%PDF-1.3
1 0 obj
<< /Type /Catalog
/Outlines 2 0 R
/Pages 3 0 R >>
endobj
2 0 obj
<< /Type /Outlines /Count 0 >>
endobj
3 0 obj
<< /Type /Pages
/Kids [6 0 R
158 0 R
167 0 R
169 0 R
171 0 R
173 0 R
175 0 R
399 0 R
425 0 R
427 0 R
]
/Count 10
/Resources <<
/ProcSet 4 0 R
/Font << 
/F1 8 0 R
/F2 9 0 R
/F3 10 0 R
/F4 11 0 R
/F5 160 0 R
>>
/XObject << 
/I1 12 0 R
/I2 13 0 R
>>
>>
/MediaBox [0.000 0.000 612.000 792.000]
 >>
endobj
4 0 obj
[/PDF /Text /ImageC ]
endobj
5 0 obj
<<
/Creator (DOMPDF)
/CreationDate (D:20180722222635+00'00')
/ModDate (D:20180722222635+00'00')
/Title (Parental Vaccine Hesitancy in Quebec \(Canada\) � PLOS Currents Outbreaks)
>>
endobj
6 0 obj
<< /Type /Page
/Parent 3 0 R
/Annots [ 14 0 R 16 0 R 18 0 R 20 0 R 22 0 R 24 0 R 26 0 R 28 0 R 30 0 R 32 0 R 34 0 R 36 0 R 38 0 R 40 0 R 42 0 R 44 0 R 46 0 R 48 0 R 50 0 R 52 0 R 54 0 R 56 0 R 58 0 R 60 0 R 62 0 R 64 0 R 66 0 R 68 0 R 70 0 R 72 0 R 74 0 R 76 0 R 78 0 R 80 0 R 82 0 R 84 0 R 86 0 R 88 0 R 90 0 R 92 0 R 94 0 R 96 0 R 98 0 R 100 0 R 102 0 R 104 0 R 106 0 R 108 0 R 110 0 R 112 0 R 114 0 R 116 0 R 118 0 R 120 0 R 122 0 R 124 0 R 126 0 R 128 0 R 130 0 R 132 0 R 134 0 R 136 0 R 138 0 R 140 0 R 142 0 R 144 0 R 146 0 R 148 0 R 150 0 R 152 0 R 154 0 R 156 0 R ]
/Contents 7 0 R
>>
endobj
7 0 obj
<<
/Length 29345 >>
stream

