Hesitancy towards Childhood Vaccinations among Parents of Children with Underlying Chronic Medical Conditions in Italy

Background: This study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions. Methods: This cross-sectional study was conducted from June to December 2021 in three public hospitals in southern Italy. Data were collected using a face-to-face in...

Full description

Saved in:
Bibliographic Details
Published inVaccines (Basel) Vol. 10; no. 8; p. 1254
Main Authors Napolitano, Francesco, Miraglia del Giudice, Grazia, Angelillo, Silvia, Fattore, Italo, Licata, Francesca, Pelullo, Concetta Paola, Di Giuseppe, Gabriella
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.08.2022
MDPI
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Background: This study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions. Methods: This cross-sectional study was conducted from June to December 2021 in three public hospitals in southern Italy. Data were collected using a face-to-face interview of parents of children up to 17 years of age with at least one chronic condition. Results: Of the 532 parents approached, 444 agreed to participate, with a response rate of 83.4%. Almost half of parents (43%) knew that children with chronic diseases are at greater risk of complications from VPDs, and 21.6% knew all the vaccinations available in Italy. Additionally, 55.9% felt that vaccine-preventable diseases (VPDs) are very dangerous for their children, and 28.7% were very worried about the side effects of vaccines. The result of the Parent Attitudes about Childhood Vaccine (PACV) score indicated that 23.2% of parents were hesitant about vaccinations. Parental vaccine hesitancy was significantly more common among parents who had female children, among those who did not know the recommended vaccinations, among those who had a higher concern of potential side effects of the vaccines, among those who believed that the administration of the vaccinations was not useful, and among who received information on recommended vaccination from the internet, social and mass media. Conclusions: Important efforts by policy makers and healthcare providers must be implemented to counter vaccine hesitancy among parents.
AbstractList BACKGROUNDThis study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions. METHODSThis cross-sectional study was conducted from June to December 2021 in three public hospitals in southern Italy. Data were collected using a face-to-face interview of parents of children up to 17 years of age with at least one chronic condition. RESULTSOf the 532 parents approached, 444 agreed to participate, with a response rate of 83.4%. Almost half of parents (43%) knew that children with chronic diseases are at greater risk of complications from VPDs, and 21.6% knew all the vaccinations available in Italy. Additionally, 55.9% felt that vaccine-preventable diseases (VPDs) are very dangerous for their children, and 28.7% were very worried about the side effects of vaccines. The result of the Parent Attitudes about Childhood Vaccine (PACV) score indicated that 23.2% of parents were hesitant about vaccinations. Parental vaccine hesitancy was significantly more common among parents who had female children, among those who did not know the recommended vaccinations, among those who had a higher concern of potential side effects of the vaccines, among those who believed that the administration of the vaccinations was not useful, and among who received information on recommended vaccination from the internet, social and mass media. CONCLUSIONSImportant efforts by policy makers and healthcare providers must be implemented to counter vaccine hesitancy among parents.
Background: This study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions. Methods: This cross-sectional study was conducted from June to December 2021 in three public hospitals in southern Italy. Data were collected using a face-to-face interview of parents of children up to 17 years of age with at least one chronic condition. Results: Of the 532 parents approached, 444 agreed to participate, with a response rate of 83.4%. Almost half of parents (43%) knew that children with chronic diseases are at greater risk of complications from VPDs, and 21.6% knew all the vaccinations available in Italy. Additionally, 55.9% felt that vaccine-preventable diseases (VPDs) are very dangerous for their children, and 28.7% were very worried about the side effects of vaccines. The result of the Parent Attitudes about Childhood Vaccine (PACV) score indicated that 23.2% of parents were hesitant about vaccinations. Parental vaccine hesitancy was significantly more common among parents who had female children, among those who did not know the recommended vaccinations, among those who had a higher concern of potential side effects of the vaccines, among those who believed that the administration of the vaccinations was not useful, and among who received information on recommended vaccination from the internet, social and mass media. Conclusions: Important efforts by policy makers and healthcare providers must be implemented to counter vaccine hesitancy among parents.
