to the perceptions and attitudes towards the vaccines so each variable’s statistical relationship with the WTA a vaccine can be investigated. However, while the results of these studies may have important implications for understanding vaccine hesitancy by offering interpretation of the statistical relationships, the prediction of vaccine decision-making has rarely been investigated OBJECTIVE We aimed to identify the factors that contribute to the prediction of COVID-19 vaccine acceptors and refusers using machine learning METHODS A nationwide survey was administered online in November, 2020 to assess American public perceptions and attitudes towards COVID-19 vaccines. Seven machine learning techniques were utilized to identify the model with the highest predictive power. Moreover, a set of variables that would contribute the most to the predictions of vaccine acceptors and refusers was identified using Gini importance based on Random Forest structure RESULTS The resulting machine learning algorithm has better prediction ability for willingness to accept (82%) versus reject (51%) a COVID-19 vaccine. In terms of predictive success, the Random Forest model outperformed the other machine learning techniques with a 69.52% accuracy rate. Worrying about (re) contracting Covid 19 and opinions regarding mandatory face covering were identified as the most important predictors of vaccine decision-making CONCLUSIONS The complexity of vaccine hesitancy needs to be investigated thoroughly before the threshold needed to reach population immunity can be achieved. Predictive analytics can help the public health officials design and deliver individually tailored vaccination programs that would increase the overall vaccine uptake.

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