q
375.000 0 0 39.000 222.000 738.000 cm /I2 Do
Q
q
15.000 709.302 577.500 28.698 re W n
0.267 0.267 0.267 rg
BT 15.000 718.042 Td /F2 21.0 Tf  [(Parental Vaccine Hesitancy in Quebec \(Canada\))] TJ ET
Q
0.271 0.267 0.267 rg
BT 15.000 700.036 Td /F3 9.8 Tf  [(March 7, 2016)] TJ ET
BT 77.556 700.036 Td /F3 9.8 Tf  [(�)] TJ ET
0.267 0.267 0.267 rg
BT 82.431 700.036 Td /F3 9.8 Tf  [(Research Article)] TJ ET
BT 26.250 688.195 Td /F1 9.8 Tf  [(Eve Dub�)] TJ ET
0.271 0.267 0.267 rg
BT 69.062 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 74.483 688.195 Td /F1 9.8 Tf  [(Dominique Gagnon)] TJ ET
0.271 0.267 0.267 rg
BT 158.480 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 163.900 688.195 Td /F1 9.8 Tf  [(Zhou Zhou)] TJ ET
0.271 0.267 0.267 rg
BT 211.052 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 216.472 688.195 Td /F1 9.8 Tf  [(Genevieve Deceuninck)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 676.290 Td /F1 9.8 Tf  [(Dub� E, Gagnon D, Zhou Z, Deceuninck G. Parental Vaccine Hesitancy in Quebec \(Canada\). PLOS Currents Outbreaks. 2016 )] TJ ET
BT 26.250 664.386 Td /F1 9.8 Tf  [(Mar 7 . Edition 1. doi: 10.1371/currents.outbreaks.9e239605f4d320c6ad27ce2aea5aaad2.)] TJ ET
q
15.000 29.359 577.500 632.646 re W n
0.271 0.267 0.267 rg
BT 26.250 635.283 Td /F4 12.0 Tf  [(Abstract)] TJ ET
BT 26.250 615.329 Td /F1 9.8 Tf  [(Introduction: �Vaccine hesitancy� is a concept frequently used in the discourse around vaccine acceptance. This study aims to )] TJ ET
BT 26.250 603.424 Td /F1 9.8 Tf  [(contribute to the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a knowledge, attitudes )] TJ ET
BT 26.250 591.519 Td /F1 9.8 Tf  [(and beliefs \(KAB\) survey conducted among parents.)] TJ ET
BT 26.250 572.115 Td /F1 9.8 Tf  [(Methods: Data were collected in 2014 through a computer-assisted telephone interview survey administered to a sample of )] TJ ET
BT 26.250 560.210 Td /F1 9.8 Tf  [(parents of children aged between 2 months and 17 years of age.)] TJ ET
BT 26.250 540.805 Td /F1 9.8 Tf  [(Results: The majority of the 589 parents included in the analyses agreed on the importance of vaccination to protect their )] TJ ET
BT 26.250 528.900 Td /F1 9.8 Tf  [(children�s health and to prevent the spread of diseases in the community. The majority of the parents \(81%\) reported that their )] TJ ET
BT 26.250 516.996 Td /F1 9.8 Tf  [(child had received all doses of recommended vaccines and 40% of parents indicated having hesitated to have their child )] TJ ET
BT 26.250 505.091 Td /F1 9.8 Tf  [(vaccinated. Fear of adverse events and low perceived vulnerability of the child or severity of the disease were the most frequent )] TJ ET
BT 26.250 493.186 Td /F1 9.8 Tf  [(reasons mentioned by these vaccine-hesitant parents. In multivariate analyses, KAB items remaining significantly associated )] TJ ET
BT 26.250 481.281 Td /F1 9.8 Tf  [(both with an incomplete vaccination status of the child and parents� vaccine hesitancy were: not thinking that it is important to )] TJ ET
BT 26.250 469.377 Td /F1 9.8 Tf  [(have the child vaccinated to prevent the spreading of diseases in the community; not trusting the received vaccination )] TJ ET
BT 26.250 457.472 Td /F1 9.8 Tf  [(information and having felt pressure to have the child vaccinated.)] TJ ET
BT 26.250 438.067 Td /F1 9.8 Tf  [(Discussion: Further researches will be needed to better understand when, how and why these beliefs are formed in order to )] TJ ET
BT 26.250 426.162 Td /F1 9.8 Tf  [(prevent the onset of vaccine hesitancy.)] TJ ET
BT 26.250 389.560 Td /F4 12.0 Tf  [(Funding Statement)] TJ ET
BT 26.250 369.606 Td /F1 9.8 Tf  [(This study was funded by Quebec Ministry of Health. Dr. Dub� receives salary support from a Research Scholar Junior 1 )] TJ ET
BT 549.152 369.606 Td /F1 9.8 Tf  [(career )] TJ ET
BT 26.250 357.701 Td /F1 9.8 Tf  [(development award from the Fonds de recherche du Qu�bec-Sant�.)] TJ ET
BT 26.250 328.598 Td /F4 12.0 Tf  [(Introduction)] TJ ET
BT 26.250 308.644 Td /F1 9.8 Tf  [(Quebec \(Canada\) routine vaccination schedule for children and teens includes vaccines protecting against diphtheria, tetanus, )] TJ ET
BT 26.250 296.739 Td /F1 9.8 Tf  [(whooping cough, measles, mumps, rubella, chicken pox, poliomyelitis, hepatitis B, flu \(in autumn\), and infections from Hib, )] TJ ET
BT 26.250 284.835 Td /F1 9.8 Tf  [(pneumococcus, rotavirus, meningococcus C, and human papillomavirus \(for girls\). Vaccines are provided at no cost and more )] TJ ET
BT 26.250 272.930 Td /F1 9.8 Tf  [(than 75% of vaccinated children aged 0-4 years are vaccinated by public health nurses in community health services clinics.)] TJ ET
0.267 0.267 0.267 rg
BT 560.560 274.437 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 261.025 Td /F1 9.8 Tf  [(Older children are vaccinated through school-based programs that are also under the responsibility of public community health )] TJ ET
BT 26.250 249.120 Td /F1 9.8 Tf  [(services clinics. Vaccination is not mandatory in Quebec. The results of the 2014 population-based childhood vaccine coverage )] TJ ET
BT 26.250 237.216 Td /F1 9.8 Tf  [(survey showed that 80% of one-year-old children and 71% of two-years-old children had received all doses of recommended )] TJ ET
BT 26.250 225.311 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 66.888 226.818 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 71.707 225.311 Td /F1 9.8 Tf  [( In 2013, 78% of girls in Grade 4 received the 2 recommended doses of the HPV vaccine)] TJ ET
0.267 0.267 0.267 rg
BT 454.852 226.818 Td /F4 8.7 Tf  [(2)] TJ ET
0.271 0.267 0.267 rg
BT 459.671 225.311 Td /F1 9.8 Tf  [( and 86% of boys and girls )] TJ ET
BT 26.250 213.406 Td /F1 9.8 Tf  [(in Grade 4 received the 2 recommended doses of the hepatitis B vaccine.)] TJ ET
0.267 0.267 0.267 rg
BT 343.281 214.913 Td /F4 8.7 Tf  [(3)] TJ ET
0.271 0.267 0.267 rg
BT 348.100 213.406 Td /F1 9.8 Tf  [( Although these vaccine uptake rates are high, the )] TJ ET
BT 26.250 201.501 Td /F1 9.8 Tf  [(objective to vaccinate 95% of children is still not reached. Studies in Quebec have highlighted that, despite publicly funded )] TJ ET
BT 26.250 189.597 Td /F1 9.8 Tf  [(vaccination programs, access to vaccination services was sometimes problematic and important delays were observed in )] TJ ET
BT 26.250 177.692 Td /F1 9.8 Tf  [(obtaining appointments for childhood vaccination.)] TJ ET
0.267 0.267 0.267 rg
BT 239.775 179.199 Td /F4 8.7 Tf  [(4)] TJ ET
0.271 0.267 0.267 rg
BT 244.594 181.580 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 247.003 179.199 Td /F4 8.7 Tf  [(5)] TJ ET
0.271 0.267 0.267 rg
BT 251.822 181.580 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 254.231 179.199 Td /F4 8.7 Tf  [(6)] TJ ET
0.271 0.267 0.267 rg
BT 259.050 177.692 Td /F1 9.8 Tf  [( Results of other studies have shown that parental vaccine hesitancy also )] TJ ET
BT 26.250 165.787 Td /F1 9.8 Tf  [(has a negative impact on vaccine uptake rates.)] TJ ET
0.267 0.267 0.267 rg
BT 229.479 167.294 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 234.298 169.675 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 236.707 167.294 Td /F4 8.7 Tf  [(7)] TJ ET
0.271 0.267 0.267 rg
BT 241.526 169.675 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 243.935 167.294 Td /F4 8.7 Tf  [(8)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 146.382 Td /F1 9.8 Tf  [(The WHO Strategic Advisory Group of Experts \(SAGE\) Working Group on Vaccine Hesitancy defined vaccine hesitancy as )] TJ ET
BT 26.250 134.478 Td /F1 9.8 Tf  [(�delay in acceptance or refusal of vaccines despite availability of vaccine services.�)] TJ ET
0.267 0.267 0.267 rg
BT 383.344 135.985 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 388.162 134.478 Td /F1 9.8 Tf  [( According to this group, the scope of )] TJ ET
BT 26.250 122.573 Td /F1 9.8 Tf  [(vaccine hesitancy includes instances where �vaccine acceptance in a specific setting is lower than would be expected, given the )] TJ ET
BT 26.250 110.668 Td /F1 9.8 Tf  [(availability of vaccination services.�)] TJ ET
0.267 0.267 0.267 rg
BT 177.960 112.175 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 182.779 110.668 Td /F1 9.8 Tf  [( A vaccine-hesitant person can delay, be reluctant \(but still accept\), or refuse one, some or )] TJ ET
BT 26.250 98.763 Td /F1 9.8 Tf  [(all vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 79.349 100.271 Td /F4 8.7 Tf  [(10)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 79.359 Td /F1 9.8 Tf  [(Although increasingly used, the term vaccine hesitancy has been criticized as being an �ambiguous notion with an uncertain )] TJ ET
BT 26.250 67.454 Td /F1 9.8 Tf  [(theoretical background�.)] TJ ET
0.267 0.267 0.267 rg
BT 130.838 68.961 Td /F4 8.7 Tf  [(11)] TJ ET
0.271 0.267 0.267 rg
BT 140.476 67.454 Td /F1 9.8 Tf  [( The fact that vaccine hesitancy encompasses a heterogeneous group of individuals with diverse )] TJ ET
BT 26.250 55.549 Td /F1 9.8 Tf  [(attitudes and behaviors makes the operationalization of this concept challenging.)] TJ ET
0.267 0.267 0.267 rg
BT 374.179 57.056 Td /F4 8.7 Tf  [(10)] TJ ET
0.271 0.267 0.267 rg
BT 383.816 55.549 Td /F1 9.8 Tf  [( Although survey instruments have been )] TJ ET
BT 26.250 43.644 Td /F1 9.8 Tf  [(developed and validated in the US)] TJ ET
0.267 0.267 0.267 rg
BT 174.752 45.152 Td /F4 8.7 Tf  [(12)] TJ ET
0.271 0.267 0.267 rg
BT 184.390 47.533 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 186.799 45.152 Td /F4 8.7 Tf  [(13)] TJ ET
0.271 0.267 0.267 rg
BT 196.436 43.644 Td /F1 9.8 Tf  [(, these tools might not be adapted in other contexts.)] TJ ET
0.267 0.267 0.267 rg
BT 420.277 45.152 Td /F4 8.7 Tf  [(14)] TJ ET
0.271 0.267 0.267 rg
BT 429.914 43.644 Td /F1 9.8 Tf  [( This study aims to contribute to )] TJ ET
Q
q
15.000 709.302 577.500 28.698 re W n
0.267 0.267 0.267 rg
BT 15.000 718.042 Td /F2 21.0 Tf  [(Parental Vaccine Hesitancy in Quebec \(Canada\))] TJ ET
Q
0.271 0.267 0.267 rg
BT 15.000 700.036 Td /F3 9.8 Tf  [(March 7, 2016)] TJ ET
BT 77.556 700.036 Td /F3 9.8 Tf  [(�)] TJ ET
0.267 0.267 0.267 rg
BT 82.431 700.036 Td /F3 9.8 Tf  [(Research Article)] TJ ET