Audience Academic
Author Miraglia del Giudice, Grazia
Pelullo, Concetta Paola
Fattore, Italo
Angelillo, Silvia
Di Giuseppe, Gabriella
Licata, Francesca
Napolitano, Francesco
AuthorAffiliation 2 Department of Health Sciences, University of Catanzaro ‘‘Magna Græcia”, 88100 Catanzaro, Italy
3 Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy
1 Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
AuthorAffiliation_xml – name: 2 Department of Health Sciences, University of Catanzaro ‘‘Magna Græcia”, 88100 Catanzaro, Italy
– name: 1 Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
– name: 3 Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy
Author_xml – sequence: 1
  fullname: Napolitano, Francesco
– sequence: 2
  fullname: Miraglia del Giudice, Grazia
– sequence: 3
  fullname: Angelillo, Silvia
– sequence: 4
  fullname: Fattore, Italo
– sequence: 5
  fullname: Licata, Francesca
– sequence: 6
  fullname: Pelullo, Concetta Paola
– sequence: 7
  fullname: Di Giuseppe, Gabriella
BookMark eNptkk1vEzEQhleoiJbSO0dLXLik-NveC1IVFRqpCA4UcbNmbW_iaGMXe5Mq_x5vUwGpsA8ej995RjOe181JTNE3zVuCLxlr8YcdWBuiLwRjTajgL5ozipWcsZb9PPnHPm0uSlnjulrCtFSvmlMmMZGEk7Nmd-NLGCHaPRrTA2RX0HwVBrdKyaEfjxlgDCkWBJsUl-gbZB_HglJ_0NUbegjjCt1F5_OwD1UzX-UUg0VfvAsWBjRP0YUDJES0GGHYv2le9jAUf_F0njd3n66_z29mt18_L-ZXtzPLJR9nnRTaC9nSlmPGJSNCcsooMNJyjmWP267W5BTuXddpbb2yXAhQ2AqstWPsvFkcuC7B2tznsIG8NwmCeXSkvDSQx2AHb3inQXdEEEIUpyA15QxTyrztRQ_txPp4YN1vu413tvYhw3AEPX6JYWWWaWdaTqRkE-D9EyCnX1tfRrMJxfphgOjTthiq6pcRwaWq0nfPpOu0zbG2alLVJiiGxV_VEmoBIfap5rUT1FwpypXUhE2sy_-o6nZ-E2ydqT5U_1EAPgTYnErJvv9TI8FmGj3zfPTYbzWDzDc
CitedBy_id crossref_primary_10_3390_vaccines10111958
crossref_primary_10_3390_vaccines11030587
crossref_primary_10_1080_21645515_2022_2147770
crossref_primary_10_1080_21645515_2023_2245701
crossref_primary_10_1371_journal_pone_0294785
crossref_primary_10_3390_vaccines11091423
crossref_primary_10_3390_vaccines11081285
crossref_primary_10_3389_fpubh_2023_1132798
crossref_primary_10_3389_fpubh_2023_1191941
Cites_doi 10.1177/003335491012500408
10.1080/21645515.2018.1463943
10.1001/jama.2020.14828
10.1101/2021.07.26.21261018
10.1016/j.ebiom.2016.08.042
10.1016/j.mayocp.2015.09.006
10.3390/vaccines10040537
10.1016/j.vaccine.2017.04.010
10.1371/journal.pone.0215978
10.1542/peds.2020-007609
10.1016/j.vaccine.2019.11.039
10.1542/peds.2009-1653
10.3390/vaccines8040560
10.3390/vaccines10020205
10.1016/j.vaccine.2011.06.115
10.1016/j.vaccine.2018.12.062
10.1016/j.vaccine.2017.12.074
10.1080/21645515.2020.1744367
10.1016/j.vaccine.2021.05.062
10.1016/j.vaccine.2015.02.034
10.1016/j.acap.2017.08.003
10.3390/vaccines10050814
10.1186/s12884-021-04182-w
10.3390/ijerph16122070
10.1080/21645515.2018.1509647
10.1016/j.vaccine.2020.01.072
10.1016/j.amepre.2017.07.017
10.1073/pnas.1700240114
10.1016/j.vaccine.2017.09.046
10.1111/apa.15275
10.3390/vaccines8020276
10.1007/s00431-021-04039-6
10.1016/j.vaccine.2016.10.025
10.3390/vaccines10050739
10.1016/j.vaccine.2019.11.068
10.3390/ijerph16101807
10.46747/cfp.6705339
10.3390/vaccines9121476
10.3390/vaccines10030396
ContentType Journal Article
Copyright COPYRIGHT 2022 MDPI AG
2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
2022 by the authors. 2022
Copyright_xml – notice: COPYRIGHT 2022 MDPI AG
– notice: 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: 2022 by the authors. 2022
DBID AAYXX
CITATION
3V.
