{"id":194,"date":"2023-08-22T20:05:47","date_gmt":"2023-08-22T20:05:47","guid":{"rendered":"https:\/\/www.merckvaccines.com\/tools-and-resources\/?page_id=194"},"modified":"2025-11-24T18:51:38","modified_gmt":"2025-11-24T18:51:38","slug":"sdoh-vaccine-hesitancy","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-vaccine-hesitancy\/","title":{"rendered":"SDOH &#038; vaccine hesitancy"},"content":{"rendered":"\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:936px\"><link rel='stylesheet' id='vivid360-in-page-navigation-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/in-page-navigation\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div class=\"wp-block-vivid360-in-page-navigation inPageNavi full-page-width equal-width ml-0 mr-0\" role=\"navigation\" aria-label=\"In-Page Navigation\" opt-design=\"v-tab\" has-icon=\"false\" icon-position=\"right\" data-menu=\"200\"><div class=\"vivid360-v-tab-titles\" style=\"justify-content:left\"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-top ratio-30-70 horizontal mobile text-align-left is-default-style mobile-uses-desktop-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:200px;--mobileMinHeight:155px\"><div class=\"wide_screens hidden\" data-value=\"stretch\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Father_Holding_Children_Field_CC.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Father_Holding_Children_Field_CC.webp?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/02\/DESK_Father_Holding_Children_Field_CC.png?w=1440\"\/><img decoding=\"async\" width=\"1872\" height=\"372\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/02\/DESK_Father_Holding_Children_Field_CC.png?w=1488\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/02\/DESK_Father_Holding_Children_Field_CC.png?w=1488\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:47%;--mobile-focal-y:49%;--tablet-focal-x:47%;--tablet-focal-y:49%\"\/><div class=\"capoverlay-container-mobile right-bottom show custom_margin   label\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:10px\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:936px\"><link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:35px;--mobile-spacer:25px;--tablet-spacer:35px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 mt-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:552px\"><link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div class=\"vivid360-heading\" id=\"aee4e2397-4a5c-411d-8d2f-2da0dbea66d8\"><h1 class=\"has-primary-color has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:30px;--tabletFontSize:30px;--mobileFontSize:24px;--desktopLineHeightSize:45px;--tabletLineHeightSize:45px;--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Sometimes patients and parents choose not to vaccinate<sup>1<\/sup><\/h1><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:18px;--mobile-spacer:28px;--tablet-spacer:18px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a567bbb91-dbc1-4ae1-9f20-c63601af312a\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:18px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:\" id=\"\"><strong>Understanding the motivation behind their decisions can help you formulate a plan.<sup>2-5<\/sup><\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:20px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_2a998ed8-232b-43e3-b03d-e5b25befd7ac \" id=\"\"><p class=\"has-text-align-left has-medium-font-size\">The World Health Organization estimates that vaccination saves 3.5-5 million lives worldwide every year.<sup>6<\/sup> Despite the availability, many still delay or refuse recommended vaccines, which can lead to outbreaks of vaccine-preventable diseases.<sup>2,3<\/sup><\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:18px;--mobile-spacer:16px;--tablet-spacer:18px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_fa55466b-d5aa-4ce2-b128-0ac96f52148c \" id=\"\"><p class=\"has-text-align-left has-medium-font-size\">This choice is often attributed to a lack of confidence in vaccine efficacy and safety; however, studies show there are three main motivating factors that may influence vaccine hesitancy<sup>3-5<\/sup>:<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:95px;--mobile-spacer:55px;--tablet-spacer:95px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a038f011a-f308-4b28-8426-63f345956e32\"><h3 class=\"has-primary-color has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:18px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Factors That Influence Vaccine <span class=\"no-wrap-text\">Hesitancy<\/span><sup>4,5<\/sup><\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:18px;--mobile-spacer:40px;--tablet-spacer:18px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1777274844' media='all' \/>\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_InfluenceFactors_Venn.svg\" alt=\"Factors That Influence Vaccine Hesitancy\" class=\"wp-image-953  style-noshadow   \" width=\"563\" height=\"390\" title=\"\" style=\"height:390px;width:563px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/08\/CAT_InfluenceFactors_Venn.svg 751w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/08\/CAT_InfluenceFactors_Venn.svg?resize=300,208 300w\" sizes=\"auto, (max-width: 563px) 100vw, 563px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_InfluenceFactors_Venn.svg\" alt=\"Factors That Influence Vaccine Hesitancy\" class=\"wp-image-953  style-noshadow mobile-image mobHeightAuto  \" width=\"422\" height=\"293\" title=\"\" style=\"height:293px;width:422px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/08\/CAT_InfluenceFactors_Venn.svg 