BT 26.250 688.195 Td /F1 9.8 Tf  [(Eve Dub�)] TJ ET
0.271 0.267 0.267 rg
BT 69.062 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 74.483 688.195 Td /F1 9.8 Tf  [(Dominique Gagnon)] TJ ET
0.271 0.267 0.267 rg
BT 158.480 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 163.900 688.195 Td /F1 9.8 Tf  [(Zhou Zhou)] TJ ET
0.271 0.267 0.267 rg
BT 211.052 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 216.472 688.195 Td /F1 9.8 Tf  [(Genevieve Deceuninck)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 676.290 Td /F1 9.8 Tf  [(Dub� E, Gagnon D, Zhou Z, Deceuninck G. Parental Vaccine Hesitancy in Quebec \(Canada\). PLOS Currents Outbreaks. 2016 )] TJ ET
BT 26.250 664.386 Td /F1 9.8 Tf  [(Mar 7 . Edition 1. doi: 10.1371/currents.outbreaks.9e239605f4d320c6ad27ce2aea5aaad2.)] TJ ET
q
15.000 29.359 577.500 632.646 re W n
0.271 0.267 0.267 rg
BT 26.250 635.283 Td /F4 12.0 Tf  [(Abstract)] TJ ET
BT 26.250 615.329 Td /F1 9.8 Tf  [(Introduction: �Vaccine hesitancy� is a concept frequently used in the discourse around vaccine acceptance. This study aims to )] TJ ET
BT 26.250 603.424 Td /F1 9.8 Tf  [(contribute to the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a knowledge, attitudes )] TJ ET
BT 26.250 591.519 Td /F1 9.8 Tf  [(and beliefs \(KAB\) survey conducted among parents.)] TJ ET
BT 26.250 572.115 Td /F1 9.8 Tf  [(Methods: Data were collected in 2014 through a computer-assisted telephone interview survey administered to a sample of )] TJ ET
BT 26.250 560.210 Td /F1 9.8 Tf  [(parents of children aged between 2 months and 17 years of age.)] TJ ET
BT 26.250 540.805 Td /F1 9.8 Tf  [(Results: The majority of the 589 parents included in the analyses agreed on the importance of vaccination to protect their )] TJ ET
BT 26.250 528.900 Td /F1 9.8 Tf  [(children�s health and to prevent the spread of diseases in the community. The majority of the parents \(81%\) reported that their )] TJ ET
BT 26.250 516.996 Td /F1 9.8 Tf  [(child had received all doses of recommended vaccines and 40% of parents indicated having hesitated to have their child )] TJ ET
BT 26.250 505.091 Td /F1 9.8 Tf  [(vaccinated. Fear of adverse events and low perceived vulnerability of the child or severity of the disease were the most frequent )] TJ ET
BT 26.250 493.186 Td /F1 9.8 Tf  [(reasons mentioned by these vaccine-hesitant parents. In multivariate analyses, KAB items remaining significantly associated )] TJ ET
BT 26.250 481.281 Td /F1 9.8 Tf  [(both with an incomplete vaccination status of the child and parents� vaccine hesitancy were: not thinking that it is important to )] TJ ET
BT 26.250 469.377 Td /F1 9.8 Tf  [(have the child vaccinated to prevent the spreading of diseases in the community; not trusting the received vaccination )] TJ ET
BT 26.250 457.472 Td /F1 9.8 Tf  [(information and having felt pressure to have the child vaccinated.)] TJ ET
BT 26.250 438.067 Td /F1 9.8 Tf  [(Discussion: Further researches will be needed to better understand when, how and why these beliefs are formed in order to )] TJ ET
BT 26.250 426.162 Td /F1 9.8 Tf  [(prevent the onset of vaccine hesitancy.)] TJ ET
BT 26.250 389.560 Td /F4 12.0 Tf  [(Funding Statement)] TJ ET
BT 26.250 369.606 Td /F1 9.8 Tf  [(This study was funded by Quebec Ministry of Health. Dr. Dub� receives salary support from a Research Scholar Junior 1 )] TJ ET
BT 549.152 369.606 Td /F1 9.8 Tf  [(career )] TJ ET
BT 26.250 357.701 Td /F1 9.8 Tf  [(development award from the Fonds de recherche du Qu�bec-Sant�.)] TJ ET
BT 26.250 328.598 Td /F4 12.0 Tf  [(Introduction)] TJ ET
BT 26.250 308.644 Td /F1 9.8 Tf  [(Quebec \(Canada\) routine vaccination schedule for children and teens includes vaccines protecting against diphtheria, tetanus, )] TJ ET
BT 26.250 296.739 Td /F1 9.8 Tf  [(whooping cough, measles, mumps, rubella, chicken pox, poliomyelitis, hepatitis B, flu \(in autumn\), and infections from Hib, )] TJ ET
BT 26.250 284.835 Td /F1 9.8 Tf  [(pneumococcus, rotavirus, meningococcus C, and human papillomavirus \(for girls\). Vaccines are provided at no cost and more )] TJ ET
BT 26.250 272.930 Td /F1 9.8 Tf  [(than 75% of vaccinated children aged 0-4 years are vaccinated by public health nurses in community health services clinics.)] TJ ET
0.267 0.267 0.267 rg
BT 560.560 274.437 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 261.025 Td /F1 9.8 Tf  [(Older children are vaccinated through school-based programs that are also under the responsibility of public community health )] TJ ET
BT 26.250 249.120 Td /F1 9.8 Tf  [(services clinics. Vaccination is not mandatory in Quebec. The results of the 2014 population-based childhood vaccine coverage )] TJ ET
BT 26.250 237.216 Td /F1 9.8 Tf  [(survey showed that 80% of one-year-old children and 71% of two-years-old children had received all doses of recommended )] TJ ET
BT 26.250 225.311 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 66.888 226.818 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 71.707 225.311 Td /F1 9.8 Tf  [( In 2013, 78% of girls in Grade 4 received the 2 recommended doses of the HPV vaccine)] TJ ET
0.267 0.267 0.267 rg
BT 454.852 226.818 Td /F4 8.7 Tf  [(2)] TJ ET
0.271 0.267 0.267 rg
BT 459.671 225.311 Td /F1 9.8 Tf  [( and 86% of boys and girls )] TJ ET
BT 26.250 213.406 Td /F1 9.8 Tf  [(in Grade 4 received the 2 recommended doses of the hepatitis B vaccine.)] TJ ET
0.267 0.267 0.267 rg
BT 343.281 214.913 Td /F4 8.7 Tf  [(3)] TJ ET
0.271 0.267 0.267 rg
BT 348.100 213.406 Td /F1 9.8 Tf  [( Although these vaccine uptake rates are high, the )] TJ ET
BT 26.250 201.501 Td /F1 9.8 Tf  [(objective to vaccinate 95% of children is still not reached. Studies in Quebec have highlighted that, despite publicly funded )] TJ ET
BT 26.250 189.597 Td /F1 9.8 Tf  [(vaccination programs, access to vaccination services was sometimes problematic and important delays were observed in )] TJ ET
BT 26.250 177.692 Td /F1 9.8 Tf  [(obtaining appointments for childhood vaccination.)] TJ ET
0.267 0.267 0.267 rg
BT 239.775 179.199 Td /F4 8.7 Tf  [(4)] TJ ET
0.271 0.267 0.267 rg
BT 244.594 181.580 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 247.003 179.199 Td /F4 8.7 Tf  [(5)] TJ ET
0.271 0.267 0.267 rg
BT 251.822 181.580 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 254.231 179.199 Td /F4 8.7 Tf  [(6)] TJ ET
0.271 0.267 0.267 rg
BT 259.050 177.692 Td /F1 9.8 Tf  [( Results of other studies have shown that parental vaccine hesitancy also )] TJ ET
BT 26.250 165.787 Td /F1 9.8 Tf  [(has a negative impact on vaccine uptake rates.)] TJ ET
0.267 0.267 0.267 rg
BT 229.479 167.294 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 234.298 169.675 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 236.707 167.294 Td /F4 8.7 Tf  [(7)] TJ ET
0.271 0.267 0.267 rg
BT 241.526 169.675 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 243.935 167.294 Td /F4 8.7 Tf  [(8)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 146.382 Td /F1 9.8 Tf  [(The WHO Strategic Advisory Group of Experts \(SAGE\) Working Group on Vaccine Hesitancy defined vaccine hesitancy as )] TJ ET
BT 26.250 134.478 Td /F1 9.8 Tf  [(�delay in acceptance or refusal of vaccines despite availability of vaccine services.�)] TJ ET
0.267 0.267 0.267 rg
BT 383.344 135.985 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 388.162 134.478 Td /F1 9.8 Tf  [( According to this group, the scope of )] TJ ET
BT 26.250 122.573 Td /F1 9.8 Tf  [(vaccine hesitancy includes instances where �vaccine acceptance in a specific setting is lower than would be expected, given the )] TJ ET
BT 26.250 110.668 Td /F1 9.8 Tf  [(availability of vaccination services.�)] TJ ET
0.267 0.267 0.267 rg
BT 177.960 112.175 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 182.779 110.668 Td /F1 9.8 Tf  [( A vaccine-hesitant person can delay, be reluctant \(but still accept\), or refuse one, some or )] TJ ET
BT 26.250 98.763 Td /F1 9.8 Tf  [(all vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 79.349 100.271 Td /F4 8.7 Tf  [(10)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 79.359 Td /F1 9.8 Tf  [(Although increasingly used, the term vaccine hesitancy has been criticized as being an �ambiguous notion with an uncertain )] TJ ET
BT 26.250 67.454 Td /F1 9.8 Tf  [(theoretical background�.)] TJ ET
0.267 0.267 0.267 rg
BT 130.838 68.961 Td /F4 8.7 Tf  [(11)] TJ ET
0.271 0.267 0.267 rg
BT 140.476 67.454 Td /F1 9.8 Tf  [( The fact that vaccine hesitancy encompasses a heterogeneous group of individuals with diverse )] TJ ET
BT 26.250 55.549 Td /F1 9.8 Tf  [(attitudes and behaviors makes the operationalization of this concept challenging.)] TJ ET
0.267 0.267 0.267 rg
BT 374.179 57.056 Td /F4 8.7 Tf  [(10)] TJ ET
0.271 0.267 0.267 rg
BT 383.816 55.549 Td /F1 9.8 Tf  [( Although survey instruments have been )] TJ ET
BT 26.250 43.644 Td /F1 9.8 Tf  [(developed and validated in the US)] TJ ET
0.267 0.267 0.267 rg
BT 174.752 45.152 Td /F4 8.7 Tf  [(12)] TJ ET
0.271 0.267 0.267 rg
BT 184.390 47.533 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 186.799 45.152 Td /F4 8.7 Tf  [(13)] TJ ET
0.271 0.267 0.267 rg
BT 196.436 43.644 Td /F1 9.8 Tf  [(, these tools might not be adapted in other contexts.)] TJ ET
0.267 0.267 0.267 rg
BT 420.277 45.152 Td /F4 8.7 Tf  [(14)] TJ ET
0.271 0.267 0.267 rg
BT 429.914 43.644 Td /F1 9.8 Tf  [( This study aims to contribute to )] TJ ET
Q
q
15.000 709.302 577.500 28.698 re W n
0.267 0.267 0.267 rg
BT 15.000 718.042 Td /F2 21.0 Tf  [(Parental Vaccine Hesitancy in Quebec \(Canada\))] TJ ET
Q
0.271 0.267 0.267 rg
BT 15.000 700.036 Td /F3 9.8 Tf  [(March 7, 2016)] TJ ET
BT 77.556 700.036 Td /F3 9.8 Tf  [(�)] TJ ET
0.267 0.267 0.267 rg
BT 82.431 700.036 Td /F3 9.8 Tf  [(Research Article)] TJ ET
BT 26.250 688.195 Td /F1 9.8 Tf  [(Eve Dub�)] TJ ET
0.271 0.267 0.267 rg
BT 69.062 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 74.483 688.195 Td /F1 9.8 Tf  [(Dominique Gagnon)] TJ ET
0.271 0.267 0.267 rg
BT 158.480 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 163.900 688.195 Td /F1 9.8 Tf  [(Zhou Zhou)] TJ ET
0.271 0.267 0.267 rg
BT 211.052 688.195 Td /F1 9.8 Tf  [(, )] TJ ET
0.267 0.267 0.267 rg
