national consumers league 2013 vaccine study

1

NCL Vaccine Study November 21, 2013

© Harris Interac7ve

• Background and Objec7ves • Methodology • Execu7ve Summary

• Detailed Findings –  General Thoughts on Vaccina7ons –  The Flu Vaccine –  Children and Vaccines –  Health Care, Delivery, and Access –  Vaccina7on Policy –  Au7sm –  Respondent Profile


Table of Contents

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3 4 5

12 28 34 44 58 66 73

• This survey was designed to explore the aZtudes and behaviors of the general public about vaccines. Specifically, it was designed to measure awareness of, concerns about, and explore myths and misconcep7ons surrounding vaccines.

–  Given the importance of vaccines among children, especially young children, the data has been analyzed to highlight the thoughts of Parents.

• The results of the survey will be released publicly to order to help draw a]en7on to the topic of vaccines possibly as part of a public educa7on campaign.

© Harris Interac7ve 3

Background and Objec7ves

A/B Indicates significantly higher percentages at 95% confidence level between All Adults and All Parents.

C/D Indicates significantly higher percentages at 95% confidence level among Parents answering about their 0-6 year old child and Parents answering about their 7-17 year old child.

F/G Indicates significantly higher percentages at 95% confidence level among adults who are extremely or very knowledgeable and adults who are somewhat or not at all knowledgeable about how vaccines work.

H/I Indicates significantly higher percentages at 95% confidence level among adults who know someone with autism and adults who do not know someone with autism.

•  1,756 interviews were conducted on behalf of the Na7onal Consumers League by Harris Interac7ve to gain further understanding on vaccina7on rates and opinions among the general U.S. popula7on with addi7onal emphasis on parents with children between the ages of 0-‐17.

•  Online interviews were conducted between August 22nd – September 9th, 2013.

•  The HPOL sample consisted of two groups: –  1,002 respondents from the general popula7on including 239 parents –  An addi7onal 754 interviews among parents for a total of 993 parents

•  465 parents with children ages 0-‐6 •  528 parents with children ages 7-‐17

•  The length of interview averaged 16 minutes.

•  Results are weighted to be representa7ve of the general U.S. popula7on using targets for gender, age, ethnicity, educa7on, income, and region based on the U.S. Census’s Current Popula7on Survey.


Methodology

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Execu2ve Summary


Knowledge is an important first step to enhancing understanding of the importance of vaccina2ons for Adults and children.

–  Nearly three-‐quarters of Adults (71%) and 79% of Parents say they are extremely or very knowledgeable about how vaccines work.

–  Adults are more likely to say that they think it is important for children to receive recommended vaccina7ons than Adults (78% vs. 52%).

–  Those who say they are more knowledgeable about how vaccines work are more likely than those who say they are less knowledgeable to say they think it is important for adults (69% vs. 35%, repor7ng extremely/very important) and children (90% vs. 69%) to receive recommended vaccina7ons.

–  In addi7on, they are more likely to cite to help eliminate disease (54% vs. 37%) and to protect their local community (43% vs. 27%) as reasons to get a vaccina7on.

–  Furthermore, Adults who are more knowledgeable are less likely that those who are less knowledgeable to cite distrust of pharmaceu7cal companies (8% vs. 21%) and fear of geZng the disease from the vaccine (10% vs. 20%) as reasons why they would not get a vaccine.


Execu7ve Summary

Over a third of adults rate the flu highly on severity. Nearly three-‐quarters of adults report that they have received the flu vaccine. However, nearly a third of those who have received a flu vaccine received it over a year ago. Further, the most common reasons for not receiving a flu vaccine were ‘I am healthy’ and concerns about side effects and the ineffec2veness of the vaccine. A sizeable minority said they did not consider the flu to be a serious illness.

–  Thirty-‐six percent (36%) of adults rated the flu as an 8, 9, or 10 on a scale from 1 to 10 where 0 means "not at all severe" and 10 means "extremely severe”.

–  Women are more likely than men to rate the flu as an 8, 9, or 10 for severity (27% vs. 17%). –  While nearly three-‐quarters of adults (74%) say they have received the flu vaccine;

however, 32% of those say the last 7me received the flu vaccine was a year ago or more. –  Adults who say they are extremely or very knowledgeable about how vaccines work were

more likely than those who said they were somewhat or not at all knowledgeable to report they have received a flu vaccine (82% vs. 68%).

–  When those who have not received the flu vaccine in the past 3 years were asked why they have not received it recently, the most common responses were ‘I am healthy’ (30%), ‘Ineffec7veness of the vaccine’ (23%), and ‘Side effects’ (23%). Seventeen percent (17%) said they did not consider the flu to be a serious illness.


Execu7ve Summary

–  When those who have never received the flu were asked why they have never received it, the top reasons were the same as the reasons given by those who had not received the flu vaccine recently; nearly half said ‘I am healthy’ (45%), ‘Side effects’ (29%), and ‘Ineffec7veness of the vaccine’ (24%). One in five (21%) said the reason they have not received the flu vaccine is because they do not believe the flu is a serious illness. One in five (20%) say they fear of geZng the disease from the vaccina7on is a reason they have not received the flu vaccine.

–  The most common place adults report receiving the flu vaccine is in a healthcare provider’s office. Nearly one in five (18%) have received the shot at their workplace and the same percentage say they have received the vaccine at retail clinic.


Execu7ve Summary

While many Parents report they are concerned about their child geQng the flu, fewer than half have been vaccinated, or have had their child vaccinated for the flu.

–  When asked to say how concerned they are about their child becoming infected with a disease, there was not a lot of variability between the sixteen diseases listed. Parents were most concerned about their children becoming infected with meningi7s (34%), the flu (33%), and swine flu (32%).

–  Even though the flu was near the top of the list, only 40% of Parents say they have received the flu vaccine within the past year. •  Parents are more likely than the general popula7on to avoid vaccina7ons due to fears

of disease contrac7on as a result of the vaccina7on (29% vs. 20%). –  A minority of Parents (44%) say their child has received the flu vaccine.


Execu7ve Summary

The majority of adults agree vaccina2ons help reduce health care costs. Most adults support mandatory vaccina2ons for school age children but believe that parents should have the final say on whether or not a child should be vaccinated. Though many adults support reasons for refusing mandatory vaccina2ons, nearly three-‐quarters of adults say they are concerned about the drop in vaccina2on rates in the U.S.

–  Over 4 in 5 (82%) Adults agree that vaccina7ons help reduce health care costs –  The majority of Adults (87%) support mandatory vaccina7ons for school aged children. –  Nearly 9 in 10 (89%) of Adults report they support medical reasons for refusing mandatory

vaccina7ons. Adults are far less likely to say they support religious (44%) or philosophical objec7ons (33%).

–  Nearly two-‐thirds (64%) of Adults say they think parents or guardians should have the final say about whether or not children should be vaccinated.

–  Nearly three-‐quarters (72%) of Adults are concerned about the drop in vaccina7on rates in the U.S. •  However, over half of Adults (60%) say they respect the decision of Parents when choosing

whether or not to vaccinate their children.


Execu7ve Summary

Nearly a third of Adults agree that vaccina2ons can cause au2sm. However, out of the Adults who know someone with au2sm; only one in ten believe vaccina2ons played a role in that individual’s development of au2sm. While more than two in five Adults are aware of the research study linking au2sm with childhood vaccina2ons, few than half of them are aware that the study has been discredited.

–  A third of Parents (33%) and a similar propor7on of Adults (29%) agree with the statement ‘Vaccina(ons can cause au(sm.’

–  Over a third of Adults (35%) know someone with au7sm. •  Over ten percent (11%) of Adults and Parents (11%) who say they know someone with

au7sm believe vaccina7ons played a role in their development of au7sm. –  Over two in five Adults (44%) and half of Parents (50%) are aware of the research study that

linked the onset of au7sm to receiving childhood vaccina7ons. –  Only 45% of Adults who are aware of the research study say they are aware that the study

has been discredited. •  Similarly, 50% of Parents who are aware of the research study say they are aware that

the study has been discredited.


