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Vaccine practices, literacy, and hesitancy among parents in the United Arab Emirates
Hiba Jawdat Barqawi1,2, Kamel A Samara1, Samah Mohamed Kannas1
1College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Insights
Vaccine hesitancy is present in the UAE, but most parents trust vaccines and healthcare providers. Addressing hesitancy requires targeted strategies and engaged healthcare professionals to improve childhood immunisation rates.
Area of Science:
- Public Health
- Epidemiology
- Vaccinology
Background:
- Routine immunisation is a cornerstone of public health, yet millions of children globally miss vaccinations annually.
- The United Arab Emirates (UAE) faces challenges, with 4% of children under one unvaccinated.
- Vaccine hesitancy is a significant barrier to achieving high immunisation coverage.
Purpose of the Study:
- To assess vaccination attitudes and practices among parents in the UAE.
- To determine the prevalence of vaccine hesitancy in the UAE.
- To identify factors influencing vaccine hesitancy among UAE parents.
Main Methods:
- A cross-sectional, descriptive study was conducted in the UAE during March-April 2024.
- Data were collected using a 60-item questionnaire, including scales for Parental Attitudes towards Childhood Vaccines (PACV), Vaccine Hesitancy, and Digital Vaccine Literacy (DVL).
- Statistical analyses included univariate, bivariate (chi-squared), and multivariate (logistic regression) methods.
Main Results:
- Out of 550 participants, 94.36% reported their children received all mandated vaccines.
- Only 39.82% perceived their knowledge of childhood vaccinations as good/excellent, despite 70.11% having high digital vaccine literacy.
- Vaccine hesitancy was identified in 14.00% of parents, with factors like healthcare provider consultation, digital literacy, and perceived child vaccine knowledge associated with lower hesitancy.
Conclusions:
- Vaccine hesitancy is a reality in the UAE, coexisting with high parental trust in vaccines and healthcare systems.
- Effective strategies to combat vaccine hesitancy are necessary, requiring tailored approaches.
- Proactive engagement from healthcare workers is crucial for improving vaccination uptake and addressing parental concerns.
Background:
Immunisation is one of public health's greatest success stories, yet, annually, 20 million children miss out entirely or partially on routine immunisation. National immunisation estimates have the United Arab Emirates (UAE) lagging behind with 4% of children under the age of 1 not having received any vaccines. Vaccine hesitancy is considered one of the biggest barriers to vaccination. This study aims to evaluate the UAE's parents' vaccination attitudes and practices as well as estimate vaccine hesitancy's prevalence and determinants.
Methodology:
This cross-sectional, descriptive study collected data from parents across the UAE during the months of March and April 2024. The 60-item questionnaire included the Parental Attitudes towards Childhood Vaccines scale (PACV), the Vaccine Hesitancy Scale, and the Digital Vaccine Literacy (DVL) scale. Univariate, bivariate (chi-squared test), and multivariate (logistic regression) analyses were conducted.
Results:
A total of 550 responses were retained. 84.55% of participants were female (n = 465/550), half were middle-aged (31-45 years old), and 21.09% (n = 116/550) were healthcare workers. 94.36% (n = 519/550) had their child/children receive all mandated vaccines. Only 39.82% (n = 219/550) found their level of knowledge about childhood vaccinations to be good/excellent. 70.11% (n = 386/550) of participants had high digital vaccine literacy. More than 95% had positive attitudes towards measles, meningitis, and pertussis vaccines. 14.00% (n = 77/550) were identified as vaccine-hesitant according to the PACV. Overall, using general practitioner/ paediatrician as a knowledge source, digital vaccine literacy, perceived children's vaccine knowledge, and nationality were associated with lower vaccine hesitancy status.
Conclusion:
Vaccine hesitancy exists and is prevalent in the UAE; however, the majority of participants reported high trust in vaccines, the local healthcare systems and physicians. Vaccine hesitancy can be tackled but will require tailored solutions and proactive healthcare workers.
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