7T7
7XB
8FD
8FE
8FH
8FK
8G5
ABUWG
AFKRA
AZQEC
BBNVY
BENPR
BHPHI
C1K
CCPQU
DWQXO
FR3
GNUQQ
GUQSH
HCIFZ
LK8
M2O
M7P
MBDVC
P64
PIMPY
PQEST
PQQKQ
PQUKI
Q9U
7X8
5PM
DOA
DOI 10.3390/vaccines10081254
DatabaseName CrossRef
ProQuest Central (Corporate)
Industrial and Applied Microbiology Abstracts (Microbiology A)
ProQuest Central (purchase pre-March 2016)
Technology Research Database
ProQuest SciTech Collection
ProQuest Natural Science Collection
ProQuest Central (Alumni) (purchase pre-March 2016)
Research Library (Alumni Edition)
ProQuest Central (Alumni)
ProQuest Central
ProQuest Central Essentials
Biological Science Collection
ProQuest Central
ProQuest Natural Science Collection
Environmental Sciences and Pollution Management
ProQuest One Community College
ProQuest Central
Engineering Research Database
ProQuest Central Student
Research Library Prep
SciTech Premium Collection (Proquest) (PQ_SDU_P3)
Biological Sciences
ProQuest_Research Library
Biological Science Database
Research Library (Corporate)
Biotechnology and BioEngineering Abstracts
Publicly Available Content Database
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
ProQuest Central Basic
MEDLINE - Academic
PubMed Central (Full Participant titles)
Directory of Open Access Journals
DatabaseTitle CrossRef
Publicly Available Content Database
Research Library Prep
ProQuest Central Student
Technology Research Database
ProQuest Central Essentials
ProQuest Central (Alumni Edition)
SciTech Premium Collection
ProQuest One Community College
Research Library (Alumni Edition)
ProQuest Natural Science Collection
Environmental Sciences and Pollution Management
ProQuest Central
Natural Science Collection
ProQuest Central Korea
Biological Science Collection
ProQuest Research Library
Industrial and Applied Microbiology Abstracts (Microbiology A)
ProQuest Biological Science Collection
ProQuest Central Basic
ProQuest One Academic Eastern Edition
Biological Science Database
ProQuest SciTech Collection
Biotechnology and BioEngineering Abstracts
ProQuest One Academic UKI Edition
Engineering Research Database
ProQuest One Academic
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic


Publicly Available Content Database

CrossRef
Database_xml – sequence: 1
  dbid: DOA
  name: Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: BENPR
  name: ProQuest Central
  url: https://www.proquest.com/central
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Pharmacy, Therapeutics, & Pharmacology
EISSN 2076-393X
ExternalDocumentID oai_doaj_org_article_4b8a8b15111742a682430223ecf5fa93
A724768137
10_3390_vaccines10081254
GeographicLocations Italy
GeographicLocations_xml – name: Italy
GroupedDBID 3V.
53G
5VS
8FE
8FH
8G5
AADQD
AAHBH
AAYXX
ABUWG
ADBBV
AFKRA
AFZYC
ALMA_UNASSIGNED_HOLDINGS
AOIJS
AZQEC
BBNVY
BCNDV
BENPR
BHPHI
BPHCQ
CCPQU
CITATION
DIK
DWQXO
GNUQQ
GROUPED_DOAJ
GUQSH
HCIFZ
HYE
IAO
IHR
ITC
KQ8
LK8
M2O
M48
M7P
MODMG
M~E
OK1
PGMZT
PIMPY
PQQKQ
PROAC
RIG
RNS
RPM
7T7
7XB
8FD
8FK
C1K
FR3
MBDVC
P64
PQEST
PQUKI
Q9U
7X8
5PM
ID FETCH-LOGICAL-c464t-b658e569294034631564232a3194406f09b913d70fdbb88ce7c455a70c5088d33
IEDL.DBID RPM
ISSN 2076-393X
IngestDate Tue Oct 22 14:44:49 EDT 2024
Tue Sep 17 21:24:45 EDT 2024
Fri Oct 25 02:45:18 EDT 2024
Fri Nov 08 23:05:15 EST 2024
Wed May 01 18:17:58 EDT 2024
Tue Nov 12 23:43:22 EST 2024
Thu Sep 26 21:18:02 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 8
Language English
License Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c464t-b658e569294034631564232a3194406f09b913d70fdbb88ce7c455a70c5088d33
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ORCID 0000-0003-3704-6822
0000-0001-8103-5368
0000-0002-1595-9674
0000-0003-4694-2418
0000-0003-4228-8703
0000-0003-4466-6683
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9416633/
PMID 36016141
PQID 2706427305
PQPubID 2032320
ParticipantIDs doaj_primary_oai_doaj_org_article_4b8a8b15111742a682430223ecf5fa93
pubmedcentral_primary_oai_pubmedcentral_nih_gov_9416633
proquest_miscellaneous_2707615467
proquest_journals_2706427305
gale_infotracmisc_A724768137
gale_infotracacademiconefile_A724768137
crossref_primary_10_3390_vaccines10081254
PublicationCentury 2000
PublicationDate 2022-08-01
PublicationDateYYYYMMDD 2022-08-01
PublicationDate_xml – month: 08
  year: 2022
  text: 2022-08-01
  day: 01
PublicationDecade 2020
PublicationPlace Basel