BT 216.472 688.195 Td /F1 9.8 Tf  [(Genevieve Deceuninck)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 676.290 Td /F1 9.8 Tf  [(Dub� E, Gagnon D, Zhou Z, Deceuninck G. Parental Vaccine Hesitancy in Quebec \(Canada\). PLOS Currents Outbreaks. 2016 )] TJ ET
BT 26.250 664.386 Td /F1 9.8 Tf  [(Mar 7 . Edition 1. doi: 10.1371/currents.outbreaks.9e239605f4d320c6ad27ce2aea5aaad2.)] TJ ET
q
15.000 29.359 577.500 632.646 re W n
0.271 0.267 0.267 rg
BT 26.250 635.283 Td /F4 12.0 Tf  [(Abstract)] TJ ET
BT 26.250 615.329 Td /F1 9.8 Tf  [(Introduction: �Vaccine hesitancy� is a concept frequently used in the discourse around vaccine acceptance. This study aims to )] TJ ET
BT 26.250 603.424 Td /F1 9.8 Tf  [(contribute to the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a knowledge, attitudes )] TJ ET
BT 26.250 591.519 Td /F1 9.8 Tf  [(and beliefs \(KAB\) survey conducted among parents.)] TJ ET
BT 26.250 572.115 Td /F1 9.8 Tf  [(Methods: Data were collected in 2014 through a computer-assisted telephone interview survey administered to a sample of )] TJ ET
BT 26.250 560.210 Td /F1 9.8 Tf  [(parents of children aged between 2 months and 17 years of age.)] TJ ET
BT 26.250 540.805 Td /F1 9.8 Tf  [(Results: The majority of the 589 parents included in the analyses agreed on the importance of vaccination to protect their )] TJ ET
BT 26.250 528.900 Td /F1 9.8 Tf  [(children�s health and to prevent the spread of diseases in the community. The majority of the parents \(81%\) reported that their )] TJ ET
BT 26.250 516.996 Td /F1 9.8 Tf  [(child had received all doses of recommended vaccines and 40% of parents indicated having hesitated to have their child )] TJ ET
BT 26.250 505.091 Td /F1 9.8 Tf  [(vaccinated. Fear of adverse events and low perceived vulnerability of the child or severity of the disease were the most frequent )] TJ ET
BT 26.250 493.186 Td /F1 9.8 Tf  [(reasons mentioned by these vaccine-hesitant parents. In multivariate analyses, KAB items remaining significantly associated )] TJ ET
BT 26.250 481.281 Td /F1 9.8 Tf  [(both with an incomplete vaccination status of the child and parents� vaccine hesitancy were: not thinking that it is important to )] TJ ET
BT 26.250 469.377 Td /F1 9.8 Tf  [(have the child vaccinated to prevent the spreading of diseases in the community; not trusting the received vaccination )] TJ ET
BT 26.250 457.472 Td /F1 9.8 Tf  [(information and having felt pressure to have the child vaccinated.)] TJ ET
BT 26.250 438.067 Td /F1 9.8 Tf  [(Discussion: Further researches will be needed to better understand when, how and why these beliefs are formed in order to )] TJ ET
BT 26.250 426.162 Td /F1 9.8 Tf  [(prevent the onset of vaccine hesitancy.)] TJ ET
BT 26.250 389.560 Td /F4 12.0 Tf  [(Funding Statement)] TJ ET
BT 26.250 369.606 Td /F1 9.8 Tf  [(This study was funded by Quebec Ministry of Health. Dr. Dub� receives salary support from a Research Scholar Junior 1 )] TJ ET
BT 549.152 369.606 Td /F1 9.8 Tf  [(career )] TJ ET
BT 26.250 357.701 Td /F1 9.8 Tf  [(development award from the Fonds de recherche du Qu�bec-Sant�.)] TJ ET
BT 26.250 328.598 Td /F4 12.0 Tf  [(Introduction)] TJ ET
BT 26.250 308.644 Td /F1 9.8 Tf  [(Quebec \(Canada\) routine vaccination schedule for children and teens includes vaccines protecting against diphtheria, tetanus, )] TJ ET
BT 26.250 296.739 Td /F1 9.8 Tf  [(whooping cough, measles, mumps, rubella, chicken pox, poliomyelitis, hepatitis B, flu \(in autumn\), and infections from Hib, )] TJ ET
BT 26.250 284.835 Td /F1 9.8 Tf  [(pneumococcus, rotavirus, meningococcus C, and human papillomavirus \(for girls\). Vaccines are provided at no cost and more )] TJ ET
BT 26.250 272.930 Td /F1 9.8 Tf  [(than 75% of vaccinated children aged 0-4 years are vaccinated by public health nurses in community health services clinics.)] TJ ET
0.267 0.267 0.267 rg
BT 560.560 274.437 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 261.025 Td /F1 9.8 Tf  [(Older children are vaccinated through school-based programs that are also under the responsibility of public community health )] TJ ET
BT 26.250 249.120 Td /F1 9.8 Tf  [(services clinics. Vaccination is not mandatory in Quebec. The results of the 2014 population-based childhood vaccine coverage )] TJ ET
BT 26.250 237.216 Td /F1 9.8 Tf  [(survey showed that 80% of one-year-old children and 71% of two-years-old children had received all doses of recommended )] TJ ET
BT 26.250 225.311 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 66.888 226.818 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 71.707 225.311 Td /F1 9.8 Tf  [( In 2013, 78% of girls in Grade 4 received the 2 recommended doses of the HPV vaccine)] TJ ET
0.267 0.267 0.267 rg
BT 454.852 226.818 Td /F4 8.7 Tf  [(2)] TJ ET
0.271 0.267 0.267 rg
BT 459.671 225.311 Td /F1 9.8 Tf  [( and 86% of boys and girls )] TJ ET
BT 26.250 213.406 Td /F1 9.8 Tf  [(in Grade 4 received the 2 recommended doses of the hepatitis B vaccine.)] TJ ET
0.267 0.267 0.267 rg
BT 343.281 214.913 Td /F4 8.7 Tf  [(3)] TJ ET
0.271 0.267 0.267 rg
BT 348.100 213.406 Td /F1 9.8 Tf  [( Although these vaccine uptake rates are high, the )] TJ ET
BT 26.250 201.501 Td /F1 9.8 Tf  [(objective to vaccinate 95% of children is still not reached. Studies in Quebec have highlighted that, despite publicly funded )] TJ ET
BT 26.250 189.597 Td /F1 9.8 Tf  [(vaccination programs, access to vaccination services was sometimes problematic and important delays were observed in )] TJ ET
BT 26.250 177.692 Td /F1 9.8 Tf  [(obtaining appointments for childhood vaccination.)] TJ ET
0.267 0.267 0.267 rg
BT 239.775 179.199 Td /F4 8.7 Tf  [(4)] TJ ET
0.271 0.267 0.267 rg
BT 244.594 181.580 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 247.003 179.199 Td /F4 8.7 Tf  [(5)] TJ ET
0.271 0.267 0.267 rg
BT 251.822 181.580 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 254.231 179.199 Td /F4 8.7 Tf  [(6)] TJ ET
0.271 0.267 0.267 rg
BT 259.050 177.692 Td /F1 9.8 Tf  [( Results of other studies have shown that parental vaccine hesitancy also )] TJ ET
BT 26.250 165.787 Td /F1 9.8 Tf  [(has a negative impact on vaccine uptake rates.)] TJ ET
0.267 0.267 0.267 rg
BT 229.479 167.294 Td /F4 8.7 Tf  [(1)] TJ ET
0.271 0.267 0.267 rg
BT 234.298 169.675 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 236.707 167.294 Td /F4 8.7 Tf  [(7)] TJ ET
0.271 0.267 0.267 rg
BT 241.526 169.675 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 243.935 167.294 Td /F4 8.7 Tf  [(8)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 146.382 Td /F1 9.8 Tf  [(The WHO Strategic Advisory Group of Experts \(SAGE\) Working Group on Vaccine Hesitancy defined vaccine hesitancy as )] TJ ET
BT 26.250 134.478 Td /F1 9.8 Tf  [(�delay in acceptance or refusal of vaccines despite availability of vaccine services.�)] TJ ET
0.267 0.267 0.267 rg
BT 383.344 135.985 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 388.162 134.478 Td /F1 9.8 Tf  [( According to this group, the scope of )] TJ ET
BT 26.250 122.573 Td /F1 9.8 Tf  [(vaccine hesitancy includes instances where �vaccine acceptance in a specific setting is lower than would be expected, given the )] TJ ET
BT 26.250 110.668 Td /F1 9.8 Tf  [(availability of vaccination services.�)] TJ ET
0.267 0.267 0.267 rg
BT 177.960 112.175 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 182.779 110.668 Td /F1 9.8 Tf  [( A vaccine-hesitant person can delay, be reluctant \(but still accept\), or refuse one, some or )] TJ ET
BT 26.250 98.763 Td /F1 9.8 Tf  [(all vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 79.349 100.271 Td /F4 8.7 Tf  [(10)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 79.359 Td /F1 9.8 Tf  [(Although increasingly used, the term vaccine hesitancy has been criticized as being an �ambiguous notion with an uncertain )] TJ ET
BT 26.250 67.454 Td /F1 9.8 Tf  [(theoretical background�.)] TJ ET
0.267 0.267 0.267 rg
BT 130.838 68.961 Td /F4 8.7 Tf  [(11)] TJ ET
0.271 0.267 0.267 rg
BT 140.476 67.454 Td /F1 9.8 Tf  [( The fact that vaccine hesitancy encompasses a heterogeneous group of individuals with diverse )] TJ ET
BT 26.250 55.549 Td /F1 9.8 Tf  [(attitudes and behaviors makes the operationalization of this concept challenging.)] TJ ET
0.267 0.267 0.267 rg
BT 374.179 57.056 Td /F4 8.7 Tf  [(10)] TJ ET
0.271 0.267 0.267 rg
BT 383.816 55.549 Td /F1 9.8 Tf  [( Although survey instruments have been )] TJ ET
BT 26.250 43.644 Td /F1 9.8 Tf  [(developed and validated in the US)] TJ ET
0.267 0.267 0.267 rg
BT 174.752 45.152 Td /F4 8.7 Tf  [(12)] TJ ET
0.271 0.267 0.267 rg
BT 184.390 47.533 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 186.799 45.152 Td /F4 8.7 Tf  [(13)] TJ ET
0.271 0.267 0.267 rg
BT 196.436 43.644 Td /F1 9.8 Tf  [(, these tools might not be adapted in other contexts.)] TJ ET
0.267 0.267 0.267 rg
BT 420.277 45.152 Td /F4 8.7 Tf  [(14)] TJ ET
0.271 0.267 0.267 rg
BT 429.914 43.644 Td /F1 9.8 Tf  [( This study aims to contribute to )] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(1)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
8 0 obj
<< /Type /Font
/Subtype /Type1
/Name /F1
/BaseFont /Helvetica
/Encoding /WinAnsiEncoding
>>
endobj
9 0 obj
<< /Type /Font
/Subtype /Type1
/Name /F2
/BaseFont /Times-Bold
/Encoding /WinAnsiEncoding
>>
endobj
10 0 obj
<< /Type /Font
/Subtype /Type1
/Name /F3
/BaseFont /Times-Italic
/Encoding /WinAnsiEncoding
>>
endobj
11 0 obj
<< /Type /Font
/Subtype /Type1
/Name /F4
/BaseFont /Helvetica-Bold
/Encoding /WinAnsiEncoding
>>
endobj
12 0 obj
<<
/Type /XObject
/Subtype /Image
/Width 500
/Height 52
/Filter /FlateDecode
/DecodeParms << /Predictor 15 /Colors 1 /Columns 500 /BitsPerComponent 8>>
/ColorSpace /DeviceGray
/BitsPerComponent 8
/Length 144>>
stream
x���1
0���'ݲ؎�"e����{��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��dz��A��tlM0\
endstream
endobj
13 0 obj
<<
/Type /XObject
/Subtype /Image
/Width 500
/Height 52
/SMask 12 0 R
/Filter /FlateDecode
/DecodeParms << /Predictor 15 /Colors 3 /Columns 500 /BitsPerComponent 8>>
/ColorSpace /DeviceRGB
/BitsPerComponent 8
/Length 9410>>
stream
x��y\SG����FI��ʎ ���
�^d���Zq�(Z}�֥Z���
���
*��E�ZwQA@A�,�!�������}oB���S{��1s�,wb�̜9sF"    �� ��
     x�ʝ�����P� �r'   �!�;


