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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Research Briefs

Parental Vaccine Hesitancy and Vaccination Disparities in a Safety-Net System

Joshua T.B. Williams, John D. Rice, Yingbo Lou, Elizabeth A. Bayliss, Steven G. Federico, Simon J. Hambidge and Sean T. O’Leary
Pediatrics February 2021, 147 (2) e2020010710; DOI: https://doi.org/10.1542/peds.2020-010710
Joshua T.B. Williams
aDepartment of General Pediatrics and
eAmbulatory Care Services, Denver Health, Denver, Colorado;
bDepartment of Pediatrics and
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John D. Rice
cDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado; and
dAdult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colorado;
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Yingbo Lou
eAmbulatory Care Services, Denver Health, Denver, Colorado;
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Elizabeth A. Bayliss
fInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado
gDepartment of Family Medicine, School of Medicine, University of Colorado, Aurora, Colorado;
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Steven G. Federico
aDepartment of General Pediatrics and
eAmbulatory Care Services, Denver Health, Denver, Colorado;
bDepartment of Pediatrics and
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Simon J. Hambidge
aDepartment of General Pediatrics and
bDepartment of Pediatrics and
eAmbulatory Care Services, Denver Health, Denver, Colorado;
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Sean T. O’Leary
bDepartment of Pediatrics and
dAdult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colorado;
hSection of Pediatric Infectious Diseases, Children's Hospital Colorado, Aurora, Colorado;
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  • Abbreviations:
    ADU —
    average days undervaccinated
    PACV —
    Parent Attitudes about Childhood Vaccines
    VH —
    vaccine hesitancy
  • Poor and minority children still lag behind wealthier, white children in vaccination coverage.1,2 Structural, logistic, cultural, and attitudinal barriers contribute to vaccination disparities.3,4 Vaccine hesitancy (VH) is an important attitudinal barrier and a growing challenge.5 We measured VH and its association with child average days undervaccinated (ADU) in English- and Spanish-speaking parents of children aged 2 years in 3 safety-net clinics, describing associations by language, race, and ethnicity.

    Methods

    We surveyed English- and Spanish-speaking parents bringing children aged 2 years to 3 pediatric clinics for well or sick care from August 2019 …

    Address correspondence to Joshua T.B. Williams, MD, Denver Health Medical Center, 301 W 6th Ave, MC #1911, Denver, CO 80204. E-mail: joshua.williams{at}dhha.org

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    Pediatrics
    Vol. 147, Issue 2
    1 Feb 2021
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    Parental Vaccine Hesitancy and Vaccination Disparities in a Safety-Net System
    Joshua T.B. Williams, John D. Rice, Yingbo Lou, Elizabeth A. Bayliss, Steven G. Federico, Simon J. Hambidge, Sean T. O’Leary
    Pediatrics Feb 2021, 147 (2) e2020010710; DOI: 10.1542/peds.2020-010710

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    Parental Vaccine Hesitancy and Vaccination Disparities in a Safety-Net System
    Joshua T.B. Williams, John D. Rice, Yingbo Lou, Elizabeth A. Bayliss, Steven G. Federico, Simon J. Hambidge, Sean T. O’Leary
    Pediatrics Feb 2021, 147 (2) e2020010710; DOI: 10.1542/peds.2020-010710
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