PublicationPlace_xml – name: Basel
PublicationTitle Vaccines (Basel)
PublicationYear 2022
Publisher MDPI AG
MDPI
Publisher_xml – name: MDPI AG
– name: MDPI
References Sugerman (ref_25) 2010; 125
Santibanez (ref_21) 2020; 146
Smith (ref_26) 2017; 35
Kew (ref_8) 2017; 35
Larson (ref_6) 2016; 12
Yufika (ref_10) 2020; 38
McGregor (ref_27) 2021; 67
Visalli (ref_13) 2019; 8
ref_35
ref_34
ref_11
ref_33
ref_32
Giambi (ref_12) 2018; 36
Pelullo (ref_17) 2020; 16
ref_31
ref_30
Hadjipanayis (ref_9) 2020; 38
Phadke (ref_23) 2020; 324
Bianco (ref_14) 2019; 37
Opel (ref_29) 2011; 29
Strelitz (ref_45) 2015; 33
ref_39
ref_16
ref_38
ref_37
Cunningham (ref_7) 2018; 18
Aloe (ref_24) 2017; 114
ref_47
Lama (ref_36) 2020; 38
ref_46
Whelan (ref_43) 2021; 180
ref_20
ref_42
ref_41
Stoeckel (ref_22) 2021; 39
ref_40
Jacobson (ref_19) 2015; 90
ref_3
Doherty (ref_1) 2016; 34
ref_2
Smith (ref_18) 2010; 125
ref_28
Napolitano (ref_15) 2018; 14
Diallo (ref_4) 2020; 109
Hofstetter (ref_5) 2017; 53
Farrands (ref_44) 2019; 15
References_xml – volume: 125
  start-page: 534
  year: 2010
  ident: ref_18
  article-title: The association between intentional delay of vaccine administration and timely childhood vaccination coverage
  publication-title: Public Health Rep.
  doi: 10.1177/003335491012500408
  contributor:
    fullname: Smith
– volume: 14
  start-page: 1558
  year: 2018
  ident: ref_15
  article-title: Investigating Italian parents’ vaccine hesitancy: A cross-sectional survey
  publication-title: Hum. Vaccines Immunother.
  doi: 10.1080/21645515.2018.1463943
  contributor:
    fullname: Napolitano
– volume: 324
  start-page: 1344
  year: 2020
  ident: ref_23
  article-title: Vaccine refusal and measles outbreaks in the US
  publication-title: JAMA
  doi: 10.1001/jama.2020.14828
  contributor:
    fullname: Phadke
– ident: ref_30
– ident: ref_32
– ident: ref_3
– volume: 8
  start-page: 1436
  year: 2019
  ident: ref_13
  article-title: Vaccine hesitancy: An overview on parents’ opinions about vaccination and possible reasons of vaccine refusal
  publication-title: J. Public Health Res.
  contributor:
    fullname: Visalli
– ident: ref_34
– ident: ref_42
  doi: 10.1101/2021.07.26.21261018
– volume: 12
  start-page: 295
  year: 2016
  ident: ref_6
  article-title: The state of vaccine confidence 2016: Global insights through a 67-country survey
  publication-title: EBioMedicine
  doi: 10.1016/j.ebiom.2016.08.042
  contributor:
    fullname: Larson
– volume: 90
  start-page: 1562
  year: 2015
  ident: ref_19
  article-title: Vaccine hesitancy
  publication-title: Mayo Clin. Proc.
  doi: 10.1016/j.mayocp.2015.09.006
  contributor:
    fullname: Jacobson
– ident: ref_40
  doi: 10.3390/vaccines10040537
– ident: ref_47
– volume: 35
  start-page: 2955
  year: 2017
  ident: ref_8
  article-title: Vaccine hesitancy among parents in a multi-ethnic country, Malaysia
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2017.04.010
  contributor:
    fullname: Kew
– ident: ref_39
  doi: 10.1371/journal.pone.0215978
– volume: 146
  start-page: e2020007609
  year: 2020
  ident: ref_21
  article-title: Parental vaccine hesitancy and childhood influenza vaccination
  publication-title: Pediatrics
  doi: 10.1542/peds.2020-007609
  contributor:
    fullname: Santibanez
– volume: 38
  start-page: 1032
  year: 2020
  ident: ref_36
  article-title: Using classification and regression tree analysis to explore parental influenza vaccine decisions
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2019.11.039
  contributor:
    fullname: Lama
– volume: 125
  start-page: 747
  year: 2010
  ident: ref_25
  article-title: Measles outbreak in a highly vaccinated population, San Diego, 2008: Role of the intentionally undervaccinated
  publication-title: Pediatrics
  doi: 10.1542/peds.2009-1653
  contributor:
    fullname: Sugerman
– ident: ref_37
  doi: 10.3390/vaccines8040560
– ident: ref_11
  doi: 10.3390/vaccines10020205
– volume: 29
  start-page: 6598
  year: 2011
  ident: ref_29
  article-title: Validity and reliability of a survey to identify vaccine-hesitant parents
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2011.06.115
  contributor:
    fullname: Opel
– volume: 37
  start-page: 984
  year: 2019
  ident: ref_14
  article-title: Parent perspectives on childhood vaccination: How to deal with vaccine hesitancy and refusal?