Execu7ve Summary

General Thoughts on Vaccina2ons


•  Nearly a third of Adults (31%) say they are extremely or very knowledgeable about how vaccina7ons work. A similar propor7on of Adults (29%) say they are somewhat or not at all knowledgeable.

–  Nearly two in five (39%) Parents say they are extremely or very knowledgeable about how vaccina7ons work. Fewer (21%) say they are somewhat or not at all knowledgeable.

•  Adults are more likely to say that they think it is important for children to receive recommended vaccina7ons than for Adults to receive the vaccina7ons (78% vs. 52%).

–  Parents (77%) are no more likely than Adults who are not Parents (74%) to say they think it is important for children to receive recommended vaccina7ons.

–  Adults with greater than a high school educa7on are more likely than those who have high school diploma or less to say they think it is important for Adults (55% vs. 42%, repor7ng extremely/very important) and children (81% vs. 71%) to receive recommended vaccina7ons.

–  Those Adults who say they are knowledgeable about vaccines are more likely than those who say they are not knowledgeable to say they think it is important for both Adults (69% vs. 35%, repor7ng extremely/very important) and children (90% vs. 69%) to receive recommended vaccina7ons.

–  Further, Parents who say they are knowledgeable about vaccines are more likely than those who say they are not knowledgeable to say they think it is important for both Adults (62% vs. 30%, repor7ng extremely/very important) and children (81% vs. 63%) to receive recommended vaccina7ons.


General Thoughts on Vaccina7ons Summary

•  The most commonly reported reasons Adults would get a vaccine are personal protec7on from disease (75%), to protect their family from disease (56%), and to help eliminate disease (49%).

•  Similarly, among Parents, protec7on from diseases (79%), to protect their family from disease (67%), and to help eliminate disease (56%) are the top reasons they give for having their child vaccinated.

•  Those Adults who say they are more knowledgeable about how vaccines work are more likely than those who are not knowledgeable to cite to help eliminate disease (54% vs. 37%) and to protect their local community (43% vs. 27%) as reasons to get a vaccina7on.

•  Side effects (41%) and ineffec7veness (27%) top the list of reasons why Adults would not want to get a vaccina7on.

–  Those who are more knowledgeable are less likely than those who are less knowledgeable to cite distrust of pharmaceu7cal companies (8% vs. 21%) and fear of geZng the disease from the vaccine (10% vs. 20%) as reasons why they would not get a vaccine.

–  Addi7onally, those Adults who are less knowledgeable are more likely to agree with the statements ‘I am concerned about the possible side effects of vaccines’ (65% vs. 50%) and ‘I have doubts about the effec(veness of vaccines’ (43% vs. 28%).



•  Though, on average, meningi7s is rated highest on severity (8.5 on a scale of 1 to 10 where 1 means "not at all severe" and 10 means "extremely severe") followed by polio (8.4), and Hepa77s B (8.3).

–  Measles (6.9), Mumps (6.9), the flu (6.4), and chicken pox (6.4) round out the bo]om of the list.

–  Even though a majority (71%) of Adults rate meningi7s’ severity as a 8, 9, or 10, 28% have never received the meningococcal vaccine.

–  Although measles and mumps are rated lower than most other diseases for severity by Adults, 54% of Adults report they have been fully vaccinated with the MMR vaccine, the vaccine that prevents measles and mumps.

–  Parents are more likely than Adults without children to rate pertussis higher for severity (7.6 vs. 7.0).




Importance of Vaccina7ons for Adults and Children Both Adults and Parents see a no7ceably more pressing need to vaccinate children versus adults, scoring children 16 and 17 points higher, respec7vely, in importance. Furthermore, Adults and Parents are more likely to say it is extremely important for children receive recommended vaccina7ons than they are to say it is extremely important for adults to receive recommended vaccina7ons.

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BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q715 How important do you think it is for adults to receive recommended vaccina7ons? Q716 How important do you think it is for children to receive recommended vaccina7ons?

6% 2% 6% 3%

19%

7%

22%

7%

23%

13%

25%

13%

24%

27%

24%

27%

28%

52%

24%

50%

Adults Children Adults Children

Extremely important

Very important

Important

Somewhat important

Not at all important

All Adults All Parents

91% 75% 73%

90%


Level of Vaccina7on Knowledge Parents are significantly more likely to say they are knowledgeable about how vaccines work, with 2 in 5 considering themselves at least ‘very knowledgeable’ on the subject ma]er.

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BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q717 How knowledgeable are you about how vaccines work?

4% 3%

25%B 18%

40% 40%

23% 27%

9% 12%A


Extremely knowledgeable

Very knowledgeable

Fairly knowledgeable

Somewhat knowledgeable

Not at all knowledgeable

71% 79%B


Reasons to Vaccinate


Personal protec7on from diseases

To protect my family from disease

To help eliminate disease

To protect my local community from disease

Desire to travel

Personal health care cost savings

I have an illness that compromises my immune system

It is recommended by the government

Other

None of the above

75%B

56%

49%

37%

33%

21%

13%

12%

3%

9%

67%

71%A

47%

37%

30%

22%

16%

9%

2%

6%

Reasons to Get a Vaccina7on Myself Personal protec7on from diseases is the primary reasoning for All Adults and protec7on of one’s family is the most common ra7onale for Parents.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q725 Which of the following are reasons why you personally would get a vaccina7on?


Reasons to Vaccinate

All Adults Extremely/ Very Knowledgeable (F)

Somewhat/Not at all Knowledgeable (G)

Personal protec7on from diseases




Desire to travel


I have an illness that compromises my immune system

It is recommended by the government

Other

None of the above

75%B

56%

49%

37%

33%

21%

13%

12%

3%

9%

79%

71%

54%G

43%G

37%

21%

10%

17%G

5%

5%

Reasons to Get a Vaccina7on Myself by Level of Knowledge Those who say they are more knowledgeable about how vaccines work are more likely than those who are less knowledgeable to cite to help eliminate disease and to protect their local community as reasons to get a vaccina7on.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very Knowledgeable (n=334); Somewhat/Not at all Knowledgeable (n=286) Q725 Which of the following are reasons why you personally would get a vaccina7on?

74%

71%A

37%

27%

25%

21%

17%

7%

2%

13%F


Reasons Not to Vaccinate


Side effects

Ineffec7veness of the vaccine

Expense or lack of health care coverage

Distrust of pharmaceu7cal companies

Fear of geZng the disease from the vaccina7on

Vaccines contain poisons and other chemicals

Vaccines can cause chronic disease

Risks of aluminum exposure

Fear of au7sm

Religious beliefs

Other

None of the above

41%

27%

18%

15%

14%

14%

9%

8%

6%

2%

5%

37%

42%

25%

19%

15%

16%

15%

12%

10%

9%

5%A

3%

32%

Reasons to Not Get a Vaccina7on Myself All Adults and Parents appear balanced in their reasoning in foregoing vaccina7ons, sigh7ng the side effects and the possible ineffec(veness as their top reasons for failing to receive vaccina7ons.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q730 Which of the following are reasons why you personally would not get a vaccina7on?

37%

24%

22%

8%

10%

13%

9%

8%

9%

5%

3%

43%G


All Adults Extremely/ Very Knowledgeable (F)

Somewhat/Not at all Knowledgeable (G)

Side effects








Fear of au7sm

Religious beliefs

Other

None of the above

47%

32%

21%

21%F

20%F

20%

11%

8%

4%

5%

5%

29%


41%

27%

18%

15%

14%

14%

9%

8%

6%

2%

5%

37%

Reasons to Not Get a Vaccina7on Myself by Level of Knowledge Those who are less knowledgeable are more likely than those who are more knowledgeable to agree that they are concerned about the possible side effects of vaccines and they have doubts about the effec(veness of vaccines.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very Knowledgeable (n=334); Somewhat/Not at all Knowledgeable (n=286) Q730 Which of the following are reasons why you personally would not get a vaccina7on?