���W�<���wvv����h��W�/^�������s��{/�����@ޭ��ryoo�B�в���H;;;GGG///�#�R)�����R�[JAJ�R.��ݭ   �k>�$�O�8���3OO�Y�f���jS�R�$��ÆL&�t�����[[[�M��t�Rss��7�_IQQQuu���w7����D#˖-C%ׯ_�YX
�"''[�����=���|���nnnw+�
��,s���ߙ���
r�\��@,���bS
���4�N��B�����ݭ   �@����ť��
�{ԨQ�G


<���666��b2�l```cccbbbnnnll��ag�QM
(�ʪ����n��!�H:::l6����a�2���


J��bnnnff��5����������������A�c```dddnn�f��/������������E&���陘�����yx��-�˕J�T*������t�\.��\.wpp2d��訪�b�X4
� >���Ѐn��/���
-����͛7���d2�������b߅��}��*�RiaaaccAPKK��srr�
WϞ=��d...���"�����B��)� 
e������I$������v2�lhhhooO���W���<�/..���1bDhh�˗/AbII��ݻ'N���@�s�̙�o�b��x񢞞*���Uk�r劓�Szzz���vvvAAAiii<P�.
g͚5d�===]]]���_�x���h���.^�8�|�FCqtt�?��˗�\�;�jii��_�M��:X[[ϙ3���󍍍ڴ*55u���e��ۏ92~�xlk���AS[ZZlmm9Nnn.��ϼ��kkkA����q�+�F�:|�p__���7nV�N�'&&VVVb[��us��
Oϝ;gee�k�.�B�m�СC)ʓ'O�q���c.\@���s���h�����\����S��$ ��y�rG�����˗����o�>l�0�LLL>��E����s���wDD:w����x�\.�H$�ݻw���������eeej�S�{V���h��������/_�ĉ����'Oj�#J��ҥKZ6c���W�^�PZUU�̙3�YNXX��˗%�涽S�wvv._�������, ���ldd�f�333�\gϞ� ��ݽ��
�lٲ�B��������z��/^�pqq� hԨQ���AAA&&&��ȷ�~��������������]�v��W�^e�Xzzz�N�¾�͆a�Ν;�����ɾ��Uxxxpp0x�w�^����bbb�L�bdd�`0pS
�-�V�(ϟ?�2e
������^���r���+�]�v��xvv6X2֭[��с������k
�����goQˬY����X,։'�|G�X�v��
ٵ���/�TK������ղ*��*��x�r?x� �Je0+V�����yϞ=�|�P(���Ο?���)�Ǐ���))))d2966���������.X���	&����#F���dgg#"��~��Wkkk��ݻd6l���iӐ?ve����yz^^���A���`&�p8
��ݻ�T*�Dk׮� h���.�h���h"� W�^�!  @�6w����y��=~����`�ȑT*U"�������WWW?~|���@rʔ)�/_>u���,6o����m�4>���p8*Rk����3g������2�0k9Ztww/^��ĉj�D"���oy<^JJ
��B��r��}�nݺ�e92���^�x1j�(mmm/^��d���iii�cc�%K��@]]]`�:thtt�:::ЧJ���!�P(���������]]]�B�4�j
�BGGG ,]���d~��g�m��h4�J�B��&xP��g��ݻ���2��$ � �J�s�\��CCC�͛7r�H���������j[[ۃ���$%%�_obbbVV���qjjjrr�#G���v��������������c�ʕ��(������IOOGS�����F���������B�DGGz�@!�Huuu���:::�w� h�ر��L����>�B��充�eee,����A��Ç�/���a���	�A�������������dɒ�Ǐ{zz���2�l���(.,,,���߾���ɓ'GEEM�0�/�5
���6���������ħO�ZYY}���7o�LLL���		���@D"��X,A


LMM�d�C���+""��aXGG�J�j�����g�p��l�O?���z>���LMM���4P(���b=����U�6n�8m�4�Y`oozO��2���l6�F��6
U���MMM
�����,�ƍ�5�0
��d2MMM�=����/-++=z4At:������t��={z{{�̆
p���G�����1�L��/_��...UUU8�� }}}�ׯ� h�ʕ��)((@M����{���܁�������<~����>**��d��999�Ν���<p����H
�7n�p8�W�644��񉎎^�reXX؞={���,,,���kkk����m�������;|�p�:Tgg�;v ðT*}���}��B!V��~@����&`�Ue���g�vqq�p8�������;v���')��w���駟~���566������G`|hiiy��Evv�����J%�F۸q�G}4��������kjj�����
��O��6��T*�������w��)//wqq�駟��)
��d2ϝ;AЎ;�����'�=<<���!��d����*`�H$�֭����x�bll�H$�~���?bĈ���ݻw�����|󍫫맟~�ev�T�������q8�����O���
�pFFvL���a2�G��&VUUEEE���={644TGG̿$Ill,�DZ�b�;Gՙ���V���o͚5���%77W�Tn�b�
���`���ϟ��'$$�ʓ��ŋ���$�S�?Lww��k�������P/C
h���D���H�Z[[�ʴ���5�B������;v� ($$��D7T�B!gkk��	/++svv���999]]]`o��ￗJ���P���Wے��<����6~��g��C��������	������d�U�9E:}�tmmm{{��+W�}3`Huqq��2�H��/�8;;Ϙ1���~�����؅!���t��%K�J�͛7�#Qڃ�YF�R###�c`2h�uuu���a^�`Ajj�ȑ#U��=�RU�z��mprG5�@ ؾ};6EWWwҤI+W�

��&�9s�L�UPP0k֬.���ܾ}{Μ9�'O+	&�9y�d�\~�ر3g��x��'O��t��3
��`0<==CCC���k#��d2��JHH066޶m۫W�p2����������Nu��c�`iiy��qpPN�ﱠ� ..�������i�W<*�B4c��HgVVóf��ڻ+**n߾=m�4��`hh���f��qA������r��G4���-��p�t:}@>�(���X'����?���*��IMMuwwǥ�y������?r�<--m�����������ȍ7�H�7n̛7/((h�̙Ǐ�r���ׯ!���ILLtuu���^�p���ϒ%K��꼽�gϞ�:�(�J�B
�I$Һu��~�zAA
@� (,,lܸqB�p��ݨ�V*��ܼy������������w�֭h	r�xF�[[���L;;;��^j7TϜ9s�����D777WW���Z������:���͟�=%%�����˗�V�B�rAA
�QQQ�<EEE0���*L&s˖-`�
��r8���(�L��ɓ�6QU�eee�Z�mll�%�_��S%���IIIXo}����oڴ	�������c�<<<T7�b������¢������Z�0��޸qcƌR�������5$$$??=�4lذ���y��I�R���|��S�Na�\���lll���@����%&&R��+W�
:�ncccoozIGGg������W�^EGJ333KKK�#�zzz�������Dl6{ذaVVV�y���SVV���	6��D244�P(�
�M�6mذ������������377W�J���߈�M[[ې!C�������ڢ��������?�ޠ��7��
A��њ�D�6wgg缼����K�.;v,""B�m��`dP�2�c����cm����Q��


U*�2��?�����2d���W^^�6
�	?���������<O�|�X����|~OO��{577wuu�߲H$����y1�\B�%��Z[[�\.z&�����@ �i/�T����=�v�@�ہ����r�b�'�����������rqg�	��h�s���J��������޼y��_��☘��8p�J������f�TQQ����v�Z�T
��"�H"�0
��x��Ռ3� A�i���1cƀ�xaijj¥XXX�nت�J�zxx�<gD"Q[[���ѪU������.�Px�޽������]�v
w����ž�REOO����}G ��=��B�P�YEWWW�4�?�Rծ�("L&
�Z4��
���lnn��������Ņ��w���ݬ���s�L���jժݻws����Jp�I&������X�k(��������$��J]�l٠�
J$\��3�8T5���СC�������g����h_)


�f4)w��0���0lkk�����pq����"�L6~����$ss�E��]��;��
�������.\��U��F�m߾}Ĉ�\
Ή^3���
-���,;;{Æ
8;2AJJJ���+**������@��2d2����6O�T���r8CCC:�����6cAA�T*�8q���^LL̚5kƎ�u��%K���lt�������
Aн{�<==�z&����<o޼��Ghjj���)MMMr��?]�E�P�Z�Ahb�#��֭���MOO���immU{��/֯_���?kiҌD"�D2��D"1��a�\.�v`
�
�k�ryGG���a��d�H___WW�B��a�N���ĄB!�M��h���R��`ð��
�D����L&�zdI�R�D����f
㫾�>�[�P(ZZZ
�����F�|��~4��9���Iwwwii)H�J����dj�����>x��J��=:;;�����������W��~4442d����L�&����w��M�6������q[�


����6y�?�d���XUA����߿��ӧk֬qppPk��s�εk��v5 ��аf�???//��'���ܺug}���JHH��$''�۷x���GFF����駾��


�'O�t����������O```||����qWq-X����7888!!
gq���3f���oPP���oDDDuu5�-z{{�.]
NW�~�:�L.��s�N��].�?~|���cǎ�>}��[��# �0x�9o???�R��?��p__��i��˗;;;9ΪU���꫱c�N�0!//�ʕ+4
y
X䳳�]]]5��������nnn��ᩩ����j��___�r�r�����D�3J�Rpr�B��:����ׯ��qBB��N�@ �w��@ڮ���B__߼�����;v,_���`������aH$����MI�����iCC�iӦ��İ�l�R9s��iӦ��q���������͘1���q������آ^�~mbb*���°���|�D"			�9s�̙3cccq�� �������������F>}���o�������,^��'� w��MJJ���NOO'�Hk֬y/�+�ahv������s�ڵ�^����Z�t����Z�����ϟBdhh���
��֭[�~�3���Is��������Gf�X��1W���Fյ?�F[�z���JOO�ڛ��^ZZ��I$��^Y����_hh�;]!������p-?q℮��#GД�O���ۃ�=(˖-ù��X�bҤI��Μ9�������YYYao�@���#55A���^{{{l䉝;wzyy���jQ*����T*����֭[��G����}����ׯ���]]]���Ч�dΜ9^^^�P(���ohh�.��w��}}}]]]����lْ��������k�P���s*��T*{{{E"Q{{{eeeIIɃ8Ξ={bcc!������
�ߠ� ss�w�6*]?�p� ��
���0�
���o���
�b�ܹ����, �}JJ�j]��������u߾}�=


����y�ϙ3租~•����w��~��昐�PYY�aÆ�������
���nK �:���Rd2�N�.`�������y����C�%$$�x�;v�����ӧO322�lv~~>ֻ�D"Y[[߸q�ŋ#G�d��j��|�W�t:�g������p�>}ZZZ*�H�Ν���+�ˁ��H$244trr���X�hv��d2�J;;;ϛ7oMT�B.�WVV����j(���d2W�^�����J���m۶ݺu+..������H�T���O�:UTT�Z����E�ЏG�ٸq#A׮]������/ǏoooA�P(T�����О������ٳg�/���#G�<y�dp{�8�T�P(�t钝�]VV�B�pvv�
�0\SSSXXx��=>��>���uuu������R�T__?>>����{�nkk�
�<y�p�¦�&pg��_�ti@@��ӧq��4�����z�jDD�ʕ+����ނK@���F��ܹ�F�mذ���:<<<>>��ɓl6{߾}�oߎ��1b�>���366���uww�}��ݻw---�[� �y�fNN�JMNN���#�H8������D"yyy�ڵ���-99��~P�����Ǐ�h4kkk�R��Ԥ��� ��Ν��YZRRr��1�iaaaaa�������!C***T��
�h���z�P�Sv(��RYY��R�� ##��`���XXX�y����]�H����˗/[[[��w�X �ɽ��UUU,(���lᩩ����������������߲e��D"	�L�x�b�/knn�������m۶���M�6�7nKF�6��p[&A.\��
�1117o������p����A��Ç�!����B�&�/�?�������Iqq1� b�8<<����ԩSQ;�\.�/��5�ס��.<<<�o߮�iww����͛7��'O�����nm���\�t)��dɒ�� \i���Æ
;v�؃._�������T`„	cƌ�a�ܹs��;w����T
A>��`0��ݗ-[��_yzzb�ZN�8�������3F�"����x�����& ��Qc���O&L��ښMLL>���q�ܹ������_~����Y����͛WYY3w�\���ܜ��:w�ܚ��E��^�������ۿpp��
	ߺu+ֈ�z�I30������:LLLF�y�����vէT*��������N�R�����8�+�J�5a��ɓ'gddtuua�0 :i�$��
E�H?��������GGG�D
������E
�L޸q����9s�޽�+
ݷ=z��s�<<<PN�jU~ii�W�p����S�N��T�̙3+++���333��>>>���z�*==���Hnڴ	��
��ḙ;���
������B4{CC֦�%III����-A5�6L�:���i~�wz�������ac�!r��]]]�������˗/GSZZZlmm��ߏ+S��xˠ�����k׮��7o~����ƭ�v�����ݟ����-V���3$$$**
M9z������Ǐ[[[��Ç
v��}�i{{{tt4��������344T[
��Vw������ܹl	B4r����@��L&���GEE�sϐ������6hҤI8�7v�X�����
T5?z�[BWWWFF�f�{�O>��ĉ]]]jSYY�t�RmN�.\�PuxPE����Ν311�8q�Ν;