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2018.12.062
  contributor:
    fullname: Bianco
– volume: 36
  start-page: 779
  year: 2018
  ident: ref_12
  article-title: Parental vaccine hesitancy in Italy—Results from a national survey
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2017.12.074
  contributor:
    fullname: Giambi
– volume: 16
  start-page: 2744
  year: 2020
  ident: ref_17
  article-title: HPV vaccine hesitancy among parents in Italy: A cross-sectional study
  publication-title: Hum. Vaccines Immunother.
  doi: 10.1080/21645515.2020.1744367
  contributor:
    fullname: Pelullo
– volume: 39
  start-page: 3935
  year: 2021
  ident: ref_22
  article-title: Association of vaccine hesitancy and immunization coverage rates in the European Union
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2021.05.062
  contributor:
    fullname: Stoeckel
– volume: 33
  start-page: 1802
  year: 2015
  ident: ref_45
  article-title: Parental vaccine hesitancy and acceptance of seasonal influenza vaccine in the pediatric emergency department
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2015.02.034
  contributor:
    fullname: Strelitz
– volume: 18
  start-page: 154
  year: 2018
  ident: ref_7
  article-title: Prevalence of vaccine hesitancy among expectant mothers in Houston, Texas
  publication-title: Acad. Pediatr.
  doi: 10.1016/j.acap.2017.08.003
  contributor:
    fullname: Cunningham
– ident: ref_41
  doi: 10.3390/vaccines10050814
– ident: ref_33
– ident: ref_35
  doi: 10.1186/s12884-021-04182-w
– ident: ref_2
– ident: ref_28
  doi: 10.3390/ijerph16122070
– volume: 15
  start-page: 113
  year: 2019
  ident: ref_44
  article-title: Overview of knowledge, attitudes, beliefs, vaccine hesitancy and vaccine acceptance among mothers of infants in Quebec, Canada
  publication-title: Hum. Vaccines Immunother.
  doi: 10.1080/21645515.2018.1509647
  contributor:
    fullname: Farrands
– volume: 38
  start-page: 2592
  year: 2020
  ident: ref_10
  article-title: Parents’ hesitancy towards vaccination in Indonesia: A cross-sectional study in Indonesia
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2020.01.072
  contributor:
    fullname: Yufika
– volume: 53
  start-page: 680
  year: 2017
  ident: ref_5
  article-title: Vaccination coverage of adolescents with chronic medical conditions
  publication-title: Am. J. Prev. Med.
  doi: 10.1016/j.amepre.2017.07.017
  contributor:
    fullname: Hofstetter
– volume: 114
  start-page: 7101
  year: 2017
  ident: ref_24
  article-title: Geospatial analysis of nonmedical vaccine exemptions and pertussis outbreaks in the United States
  publication-title: Proc. Natl. Acad. Sci. USA
  doi: 10.1073/pnas.1700240114
  contributor:
    fullname: Aloe
– volume: 35
  start-page: 6059
  year: 2017
  ident: ref_26
  article-title: A systematic review of factors affecting vaccine uptake in young children
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2017.09.046
  contributor:
    fullname: Smith
– volume: 109
  start-page: 2677
  year: 2020
  ident: ref_4
  article-title: Vaccination coverage of children with chronic diseases is inadequate especially for specifically recommended vaccines
  publication-title: Acta Paediatr.
  doi: 10.1111/apa.15275
  contributor:
    fullname: Diallo
– ident: ref_16
  doi: 10.3390/vaccines8020276
– volume: 180
  start-page: 2839
  year: 2021
  ident: ref_43
  article-title: Vaccine hesitancy and reported non-vaccination in an Irish pediatric outpatient population
  publication-title: Eur. J. Pediatr.