Severity of Diseases Both All Adults and Parents share similar opinions on the rela7ve severity of the diseases measured. All Adults respondents, however, find Hepa77s B, Tetanus and Chicken Pox to be significantly more severe than Parents.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q785 On a scale of 1 to 10 where 1 means "not at all severe" and 10 means "extremely severe" how would you rate the following diseases?

Diseases: Mean Ra2ng


Meningi7s

Polio

Hepa77s B

Hepa77s A

Pneumonia

Tetanus

Diphtheria

Swine flu (H1N1)

Human papillomavirus (HPV)

Pertussis (Whooping Cough)

Rotavirus

Rubella

Measles

Mumps

The flu Chicken pox

8.5

8.4

8.3B

8.1B

8

7.9B

7.7

7.7

7.7

7.5

7.4

7.3

6.9

6.9

6.4B

6.4

8.4

8.3

8.1

7.9

7.7

7.6

7.7

7.6

7.5

7.6

7.4

7.4

7.1

6.9

6.4

6.1


Severity of Diseases Regardless of the age of their child, Parents are rate meningi7s, polio, and Hepa77s B as most severe and mumps, the flu, and chicken pox as the least severe.

BASE: ALL QUALIFIED RESPONDENTS : All Parents (n=993), Parents with Children 0-‐6 (n=465), Parents with Children 7-‐17 (n=528) Q785 On a scale of 1 to 10 where 1 means "not at all severe" and 10 means "extremely severe" how would you rate the following diseases?

Diseases: Mean Ra2ng

All Parents Parents with Child 0-‐6

Parents with Child 7-‐17

Meningi7s

Polio

Hepa77s B

Hepa77s A

Pneumonia

Tetanus

Diphtheria

Swine flu (H1N1)



Rotavirus

Rubella

Measles

Mumps

The flu Chicken pox

8.4

8.3

8.1

7.9

7.7

7.6

7.7

7.6

7.5

7.6

7.4

7.4

7.1

6.9

6.4

6.1

8.4

8.2

7.9

7.7

7.6

7.5

7.7

7.6

7.5

7.6

7.4

7.5

7

6.8

6.2

5.8

8.5

8.3

8.2

8

7.7

7.6

7.8

7.6

7.5

7.7

7.4

7.4

7.1

7

6.5

6.3



Vaccinated: Fully Par2ally Not at all Not sure Fully Par2ally Not at all Not sure

Tetanus-‐diphtheria toxoids (Td) 61% 10% 7% 23%B 67%A 9% 7% 17%

Measles-‐mumps-‐rubella (MMR) 54% 11%B 11%B 24%B 70%A 7% 6% 17% DTaP – Diphtheria, Tetanus, and Pertussis (Whooping Cough) 53% 12% 9% 27%B 64%A 11% 7% 19% PCV -‐ Pneumococcal vaccine (pneumonia vaccine) 36% 4% 30% 29% 40% 6% 28% 26%

Hepa77s B 35% 7% 24%B 34%B 51%A 6% 17% 26%

Hepa77s A 32% 4% 27%B 38%B 46%A 5% 18% 30% Meningococcal vaccine (meningi7s vaccine) 26% 3% 28%B 43%B 39%A 4% 21% 36%

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q745 Here are some vaccines that many adults have had. Looking at the list below, to the best of your recollec7on have you been vaccinated..

Level of Vaccina7on Received Parents are significantly more likely to say they have been fully vaccinated for six of the seven diseases measured. All Adults respondents’ are more likely than Parents to lack of knowledge of their previous vaccine history regarding the same diseases.


Top 2 Box (Strongly/Somewhat Agree)


GeZng vaccinated is important for the health of my family.

GeZng vaccinated is essen7al for the preven7on of disease.

GeZng vaccinated is important for the health of my community.

Vaccina7ons reduce health care costs.

I am concerned about the drop in vaccina7on rates in the US.

More research is needed on the safety of vaccina7ons and the risks they pose.

Pharmaceu7cal companies minimize vaccine risks. I respect the decisions of individual Parents when choosing whether or not to vaccinate their children.

I am concerned about possible side effects of vaccina7ons.

The na7onal media minimizes vaccine risks.

I have doubts about the effec7veness of vaccines.

Vaccines are just a way for pharmaceu7cal companies to make money.

Vaccina7ons can cause au7sm. Vaccina7ng children or teens against HPV will make them more likely to engage in sexual ac7vity.

89%B

88%

87%

82%B

72%B

71%

65%

60%

59%

49%

38%

33%

29%

24%

85%

86%

85%

74%

64%

76%

61%

68%A

67%A

45%

43%

45%A

33%

27%

AZtudes Toward Vaccina7ons Parents show significantly more support to the statement ‘I respect decisions of Parents when choosing (to vaccinate)’. Interes7ngly, All Adults respondents show a significantly higher level of agreement towards the statement ‘geZng vaccinated is important for the health of my family’ than Parents.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1035 How much do you agree or disagree with the following statements?



GeZng vaccinated is important for the health of my family.

GeZng vaccinated is essen7al for the preven7on of disease.

GeZng vaccinated is important for the health of my community.



More research is needed on the safety of vaccina7ons and the risks they pose.

Pharmaceu7cal companies minimize vaccine risks.

89%

88%

87%

82%

72%

71%

65%

91%

92%

91%

83%

76%

62%

65%

84%

80%

80%

76%

66%

75%

66%

All Adults

Extremely/Very Knowledgeable Somewhat/Not at all Knowledgeable

AZtudes Toward Vaccina7ons by Knowledge Adults who say they are more knowledgeable about how vaccines work are more likely than those with less knowledge to say they think geZng vaccinated is essen7al for the preven7on of disease and the health of their community.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very knowledgeable(n=334); Somewhat/Not at all knowledgeable(n= 286) Q1035 How much do you agree or disagree with the following statements?

G

G

F



I respect the decisions of individual Parents when choosing whether or not to vaccinate their children.

I am concerned about possible side effects of vaccina7ons.

The na7onal media minimizes vaccine risks.

I have doubts about the effec7veness of vaccines.

Vaccines are just a way for pharmaceu7cal companies to make money.

Vaccina7ons can cause au7sm.

Vaccina7ng children or teens against HPV will make them more likely to engage in sexual ac7vity.

AZtudes Toward Vaccina7ons by Knowledge (Con7nued) Adults who say they are less knowledgeable about how vaccines work are more likely to say they are concerned about possible side effects, have doubts about the effec7veness of vaccines, and that they think vaccines are just a way for pharmaceu7cal companies to make money.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very knowledgeable(n=334); Somewhat/Not at all knowledgeable(n= 286) Q1035 How much do you agree or disagree with the following statements?

60%

59%

49%

38%

33%

29%

24%

56%

50%

48%

28%

26%

33%

20%

66%

65%

50%

43%

39%

30%

25%

All Adults

Extremely/Very Knowledgeable

Somewhat/Not at all Knowledgeable

F

F

F

The Flu Vaccine


•  Nearly three-‐quarters (74%) of Adults report that they have ever received the flu vaccine. However, only 68% of those who have ever received it have received it within the past year.

–  Adults who have never received a flu vaccine most commonly cite their good health (45%), side effects (29%), and ineffec7veness of the vaccine (24%) as reasons for not geZng a flu shot. •  Fewer (21%) report that their reason was that the flu is not a serious illness.

–  Parents, however, are more likely than Adults to avoid the flu vaccina7on due to fears of disease contrac7on as a result of the vaccina7on (29% vs. 20%).

•  Around two in five (39%) of Adults have received a flu shot in their doctors office. –  Nearly 1 in 5 (18%) have received a flu shot in a retail health clinic.


