Childhood Vaccine Hesitancy

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Authors: Sean T. O’Leary, Margie Danchin
Cited by: 7
References: 54

Abstract

Vaccine hesitancy exists along a spectrum; most parents with hesitancy are motivated to protect their children but are often concerned about safety. Routine childhood vaccines recommended by the American Academy of Pediatrics have substantially reduced the incidence of disease and maintain a strong safety record. Clinicians are the most trusted source of vaccine information, and clear, confident recommendations are closely linked to higher uptake. Presumptive communication approaches are more effective than open-ended approaches, especially when paired with respectful dialogue. Empathy-driven, patient-centered strategies, including motivational interviewing, help address concerns, counter misinformation, and build trust while preserving relationships that may encourage future vaccination decisions.

Fields of Study & Subjects

Vaccine Coverage and Hesitancy Immune responses and vaccinations Virology and Viral Diseases

Publication details

Journal / source
New England Journal of Medicine
Publisher
Massachusetts Medical Society
Volume
394
Issue
21
Pages
2134–2145
Publication date
20 May 2026
Language
EN