  doi: 10.1007/s00431-021-04039-6
  contributor:
    fullname: Whelan
– volume: 34
  start-page: 6707
  year: 2016
  ident: ref_1
  article-title: Vaccine impact: Benefits for human health
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2016.10.025
  contributor:
    fullname: Doherty
– ident: ref_20
  doi: 10.3390/vaccines10050739
– volume: 38
  start-page: 1505
  year: 2020
  ident: ref_9
  article-title: Vaccine confidence among parents: Large scale study in eighteen European countries
  publication-title: Vaccine
  doi: 10.1016/j.vaccine.2019.11.068
  contributor:
    fullname: Hadjipanayis
– ident: ref_38
  doi: 10.3390/ijerph16101807
– volume: 67
  start-page: 339
  year: 2021
  ident: ref_27
  article-title: Determinants of parental vaccine hesitancy
  publication-title: Can. Fam. Physician
  doi: 10.46747/cfp.6705339
  contributor:
    fullname: McGregor
– ident: ref_31
  doi: 10.3390/vaccines9121476
– ident: ref_46
  doi: 10.3390/vaccines10030396
SSID ssj0000913867
Score 2.3316467
Snippet Background: This study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions. Methods: This...
BACKGROUNDThis study was designed to evaluate vaccination hesitancy and behaviors among parents of children with chronic conditions. METHODSThis...
SourceID doaj
pubmedcentral
proquest
gale
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
StartPage 1254
SubjectTerms Care and treatment
Chicken pox
Children
Children & youth
Chronic conditions
Chronic diseases
Chronic illnesses
chronic medical conditions
Cross-sectional studies
cross-sectional study
Gender
Health aspects
Hepatitis
Hospitals
Immunization
Infectious diseases
Influenza
Investigations
Italy
Knowledge
Management
Mass media
Measles
Mumps
PACV
Parents
Parents & parenting
Patient outcomes
Pediatrics
Poliomyelitis
Primary care
Questionnaires
Rotavirus
Rubella
Side effects
Tetanus
Vaccination
vaccine hesitancy
Vaccines
Viruses
Whooping cough
SummonAdditionalLinks – databaseName: Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1La9wwEBYlp15KHyl1mxYVQkohJrbePqahYVtI2ENSchOWLNFA8YbaCey_74zkbNbpoZcevdIaWaOZ-Uaa-UTIvgqNZBJ3bSrtShHqujTCxxJdHZfKxy5gvfPZuVpciu9X8mrrqi_MCcv0wHnijoQzrXHgl2rAzqxVhgkOfocHH2Vsm8zzWTVbwVSywU3NjdL5XJJDXH9013o8qR6QzAacupj5oUTX_7dRfpwoueV5Tp-TZxNkpMd5qC_Ik9C_JAfLzDm9PqQXDyVUwyE9oMsHNur1K3K3QOZ_tKF0TCmyA93QGdMfabh5046me4foEqvDxoGuYu4HTxQ3a2m6IekXVkXRiVGXTqc89GSFB9_pJdc9_QZ4fr1LLk-_XpwsyumyhdILJcbSARQJUgFaEhUXiiOJDKCtFlRUgNOPVeNgTjtdxc45Y3zQXkjZ6sojxOs4f012-lUf3hAqYxCskg6Z-oVxrakj075jYApiNL4pyOf7qbc3mVPDQiyCYrKPxVSQLyibTT9kw04_wBqx0xqx_1ojBfmEkrWosyBH306lBzBcZL-yx5oJCLtqrguyN-sJuubnzfdrw066PlimMYgDSykL8nHTjP_E_LU-rG5THw3YERSgIHq2pmZfNm_pr38mvu8GQLPi_O3_mIp35CnDAo6UwrhHdsbft-E9wKrRfUga9AdjryC6