The Flu Vaccine Summary


BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q747 Have you ever had the flu vaccine? BASE: RECEIVED FLU VACCINE ; All Adults (n=688); All Parents (n=728) Q800 You men7oned you have received the flu vaccine. When was the last 7me you received the vaccine?

Yes 74%

No 22%

Not sure 3%

All Adults

All Parents

1%

9%

58%B

14%

8%

10%

Less than 3 months ago

3-‐6 months

7-‐11 months

1-‐2 years

3-‐4 years

5 +years

2%

8%

44%

20%A

13%A

14%

Less than 3 months ago

3-‐6 months

7-‐11 months

1-‐2 years

3-‐4 years

5 +years Yes 76%

No 22%

Not sure 2%

Received last flu vaccine…..

Flu Vaccina7ons Though they are similarly likely to say they have ever received the vaccine, All Adults are more likely than Parents to say they have received the vaccine within the last year with roughly 7-‐in-‐10 having been vaccinated within the last year, compared to only 5-‐in-‐10 among Parents.

Ever received a flu vaccine…..


Place of Flu Vaccina2on All Adults All Parents

Health care provider's office

Your work place

A retail clinic (located in large retail seZngs such as drug stores, grocery stores or big box stores)

Health clinic

Mobile medical clinic (i.e., Oven on a bus and seen at health fairs)

Hospital

Urgent care

Emergency room

Other

39%

18%

18%

11%

6%B

4%

0%

0%

4%

Place Received Flu Vaccina7on Health care offices are the go-‐to loca7on for seasonal flu vaccina7ons for both the All Adults and Parents alike. Parents are significantly more likely to take advantage of employer vaccina7on offerings at work.

BASE: RECEIVED FLU VACCINE ; All Adults (n=688); All Parents (n=728) Q805 Where were you when you received the flu vaccine? If you have received it more than one 7me, please think only of the most recent 7me you received the vaccina7on.

39%

24%A

13%

12%

2%

6%

2%A

0%

2%


Reasons Not to Vaccinate Against Flu


I am healthy


Side effects

The flu is not a serious illness


I forgot






Religious or moral beliefs

Shortage of the vaccine

Fear of au7sm

Other

None of the above

30%

23%

23%

17%

14%

14%

10%

7%

7%

6%

3%

2%

2%

2%

12%

11%

23%

31%

29%

16%

19%

12%

20%A

6%

9%

8%

7%

5%

5%

1%

12%

6%

Reasons for Not GeZng Flu Vaccine Recently All Adults and Parents show similar ra7onale for choosing to avoid seasonal flu vaccina7on, with current health, vaccine ineffec7veness and vaccine side effects as their top reasons for steering clear. Parents, however, are significantly more likely avoid vaccina7ons due to fears of disease contrac7on as a result of the vaccina7on.

BASE: RECEIVED FLU VACCINE BUT HAS NOT RECEIVED IT RECENTLY ; All Adults (n=155); All Parents (n=162) Q810 You men7oned you have not received the flu vaccine within the last year. Which of the following are reasons why you have not go]en the vaccine?

Reasons Not to Vaccinate Against Flu All Adults All Parents

I am healthy

Side effects


The flu is not a serious illness






Shortage of the vaccine

I forgot


Fear of au7sm

Religious or moral beliefs

Other

None of the above


45%B

29%

24%

21%

20%

13%

13%

10%

5%

5%

4%

2%

1%

2%

12%

16%

34%

30%

23%

31%A

29%A

15%

9%

9%

5%

2%

6%

4%

3%

3%

16%

9%

Reasons For Not GeZng Flu Vaccine Though All Adults scored significantly higher, both All Adults and Parents cite their current status of their health as the primary reason to not get their seasonal flu shots. Parents are more likely to cite that they think the flu is not a serious illness and a fear of geZng the flu from the vaccina7on.

BASE: DID NOT RECEIVETHE FLU VACCINE ; All Adults (n=314); All Parents (n=265) Q815 Earlier you men7oned that you have not received the flu vaccine. Which of the following are reasons why you have not go]en the vaccine?

Children and Vaccines


• When asked to rate how concerned they are about their child becoming infected with a disease, there was not a lot of variability between the sixteen diseases listed.

–  Parents were most concerned about their children becoming infected with meningi7s (34%), the flu (33%), and Swine flu (32%).

•  Parents are most likely to say their children have had the MMR vaccine (64%), DTap (59%), and Polio vaccines (56%).

•  The top two reasons Parents say they vaccinate their children are protec7on from diseases (79%) and to protect their family from disease (67%).

–  Parents with a younger child are more likely than those with an older child to say protec7on from disease s (84% vs. 75%).

•  Though vaccina7on rates are high, 12% of Parents say that their child has missed a series of shots or “boosters”.

–  The most common reason Parents who say their child has missed a series of shots or “boosters” cite is scheduling issues (24%).

•  Nearly a third of Parents with children age 7-‐17 (30%) say they have vaccinated their child with the HPV vaccine.

–  When Parents with children 7-‐ 17 years of age were asked why they have not had their child vaccinated, the top reason was that they believe their child was too young (20%) and the vaccine has not been on the market long enough for me to feel safe about it (18%).


Children and Vaccines Summary


Top 2 Box (Very/Somewhat Concerned)



Meningi7s

The flu

Swine flu

Pneumonia

Hepa77s B



Tetanus

Rubella

Measles

Hepa77s A

Polio

Diphtheria

Rotavirus

Mumps

Chicken pox

34%

33%

32%

31%

29%

29%

29%

28%

28%

28%

28%

27%

27%

26%

26%

26%

33%

34%

35%

33%

30%

30%

29%

29%

31%

29%

28%

28%

27%

28%

27%

27%

Concern About Child Being Infected with Diseases Parents are most concerned about Meningi7s, the flu, Swine flu, and Pneumonia. There are not many differences between Parents of younger children and Parents of older children.

BASE: HAS AT LEAST ONE CHILD UNDER 18 ; All Parents (n=993), Parents with Children 0-‐6 (n=465), Parents with Children 7-‐17 (n=528) Q790 Please rate how concerned you are about your child being infected with the following diseases.

34%

33%

30%

30%

29%

28%

29%

28%

26%

27%

27%

27%

26%

25%

25%

24%


Vaccines Child Has Received Parents are most likely to say their child has received the MMR, DTap, and Polio vaccines. Parents of older children are more likely to say their child has received the polio, Td, and the HPV vaccine. Parents of younger children report significantly higher vaccina7on rates for Rotavirus, in par7cular most likely because it is a rela7vely new vaccine.

BASE: HAS AT LEAST ONE CHILD UNDER 18 ; All Parents (n=993), Parents with Children 0-‐6 (n=465), Parents with Children 7-‐17 (n=528) Q775 Which of the following vaccines has your [son/daughter] received? Feel free to consult your health records.

Vaccines Received



Measles-‐mumps-‐rubella (MMR)

DTaP -‐ Diphtheria, Tetanus, and Pertussis (Whooping Cough)

Polio -‐ Inac7vated polio virus vaccine

Tetanus-‐diphtheria toxoids (Td)

Varicella vaccine (chicken pox vaccine)

Hepa77s B

Influenza (the flu vaccine)

Hepa77s A

Meningococcal vaccine (meningi7s vaccine)

Hib -‐ Haemophilus influenzae type b (Hib Meningi7s)

RV -‐ Rotavirus

PCV -‐ Pneumococcal vaccine (pneumonia vaccine)

Human papillomavirus (HPV)*

Swine flu

Other

I do not know

None of the above

64%

59%

56%

52%

50%

47%

44%

40%

35%

34%

27%

25%

30%

15%

1%

21%

3%

59%

54%

50%

37%

43%

51%

40%

40%

31%

31%

36%D

27%

12%

1%

23%

2%

67%

62%

60%C

62%C

54%C

44%

47%

41%

38%

36%

21%

25%

30%C

17%

1%

19%

3%

N/A

*Note: Data for Parents with a child 7-‐17.


