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• W3172401929 abstract "• Vaccine hesitancy is measured cross-nationally using a Eurobarometer from 2019. • Immunization uptake data is included for MCV1, MCV2, and DTP3 for 2019. • Analysis of new data: hesitancy linked to immunization data at the regional level (177 regions, 20 countries) • Aggregate vaccine uptake rates are lower in regions where vaccine hesitancy is more pronounced. • Discussion of implications for the use of large-N surveys to track vaccine hesitancy. While previous studies have validated vaccine hesitancy scales with uptake behavior at the individual level, the conditions under which aggregated survey data are useful are less clear. We show that vaccine public opinion data aggregated at the subnational level can serve as a valid indicator of aggregate vaccine behaviour. We use a public opinion survey (Eurobarometer EB 91.2) with data on vaccine hesitancy for the EU in 2019. We link this information to (subnational) regional immunization coverage rates for childhood vaccines – DTP3, MCV1, and MCV2 -- obtained from the WHO for 2019. We conduct multilevel regression analyses with data for 177 regions in 20 countries. Given the variation in vaccine hesitancy and immunization rates between countries and within countries, we affirm the valuable role that surveys can play as a public health surveillance tool when it comes to vaccine behavior. We find statistically significantly lower regional vaccine immunization rates in regions where vaccine hesitancy is more pronounced. Our results suggest that different uptake rates across subnational regions are due, at least in part, to differences in attitudes towards vaccines and vaccination. The results are robust to several alternative specifications." @default.
• W3172401929 created "2021-06-22" @default.
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• W3172401929 date "2021-06-01" @default.
• W3172401929 modified "2023-09-24" @default.
• W3172401929 title "Association of vaccine hesitancy and immunization coverage rates in the European Union" @default.
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• W3172401929 doi "https://doi.org/10.1016/j.vaccine.2021.05.062" @default.
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