Ξ=�p�B������J"�lݺUGGg͚57o�<{�������]II	���������333���׮]{��񴴴aÆy{{c����O@�ÇS��_�}�g�SSӴ��cǎedd�9s�e<}�4��
>QΜ9cdd�����СCC����G���EDD6�Ν;`<���tsssvv>y�dnnnTT���ɪU��ٷS���ҽ{���S��!++�.�j����:N�����%5��ѡ:���CBBԆ�-//?r�Ȕ)SpG�
QQQǎC/���۷o�^�Z�h�b�bbb���58}c�2���O�n��G�>r䈪����k˖-���666���&M����UO�������oܸaiiioo���lgg���K�@hh(�.\*�&$$DFF��Ξ=k``���8b�GGGwww4o\\\RR.���7o����������u>�?}�t0�*�ʲ����H333�q�����р	����`
���x<^ss3��koow)XZZ��h@�X��rU]��C.���������ÇP|���{0[YYi����<�)okk#�����������C��B����mhhhii
���b&�9t�PKKK+++�������������wJvtt��Ԉ�b*�jbbҟ� eee���d2���
��KKK�X,�^�
A�H$���#
�D���Ǎ��_��p8��������htvv��֢�-�H$'''��_]]
���%�˛��(
p�
����fff�/kkkmm��ѣ�݂��檪*�Baee���h��^�c
���v�y��ќ9s�R�I������+�
A�}�
W�� ��^�����B$''g���~~~�P�(���S(G��������r�j��d2��hvP��2�d2�������
Ǔ'O���@�w�Ph``����a�"��v�O0 �N�: �-V������/^�����O����+V(�������
]oD���>��#   �̀����5�
A�������a��e�A�d��,�a��Fm�y�ر۶mc�Xfff�֭CC���L�P(�J"   ����x��W�~�?�� �;


���	>@�N@@@�
���'ZG
endstream
endobj
14 0 obj
<< /Type /Annot
/Subtype /Link
/A 15 0 R
/Border [0 0 0]
/H /I
/Rect [ 15.0000 716.1516 447.2220 736.9416 ]
>>
endobj
15 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/article/parental-vaccine-hesitancy-in-quebec-canada/)
>>
endobj
16 0 obj
<< /Type /Annot
/Subtype /Link
/A 17 0 R
/Border [0 0 0]
/H /I
/Rect [ 82.4310 699.1581 147.6877 708.8106 ]
>>
endobj
17 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/article_category/research-article/)
>>
endobj
18 0 obj
<< /Type /Annot
/Subtype /Link
/A 19 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 687.2933 69.0623 697.2140 ]
>>
endobj
19 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/evedube/)
>>
endobj
20 0 obj
<< /Type /Annot
/Subtype /Link
/A 21 0 R
/Border [0 0 0]
/H /I
/Rect [ 74.4832 687.2933 158.4795 697.2140 ]
>>
endobj
21 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/dominiqueg/)
>>
endobj
22 0 obj
<< /Type /Annot
/Subtype /Link
/A 23 0 R
/Border [0 0 0]
/H /I
/Rect [ 163.9005 687.2933 211.0515 697.2140 ]
>>
endobj
23 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/zhou/)
>>
endobj
24 0 obj
<< /Type /Annot
/Subtype /Link
/A 25 0 R
/Border [0 0 0]
/H /I
/Rect [ 216.4725 687.2933 316.7220 697.2140 ]
>>
endobj
25 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/gdeceuninck/)
>>
endobj
26 0 obj
<< /Type /Annot
/Subtype /Link
/A 27 0 R
/Border [0 0 0]
/H /I
/Rect [ 560.5598 273.6354 565.3784 282.4538 ]
>>
endobj
27 0 obj
<< /Type /Action
>>
endobj
28 0 obj
<< /Type /Annot
/Subtype /Link
/A 29 0 R
/Border [0 0 0]
/H /I
/Rect [ 66.8880 226.0164 71.7067 234.8348 ]
>>
endobj
29 0 obj
<< /Type /Action
>>
endobj
30 0 obj
<< /Type /Annot
/Subtype /Link
/A 31 0 R
/Border [0 0 0]
/H /I
/Rect [ 454.8524 226.0164 459.6711 234.8348 ]
>>
endobj
31 0 obj
<< /Type /Action
>>
endobj
32 0 obj
<< /Type /Annot
/Subtype /Link
/A 33 0 R
/Border [0 0 0]
/H /I
/Rect [ 343.2810 214.1117 348.0997 222.9300 ]
>>
endobj
33 0 obj
<< /Type /Action
>>
endobj
34 0 obj
<< /Type /Annot
/Subtype /Link
/A 35 0 R
/Border [0 0 0]
/H /I
/Rect [ 239.7750 178.3974 244.5937 187.2157 ]
>>
endobj
35 0 obj
<< /Type /Action
>>
endobj
36 0 obj
<< /Type /Annot
/Subtype /Link
/A 37 0 R
/Border [0 0 0]
/H /I
/Rect [ 247.0030 178.3974 251.8217 187.2157 ]
>>
endobj
37 0 obj
<< /Type /Action
>>
endobj
38 0 obj
<< /Type /Annot
/Subtype /Link
/A 39 0 R
/Border [0 0 0]
/H /I
/Rect [ 254.2310 178.3974 259.0497 187.2157 ]
>>
endobj
39 0 obj
<< /Type /Action
>>
endobj
40 0 obj
<< /Type /Annot
/Subtype /Link
/A 41 0 R
/Border [0 0 0]
/H /I
/Rect [ 229.4790 166.4927 234.2977 175.3110 ]
>>
endobj
41 0 obj
<< /Type /Action
>>
endobj
42 0 obj
<< /Type /Annot
/Subtype /Link
/A 43 0 R
/Border [0 0 0]
/H /I
/Rect [ 236.7070 166.4927 241.5257 175.3110 ]
>>
endobj
43 0 obj
<< /Type /Action
>>
endobj
44 0 obj
<< /Type /Annot
/Subtype /Link
/A 45 0 R
/Border [0 0 0]
/H /I
/Rect [ 243.9350 166.4927 248.7537 175.3110 ]
>>
endobj
45 0 obj
<< /Type /Action
>>
endobj
46 0 obj
<< /Type /Annot
/Subtype /Link
/A 47 0 R
/Border [0 0 0]
/H /I
/Rect [ 383.3438 135.1832 388.1624 144.0015 ]
>>
endobj
47 0 obj
<< /Type /Action
>>
endobj
48 0 obj
<< /Type /Annot
/Subtype /Link
/A 49 0 R
/Border [0 0 0]
/H /I
/Rect [ 177.9600 111.3737 182.7787 120.1920 ]
>>
endobj
49 0 obj
<< /Type /Action
>>
endobj
50 0 obj
<< /Type /Annot
/Subtype /Link
/A 51 0 R
/Border [0 0 0]
/H /I
/Rect [ 79.3485 99.4689 88.9858 108.2872 ]
>>
endobj
51 0 obj
<< /Type /Action
>>
endobj
52 0 obj
<< /Type /Annot
/Subtype /Link
/A 53 0 R
/Border [0 0 0]
/H /I
/Rect [ 130.8383 68.1594 140.4756 76.9777 ]
>>
endobj
53 0 obj
<< /Type /Action
>>
endobj
54 0 obj
<< /Type /Annot
/Subtype /Link
/A 55 0 R
/Border [0 0 0]
/H /I
/Rect [ 374.1787 56.2547 383.8161 65.0730 ]
>>
endobj
55 0 obj
<< /Type /Action
>>
endobj
56 0 obj
<< /Type /Annot
/Subtype /Link
/A 57 0 R
/Border [0 0 0]
/H /I
/Rect [ 174.7523 44.3499 184.3896 53.1682 ]
>>
endobj
57 0 obj
<< /Type /Action
>>
endobj
58 0 obj
<< /Type /Annot
/Subtype /Link
/A 59 0 R
/Border [0 0 0]
/H /I
/Rect [ 186.7989 44.3499 196.4363 53.1682 ]
>>
endobj
59 0 obj
<< /Type /Action
>>
endobj
60 0 obj
<< /Type /Annot
/Subtype /Link
/A 61 0 R
/Border [0 0 0]
/H /I
/Rect [ 420.2768 44.3499 429.9141 53.1682 ]
>>
endobj
61 0 obj
<< /Type /Action
>>
endobj
62 0 obj
<< /Type /Annot
/Subtype /Link
/A 63 0 R
/Border [0 0 0]
/H /I
/Rect [ 15.0000 716.1516 447.2220 736.9416 ]
>>
endobj
63 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/article/parental-vaccine-hesitancy-in-quebec-canada/)
>>
endobj
64 0 obj
<< /Type /Annot
/Subtype /Link
/A 65 0 R
/Border [0 0 0]
/H /I
/Rect [ 82.4310 699.1581 147.6877 708.8106 ]
>>
endobj
65 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/article_category/research-article/)
>>
endobj
66 0 obj
<< /Type /Annot
/Subtype /Link
/A 67 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 687.2933 69.0623 697.2140 ]
>>
endobj
67 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/evedube/)
>>
endobj
68 0 obj
<< /Type /Annot
/Subtype /Link
/A 69 0 R
/Border [0 0 0]
/H /I
/Rect [ 74.4832 687.2933 158.4795 697.2140 ]
>>
endobj
69 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/dominiqueg/)
>>
endobj
70 0 obj
<< /Type /Annot
/Subtype /Link
/A 71 0 R
/Border [0 0 0]
/H /I
/Rect [ 163.9005 687.2933 211.0515 697.2140 ]
>>
endobj
71 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/zhou/)
>>
endobj
72 0 obj
<< /Type /Annot
/Subtype /Link
/A 73 0 R
/Border [0 0 0]
/H /I
/Rect [ 216.4725 687.2933 316.7220 697.2140 ]
>>
endobj
73 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/gdeceuninck/)
>>
endobj
74 0 obj
<< /Type /Annot
/Subtype /Link
/A 75 0 R
/Border [0 0 0]
/H /I
/Rect [ 560.5598 273.6354 565.3784 282.4538 ]
>>
endobj
75 0 obj
<< /Type /Action
>>
endobj
76 0 obj
<< /Type /Annot
/Subtype /Link
/A 77 0 R
/Border [0 0 0]
/H /I
/Rect [ 66.8880 226.0164 71.7067 234.8348 ]
>>
endobj
77 0 obj
<< /Type /Action
>>
endobj
78 0 obj
<< /Type /Annot
/Subtype /Link
/A 79 0 R
/Border [0 0 0]
/H /I
/Rect [ 454.8524 226.0164 459.6711 234.8348 ]
>>
endobj
79 0 obj
<< /Type /Action
>>
endobj
80 0 obj
<< /Type /Annot
/Subtype /Link
/A 81 0 R
/Border [0 0 0]
/H /I
/Rect [ 343.2810 214.1117 348.0997 222.9300 ]
>>
endobj
81 0 obj
<< /Type /Action
>>
endobj
82 0 obj
<< /Type /Annot
/Subtype /Link
/A 83 0 R
/Border [0 0 0]
/H /I
/Rect [ 239.7750 178.3974 244.5937 187.2157 ]
>>
endobj
83 0 obj
<< /Type /Action
>>
endobj
84 0 obj
<< /Type /Annot
/Subtype /Link
/A 85 0 R
/Border [0 0 0]
/H /I
/Rect [ 247.0030 178.3974 251.8217 187.2157 ]
>>
endobj
85 0 obj
<< /Type /Action
>>
endobj
86 0 obj
<< /Type /Annot
/Subtype /Link
/A 87 0 R
/Border [0 0 0]
/H /I
/Rect [ 254.2310 178.3974 259.0497 187.2157 ]
>>
endobj
87 0 obj
<< /Type /Action
>>
endobj
88 0 obj
<< /Type /Annot
/Subtype /Link
/A 89 0 R
/Border [0 0 0]
/H /I
/Rect [ 229.4790 166.4927 234.2977 175.3110 ]
>>
endobj
89 0 obj
<< /Type /Action
>>
endobj
90 0 obj
<< /Type /Annot
/Subtype /Link
/A 91 0 R
/Border [0 0 0]
/H /I
/Rect [ 236.7070 166.4927 241.5257 175.3110 ]
>>
endobj
91 0 obj
<< /Type /Action
>>
endobj
92 0 obj
<< /Type /Annot
/Subtype /Link
/A 93 0 R
/Border [0 0 0]
/H /I
/Rect [ 243.9350 166.4927 248.7537 175.3110 ]
>>
endobj
93 0 obj
<< /Type /Action
>>
endobj
94 0 obj
<< /Type /Annot
/Subtype /Link
/A 95 0 R
/Border [0 0 0]
/H /I
/Rect [ 383.3438 135.1832 388.1624 144.0015 ]
>>
endobj
95 0 obj
<< /Type /Action
>>
endobj
96 0 obj
<< /Type /Annot
/Subtype /Link
/A 97 0 R
/Border [0 0 0]
/H /I
/Rect [ 177.9600 111.3737 182.7787 120.1920 ]
>>
endobj
97 0 obj
<< /Type /Action
>>
endobj
98 0 obj
<< /Type /Annot
/Subtype /Link
/A 99 0 R
/Border [0 0 0]
/H /I
/Rect [ 79.3485 99.4689 88.9858 108.2872 ]
>>
endobj
99 0 obj
<< /Type /Action
>>
endobj
100 0 obj
<< /Type /Annot
/Subtype /Link
/A 101 0 R
/Border [0 0 0]
/H /I
/Rect [ 130.8383 68.1594 140.4756 76.9777 ]
>>
endobj
101 0 obj
<< /Type /Action
>>
endobj
102 0 obj
<< /Type /Annot
/Subtype /Link
/A 103 0 R
/Border [0 0 0]
/H /I
/Rect [ 374.1787 56.2547 383.8161 65.0730 ]
>>
endobj
103 0 obj
<< /Type /Action
>>
endobj
104 0 obj
<< /Type /Annot
/Subtype /Link
/A 105 0 R
/Border [0 0 0]
/H /I
/Rect [ 174.7523 44.3499 184.3896 53.1682 ]
>>
endobj
105 0 obj
<< /Type /Action
>>
endobj
106 0 obj
<< /Type /Annot
/Subtype /Link
/A 107 0 R
/Border [0 0 0]
/H /I
/Rect [ 186.7989 44.3499 196.4363 53.1682 ]
>>
endobj
107 0 obj
<< /Type /Action
>>
endobj
108 0 obj
<< /Type /Annot
/Subtype /Link
/A 109 0 R
/Border [0 0 0]
/H /I
/Rect [ 420.2768 44.3499 429.9141 53.1682 ]
>>
endobj
109 0 obj
<< /Type /Action
>>
endobj
110 0 obj
<< /Type /Annot
/Subtype /Link
/A 111 0 R
/Border [0 0 0]
/H /I
/Rect [ 15.0000 716.1516 447.2220 736.9416 ]
>>
endobj
111 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/article/parental-vaccine-hesitancy-in-quebec-canada/)
>>
endobj
112 0 obj
<< /Type /Annot
/Subtype /Link
/A 113 0 R
/Border [0 0 0]
/H /I
/Rect [ 82.4310 699.1581 147.6877 708.8106 ]
>>
endobj
113 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/article_category/research-article/)
>>
endobj
114 0 obj
<< /Type /Annot
/Subtype /Link
/A 115 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 687.2933 69.0623 697.2140 ]
>>
endobj
115 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/evedube/)
>>
endobj
116 0 obj
<< /Type /Annot
/Subtype /Link
/A 117 0 R
/Border [0 0 0]
/H /I
/Rect [ 74.4832 687.2933 158.4795 697.2140 ]
>>
endobj
117 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/dominiqueg/)
>>
endobj
118 0 obj
<< /Type /Annot
/Subtype /Link
/A 119 0 R
/Border [0 0 0]
/H /I
/Rect [ 163.9005 687.2933 211.0515 697.2140 ]
>>
endobj
119 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/zhou/)
>>
endobj
120 0 obj
<< /Type /Annot
/Subtype /Link
/A 121 0 R
/Border [0 0 0]
/H /I
/Rect [ 216.4725 687.2933 316.7220 697.2140 ]
>>
endobj
121 0 obj
<< /Type /Action
/S /URI
/URI (http://currents.plos.org/outbreaks/author/gdeceuninck/)
>>
endobj
122 0 obj
<< /Type /Annot
/Subtype /Link
/A 123 0 R
/Border [0 0 0]
/H /I
/Rect [ 560.5598 273.6354 565.3784 282.4538 ]
>>
endobj
123 0 obj
<< /Type /Action
>>
endobj
124 0 obj
<< /Type /Annot
/Subtype /Link
/A 125 0 R
/Border [0 0 0]
/H /I
/Rect [ 66.8880 226.0164 71.7067 234.8348 ]
>>
endobj
125 0 obj
<< /Type /Action
>>
endobj
126 0 obj
<< /Type /Annot
/Subtype /Link
/A 127 0 R
/Border [0 0 0]
/H /I
/Rect [ 454.8524 226.0164 459.6711 234.8348 ]
>>
endobj
127 0 obj
<< /Type /Action
>>
endobj
128 0 obj
<< /Type /Annot
/Subtype /Link
/A 129 0 R
/Border [0 0 0]
/H /I
/Rect [ 343.2810 214.1117 348.0997 222.9300 ]
>>
endobj
129 0 obj
<< /Type /Action
>>
endobj
130 0 obj
<< /Type /Annot
/Subtype /Link
/A 131 0 R
/Border [0 0 0]
/H /I
/Rect [ 239.7750 178.3974 244.5937 187.2157 ]
>>
endobj
131 0 obj
<< /Type /Action
>>
endobj
132 0 obj
<< /Type /Annot
/Subtype /Link
/A 133 0 R
/Border [0 0 0]
/H /I
/Rect [ 247.0030 178.3974 251.8217 187.2157 ]
>>
endobj
133 0 obj
<< /Type /Action
>>
endobj
134 0 obj
<< /Type /Annot
/Subtype /Link
/A 135 0 R
/Border [0 0 0]
/H /I
/Rect [ 254.2310 178.3974 259.0497 187.2157 ]
>>
endobj
135 0 obj
<< /Type /Action
>>
endobj
136 0 obj
<< /Type /Annot
/Subtype /Link
/A 137 0 R
/Border [0 0 0]
/H /I
/Rect [ 229.4790 166.4927 234.2977 175.3110 ]
>>
endobj
137 0 obj
<< /Type /Action
>>
endobj
138 0 obj
<< /Type /Annot
/Subtype /Link
/A 139 0 R
/Border [0 0 0]
/H /I
/Rect [ 236.7070 166.4927 241.5257 175.3110 ]
>>
endobj
139 0 obj
<< /Type /Action
>>
endobj
140 0 obj
<< /Type /Annot
/Subtype /Link
/A 141 0 R
/Border [0 0 0]
/H /I
/Rect [ 243.9350 166.4927 248.7537 175.3110 ]
>>
endobj
141 0 obj
<< /Type /Action
>>
endobj
142 0 obj
<< /Type /Annot
/Subtype /Link
/A 143 0 R
/Border [0 0 0]
/H /I
/Rect [ 383.3438 135.1832 388.1624 144.0015 ]
>>
endobj
143 0 obj
<< /Type /Action
>>
endobj
144 0 obj
<< /Type /Annot
/Subtype /Link
/A 145 0 R
/Border [0 0 0]
/H /I
/Rect [ 177.9600 111.3737 182.7787 120.1920 ]
>>
endobj
145 0 obj
<< /Type /Action
>>
endobj
146 0 obj
<< /Type /Annot
/Subtype /Link
/A 147 0 R
/Border [0 0 0]
/H /I
/Rect [ 79.3485 99.4689 88.9858 108.2872 ]
>>
endobj
147 0 obj
<< /Type /Action
>>
endobj
148 0 obj
<< /Type /Annot
/Subtype /Link
/A 149 0 R
/Border [0 0 0]
/H /I
/Rect [ 130.8383 68.1594 140.4756 76.9777 ]
>>
endobj
149 0 obj
<< /Type /Action
>>
endobj
150 0 obj
<< /Type /Annot
/Subtype /Link
/A 151 0 R
/Border [0 0 0]
/H /I
/Rect [ 374.1787 56.2547 383.8161 65.0730 ]
>>
endobj
151 0 obj
<< /Type /Action
>>
endobj
152 0 obj
<< /Type /Annot
/Subtype /Link
/A 153 0 R
/Border [0 0 0]
/H /I
/Rect [ 174.7523 44.3499 184.3896 53.1682 ]
>>
endobj
153 0 obj
<< /Type /Action
>>
endobj
154 0 obj
<< /Type /Annot
/Subtype /Link
/A 155 0 R
/Border [0 0 0]
/H /I
/Rect [ 186.7989 44.3499 196.4363 53.1682 ]
>>
endobj
155 0 obj
<< /Type /Action
>>
endobj
156 0 obj
<< /Type /Annot
/Subtype /Link
/A 157 0 R
/Border [0 0 0]
/H /I
/Rect [ 420.2768 44.3499 429.9141 53.1682 ]
>>
endobj
157 0 obj
<< /Type /Action
>>
endobj
158 0 obj
<< /Type /Page
/Parent 3 0 R
/Annots [ 161 0 R 163 0 R 165 0 R ]
/Contents 159 0 R
>>
endobj
159 0 obj
<<
/Length 24472 >>
stream