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: ProQuest Central
  dbid: BENPR
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3da9swEBdb-rKX0X0xr93QYHQMamrrw5KfRltassFKGO3om7FkqSsMu6vdQv773clKMnewx1iK4_h0d7876X5HyIfClZJJzNpkyqTC5XmqhfUpujouC-sbh_XO386K-YX4eikvY8Ktj8cqVzYxGOqms5gjP2AKoTKsR_n55neKXaNwdzW20HhMthhECtmMbB2dnC2-r7MsyHqpCzXuT3KI7w_ua4s71j2S2oBzFxN_FGj7_zXODw9M_uWBTrfJ0wgd6eEo62fkkWufk73FyD293Kfnm1Kqfp_u0cWGlXr5gtzPsQMA2lI6hKOyPV3TGtMf4XHH5B0N_YfoAqvEhp52fpwHnygmbWnolPQLq6NoZNalcbeHHne4AR5uct3SL4Drly_JxenJ-fE8jU0XUisKMaQGIImTBaAmkXFRcCSTAdRVg6oKcP4-Kw2800ZlvjFGa-uUFVLWKrMI9RrOX5FZ27XuNaHSO8EyaZCxX2hT69wzZRsGJsF7bcuEfFq9-upm5NaoICZBMVUPxZSQI5TNeh6yYocL3e1VFZWsEkbX2gCGySHOYnWhmeCAUbizXvq65An5iJKtUHdBjraOJQjwuMiCVR0qJiD8yrlKyO5kJuicnQ6v1kYVdb6vNis0Ie_Xw_hNPMfWuu4uzFGAIUEREqIma2ryz6Yj7fXPwPtdAnguOH_z_x_fIU8YlmiEQ4q7ZDbc3rm3AJwG8y5qxx9Axxqq
  priority: 102
  providerName: ProQuest
– databaseName: Scholars Portal Journals: Open Access
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1Lb9QwELagXLggniJQkJFQEVIDiR-xc0CoVFQLEmgPXbQ3K3ZsqFQlsEkr9t8z42R3SemBY2InSjwPf2N7viHkZeFLySSu2mTKpsLneaqFCylOdVwWLtQe852_fC1mC_F5KZe79OhxALtrQzusJ7VYnb_5_Wv9Hgz-HUacELK_vawcbkJ3yFMD87W4SW4xAXE6HuQbwX70y2XOdSwpyyB4T3nJl8O-5bUvmcxTkc7_X6d99SDlXzPTyV1yZ4SU9GjQgXvkhm_uk4P5wEm9PqSnuxSr7pAe0PmOrXr9gFzOsDIA-ljaxyO0Hd3SHdNv8XOHRT0a6xLROWaP9R1tw9APrigu5tJYQekcs6boyLhLx10getzixnh8yVlDP8FQrx-SxcnH0-NZOhZjSJ0oRJ9agCpeFoCmRMZFwZFkBtBYBSYsABSErLQwvrXKQm2t1s4rJ6SsVOYQAtacPyJ7Tdv4x4TK4AXLpEUmf6FtpfPAlKsZuIoQtCsT8noz9ObnwLlhIFZBMZmrYkrIB5TNth-yZccb7eq7GY3PCKsrbQHb5BB_sarQoB6AXbh3QYaq5Al5hZI1qGUgR1eNqQnwuciOZY4UExCW5VwlZH_SE2zRTZs3umE2qmyYwiAPPKlMyIttMz6J59sa317EPgqwJRhIQtREpyZ_Nm1pzn5EPvASQHXB-ZP__oun5DbDLI54jnGf7PWrC_8MsFVvn0eT-QOjSyPE
  priority: 102
  providerName: Scholars Portal
Title Hesitancy towards Childhood Vaccinations among Parents of Children with Underlying Chronic Medical Conditions in Italy
URI https://www.proquest.com/docview/2706427305
https://search.proquest.com/docview/2707615467
https://pubmed.ncbi.nlm.nih.gov/PMC9416633
https://doaj.org/article/4b8a8b15111742a682430223ecf5fa93
Volume 10
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3fa9swEBZt97KXse4H89YGDUbHoG5sS7Lkxza0ZIMUM9rRN2PJ0hZo7VK7hfz3u5OdtO7e9hJwJBvZd6f7Trr7RMiX1GYiEbhqE0kdchvHoeLGhejqmEiNqyzWOy_O0_kl_3ElrraIWNfC-KR9o5dH9fXNUb3843Mrb2_MdJ0nNs0XswxQRMrYdJtsg4I-CdH99JvFTKWy35JkENJPH0qDm9Qt8tiAP8ejeBiykMQ8HnkjT9r_79T8PF3yif85e01eDcCRHvcD3CVbtn5DDvKeeXp1SC8eC6naQ3pA80dO6tVb8jBH_n-cSWnnE2VbuiE1pr_8yPulO-pPH6I51oh1LW1c3w-uKC7ZUn9O0jXWRtGBV5cOez101uD2t3_IsqbfAdWv3pHLs9OL2TwcjlwIDU95F2oAJFakgJl4xHjKkEoGMFcJhsrB9bso0_B5Kxm5SmuljJWGC1HKyCDQqxh7T3bqprYfCBXO8iQSGvn6udKlil0iTZXAhOCcMllAvq0_fXHbM2sUEJGgxIrnEgvICcpm0w85sf0fzd3vYtCMgmtVKg0IJoYoKylTlXAGCIVZ44QrMxaQryjZAi0X5GjKoQABhoscWMWxTDgEXzGTAdkb9QSLM-PmtW4Ug8W3RSIxlAN1FAH5vGnGOzGLrbbNve8jAUGCGQREjnRq9GbjFjACz_o9KP3H_77zE3mZYO2Gz17cIzvd3b3dB0TV6Ql5cXJ6nv-c-BUJ-F1wNfFW9ReT6yWu
