J Korean Med Sci.  2014 Nov;29(11):1528-1535. 10.3346/jkms.2014.29.11.1528.

Public Acceptance and Willingness to Hepatitis A Vaccination in Children Aged 7-18 Years in Republic of Korea

Affiliations
  • 1Clinical Trial Center, Ewha Womans University Medical Center, Seoul, Korea.
  • 2Department of Pediatrics, School of Medicine, Ewha Womans University, Seoul, Korea. kaykim@ewha.ac.kr
  • 3Center for Vaccine Evaluation and Study, School of Medicine, Ewha Womans University, Seoul, Korea.

Abstract

Hepatitis A can cause serious illness among adolescents and adults with low vaccination coverage. Even though hepatitis A vaccine is one of the strong candidates for Korean national immunization program, adolescents aged older than 12 yr would not benefit. Our purpose was to assess the willingness and analyze the correlates of Korean mothers for hepatitis A (HepA) vaccination to develop strategies for HepA vaccination. A national telephone survey on 800 mothers with children aged 7-18 yr was conducted with random-digit dialing method. Sixty-two percent and 92% of the mothers reported that they were willing to HepA vaccination at current cost and at half of the current cost, respectively. However, at current cost, only 79% wished to vaccinate their child in an epidemic and 32% wished to vaccinate promptly. Having two or more children, not having future plans to send the child overseas, and low family income were significantly associated with not willing to HepA vaccination. Low perception of the susceptibility for hepatitis A and perception of the current cost as barrier increased the odds of unwillingness to vaccination at current cost and to prompt vaccination. The mothers' willingness to HepA vaccination for the children aged 7-18 yr in Korea was not very high at current cost and associated socioeconomic status and health-belief. Targeted intervention or strategies are needed to increase the HepA vaccination rate among children in Korea.

Keyword

Hepatitis A; Vaccination; Willingness; Children; Adolescent

MeSH Terms

Adolescent
Adult
Child
Demography
Female
Health Status
Health Surveys
Hepatitis A/economics/*prevention & control
Hepatitis A Vaccines/economics/*immunology
Humans
Interviews as Topic
Male
Middle Aged
Mothers/psychology
Republic of Korea
Social Class
*Vaccination
Hepatitis A Vaccines

Reference

1. Dienstag JL. Acute viral hepatitis. In : Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, editors. Harrison's principles of internal medicine. 18th ed. New York: McGraw-Hill;2012.
2. Bonanni P, Boccalini S, Bechini A. Vaccination against hepatitis A in children: a review of the evidence. Ther Clin Risk Manag. 2007; 3:1071–1076.
3. World Health Organization. WHO media centre. accessed on 13 December 2013. Available at http://www.who.int/mediacentre/factsheets/fs328/en.
4. NHS choices. Hepatitis A-vaccination. accessed on 13 December 2013. Available at http://www.nhs.uk/Conditions/Hepatitis-A/Pages/Vaccination.aspx.
5. Advisory Committee on Immunization Practices (ACIP). Fiore AE, Wasley A, Bell BP. Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2006; 55:1–23.
6. Dorell CG, Yankey D, Byrd KK, Murphy TV. Hepatitis A vaccination coverage among adolescents in the United States. Pediatrics. 2012; 129:213–221.
7. Lu PJ, Byrd KK, Murphy TV. Hepatitis A vaccination coverage among adults 18-49 years traveling to a country of high or intermediate endemicity, United States. Vaccine. 2013; 31:2348–2357.
8. Lu PJ, Euler GL, Hennessey KA, Weinbaum CM. Hepatitis A vaccination coverage among adults aged 18-49 years in the United States. Vaccine. 2009; 27:1301–1305.
9. Korea Center for Disease Control and Prevention, Korea Medical Association. Hepatitis. In : Lee DH, editor. Epidemiology and prevention of vaccine-preventable disease. 4th ed. Osong: Osong Health Technology Administration Complex, Korea Centers for Disease Control and Prevention;2013. p. 383–402.
10. Kim JH. Recent epidemiological status and vaccination of hepatitis A in Korea. J Korean Med Assoc. 2008; 51:110–118.
11. Ki M. Risk factors, mathematical modelling and economic analysis for hepatitis A in Korea. Public Health Wkly Rep. 2010; 3:85–90.
12. Choi EH. Prioritization of intruduction to the National Immunization Program. Seoul: Korea Centers for Desease Control & Prevention, Seoul National University;2010.
13. Kim E, Kwon Y. Introduction of haemophilus influenzaetype b vaccine into national immunization program in Korea. Public Health Wkly Rep. 2013; 6:629–634.
14. Oh H. Current status of National Immunization Program for Children, 2012. Public Health Rep Wkly. 2013; 6:697–701.
15. Centers for Disease Control and Prevention (CDC). National, state, and local area vaccination coverage among adolescents aged 13-17 years: United States, 2008. MMWR Morb Mortal Wkly Rep. 2009; 58:997–1001.
16. Petty TJ, Callahan ST, Chen Q, Edwards KM, Dempsey AF. Assessment of parental acceptance of a potential cytomegalovirus vaccine for adolescent females. Vaccine. 2010; 28:5686–5690.
17. Holman DM, Benard V, Roland KB, Watson M, Liddon N, Stokley S. Barriers to human papillomavirus vaccination among US adolescents: a systematic review of the literature. JAMA Pediatr. 2014; 168:76–82.
18. Wershof Schwartz A, Clarfield AM, Doucette JT, Valinsky L, Karpati T, Landrigan PJ, Sternberg SA. Disparities in pneumococcal and influenza immunization among older adults in Israel: a cross-sectional analysis of socio-demographic barriers to vaccination. Prev Med. 2013; 56:337–340.
19. Statistics Korea. Report on the survey of household finances and living conditions, 2012. Daejeon: Statistics Korea;2013.
20. Dombkowski KJ, Lantz PM, Freed GL. Risk factors for delay in age-appropriate vaccination. Public Health Rep. 2004; 119:144–155.
21. Pavlopoulou ID, Michail KA, Samoli E, Tsiftis G, Tsoumakas K. Immunization coverage and predictive factors for complete and age-appropriate vaccination among preschoolers in Athens, Greece: a cross--sectional study. BMC Public Health. 2013; 13:908.
22. Pearce A, Law C, Elliman D, Cole TJ, Bedford H. Millennium Cohort Study Child Health Group. Factors associated with uptake of measles, mumps, and rubella vaccine (MMR) and use of single antigen vaccines in a contemporary UK cohort: prospective cohort study. BMJ. 2008; 336:754–757.
23. Dempsey AF, Zimet GD, Davis RL, Koutsky L. Factors that are associated with parental acceptance of human papillomavirus vaccines: a randomized intervention study of written information about HPV. Pediatrics. 2006; 117:1486–1493.
24. Research View. Review on the relationship between accuracy and response rate of the public opinion surveys in Korea 2011. accessed on 9 January 2014. Available at http://rsview.kr/pdboard/bbs/board.php?bo_table=notice&wr_id=120.
25. Yeager DS, Krosnick JA, Chang L, Javitz HS, Levendusky MS, Simpser A, Wang R. Comparing the accuracy of RDD telephone surveys and internet surveys conducted with probability and non-probability samples. Public Opin Q. 2011; 75:709–747.
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