Reasons to Vaccinate Their Child Though iden7cal in top responses, Parents of younger children were significantly more likely to cite protec(on from diseases as their top reason for vaccina7ng their child when compared to Parents of older children.

BASE: HAS AT LEAST ONE CHILD UNDER 18 ; All Parents (n=993), Parents with Children 0-‐6 (n=465), Parents with Children 7-‐17 (n=528) Q772 Which of the following are reasons why you would have your child vaccinated?

Reasons to Vaccinate All Parents Parents with Child 0-‐6


Protec7on from diseases




Desire to travel


It is recommended by government My child has an illness that compromises my immune system

Other

None of the above

79%

67%

56%

38%

20%

19%

17%

12%

7%

3%

84%D

68%

58%

38%

18%

19%

22%D

11%

7%

2%

75%

67%

55%

37%

22%

19%

14%

13%

7%

3%


All Parents Parent with Child 0-‐6 Parents with Child 7-‐17

SAFETY/SIDE EFFECTS (NET) 37% 34% 38% Cause side effects/health issues (Unspec.) 25% 32% 21% Risk of au7sm 16% 21% 14% Vaccina7ons are not safe 8% 21% -‐ Other safety/side effects men7ons 11% 23% 4% PERSONAL CHOICE/BELIEF (NET) 36% 36% 37% Should be Parents/family decision 15% -‐ 24% Support a few vaccina7ons, not all 8% -‐ 13% Religious beliefs 8% 21% -‐ Will discuss with Doctor/medical professional 6% 15% -‐ USAGE (NET) 22% 36% 13% Child is too young 12% 33% -‐ Support a few vaccina7ons/not all 8% -‐ 13% Not needed 1% 3% -‐ VACCINATION COMPONENTS (NET) 13% 10% 15% They contain poison/toxins 12% 7% 15% Other vaccina7on components men7ons 1% 2% -‐ MISCELLANEOUS (NET) 10% 25% 2% Ineffec7ve/Do not work 7% 17% 2% Cost 3% 8% -‐ Do not trust pharmaceu7cal company/medical field 1% 2% -‐

None 17% 19% 15% Declined to answer 11% -‐ 17%

Note: Due to small n sizes, the results are directional only and should not be included in a release. BASE: LEAST ONE CHILD UNDER 18 ; HAS NOT VACCINATED ; All Parents (n=28), Parents with Children 0-‐6 (n=15), Parents with Children 7-‐17 (n=13) Q778 You men7oned that your child has not received any vaccina7ons. Why have you chosen not to vaccinate your [son/daughter]?

Unaided Reasons for Not Vaccina7ng Child Safety/side Effects and personal choice/beliefs serve as the main deterrents toward vaccina7ons for Parents of both younger and older children.

Note: Due to small n sizes, the results are directional only and should not be included in a release.







Side effects




Fear of au7sm



I am wai7ng un7l they are older

Religious beliefs

Other

None of the above

42%

34%

32%

32%

27%

23%

23%

20%

18%

16%

10%

17%

18%

48%

37%

37%

37%

21%

13%

11%

11%

8%

15%

21%

31%

21%

Aided Reasons for Not Vaccina7ng Child When probed, Parents of both younger and older children cited the chemical makeup and distrust of big pharmaceu7cals as their main reasons for shying away from recommended vaccina7ons.

Note: Due to small n sizes, the results are direc=onal only and should not be included in a release. BASE: LEAST ONE CHILD UNDER 18 ; HAS NOT VACCINATED ; All Parents (n=28), Parents with Children 0-‐6 (n=15), Parents with Children 7-‐17 (n=13) Q780 You men7oned that your child has not received any vaccina7ons. Why have you chosen not to vaccinate your [son/daughter]?

38%

33%

30%

30%

30%

29%

29%

25%

24%

17%

4%

9%

17%

Note: Due to small n sizes, the results are directional only and should not be included in a release.

Reasons Not to Vaccinate Against HPV Parents with Child 11-‐17

I believe my child is too young to receive this vaccine The vaccine has not been on the market long enough for me to feel safe about it Side effects Fear of geZng the disease from the vaccina7on I think the vaccine will encourage sexual ac7vity Risk that vaccines can cause chronic disease Risk of exposure to poisons and other chemicals Distrust of pharmaceu7cal companies Religious beliefs The vaccine is only meant for girls Fear of au7sm Expense or lack of health care coverage Ineffec7veness of the vaccine It was not indicated for children when they were under 18 My child refused to get the vaccine Risks of aluminum exposure I do not want to discuss sex with my child Other None of the above


Reasons For Not Vaccina7ng Child Against HPV One-‐in-‐five Parents with children age 11-‐17 believe their child is ‘too young’ to receive the HPV vaccine. Other top reasons were concerns about the amount of 7me the vaccine has been on the market and side effects.

BASE: CHILD IS 11 OR OLDER AND HAS NOT RECEIVED HPV VACCINE; Parents with Children 7-‐17 (n=237) Q820 The HPV vaccine prevents the spread of the virus that can cause genital warts or cervical cancer. You men7oned that your [son/daughter] has not received the HPV vaccine. Why has your child not been vaccinated? Q825 Do you plan on having your child vaccinated with the HPV vaccine in the next 12 months? BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1035 How much do you agree or disagree with the following statements?

20% 18%

15% 9% 9% 8%

6% 6% 6% 5% 4% 4% 4% 3% 2% 1% 1%

18% 32%

Plan to vaccinate within next 12 months 21%

27% of All Parents agree with the statement ‘Vaccina7ng

children or teens against HPV will make them more likely to engage in sexual ac7vity.’


Missed Scheduled Vaccine Doses Roughly 1-‐in-‐10 Parents report missing scheduled vaccina7ons. Of those missing their vaccina7on, one-‐in-‐four s7ll chose not to re-‐schedule at a later date.

42

BASE: CHILD UNDER 18 AND HAS RECEIVED AT LEAST ONE VACCINE; All Parents (n=796), Parents with Children 0-‐6 (n=356), Parents with Children 7-‐17 (n=440) Q795 Some vaccina7ons require more than one shot or dose. Has your child ever missed a series of shots or “boosters”? BASE: HAS AT LEAST ONE CHILD UNDER 18 AND MISSED A DOSE; All Parents (n=78), Parents with Children 0-‐6 (n=30*), Parents with Children 7-‐17 (n=48*) *Note: Due to small n sizes, the results are directional only and should not be included in a release. Q797 Why did your child miss the scheduled dose? Q796 You men7oned your child missed a scheduled vaccina7on dose. Did they take it at a later date?

Yes 12%

No 82%

Not sure 6%

All Parents

24%

18%

10%

10%

2% 36%

Scheduling issues

Forgot to get the next dose

Worried about side effects

Did not think it was necessary

Child refused

Other

Reasons for missing dose

Yes 9%

No 86%

Not sure 6%

Yes 14%

No 80%

Not sure 6%



26%

20%

5%

13%

1%

35%

Scheduling issues




Child refused

Other

20%

12%

24%

1%

5% 38%

Scheduling issues




Child refused

Other

76% took the dose at a later date.



Ever missed boosters…

9% 8% 9% 3% 4% 2%

15% 12% 16%

74% 76% 72%

All Parents Parents with Child 0-‐6 Parents with Child 7-‐17

Very comfortable

Somewhat comfortable

Somewhat uncomfortable

Very uncomfortable


Comfort with Talking about Child’s Health with HCPs Parents appear equally as comfortable, regardless of the age of their child, asking their health care provider ques7ons concerning their child’s health.

BASE: HAS AT LEAST ONE CHILD UNDER 18 ; All Parents (n=993), Parents with Children 0-‐6 (n=465), Parents with Children 7-‐17 (n=528) Q771 How comfortable do you feel asking your health care provider ques7ons concerning your child’s health?

