disease prevention, global and public health and vaccine hesitancy, Measles, MMR


The increase in vaccine-preventable disease (VPD) outbreaks has caused great alarm to the public health community. In recent years, VPD outbreaks have occurred across the globe in both developed and developing countries. Particularly troubling has been the resurgence of diseases formerly eradicated through years of concerted vaccination and other public health campaigns. Higher vaccination exemption rates have been implicated in the resurgence of VPDs. This is particularly evident in the United States where measles outbreaks reached 1,250 individual cases in 2019 alone, the most confirmed cases since 1992. Central to the discussion about measles resurgence is a better understanding of the social factors influencing parental decisions concerning vaccination. In particular, why do some parents oppose having their children vaccinated against measles and where do they obtain information to inform these decisions? Which social factors impact parental perceptions, attitudes, and practices regarding measles vaccine hesitancy? The purpose of this study is to conduct a systematic review of the literature to determine the social determinants that influence the decisions made by U.S. parents concerning measles vaccination. In particular, this study will explore those factors related to measles vaccine hesitancy and/or refusal since the year 2000 when measles was initially eradicated from the United States. The results from this systematic review will help the public health community more effectively address vaccine hesitancy through interventions at the family, primary care, public health, health care, and governmental levels.

Original Publication Citation

Goates, M. C., Novilla, M. L. B., Showalter, M., Novilla, L. K., Doria, R., Dang, M., Leffler, T., Aldridge, K. (2020, February). Defining parental Resistance: The social determinants of measles vaccine hesitancy. Poster session presented at the Annual Meeting of the American Association for the Advancement of Science, Seattle, WA.

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Harold B. Lee Library

University Standing at Time of Publication

Associate Professor