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Misinformaion and its impact on measles vaccine hesitancy in the pediatric population: A scoping review
1College of Nursing, University of Arizona, 1305 N Martin Ave, Tucson, AZ 85721, United States of America; School of Nursing and Health Studies, University of Missouri-Kansas City, 2464 Charolette Street, Kansas City, MO 64108, United States of America.
Objective:
This scoping review is a synthesis of what is known in the literature about the relationship between misinformation and measles, mumps, and rubella (MMR) vaccine hesitancy.
Methods:
A scoping review using Arksey and O'Malley's framework was completed. PubMed, Academic Search Complete, CINHAL, and EBSCOHost were searched for literature published from January 2020 to December 2024 in English on MMR vaccine hesitancy and misinformation.
Results:
Initial search resulted in 141 articles. After removing duplicates and articles not meeting inclusion criteria, 23 studies were retained for analysis. Misinformation promulgated in social and religious groups, social media, internet searches, and movies impacted measles vaccine hesitancy. Declining vaccination rates corresponded with circulating social media posts promoting misinformed beliefs towards the MMR vaccine. Interventions targeting vaccine hesitancy have used a variance of communication strategies with limited success. Unfortunately, the COVID-19 pandemic media response decreased institutional trust and increased trust in misinformation, despite evidence to the contrary.
Conclusion:
Despite scientific demonstration of immunizations benefits, little work has been attempted to understand how and why vaccine decisions are being made, including the effect of misinformation. Research gaps include the pervasiveness of misinformation, the limited efficacy of communication interventions on changing vaccine intention, and the lack of a cohesive theoretical framework.
Practical Implications:
Nurses remain at the crux of vaccination decisions with a unique role in educating parents. Future research should focus on understanding parental MMR vaccine decisions guided by a theoretical framework examining the impact unique social interactions of common beliefs have on decision-making.
Insights
Misinformation on social media significantly impacts measles, mumps, and rubella (MMR) vaccine hesitancy, leading to declining vaccination rates. Communication interventions have shown limited success in addressing this growing public health concern.
Area of Science:
- Public Health
- Vaccinology
- Communication Studies
Background:
- Misinformation poses a significant threat to public health initiatives, particularly concerning vaccine uptake.
- Measles, mumps, and rubella (MMR) vaccine hesitancy is a complex issue influenced by various informational and social factors.
Purpose of the Study:
- To synthesize existing literature on the relationship between misinformation and MMR vaccine hesitancy.
- To identify research gaps concerning the impact of misinformation on vaccine decisions.
Main Methods:
- A comprehensive scoping review was conducted using Arksey and O'Malley's framework.
- Literature searches were performed across multiple databases (PubMed, Academic Search Complete, CINHAL, EBSCOHost) for studies published between January 2020 and December 2024.
- Inclusion criteria focused on English-language articles addressing MMR vaccine hesitancy and misinformation.
Main Results:
- Analysis of 23 studies revealed that misinformation from social media, religious groups, and online searches influences MMR vaccine hesitancy.
- A correlation was observed between declining vaccination rates and the spread of misinformation on social media platforms.
- Current communication strategies and interventions have demonstrated limited efficacy in combating vaccine hesitancy.
Conclusions:
- Despite established immunization benefits, understanding parental vaccine decision-making, especially concerning misinformation, requires further investigation.
- Key research gaps include quantifying the pervasiveness of misinformation, improving intervention efficacy, and developing cohesive theoretical frameworks.
- Nurses play a crucial role in parental education; future research should explore theoretical frameworks for understanding parental decisions influenced by social interactions and shared beliefs.
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