89% 88% 88%

Health Care, Delivery, and Access


•  The majority of Adults (84%) agree that they have all the informa7on they need to make good decisions about immunizing their child.

•  Health care providers (70%) top the list of sources of trusted informa7on about vaccines followed by web-‐based sources (42%).

–  Parents are more likely than Adults in general to report going to health care providers for trusted informa7on on vaccines (81% vs. 70%).

–  One in ten (10%) of Parents report they go to their child’s school for trusted informa7on about vaccines

–  Over one-‐quarter (27%) of Adults report they completely trust or trust Physicians on TV (e.g., Dr. Oz, Dr. Gupta, the physicians on 'The Doctors') a lot. Over a third of Adults (36%) say they trust Physicians on TV a li]le or not at all.

•  The majority of Adults (71%) report they would prefer to receive a vaccine in a doctor’s office. –  Fewer (15%) say they would prefer to receive a vaccine in a retail clinic (located in large

retail seZngs such as drug stores, grocery stores or big box stores).

•  One in five (21%) Adults report they have received a vaccine in a drug store. Very few (3%) have received a vaccine in a big box store.


Health Care, Delivery, and Access Summary


Concern Over Personal Health All Adults and Parents maintain similar views regarding both their concern and current status of personal health. While about two in five consider themselves to be in ‘very good/excellent’ health, about half are also concerned about their health

46

BASE: ALL QUALIFIED RESPONDENTS; All Adults (n=1002); All Parents (n=993) Q700 How concerned are you about your own personal health? Q705 In general, would you say your health is…?

14%

13%

39%

37%

23%

23%

15%

15%

8%

11%

Not at all concerned Somewhat concerned Concerned Very concerned Extremely concerned

Poor 2% Fair

18%

Good 41%

Very good 28%

Excellent 11%B

Poor 2% Fair

16%

Good 42%

Very good 33%

Excellent 7%

All Adults

All Parents

Concern regarding Personal Health Current Level of Health

46%

49%


Health Insurance


Health insurance provided by current or former employer

Medicare

Health insurance provided by family member's employer

Individual insurance policy bought by myself/my family

Medicaid

Veterans Affairs

Tricare

Other

Health insurance provided to students

None; do not have health insurance

32%

18%B

17%

11%

4%

3%

1%

1%

0%

13%

38%A

5%

24%A

9%

8%A

2%

0

0%

0%

14%

Status of Health Insurance Parents are significantly more likely to indicate that they have health insurance through either their current or former employer or a family member’s employer than the All Adults. In addi7on, the All Adults were significantly more likely to u7lize government assisted health programs than Parents.

BASE: ALL QUALIFIED RESPONDENTS; All Adults (n=1002); All Parents (n=993) Q1001 What is your health insurance status?


Covered All Parents Parents with

Child 0-‐6 Parents with Child 7-‐17

Yes

No, they are covered by another policy

No, my child does not have health insurance

71%

25%

4%

69%

28%

3%

Health Insurance Coverage for Child Children are predominantly covered by their Parents’ current health insurance plans. Only 4% of Parents surveyed currently do not have coverage for their child.

BASE: HAS AT LEAST ONE CHILD UNDER 18; All Parents (n=993), Parents with Children 0-‐6 (n=465), Parents with Children 7-‐17 (n=528) Q1002 Is your child covered under your insurance? If you have more than one child, please think of the child whose birthday was most recent.

73%

23%

4%


Poor 1%

Fair 11%

Good 31% Very good

43%

Excellent 13%

Poor 1% Fair

10%

Good 36% Very good

39%

Excellent 14%

All Adults

All Parents

Ra7ng of Health Care Received from Providers Both All Adults and Parents hold their family health care providers in high esteem, with the vast majority ra7ng the level of services ‘good’ or be]er. Both groups also seem at ease in discussing their health with their medical providers with the majority of respondents being ‘very comfortable’ talking with a health care professional.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q710 Overall, how would you rate the health care that you and your family personally receive from health care providers including doctors, hospitals, etc.? Q711 How comfortable do you feel asking your health care provider ques7ons concerning your health?

Very uncomfortable Somewhat uncomfortable Very uncomfortable Somewhat comfortable

32%

30%

54%

56%

8%

9%

5%

6%

86%

86%


Decision-‐Maker All Adults All Parents

Myself

My Spouse or partner

Myself and my spouse or partner make them together

Someone else

51%

3%

39%

7%B

48%

7%

44%A

1%

Health Care Decision-‐Maker in Home Parents are significantly more likely to make decisions with their partner regarding health care than All Adults. In addi7on, the All Adults were significantly more likely to rely on outside sources to determine health care-‐based decisions.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q712 In general, who makes health care decisions in your household?


6%B 3% 10% 10%

50% 44%

35% 43%A


Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

AZtude toward Access to Immuniza7on Informa7on Though roughly even in regards to overall agreement, a significantly larger por7on of Parents ‘strongly agree’ to having access to all the informa7on necessary to make informed decisions regarding immuniza7ons when compared to the All Adults sample.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q901 How much do you agree or disagree with the following statement?

“I have access to all the informa2on I need to make good decisions about immuniza2ons/immunizing my child.”

84% 87%


6% 6% 9% 10% 6%

12%

50%

27%

61%

35%

61%

18%

All Adults Extremely/Very Knowledgeable


Strongly agree

Somewhat agree

Somewhat disagree

Strongly disagree

AZtude toward Access to Immuniza7on Informa7on by Knowledge Adults who say the are more knowledgeable about how vaccines work are more likely to say they have access to all of the informa7on they need to make good decisions about immuniza7ons/immunizing their child.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very knowledgeable(n=334); Somewhat/Not at all knowledgeable(n= 286) Q901 How much do you agree or disagree with the following statement?

“I have access to all the informa2on I need to make good decisions about immuniza2ons/immunizing my child.”

84% 88% 79%

G

F


Sources All Adults All Parents

Health care providers

Web based sources

The Centers for Disease Control and Preven7on's (CDC) website or publica7ons

Family

Pamphlets

Friends

Television/Talk shows

Social Media sites (Facebook, Twi]er, Blogs/Support groups)

My child's/children's school

Publica7ons (i.e. magazines, books, ar7cles, newspaper)

I do not look for health-‐related informa7on

70%

42%

31%

19%

16%

13%

8%

4%

1%

0%

11%

81%A

37%

32%

22%

20%A

13%

5%

4%

10%A

1%

5%

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q900 Where do you go for trusted informa7on about vaccines?

Trusted Sources of Vaccine Informa7on Parents are significantly more trus7ng of health care providers in dissemina7ng informa7on regarding vaccines than their All Adults counterparts. They are also significantly more likely to say they trust pamphlets and their child’s school.


Top 2 Box (Completely/Trust a lot)


Physicians on TV (e.g., Dr. Oz, Dr. Gupta, the physicians on 'The Doctors')

Morning television programming (e.g., the Today Show, Good Morning America, This Morning, etc.)

Talk show hosts (e.g., hosts from The View, The Talk, etc.)

27%

12%

5%

23%

11%

7%

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q903 There is a lot of medical informa7on discussed on TV. How much do you trust the following TV shows or personali7es when it comes to medical informa7on?

Level of Trust in TV Shows or Personali7es for Medical Informa7on Both All Adults and Parents show li]le trust in television personali7es in relaying medical informa7on to the public, including legi7mate, prac7cing physicians like Dr. Oz or Dr. Gupta.


Top 2 Box (Completely/Trust a lot)

Physicians on TV (e.g., Dr. Oz, Dr. Gupta, the physicians on 'The Doctors')

Morning television programming (e.g., the Today Show, Good Morning America, This Morning, etc.)

Talk show hosts (e.g., hosts from The View, The Talk, etc.)