link.rule.ids 230,315,730,783,787,867,888,2109,2228,21400,24330,27936,27937,33756,33757,43817,53804,53806,74630
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3fb9MwELZge4AXNH6JsAFGQkNIi5bEduw8oW3a1MFWVahDe7MSx4ZJKBlLNqn_PXeO25Ih8djYTdOc7-67s-87Qj7kthCZwKxNIquY2zSNFTcuRlfHRG5cbbHe-XyaTy74l0txGRJuXThWubSJ3lDXrcEc-X4mESrDehSfr3_H2DUKd1dDC42HZBOpqiD42jw8ns6-rbIsyHqpcjnsTzKI7_fvSoM71h2S2oBz5yN_5Gn7_zXO9w9M_uWBTrbIkwAd6cEg66fkgW2ekd3ZwD292KPzdSlVt0d36WzNSr14Tu4m2AEAbSnt_VHZjq5ojel3_7hD8o76_kN0hlVifUdbN8yDTxSTttR3SvqF1VE0MOvSsNtDj1rcAPc3uWroKeD6xQtycXI8P5rEoelCbHjO-7gCSGJFDqiJJ4znDMlkAHWVoKocnL9LigreaS0TV1eVUsZKw4UoZWIQ6tWMvSQbTdvYV4QKZ3mWiAoZ-7mqSpW6TJo6A5PgnDJFRD4tX72-Hrg1NMQkKCZ9X0wROUTZrOYhK7a_0N780EHJNK9UqSrAMCnEWVmZq4wzwCjMGidcWbCIfETJatRdkKMpQwkCPC6yYOkDmXEIv1ImI7Izmgk6Z8bDy7Whg853er1CI_J-NYzfxHNsjW1v_RwJGBIUISJytKZG_2w80lz99LzfBYDnnLHX___xd-TRZH5-ps9Op1-3yeMMyzX8gcUdstHf3No3AKL66m3QlD_Tax2k
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3da9swEBdbCmMvY5_Ma7dpMDoGNbEtybKfRts1pPsIZrSjb8KWpa4w7LZ2C_nvdycrydzBHhMpiaPTnX66j98R8j41uUgEem0iWYXcxHGYcW1DPOqYSLWtDdY7f1-k81P-5Uyc-fynzqdVrmyiM9R1q9FHPk0kQmXYj2JqfVpE8Xn26fIqxA5SGGn17TTuky3JUxZNyNbB0aL4sfa4IANmlsohVsngrj-9LTVGrzskuIGDno_OJkfh_6-hvps8-ddpNHtMHnkYSfcHuT8h90zzlOwWAw_1co-ebMqquj26S4sNQ_XyGbmdYzcAtKu0d2mzHV1THNOf7nEHRx51vYhogRVjfUdbO8yDVxQduNR1TfqNlVLUs-xSH_mhhy0Gw92XXDT0GDD-8jk5nR2dHM5D34Ah1DzlfVgBPDEiBQTFIwZrisQygMBKUFsOQMBGeQVrWsvI1lWVZdpIzYUoZaQR9tWMvSCTpm3MS0KFNTyJRIXs_Tyryiy2idR1AubB2kznAfm4Wnp1OfBsKLifoJjUXTEF5ABls56HDNnujfb6XHmFU7zKyqwCPBPDnSsp0yzhDPAKM9oKW-YsIB9Qsgr1GOSoS1-OAI-LjFhqXyYcrmIxkwHZGc0E_dPj4dXeUF7_O7XZrQF5tx7GT2JOW2PaGzdHAp4EpQiIHO2p0T8bjzQXvxwHeA5AOmXs1f9__C15AEqivh0vvm6ThwlWbrjcxR0y6a9vzGvAU331xivKHw1eIdI
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Hesitancy+towards+Childhood+Vaccinations+among+Parents+of+Children+with+Underlying+Chronic+Medical+Conditions+in+Italy&rft.jtitle=Vaccines+%28Basel%29&rft.au=Napolitano%2C+Francesco&rft.au=Miraglia+del+Giudice%2C+Grazia&rft.au=Angelillo%2C+Silvia&rft.au=Fattore%2C+Italo&rft.date=2022-08-01&rft.pub=MDPI+AG&rft.issn=2076-393X&rft.eissn=2076-393X&rft.volume=10&rft.issue=8&rft_id=info:doi/10.3390%2Fvaccines10081254&rft.externalDocID=A724768137
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2076-393X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2076-393X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2076-393X&client=summon