751w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/08\/CAT_InfluenceFactors_Venn.svg?resize=300,208 300w\" sizes=\"auto, (max-width: 422px) 100vw, 422px\" \/><\/figure><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:30px;--mobile-spacer:32px;--tablet-spacer:30px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:28%\">\n<div class=\"vivid360-heading\" id=\"ae995be1b-258b-4228-86d4-b21a73ab245e\"><h2 class=\"has-primary-color content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:\" id=\"\"><strong>Convenience<\/strong><\/h2><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<div class=\"vivid-block-list content-width default-list block-d6ba6fcd-3b85-42e7-a705-02a111114799 mb-0 has-medium-font-size\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-d6ba6fcd-3b85-42e7-a705-02a111114799\"><ul class=\"first-level\"><li>Ease of physical access,    affordability, and availability<\/li><li>Understanding of vaccination  services<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:20px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:8%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:28%\">\n<div class=\"vivid360-heading\" id=\"ad815fb59-9fe5-48e7-a197-8553ba9b9b42\"><h2 class=\"has-primary-color content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:\" id=\"\"><strong>Confidence<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"ace7b9fa4-2b60-42c7-9480-b2a664b25295\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:18px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:\" id=\"\"><strong>Trust in:<\/strong><\/h3><\/div>\n\n\n\n<div class=\"vivid-block-list content-width default-list block-47d9af79-df5a-4d03-ab6b-d3c808387a0f mb-0 has-medium-font-size\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-47d9af79-df5a-4d03-ab6b-d3c808387a0f\"><ul class=\"first-level\"><li>Effectiveness and safety of vaccinations<\/li><li>Vaccination delivery systems<\/li><li>Motivations of decision-makers<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:20px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:8%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:28%\">\n<div class=\"vivid360-heading\" id=\"aa11f93a5-11c1-4728-98a2-777f0294f512\"><h2 class=\"has-primary-color content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:\" id=\"\"><strong>Complacency<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid-block-list content-width default-list block-5b5d8642-4023-491c-ada0-0de82e64c627 mb-0 has-medium-font-size\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-5b5d8642-4023-491c-ada0-0de82e64c627\"><ul class=\"first-level\"><li>Low perceived risk of vaccine-preventable diseases<\/li><li>Under-appreciation and deprioritization of vaccination<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:20px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:44px;--mobile-spacer:28px;--tablet-spacer:44px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-middle ratio-50-50 horizontal mobile text-align-left has-white-color has-primary-background-color is-split-style split-image-right mobile-is-split-style mobile-split-image-top mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/12\/CAT_Doctor_Discussing_Patient.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/12\/CAT_Doctor_Discussing_Patient.webp?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/12\/CAT_Doctor_Discussing_Patient.webp?w=1440\"\/><img decoding=\"async\" width=\"762\" height=\"496\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/12\/CAT_Doctor_Discussing_Patient.webp?w=1536\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/12\/CAT_Doctor_Discussing_Patient.webp?w=1536\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:53%;--mobile-focal-x:50%;--mobile-focal-y:53%;--tablet-focal-x:50%;--tablet-focal-y:53%\"\/><div class=\"capoverlay-container-mobile left-bottom show  show isMobileOverlayChecked label\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><div class=\"mobile-caption capoverlay-container-mobile right-bottom  label\" style=\"--top-margin-mob:;--bottom-margin-mob:;--left-margin-mob:;--right-margin-mob:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h2 style=\"--headlineFontSize:24px;--headlineFontSizeTablet:24px;--headlineFontSizeMobile:24px;--headlineLineHeight:36px;--headlineLineHeightTablet:36px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightRegular\">Talk with your patients to determine the exact cause for their hesitancy and address accordingly.<\/h2><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:936px\">\n<div style=\"background-color:transparent;--desktop-spacer:56px;--mobile-spacer:20px;--tablet-spacer:56px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a6f566d24-decd-4d66-9eb5-79a49ac6e602\"><h2 class=\"has-primary-color content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:\" id=\"\"><strong>SDOH influence parental decisions about vaccination<sup>7<\/sup><\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:5px;--mobile-spacer:10px;--tablet-spacer:5px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-medium-font-size\">In data from the 2018-2019 NIS-Child Survey, 23.6% (n=1804) of parents with children aged 19-35 months reported hesitancy toward childhood vaccinations.<sup>7,a<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--mobile-spacer:35px;--tablet-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-large-font-size\"><strong>Parental vaccine hesitancy differed by race\/ethnicity, mother\u2019s education level, and poverty status.