27%

12%

5%

29%

13%

8%

37%

14%

4%

All Adults



BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very knowledgeable(n=334); Somewhat/Not at all knowledgeable(n= 286) Q903 There is a lot of medical informa7on discussed on TV. How much do you trust the following TV shows or personali7es when it comes to medical informa7on?

Level of Trust in TV Shows or Personali7es for Medical Informa7on There are no significant differences in level of trust in TV show or personali7es for medical informa7on when comparing those who have more knowledge compared to those who have less knowledge about how vaccines work.


Loca2ons


A drug store

An urgent care clinic

A grocery store

A big box store

I have not received a vaccina7on at any of these loca7ons

Not sure

21%B

10%

8%

3%

65%

4%

16%

14%A

7%

3%

67%

3%

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q905 Have you ever received a vaccina7on from any of the loca7ons below?

Loca7ons Received a Vaccina7on About two-‐thirds of both All Adults and Parents have yet to receive vaccina7ons from non-‐tradi7onal loca7ons. Among those non-‐tradi7onal loca7ons, drug stores are the most common.

31% 30%


Loca2ons


Health care provider's office

Health clinic

Hospital

A retail clinic (located in large retail seZngs such as drug stores, grocery stores or big box stores)

Your work place

Urgent care

Mobile medical clinic (i.e., Oven on a bus and seen at health fairs)

Emergency room

Other

71%

32%

22%

15%B

13%

8%

8%

6%

4%

73%

30%

22%

11%

17%

12%A

8%

7%

3%

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q910 Where would you prefer to receive a vaccine?

Preferred Loca7ons to Receive a Vaccina7on Health care offices remain the loca7on of choice to receive vaccina7ons for both All Adults and Parents. All Adults respondents are, however, significantly more likely to be accep7ng of receiving vaccina7ons at retail clinics.

Vaccina2on Policy


•  The majority of Adults (87%) support mandatory vaccina7ons for school aged children. –  Curiously, Parents are direc7onally less likely to support mandatory vaccina7ons for school

aged children (81%). –  Nearly three in ten (29%) of Parents who do not support mandatory vaccina7ons for school

aged children say the reason they do not support mandatory vaccina7ons is because they think it should be the Parents/family decision.

•  Nearly 9 in 10 (89%) of Adults report they support medical reasons for refusing mandatory vaccina7ons. Adults are far less likely to say they support religious (44%) or philosophical objec7ons (33%).

•  Nearly two-‐thirds (64%) of Adults say they think Parents or guardians should have the final say about whether or not children should be vaccinated.

–  Similarly and in greater percentages, over three-‐quarters (76%) of Parents say they think Parents or guardians should have the final say about whether or not children should be vaccinated; few report that they think the government (5%) or school districts (3%) should have the final say.

•  Nearly three-‐quarters (72%) of Adults are concerned about the drop in vaccina7on rates in the U.S.; however, over half of Adults (60%) say they respect the decision of Parents when choosing whether or not to vaccinate their children.

•  Over 4 in 5 (82%) Adults agree that vaccina7ons help reduce health care costs. © Harris Interac7ve 59

Vaccina7on Policy Summary

4% 6% 9%

13%A

30% 36%A

56%B 45%


Very much support

Somewhat support

Somewhat oppose

Very much oppose


Mandatory Vaccina7ons for School Aged Children The All Adults show significantly more support than Parents for mandatory vaccina7ons for school aged children. In addi7on, their intensity of support is also greater, scoring 11 points higher for ‘very much support’.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1020 Do you support or oppose mandatory vaccina7ons for school aged children?

87%B 81%

19%A 13%



PERSONAL CHOICE/BELIEF (NET) 44% 40% Should be Parents/family decision 30% 29% Religious beliefs 8% 6% Personal belief/It's the way I feel 5% 4% Support a few vaccina7ons, not all 4% 1% School system should not make this decision 1% 3% Will discuss with Doctor/medical professional 1% 2% Other personal choice/belief men7ons 1% 1% GOVERNMENT INVOLVEMENT (NET) 29% 29% Should not be mandated 15% 25% Too much government involvement 10% 5% Do not trust the government 5% * Other government involvement men7ons 1% -‐ SAFETY/SIDE EFFECTS (NET) 20% 18% Cause side effects/health issues (Unspec.) 10% 12% Vaccina7ons are not safe 5% 4% Allergic reac7on to vaccina7on 5% * Risk of au7sm 2% 2% Not enough research/studies/long-‐term effects 1% 2% Other safety/side effects men7ons 4% 2%

Reasons Oppose Mandatory Vaccina7ons for School Aged Children About two-‐in-‐five All Adults and Parent oppose mandatory vaccina7ons based on ‘personal choice/beliefs’. All Adults respondents cited this ra7onale more oven than the Parent sample when asked.

BASE: OPPOSE MANDATORY VACCINATIONS ; All Adults (n=83); All Parents (n=162) Q1022 You men7oned that you oppose mandatory vaccina7ons for school aged children. Why do you oppose mandatory vaccina7ons for school aged children?


BASE: OPPOSE MANDATORY VACCINATIONS ; All Adults (n=83); All Parents (n=162) Q1022 You men7oned that you oppose mandatory vaccina7ons for school aged children. Why do you oppose mandatory vaccina7ons for school aged children?


MISCELLANEOUS (NET) 10% 13% Ineffec7ve/Do not work 5% 5% Do not trust pharmaceu7cal company/medical field 3% * Parents/public should be educated * 4% Marke7ng ploy/for profit 2% * Cost * 1% Other 2% 4% VACCINATION COMPONENTS (NET) 5% 11% They contain poison/toxins 3% 6% Don't know what is in the vaccina7on 2% 4% Other vaccina7on components men7ons 1% 2% USAGE (NET) 3% 6% Not needed 1% 1% Support a few vaccina7ons/not all * 2% Children from other coun7es should be vaccinated -‐ 1% Child is too young * 1% Other usage men7ons 1% * None 1% 1% Don't know * 2% Declined to answer 12% 6%

Reasons Oppose Mandatory Vaccina7ons for School Aged Children (Con7nued)


Reasons for Refusal of Mandatory Vaccina7ons The vast majority of both All Adults and Parents support medical exemp7ons when refusing mandatory vaccina7ons for school-‐age children. Slightly larger propor7ons of Parents ‘very much support’ both religious and philosophical exemp7ons when compared to All Adults.

63

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1021 When people refuse mandatory vaccina7ons, they oven cite some of the reasons listed below. How much do you support or oppose the following reasons for refusing to vaccina7ons?

4%

30% 38%

8%A

27% 33%

7%

25%

29%

11%A

24%

29%

40% B

32%

25%

34%

30%

25% 49%

12% 8%

48%

18%A 12%A

Medical Religious Philosophical Medical Religious Philosophical

Very much support

Somewhat support

Somewhat oppose

Very much oppose


89%B 82%

33%

44% 48%

38%


Final Decision-‐Maker


Parents or guardians

Other federal government agencies (e.g., the Centers for Disease Control and Preven7on or the Na7onal Ins7tutes of Health)

The American Academy of Pediatrics

Federal government

School districts

State government

Religious ins7tu7ons

Other

64%

11% B

10%B

6%

5%

1%

0%

2%

76%A

7%

4%

5%

3%

1%

0%

2%

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1030 Who do you think should have the final say about whether or not children should be vaccinated?

Final Decision-‐Maker for Children’s Vaccina7ons While both All Adults and Parents agree that Parents should have the final say in their child receiving vaccina7ons, Parents showed a significantly higher level of support.






I respect the decisions of individual parents when choosing whether or not to vaccinate their children.

89%B

72%B

60%

74%

64%

68%A

AZtudes Toward Vaccina7on Policy Nearly three-‐quarters of All Adults are concerned about the drop in vaccina7on rates in the US; however, over half of All Adults say they respect the decision of parents when choosing whether or not to vaccinate their children. Over 4 in 5 adults agree that vaccina7ons help reduce health care costs.

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1035 How much do you agree or disagree with the following statements?

