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Shifting Perspectives on Vaccination: COVID-19 Vaccine Hesitancy and Impacts on Childhood Immunizations
Shifting Perspectives on Vaccination: COVID-19 Vaccine Hesitancy and Impacts on Childhood Immunizations
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202104814
- ISBN
- 9798291503386
- DDC
- 614.4
- 저자명
- Ricke, Isabel.
- 서명/저자
- Shifting Perspectives on Vaccination: COVID-19 Vaccine Hesitancy and Impacts on Childhood Immunizations
- 발행사항
- [Sl] : University of Minnesota, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 152 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-02, Section: B.
- 주기사항
- Advisor: Nguyen, Ruby;Sherwood, Nancy E.
- 학위논문주기
- Thesis (Ph.D.)--University of Minnesota, 2025.
- 초록/해제
- 요약The COVID-19 pandemic disrupted vaccine delivery, public trust in vaccines, and long-standing immunization norms, raising concerns about sustained declines in vaccine uptake. These disruptions occurred alongside increased skepticism towards public health institutions and politicization of vaccine discourse, creating conditions in which hesitancy toward the COVID-19 vaccine may have extended to other immunizations. This dissertation examined the individual, familial, and community-level impacts of the pandemic on vaccine intentions and behaviors, focusing on adult COVID-19 booster acceptance, caregiver-child vaccine decision-making, and trends in routine childhood vaccination coverage.Manuscript 1 presents findings from a cross-sectional survey conducted at the 2023 Minnesota State Fair to identify predictors of intention to receive the updated 2023-2024 COVID-19 vaccine. Perceived vaccine safety emerged as the strongest predictor of intention, with associations also observed for COVID-19 risk perception, public health knowledge, and political affiliation.Manuscript 2 analyzed data from families in the Environmental influences on Child Health Outcomes (ECHO) Cohort to examine caregiver-child alignment in COVID-19 vaccine hesitancy. Caregiver vaccination status was strongly associated with child vaccination status. The reasons for hesitancy, particularly regarding safety, trust in healthcare providers, and vaccine testing, were highly concordant across the reasons caregivers reported for themselves and the reasons they reported for their children. COVID-19 vaccine hesitancy among caregivers for themselves and their children was also associated with intentional delay or refusal of routine childhood vaccinations.Manuscript 3 evaluated changes in routine childhood vaccination rates in Minnesota from 2015 to 2023 using county-level data and examined whether there was an impact of political composition and COVID-19 vaccination coverage on changes in vaccination rates. Results indicated significant and sustained declines in vaccine coverage following the onset of the pandemic. Counties with a higher Republican vote share exhibited lower vaccination rates when combined with low COVID-19 vaccine uptake, suggesting a politicized spillover effect of COVID-19 vaccine skepticism on routine immunizations.Together, these studies demonstrate the enduring impact of the COVID-19 pandemic on vaccine attitudes and behaviors, particularly for childhood vaccinations. The findings underscore the influence of vaccine safety perceptions, institutional trust, and sociopolitical context on vaccine uptake, providing essential insights to guide public health efforts to rebuild trust and address low vaccination coverage in a post-pandemic public health landscape.
- 일반주제명
- Epidemiology
- 일반주제명
- Public health
- 일반주제명
- Immunology
- 키워드
- Vaccination
- 키워드
- COVID-19
- 기타저자
- University of Minnesota Epidemiology
- 기본자료저록
- Dissertations Abstracts International. 87-02B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
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■020 ▼a9798291503386
■035 ▼a(MiAaPQ)AAI32167911
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614.4
■1001 ▼aRicke, Isabel.
■24510▼aShifting Perspectives on Vaccination: COVID-19 Vaccine Hesitancy and Impacts on Childhood Immunizations
■260 ▼a[Sl]▼bUniversity of Minnesota▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a152 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-02, Section: B.
■500 ▼aAdvisor: Nguyen, Ruby;Sherwood, Nancy E.
■5021 ▼aThesis (Ph.D.)--University of Minnesota, 2025.
■520 ▼aThe COVID-19 pandemic disrupted vaccine delivery, public trust in vaccines, and long-standing immunization norms, raising concerns about sustained declines in vaccine uptake. These disruptions occurred alongside increased skepticism towards public health institutions and politicization of vaccine discourse, creating conditions in which hesitancy toward the COVID-19 vaccine may have extended to other immunizations. This dissertation examined the individual, familial, and community-level impacts of the pandemic on vaccine intentions and behaviors, focusing on adult COVID-19 booster acceptance, caregiver-child vaccine decision-making, and trends in routine childhood vaccination coverage.Manuscript 1 presents findings from a cross-sectional survey conducted at the 2023 Minnesota State Fair to identify predictors of intention to receive the updated 2023-2024 COVID-19 vaccine. Perceived vaccine safety emerged as the strongest predictor of intention, with associations also observed for COVID-19 risk perception, public health knowledge, and political affiliation.Manuscript 2 analyzed data from families in the Environmental influences on Child Health Outcomes (ECHO) Cohort to examine caregiver-child alignment in COVID-19 vaccine hesitancy. Caregiver vaccination status was strongly associated with child vaccination status. The reasons for hesitancy, particularly regarding safety, trust in healthcare providers, and vaccine testing, were highly concordant across the reasons caregivers reported for themselves and the reasons they reported for their children. COVID-19 vaccine hesitancy among caregivers for themselves and their children was also associated with intentional delay or refusal of routine childhood vaccinations.Manuscript 3 evaluated changes in routine childhood vaccination rates in Minnesota from 2015 to 2023 using county-level data and examined whether there was an impact of political composition and COVID-19 vaccination coverage on changes in vaccination rates. Results indicated significant and sustained declines in vaccine coverage following the onset of the pandemic. Counties with a higher Republican vote share exhibited lower vaccination rates when combined with low COVID-19 vaccine uptake, suggesting a politicized spillover effect of COVID-19 vaccine skepticism on routine immunizations.Together, these studies demonstrate the enduring impact of the COVID-19 pandemic on vaccine attitudes and behaviors, particularly for childhood vaccinations. The findings underscore the influence of vaccine safety perceptions, institutional trust, and sociopolitical context on vaccine uptake, providing essential insights to guide public health efforts to rebuild trust and address low vaccination coverage in a post-pandemic public health landscape.
■590 ▼aSchool code: 0130.
■650 4▼aEpidemiology
■650 4▼aPublic health
■650 4▼aImmunology
■653 ▼aVaccination
■653 ▼aCOVID-19
■653 ▼aChildhood immunizations
■653 ▼aVaccine hesitancy
■653 ▼aVaccine skepticism
■690 ▼a0766
■690 ▼a0573
■690 ▼a0982
■71020▼aUniversity of Minnesota▼bEpidemiology.
■7730 ▼tDissertations Abstracts International▼g87-02B.
■790 ▼a0130
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358952▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