<sup>7,a<\/sup><\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:20px;--mobile-spacer:33px;--tablet-spacer:20px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"adc9c47ac-b6c3-4d34-b31b-bea1e3d7a805\"><h4 class=\"has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:16px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Percent of Parents Reporting Hesitancy<sup>7,a<\/sup><\/strong><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:28px;--mobile-spacer:35px;--tablet-spacer:28px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\">\n<p class=\"has-text-align-center\"><strong>Child&#8217;s Race\/Ethnicity<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:2px;--mobile-spacer:16px;--tablet-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/11\/CAT_chart_SDoHHesitant_L_V2_57e931.png?w=506\" alt=\"Parental Vaccine Hesitancy by Child's Race\" class=\"wp-image-6098  style-noshadow  deskWidthAuto \" width=\"302\" height=\"434\" title=\"\" style=\"height:434px;width:302px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/11\/CAT_chart_SDoHHesitant_L_V2-1.png\" alt=\"Parental Vaccine Hesitancy by Child's Race\" class=\"wp-image-6131  style-noshadow mobile-image  mobWidthAuto \" width=\"260\" height=\"388\" title=\"\" style=\"height:388px;width:260px\"\/><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\">\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:24px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-text-align-center\"><strong>Mother&#8217;s Education Level<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:2px;--mobile-spacer:16px;--tablet-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/11\/CAT_chart_SDoHHesitant_C_V2_dd7c54.png?w=376\" alt=\"\" class=\"wp-image-6097  style-noshadow  deskWidthAuto \" width=\"302\" height=\"434\" title=\"\" style=\"height:434px;width:302px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/11\/CAT_chart_SDoHHesitant_C_V2_0d0032.png\" alt=\"Parental Vaccine Hesitancy by Mother's Education Level\n\" class=\"wp-image-6132  style-noshadow mobile-image mobHeightAuto  \" width=\"260\" height=\"388\" title=\"\" style=\"height:388px;width:260px\"\/><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:20%\">\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:24px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-text-align-center\"><strong>Poverty Status<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:2px;--mobile-spacer:16px;--tablet-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/11\/CAT_chart_SDoHHesitant_C_V2_9b815f.png?w=264\" alt=\"\" class=\"wp-image-6087  style-noshadow  deskWidthAuto \" width=\"302\" height=\"434\" title=\"\" style=\"height:434px;width:302px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/11\/CAT_chart_SDoHHesitant_R_V2.png\" alt=\"Parental Vaccine Hesitancy by Poverty Status\" class=\"wp-image-6088  style-noshadow mobile-image mobHeightAuto  \" width=\"160\" height=\"388\" title=\"\" style=\"height:388px;width:160px\"\/><\/figure><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:30px;--mobile-spacer:70px;--tablet-spacer:30px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns has-background is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\" style=\"background-color:#f5fafd\">\n<div class=\"wp-block-column padding-left-right15 is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"background-color:transparent;--desktop-spacer:29px;--mobile-spacer:0px;--tablet-spacer:29px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"af3c3ab6b-af0f-422a-aa14-191bc0beb289\"><h2 class=\"has-primary-color has-text-align-left content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:left;--mobileAlign:left\" id=\"\"><strong>Among the hesitant parents, vaccine hesitancy contributed to  approximately<\/strong> <strong><span class=\"no-wrap-text\">15%<\/span>&#8211;<span class=\"no-wrap-text\">25%<\/span> of undervaccination among children aged 19-35 months<sup>7,a<\/sup><\/strong><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:29px;--mobile-spacer:0px;--tablet-spacer:29px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:25px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-separator-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/separator\/css\/style.min.css?ver=1765194012' media='all' \/>\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-medium-gray-background-color has-medium-gray-color mobileWidth\" style=\"height:2px;--mobileWidth:99%\"\/>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_61d8a673-4c1c-48e3-96af-9a21259c85f6 \" id=\"\"><p class=\"has-small-font-size\"><sup>a<\/sup>NIS-Child is an annual, random digit-dialed telephone survey conducted by the CDC among parents or guardians of children aged 19\u201335 months. The association of parental vaccine hesitancy with vaccination coverage was assessed using a CDC-developed 6-item questionnaire where parents were asked questions on their perceptions of childhood vaccination. Data were collected for 14,077 children.<sup>7<\/sup><br><br>CDC, Centers for Disease Control and Prevention; nH, non-Hispanic; NIS, National Immunization Survey.