Au2sm


•  A third of Parents (33%) and a similar propor7on of Adults (29%) agree with the statement ‘Vaccina(ons can cause au(sm.’

•  Over a third of Adults (35%) know someone with au7sm. –  Over two in five (45%) Parents know someone who has au7sm.

•  Over ten percent (11%) of Adults and Parents (11%) who say they know someone with au7sm believe vaccina7ons played a role in their development of au7sm.

•  Over two in five Adults (44%) and half of Parents (50%) are aware of the research study that linked the onset of au7sm to receiving childhood vaccina7ons.

•  Only 45% of Adults who are aware of the research study say they are aware that the study has been discredited. Similarly, 50% of Parents who are aware of the research study say they are aware that the study has been discredited.


Au7sm Summary


Role of Vaccina7ons in Au7sm Despite the higher levels of knowing someone with au7sm among Parents, only one-‐in-‐ten All Adults and Parents believe vaccina7ons played a role in the development of au7sm.

68

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1100 Do you personally know someone who has au7sm? BASE: KNOW SOMEONE WITH AUTISM ; All Adults (n=383); All Parents (n=451) Q1105 You men7oned you know someone with au7sm. Do you believe that vaccina7ons played a role in their development of au7sm? BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); All Parents (n=993) Q1035 How much do you agree or disagree with the following statements?

Yes 35%

No 65%B


Yes 45%A

No 55%

11%

Yes

11%

Yes

Know someone with au2sm

Believe vaccina2ons played a role in au2sm

29% of All Adults and 33% of All

Parents agree with the statement

‘Vaccina7ons can cause au7sm.’


Role of Vaccina7ons in Au7sm by Knowledge Adults who say they are more knowledgeable about how vaccines work are more likely to say they know someone with au7sm.

69

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very knowledgeable(n=334); Somewhat/Not at all knowledgeable(n= 286) Q1100 Do you personally know someone who has au7sm? BASE: KNOW SOMEONE WITH AUTISM ; All Adults (n=383); Extremely/Very knowledgeable(n=163); Somewhat/Not at all knowledgeable(n= 74) Q1105 You men7oned you know someone with au7sm. Do you believe that vaccina7ons played a role in their development of au7sm?

11% 14%

10%



35%

43%

26%

All Adults



% Know someone with au2sm Believe vaccina2ons played a role in au2sm

Note: Due to small n sizes, the results for the chart on the right are directional only and should not be included in a release.

G


Au7sm Research Study: Awareness and Believability While about half of both All Adults and Parents claim they have heard of the research study linking childhood vaccines to au7sm, only one-‐in-‐ten found the study to be at least ‘very believable’.

70

BASE: ALL QUALIFIED RESPONDENTS; All Adults (n=1002); All Parents (n=993) Q1110 Have you ever heard of a research study that linked the onset of au7sm to receiving childhood vaccina7ons? BASE: QUALIFIED RESPONDENTS AWARE OF RESEARCH STUDY ; All Adults (n=386); All Parents (n=510) Q1115 You said you have heard of the research study that linked the onset of au7sm to receiving childhood vaccina7ons. How believable do you find this study? Q1120 Are you aware that this study has been discredited, retracted by the journal that first published the study and proven wrong by numerous studies?

Yes 44%

No 38%

Not sure 18%

All Adults

All Parents

4%

5%

11%

49%

31%

Extremely believable

Very believable

Believable

Somewhat believable

Not at all believable

Yes 50%

No 37%

Not sure 14%

Believability of au2sm research study…..

4%

7%

14%

43%

32%


Very believable

Believable

Somewhat believable


Aware of study

45% Aware study has been discredited



Au7sm Research Study by Connec7on to Au7sm The majority of those who know someone with au7sm are aware of the study that linked au7sm to vaccines. The majority of those who are aware of the study say they are aware the study has been discredited. Those who do not know someone with au7sm are significantly less likely to say they are aware the study has been discredited.

71

BASE: ALL QUALIFIED RESPONDENTS; Know someone with au2sm (n=383); Do not know someone with au2sm (n=619) Q1110 Have you ever heard of a research study that linked the onset of au7sm to receiving childhood vaccina7ons? BASE: QUALIFIED RESPONDENTS AWARE OF RESEARCH STUDY: Know someone with au2sm (n=237); Do not know someone with au2sm (n=226) Q1115 You said you have heard of the research study that linked the onset of au7sm to receiving childhood vaccina7ons. How believable do you find this study? Q1120 Are you aware that this study has been discredited, retracted by the journal that first published the study and proven wrong by numerous studies?

Yes 52% No

33%

Not sure 14%

Know someone

with au2sm (H)

Do not know someone with au2sm

(I)

6%

7%

10%

43%

33%


Very believable

Believable

Somewhat believable


Yes 40%

No 40%

Not sure 20%

Believability of au2sm research study…..

2%

3%

12%

53%

30%


Very believable

Believable

Somewhat believable


Aware of study



I

I

H

H

I

I

H


Au7sm Research Study: Awareness and Believability by Knowledge Adults who say they are more knowledgeable about how vaccines work are more likely to say they are aware of the research study that linked the onset of au7sm to receiving childhood vaccina7ons. They are also more likely to say they are aware the study has been discredited.

72

BASE: ALL QUALIFIED RESPONDENTS ; All Adults (n=1002); Extremely/Very knowledgeable(n=334); Somewhat/Not at all knowledgeable(n= 286) Q1110 Have you ever heard of a research study that linked the onset of au7sm to receiving childhood vaccina7ons? BASE: QUALIFIED RESPONDENTS AWARE OF RESEARCH STUDY ; All Adults (n=463); Extremely/Very knowledgeable(n=205); Somewhat/Not at all knowledgeable(n= 89) Q1115 You said you have heard of the research study that linked the onset of au7sm to receiving childhood vaccina7ons. How believable do you find this study? Q1120 Are you aware that this study has been discredited, retracted by the journal that first published the study and proven wrong by numerous studies?

% Aware of study

44%

59%

31%

All Adults



8% 11% 5%



Believability of au2sm research study % Extremely/very believable

45% 54%

23%



% Aware study has been discredited

Note: Due to small n sizes, the results for the charts on the right are directional only and should not be included in a release.

G

G

Respondent Profile


Sample Profile: All Adults and All Parents

Gender All Adults All Parents n= 1002 993 Male 50% 44% Female 50% 56%

Income All Adults All Parents n= 1002 993 Less than $15,000 9% 8% $15,000 -‐ $24,999 6% 8% $25,000 -‐ $34,999 10% 8% $35,000 -‐ $49,999 14% 12% $50,000 -‐ $74,999 18% 19% $75,000 -‐ $99,999 12% 14% $100,000 -‐ $124,999 8% 14% $125,000 -‐ $149,999 7% 7% $150,000 to $199,999 4% 3% $200,000 to $249,999 2% 2% $250,000 or more 2% 2% Decline to answer 6% 3%

Age n= 1002 993 18-‐24 12% 5% 25-‐34 18% 26% 35-‐44 12% 36% 45-‐54 18% 20% 55-‐64 19% 10% 65+ 21% 3% Region n= 1002 993 East 23% 20% Midwest 23% 22% South 33% 36% West 21% 22% Educa2on All Adults All Parents

n= 1002 993 High School or Less 27% 29%

Some college but no degree 29% 28% College Degree 20% 23%

Some grad school but no degree 3% 2% Graduate degree 9% 10% Job-‐specific training 11% 8%

Ethnicity n= 1002 993 White 71% 62% Hispanic 13% 16%

Black/African American 11% 11%

Asian or Pacific Islander 3% 3% Other race 1% 1% Decline To Answer * 1%

national consumers league 2013 vaccine study

Government & Nonprofit

harrisinterac7ve methodology

confidence level

higher percentages

year old child

popula7onusin age

censusscurr survey

f thanhalfhavebeenvaccin

torecei recommendedvaccina7ons