0.271 0.267 0.267 rg
q
15.000 57.532 577.500 719.468 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a survey on knowledge, attitudes and )] TJ ET
BT 26.250 755.571 Td /F1 9.8 Tf  [(beliefs \(KAB\) of parents in Quebec \(Canada\). We have compared KAB of parents according to: 1\) self-reported vaccination )] TJ ET
BT 26.250 743.667 Td /F1 9.8 Tf  [(status of their child and 2\) hesitation during the vaccination decision.)] TJ ET
BT 26.250 707.064 Td /F4 12.0 Tf  [(Methods)] TJ ET
BT 26.250 687.110 Td /F1 9.8 Tf  [(Data were collected through the 2014 Quebec study on vaccination against seasonal influenza and pneumococcal infections, a )] TJ ET
BT 26.250 675.205 Td /F1 9.8 Tf  [(biennial repeated cross-sectional study in the province of Quebec, Canada. This paper presents the results pertaining to )] TJ ET
BT 26.250 663.300 Td /F1 9.8 Tf  [(parents� KAB about vaccination; the full report can be found elsewhere.)] TJ ET
0.267 0.267 0.267 rg
BT 332.995 664.808 Td /F4 8.7 Tf  [(15)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 643.896 Td /F1 9.8 Tf  [(Data were collected through a computer-assisted telephone interview survey conducted between March 18 and April 28 2014. )] TJ ET
BT 26.250 631.991 Td /F1 9.8 Tf  [(Stratified random digit dialing \(RDD\) was used to select a geographically representative sample of the general population, )] TJ ET
BT 26.250 620.086 Td /F1 9.8 Tf  [(including parents or caregivers of children aged between 2 months and 17 years of age. Households and respondents were )] TJ ET
BT 26.250 608.181 Td /F1 9.8 Tf  [(both selected randomly. Parents with more than one child aged between 2 months and 17 years of age were asked to answer )] TJ ET
BT 26.250 596.277 Td /F1 9.8 Tf  [(the questions for their youngest child. The interviewers asked the first name \(or nickname\) of that child, which was inserted in )] TJ ET
BT 26.250 584.372 Td /F1 9.8 Tf  [(the question \(e.g. it is important that you have )] TJ ET
BT 226.232 584.372 Td /F5 9.8 Tf  [(Juliet)] TJ ET
BT 248.989 584.372 Td /F1 9.8 Tf  [( vaccinated to protect her against diseases\). Prior to each interview, verbal )] TJ ET
BT 26.250 572.467 Td /F1 9.8 Tf  [(informed consent was obtained from the participant and interviews lasted in average 12.5 minutes. The study protocol was )] TJ ET
BT 26.250 560.562 Td /F1 9.8 Tf  [(approved by the Research Ethics Board of the Research Center of the CHU de Qu�bec � Universit� Laval. Polling firm has )] TJ ET
BT 26.250 548.658 Td /F1 9.8 Tf  [(rigorous policies for ensuring data confidentiality and the research team received a de-identified database. Data were )] TJ ET
BT 26.250 536.753 Td /F1 9.8 Tf  [(aggregated for analysis, and results are presented in order to be unable to identify individual responses.)] TJ ET
BT 26.250 517.348 Td /F1 9.8 Tf  [(Parents were asked 13 questions to measure their KAB about vaccination using a 5-point scale ranging from �Strongly agree� to )] TJ ET
BT 26.250 505.443 Td /F1 9.8 Tf  [(�Strongly disagree�, and including �I do not know.� Self-reported vaccination status of the child was assessed for all participants )] TJ ET
BT 26.250 493.539 Td /F1 9.8 Tf  [(using the question: With the exception of the common flu and H1N1 vaccines, since birth, has <)] TJ ET
BT 437.846 493.539 Td /F5 9.8 Tf  [(NAME)] TJ ET
BT 466.014 493.539 Td /F1 9.8 Tf  [(> had�? Following )] TJ ET
BT 26.250 481.634 Td /F1 9.8 Tf  [(answers were proposed by the interviewer: 1- all the vaccines recommended in the regular Quebec vaccination program; 2- )] TJ ET
BT 26.250 469.729 Td /F1 9.8 Tf  [(some vaccines only; 3- no vaccines. Children were considered up-to-date \(UTD\) when parents answered 1 and they were )] TJ ET
BT 26.250 457.824 Td /F1 9.8 Tf  [(considered non-UTD when parents answered 2 or 3. Respondents who did not answer this question or who answered �I don�t )] TJ ET
BT 26.250 445.920 Td /F1 9.8 Tf  [(know,� were excluded from the analyses. To assess vaccine hesitancy, parents were asked �Have you ever hesitated to have <)] TJ ET
BT 26.250 434.015 Td /F5 9.8 Tf  [(NAME)] TJ ET
BT 54.418 434.015 Td /F1 9.8 Tf  [(> vaccinated?� with the possibility to answer �Yes�, �No�, �I do not know�. Parents who answered �Yes� to that question )] TJ ET
BT 26.250 422.110 Td /F1 9.8 Tf  [(were considered as being vaccine-hesitant, while others were not. All vaccine-hesitant parents were questioned about the main )] TJ ET
BT 26.250 410.205 Td /F1 9.8 Tf  [(reason why they have hesitated \(open-ended question\) and what decision they have finally made regarding their child�s )] TJ ET
BT 26.250 398.301 Td /F1 9.8 Tf  [(vaccination \(four choices were possible: 1-the child has received all vaccines when due; 2- some vaccines were delayed, but )] TJ ET
BT 26.250 386.396 Td /F1 9.8 Tf  [(the child finally has received all vaccines; 3- some vaccines were refused, but the child received some others; and 4- the child )] TJ ET
BT 26.250 374.491 Td /F1 9.8 Tf  [(did not receive any vaccines\). Vaccine-hesitant parents who accepted to give vaccines to their child \(choices 1-2-3\) were then )] TJ ET
BT 26.250 362.586 Td /F1 9.8 Tf  [(asked about the main reasons for having finally accepted some or all vaccines.)] TJ ET
BT 26.250 343.182 Td /F1 9.8 Tf  [(The development of the survey questionnaire was informed by a literature review and expert consultations. The questionnaire )] TJ ET
BT 26.250 331.277 Td /F1 9.8 Tf  [(was pilot tested by telephone with 10 participants to ensure clarity and appropriateness of the survey questions. Minor )] TJ ET
BT 26.250 319.372 Td /F1 9.8 Tf  [(adjustments were made.)] TJ ET
BT 26.250 299.967 Td /F1 9.8 Tf  [(Expansion weights were assigned in order to ensure that the results were representative of the target population by adjusting for )] TJ ET
BT 26.250 288.063 Td /F1 9.8 Tf  [(disproportionate sampling and non-response bias. Weighting was applied to each respondent in the sample based on socio-)] TJ ET
BT 26.250 276.158 Td /F1 9.8 Tf  [(demographic characteristics drawn from the answers of respondents who agreed to participate but who were not eligible )] TJ ET
BT 26.250 264.253 Td /F1 9.8 Tf  [(because of quotas already attained as well as from census data. Comparison of the answers to the KAB questions between )] TJ ET
BT 26.250 252.348 Td /F1 9.8 Tf  [(parents of UTD or non-UTD children and between vaccine-hesitant and non-vaccine-hesitant parents were performed using )] TJ ET
BT 26.250 240.444 Td /F1 9.8 Tf  [(Rao-Scott�s Chi-square test. To investigate which items predicted non-UTD vaccine status and parents� vaccine hesitancy, )] TJ ET
BT 26.250 228.539 Td /F1 9.8 Tf  [(multivariate analyses by weighted logistic regression were run while adjusting for parents� sociodemographic characteristics )] TJ ET
BT 26.250 216.634 Td /F1 9.8 Tf  [(\(number of people in the household, education level, age and sex of the respondent\). All 13 KAB items were included in the )] TJ ET
BT 26.250 204.729 Td /F1 9.8 Tf  [(analyses. For each KAB item, answers have been dichotomized \(�Strongly agree and �Somewhat agree� vs. �Strongly disagree� )] TJ ET
BT 26.250 192.825 Td /F1 9.8 Tf  [(and �Somewhat disagree�\), with the �I don�t know� answers systematically regrouped with the reference category. Items were )] TJ ET
BT 26.250 180.920 Td /F1 9.8 Tf  [(sequentially tested and retained when their p-value was <0.05. All statistical analyses were performed using SAS statistical )] TJ ET
BT 26.250 169.015 Td /F1 9.8 Tf  [(software version 9.3.)] TJ ET
BT 26.250 132.413 Td /F4 12.0 Tf  [(Results)] TJ ET
BT 26.250 112.458 Td /F1 9.8 Tf  [(The overall response rate for the 2014 Quebec study on vaccination against seasonal influenza and pneumococcal infections )] TJ ET
BT 26.250 100.554 Td /F1 9.8 Tf  [(was 35%. A total of 601 parents were interviewed, of these, 12 were excluded because the child�s immunization status was )] TJ ET
BT 26.250 88.649 Td /F1 9.8 Tf  [(missing, leaving 589 parents for analysis. Respondents� characteristics are shown in Table 1.)] TJ ET
Q
q
15.000 57.532 577.500 719.468 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a survey on knowledge, attitudes and )] TJ ET
BT 26.250 755.571 Td /F1 9.8 Tf  [(beliefs \(KAB\) of parents in Quebec \(Canada\). We have compared KAB of parents according to: 1\) self-reported vaccination )] TJ ET
BT 26.250 743.667 Td /F1 9.8 Tf  [(status of their child and 2\) hesitation during the vaccination decision.)] TJ ET
BT 26.250 707.064 Td /F4 12.0 Tf  [(Methods)] TJ ET
BT 26.250 687.110 Td /F1 9.8 Tf  [(Data were collected through the 2014 Quebec study on vaccination against seasonal influenza and pneumococcal infections, a )] TJ ET
BT 26.250 675.205 Td /F1 9.8 Tf  [(biennial repeated cross-sectional study in the province of Quebec, Canada. This paper presents the results pertaining to )] TJ ET
BT 26.250 663.300 Td /F1 9.8 Tf  [(parents� KAB about vaccination; the full report can be found elsewhere.)] TJ ET
0.267 0.267 0.267 rg
BT 332.995 664.808 Td /F4 8.7 Tf  [(15)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 643.896 Td /F1 9.8 Tf  [(Data were collected through a computer-assisted telephone interview survey conducted between March 18 and April 28 2014. )] TJ ET
BT 26.250 631.991 Td /F1 9.8 Tf  [(Stratified random digit dialing \(RDD\) was used to select a geographically representative sample of the general population, )] TJ ET
BT 26.250 620.086 Td /F1 9.8 Tf  [(including parents or caregivers of children aged between 2 months and 17 years of age. Households and respondents were )] TJ ET
BT 26.250 608.181 Td /F1 9.8 Tf  [(both selected randomly. Parents with more than one child aged between 2 months and 17 years of age were asked to answer )] TJ ET
BT 26.250 596.277 Td /F1 9.8 Tf  [(the questions for their youngest child. The interviewers asked the first name \(or nickname\) of that child, which was inserted in )] TJ ET
BT 26.250 584.372 Td /F1 9.8 Tf  [(the question \(e.g. it is important that you have )] TJ ET
BT 226.232 584.372 Td /F5 9.8 Tf  [(Juliet)] TJ ET
BT 248.989 584.372 Td /F1 9.8 Tf  [( vaccinated to protect her against diseases\). Prior to each interview, verbal )] TJ ET
BT 26.250 572.467 Td /F1 9.8 Tf  [(informed consent was obtained from the participant and interviews lasted in average 12.5 minutes. The study protocol was )] TJ ET
BT 26.250 560.562 Td /F1 9.8 Tf  [(approved by the Research Ethics Board of the Research Center of the CHU de Qu�bec � Universit� Laval. Polling firm has )] TJ ET
BT 26.250 548.658 Td /F1 9.8 Tf  [(rigorous policies for ensuring data confidentiality and the research team received a de-identified database. Data were )] TJ ET
BT 26.250 536.753 Td /F1 9.8 Tf  [(aggregated for analysis, and results are presented in order to be unable to identify individual responses.)] TJ ET
BT 26.250 517.348 Td /F1 9.8 Tf  [(Parents were asked 13 questions to measure their KAB about vaccination using a 5-point scale ranging from �Strongly agree� to )] TJ ET
BT 26.250 505.443 Td /F1 9.8 Tf  [(�Strongly disagree�, and including �I do not know.� Self-reported vaccination status of the child was assessed for all participants )] TJ ET
BT 26.250 493.539 Td /F1 9.8 Tf  [(using the question: With the exception of the common flu and H1N1 vaccines, since birth, has <)] TJ ET
BT 437.846 493.539 Td /F5 9.8 Tf  [(NAME)] TJ ET
BT 466.014 493.539 Td /F1 9.8 Tf  [(> had�? Following )] TJ ET
BT 26.250 481.634 Td /F1 9.8 Tf  [(answers were proposed by the interviewer: 1- all the vaccines recommended in the regular Quebec vaccination program; 2- )] TJ ET
BT 26.250 469.729 Td /F1 9.8 Tf  [(some vaccines only; 3- no vaccines. Children were considered up-to-date \(UTD\) when parents answered 1 and they were )] TJ ET
BT 26.250 457.824 Td /F1 9.8 Tf  [(considered non-UTD when parents answered 2 or 3. Respondents who did not answer this question or who answered �I don�t )] TJ ET
BT 26.250 445.920 Td /F1 9.8 Tf  [(know,� were excluded from the analyses. To assess vaccine hesitancy, parents were asked �Have you ever hesitated to have <)] TJ ET
BT 26.250 434.015 Td /F5 9.8 Tf  [(NAME)] TJ ET
BT 54.418 434.015 Td /F1 9.8 Tf  [(> vaccinated?� with the possibility to answer �Yes�, �No�, �I do not know�. Parents who answered �Yes� to that question )] TJ ET
BT 26.250 422.110 Td /F1 9.8 Tf  [(were considered as being vaccine-hesitant, while others were not. All vaccine-hesitant parents were questioned about the main )] TJ ET
BT 26.250 410.205 Td /F1 9.8 Tf  [(reason why they have hesitated \(open-ended question\) and what decision they have finally made regarding their child�s )] TJ ET
BT 26.250 398.301 Td /F1 9.8 Tf  [(vaccination \(four choices were possible: 1-the child has received all vaccines when due; 2- some vaccines were delayed, but )] TJ ET