<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:90px;--mobile-spacer:70px;--tablet-spacer:90px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width full-page-width\"><div class=\"cropped\" id=\"row89e6f516-53a4-4ef0-8776-fe516c389ebf\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content extra-narrow-width hcp-regular-width\">\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"218\" height=\"146\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/DET_Patient_In_Doctor_Office_SM_LO.svg\" alt=\"\" class=\"wp-image-993  style-noshadow   \" title=\"\" style=\"height:146px;width:218px\"\/><\/figure><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:24px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a64466573-515a-44d4-9041-a4e256788fca\"><h2 class=\"has-primary-color has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:30px;--tabletFontSize:24px;--mobileFontSize:22px;--desktopLineHeightSize:45px;--tabletLineHeightSize:36px;--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Be prepared for honest conversation<\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:15px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-text-align-center\">Explore scientifically proven techniques for overcoming vaccine hesitancy and communicating effectively with parents.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:60px;--mobile-spacer:30px;--tablet-spacer:60px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:456px\"><link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1777274844' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card aded1685b-b217-4d3c-9def-c08a9d0c682b vivid360-block-card has-text-align-left hasBoxShadow card-horizontal has-primary-color has-primary-border-color has-white-background-color full-page-width\" style=\"border-width:1px;border-style:;border-radius:5px\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-chat-bubbles has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\">Learn more about hesitancy and how to address it<\/h3><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/addressing-vaccine-hesitancy\/\" role=\"button\" style=\"border-radius:4px\" title=\"Learn more about hesitancy and how to address it\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"Learn more about hesitancy and how to address it\" data-design-module=\"element\">Learn more about hesitancy and how to address it<\/a><\/p><\/div><div class=\"has-primary-color\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:68px;--mobile-spacer:48px;--tablet-spacer:68px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-black-background-color has-black-color mobileWidth\" style=\"height:1px;--mobileWidth:99%\"\/>\n\n\n\n<div class=\"vivid360-heading\" id=\"a5171e564-9482-4cc5-8808-c5d52d67422a\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>References<\/strong><\/h3><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-parent-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list-parent\/css\/style.css?ver=1765194012' media='all' \/>\n\n<div class=\"vivid-block-list2 content-width  \">\n<ol style=\"--listBulletColor:#333\" class=\"list-bullet-color\">\n<li class=\"has-small-font-size\">Centers for Disease Control and Prevention. Talking with parents about vaccines. Published August 9, 2024. Accessed November 1, 2024. https:\/\/www.cdc.gov\/vaccines-children\/hcp\/conversation-tips\/index.html<\/li>\n\n\n\n<li class=\"has-small-font-size\">Talbird SE, Carrico J, La EM, et al. Impact of routine childhood immunization in reducing vaccine-preventable diseases in the United States. <em>Pediatrics<\/em>. 2022;150(3):e2021056013. doi:10.1542\/peds.2021-056013<\/li>\n\n\n\n<li class=\"has-small-font-size\">Kempe A, Saville AW, Albertin C, et al. Parental hesitancy about routine childhood and influenza vaccinations: a national survey. <em>Pediatrics<\/em>. 2020;146(1):e20193852. doi:10.1542\/peds.2019-3852<\/li>\n\n\n\n<li class=\"has-small-font-size\">MacDonald NE; the SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: definition, scope and determinants. <em>Vaccine<\/em>. 2015;33:4161-4164. doi:10.1016\/j.vaccine.2015.04.036<\/li>\n\n\n\n<li class=\"has-small-font-size\">Allen A, Butler R. The challenge of vaccination hesitancy and acceptance: an overview. In: <em>Meeting the Challenge of Vaccination Hesitancy<\/em>. The Sabin-Aspen Vaccine Science &amp; Policy Group; 2020;48-86. https:\/\/www.sabin.org\/app\/uploads\/2022\/04\/Sabin-Aspen-report-2020_Meeting-the-Challenge-of-Vaccine-Hesitancy.pdf<\/li>\n\n\n\n<li class=\"has-small-font-size\">World Health Organization. Vaccines and immunization. Accessed September 10, 2025. https:\/\/www.who.int\/health-topics\/vaccines-and-immunization#tab=tab_1<\/li>\n\n\n\n<li class=\"has-small-font-size\">Nguyen KH, Srivastav A, Lindley MC, et al. Parental vaccine hesitancy and association with childhood diphtheria, tetanus toxoid, and acellular pertussis; measles, mumps, and rubella; rotavirus; and combined 7-series vaccination. <em>Am J Prev Med<\/em>. 2022;62(3):367-376. doi:10.1016\/j.amepre.2021.08.015<\/li>\n<\/ol>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:56px;--mobile-spacer:48px;--tablet-spacer:56px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The World Health Organization estimates that vaccination saves 3.5-5 million lives worldwide every year.6 Despite the availability, many still delay or refuse&#8230;<\/p>\n","protected":false},"author":699,"featured_media":0,"parent":179,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[225],"ga4_page_businessunit":[231],"ga4_page_campaign":[],"ga4_page_content_purpose":[246],"ga4_page_customer_journey_stage":[282],"ga4_page_customer_specialty":[326],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[435],"ga4_page_product":[533],"ga4_page_region":[662],"ga4_page_therapeuticarea":[707],"class_list":["post-194","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Social Determinants of Health (SDOH) and Vaccination Hesitancy<\/title>\n<meta name=\"description\" content=\"Learn more about three main 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