BT 26.250 386.396 Td /F1 9.8 Tf  [(the child finally has received all vaccines; 3- some vaccines were refused, but the child received some others; and 4- the child )] TJ ET
BT 26.250 374.491 Td /F1 9.8 Tf  [(did not receive any vaccines\). Vaccine-hesitant parents who accepted to give vaccines to their child \(choices 1-2-3\) were then )] TJ ET
BT 26.250 362.586 Td /F1 9.8 Tf  [(asked about the main reasons for having finally accepted some or all vaccines.)] TJ ET
BT 26.250 343.182 Td /F1 9.8 Tf  [(The development of the survey questionnaire was informed by a literature review and expert consultations. The questionnaire )] TJ ET
BT 26.250 331.277 Td /F1 9.8 Tf  [(was pilot tested by telephone with 10 participants to ensure clarity and appropriateness of the survey questions. Minor )] TJ ET
BT 26.250 319.372 Td /F1 9.8 Tf  [(adjustments were made.)] TJ ET
BT 26.250 299.967 Td /F1 9.8 Tf  [(Expansion weights were assigned in order to ensure that the results were representative of the target population by adjusting for )] TJ ET
BT 26.250 288.063 Td /F1 9.8 Tf  [(disproportionate sampling and non-response bias. Weighting was applied to each respondent in the sample based on socio-)] TJ ET
BT 26.250 276.158 Td /F1 9.8 Tf  [(demographic characteristics drawn from the answers of respondents who agreed to participate but who were not eligible )] TJ ET
BT 26.250 264.253 Td /F1 9.8 Tf  [(because of quotas already attained as well as from census data. Comparison of the answers to the KAB questions between )] TJ ET
BT 26.250 252.348 Td /F1 9.8 Tf  [(parents of UTD or non-UTD children and between vaccine-hesitant and non-vaccine-hesitant parents were performed using )] TJ ET
BT 26.250 240.444 Td /F1 9.8 Tf  [(Rao-Scott�s Chi-square test. To investigate which items predicted non-UTD vaccine status and parents� vaccine hesitancy, )] TJ ET
BT 26.250 228.539 Td /F1 9.8 Tf  [(multivariate analyses by weighted logistic regression were run while adjusting for parents� sociodemographic characteristics )] TJ ET
BT 26.250 216.634 Td /F1 9.8 Tf  [(\(number of people in the household, education level, age and sex of the respondent\). All 13 KAB items were included in the )] TJ ET
BT 26.250 204.729 Td /F1 9.8 Tf  [(analyses. For each KAB item, answers have been dichotomized \(�Strongly agree and �Somewhat agree� vs. �Strongly disagree� )] TJ ET
BT 26.250 192.825 Td /F1 9.8 Tf  [(and �Somewhat disagree�\), with the �I don�t know� answers systematically regrouped with the reference category. Items were )] TJ ET
BT 26.250 180.920 Td /F1 9.8 Tf  [(sequentially tested and retained when their p-value was <0.05. All statistical analyses were performed using SAS statistical )] TJ ET
BT 26.250 169.015 Td /F1 9.8 Tf  [(software version 9.3.)] TJ ET
BT 26.250 132.413 Td /F4 12.0 Tf  [(Results)] TJ ET
BT 26.250 112.458 Td /F1 9.8 Tf  [(The overall response rate for the 2014 Quebec study on vaccination against seasonal influenza and pneumococcal infections )] TJ ET
BT 26.250 100.554 Td /F1 9.8 Tf  [(was 35%. A total of 601 parents were interviewed, of these, 12 were excluded because the child�s immunization status was )] TJ ET
BT 26.250 88.649 Td /F1 9.8 Tf  [(missing, leaving 589 parents for analysis. Respondents� characteristics are shown in Table 1.)] TJ ET
Q
q
15.000 57.532 577.500 719.468 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(the ongoing reflections on tools and indicators of vaccine hesitancy by providing results of a survey on knowledge, attitudes and )] TJ ET
BT 26.250 755.571 Td /F1 9.8 Tf  [(beliefs \(KAB\) of parents in Quebec \(Canada\). We have compared KAB of parents according to: 1\) self-reported vaccination )] TJ ET
BT 26.250 743.667 Td /F1 9.8 Tf  [(status of their child and 2\) hesitation during the vaccination decision.)] TJ ET
BT 26.250 707.064 Td /F4 12.0 Tf  [(Methods)] TJ ET
BT 26.250 687.110 Td /F1 9.8 Tf  [(Data were collected through the 2014 Quebec study on vaccination against seasonal influenza and pneumococcal infections, a )] TJ ET
BT 26.250 675.205 Td /F1 9.8 Tf  [(biennial repeated cross-sectional study in the province of Quebec, Canada. This paper presents the results pertaining to )] TJ ET
BT 26.250 663.300 Td /F1 9.8 Tf  [(parents� KAB about vaccination; the full report can be found elsewhere.)] TJ ET
0.267 0.267 0.267 rg
BT 332.995 664.808 Td /F4 8.7 Tf  [(15)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 643.896 Td /F1 9.8 Tf  [(Data were collected through a computer-assisted telephone interview survey conducted between March 18 and April 28 2014. )] TJ ET
BT 26.250 631.991 Td /F1 9.8 Tf  [(Stratified random digit dialing \(RDD\) was used to select a geographically representative sample of the general population, )] TJ ET
BT 26.250 620.086 Td /F1 9.8 Tf  [(including parents or caregivers of children aged between 2 months and 17 years of age. Households and respondents were )] TJ ET
BT 26.250 608.181 Td /F1 9.8 Tf  [(both selected randomly. Parents with more than one child aged between 2 months and 17 years of age were asked to answer )] TJ ET
BT 26.250 596.277 Td /F1 9.8 Tf  [(the questions for their youngest child. The interviewers asked the first name \(or nickname\) of that child, which was inserted in )] TJ ET
BT 26.250 584.372 Td /F1 9.8 Tf  [(the question \(e.g. it is important that you have )] TJ ET
BT 226.232 584.372 Td /F5 9.8 Tf  [(Juliet)] TJ ET
BT 248.989 584.372 Td /F1 9.8 Tf  [( vaccinated to protect her against diseases\). Prior to each interview, verbal )] TJ ET
BT 26.250 572.467 Td /F1 9.8 Tf  [(informed consent was obtained from the participant and interviews lasted in average 12.5 minutes. The study protocol was )] TJ ET
BT 26.250 560.562 Td /F1 9.8 Tf  [(approved by the Research Ethics Board of the Research Center of the CHU de Qu�bec � Universit� Laval. Polling firm has )] TJ ET
BT 26.250 548.658 Td /F1 9.8 Tf  [(rigorous policies for ensuring data confidentiality and the research team received a de-identified database. Data were )] TJ ET
BT 26.250 536.753 Td /F1 9.8 Tf  [(aggregated for analysis, and results are presented in order to be unable to identify individual responses.)] TJ ET
BT 26.250 517.348 Td /F1 9.8 Tf  [(Parents were asked 13 questions to measure their KAB about vaccination using a 5-point scale ranging from �Strongly agree� to )] TJ ET
BT 26.250 505.443 Td /F1 9.8 Tf  [(�Strongly disagree�, and including �I do not know.� Self-reported vaccination status of the child was assessed for all participants )] TJ ET
BT 26.250 493.539 Td /F1 9.8 Tf  [(using the question: With the exception of the common flu and H1N1 vaccines, since birth, has <)] TJ ET
BT 437.846 493.539 Td /F5 9.8 Tf  [(NAME)] TJ ET
BT 466.014 493.539 Td /F1 9.8 Tf  [(> had�? Following )] TJ ET
BT 26.250 481.634 Td /F1 9.8 Tf  [(answers were proposed by the interviewer: 1- all the vaccines recommended in the regular Quebec vaccination program; 2- )] TJ ET
BT 26.250 469.729 Td /F1 9.8 Tf  [(some vaccines only; 3- no vaccines. Children were considered up-to-date \(UTD\) when parents answered 1 and they were )] TJ ET
BT 26.250 457.824 Td /F1 9.8 Tf  [(considered non-UTD when parents answered 2 or 3. Respondents who did not answer this question or who answered �I don�t )] TJ ET
BT 26.250 445.920 Td /F1 9.8 Tf  [(know,� were excluded from the analyses. To assess vaccine hesitancy, parents were asked �Have you ever hesitated to have <)] TJ ET
BT 26.250 434.015 Td /F5 9.8 Tf  [(NAME)] TJ ET
BT 54.418 434.015 Td /F1 9.8 Tf  [(> vaccinated?� with the possibility to answer �Yes�, �No�, �I do not know�. Parents who answered �Yes� to that question )] TJ ET
BT 26.250 422.110 Td /F1 9.8 Tf  [(were considered as being vaccine-hesitant, while others were not. All vaccine-hesitant parents were questioned about the main )] TJ ET
BT 26.250 410.205 Td /F1 9.8 Tf  [(reason why they have hesitated \(open-ended question\) and what decision they have finally made regarding their child�s )] TJ ET
BT 26.250 398.301 Td /F1 9.8 Tf  [(vaccination \(four choices were possible: 1-the child has received all vaccines when due; 2- some vaccines were delayed, but )] TJ ET
BT 26.250 386.396 Td /F1 9.8 Tf  [(the child finally has received all vaccines; 3- some vaccines were refused, but the child received some others; and 4- the child )] TJ ET
BT 26.250 374.491 Td /F1 9.8 Tf  [(did not receive any vaccines\). Vaccine-hesitant parents who accepted to give vaccines to their child \(choices 1-2-3\) were then )] TJ ET
BT 26.250 362.586 Td /F1 9.8 Tf  [(asked about the main reasons for having finally accepted some or all vaccines.)] TJ ET
BT 26.250 343.182 Td /F1 9.8 Tf  [(The development of the survey questionnaire was informed by a literature review and expert consultations. The questionnaire )] TJ ET
BT 26.250 331.277 Td /F1 9.8 Tf  [(was pilot tested by telephone with 10 participants to ensure clarity and appropriateness of the survey questions. Minor )] TJ ET
BT 26.250 319.372 Td /F1 9.8 Tf  [(adjustments were made.)] TJ ET
BT 26.250 299.967 Td /F1 9.8 Tf  [(Expansion weights were assigned in order to ensure that the results were representative of the target population by adjusting for )] TJ ET
BT 26.250 288.063 Td /F1 9.8 Tf  [(disproportionate sampling and non-response bias. Weighting was applied to each respondent in the sample based on socio-)] TJ ET
BT 26.250 276.158 Td /F1 9.8 Tf  [(demographic characteristics drawn from the answers of respondents who agreed to participate but who were not eligible )] TJ ET
BT 26.250 264.253 Td /F1 9.8 Tf  [(because of quotas already attained as well as from census data. Comparison of the answers to the KAB questions between )] TJ ET
BT 26.250 252.348 Td /F1 9.8 Tf  [(parents of UTD or non-UTD children and between vaccine-hesitant and non-vaccine-hesitant parents were performed using )] TJ ET
BT 26.250 240.444 Td /F1 9.8 Tf  [(Rao-Scott�s Chi-square test. To investigate which items predicted non-UTD vaccine status and parents� vaccine hesitancy, )] TJ ET
BT 26.250 228.539 Td /F1 9.8 Tf  [(multivariate analyses by weighted logistic regression were run while adjusting for parents� sociodemographic characteristics )] TJ ET
BT 26.250 216.634 Td /F1 9.8 Tf  [(\(number of people in the household, education level, age and sex of the respondent\). All 13 KAB items were included in the )] TJ ET
BT 26.250 204.729 Td /F1 9.8 Tf  [(analyses. For each KAB item, answers have been dichotomized \(�Strongly agree and �Somewhat agree� vs. �Strongly disagree� )] TJ ET
BT 26.250 192.825 Td /F1 9.8 Tf  [(and �Somewhat disagree�\), with the �I don�t know� answers systematically regrouped with the reference category. Items were )] TJ ET
BT 26.250 180.920 Td /F1 9.8 Tf  [(sequentially tested and retained when their p-value was <0.05. All statistical analyses were performed using SAS statistical )] TJ ET
BT 26.250 169.015 Td /F1 9.8 Tf  [(software version 9.3.)] TJ ET
BT 26.250 132.413 Td /F4 12.0 Tf  [(Results)] TJ ET
BT 26.250 112.458 Td /F1 9.8 Tf  [(The overall response rate for the 2014 Quebec study on vaccination against seasonal influenza and pneumococcal infections )] TJ ET
BT 26.250 100.554 Td /F1 9.8 Tf  [(was 35%. A total of 601 parents were interviewed, of these, 12 were excluded because the child�s immunization status was )] TJ ET
BT 26.250 88.649 Td /F1 9.8 Tf  [(missing, leaving 589 parents for analysis. Respondents� characteristics are shown in Table 1.)] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(2)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
160 0 obj
<< /Type /Font
/Subtype /Type1
/Name /F5
/BaseFont /Helvetica-Oblique
/Encoding /WinAnsiEncoding
>>
endobj
161 0 obj
<< /Type /Annot
/Subtype /Link
/A 162 0 R
/Border [0 0 0]
/H /I
/Rect [ 332.9948 664.0059 342.6321 672.8243 ]
>>
endobj
162 0 obj
<< /Type /Action
>>
endobj
163 0 obj
<< /Type /Annot
/Subtype /Link
/A 164 0 R
/Border [0 0 0]
/H /I
/Rect [ 332.9948 664.0059 342.6321 672.8243 ]
>>
endobj
164 0 obj
<< /Type /Action
>>
endobj
165 0 obj
<< /Type /Annot
/Subtype /Link
/A 166 0 R
/Border [0 0 0]
/H /I
/Rect [ 332.9948 664.0059 342.6321 672.8243 ]
>>
endobj
166 0 obj
<< /Type /Action
>>
endobj
167 0 obj
<< /Type /Page
/Parent 3 0 R
/Contents 168 0 R
>>
endobj
168 0 obj
<<
/Length 42967 >>
stream

0.271 0.267 0.267 rg
q
15.000 45.491 577.500 731.509 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 1. Sociodemographic characteristics of the respondents)] TJ ET
Q
0.965 0.965 0.965 rg
26.250 731.746 555.000 24.018 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l  f
581.250 755.764 m 581.250 731.746 l 580.500 731.746 l 580.500 755.014 l  f
26.250 755.764 m 26.250 731.746 l 27.000 731.746 l 27.000 755.014 l  f
0.271 0.267 0.267 rg
BT 33.000 743.567 Td /F1 8.0 Tf  [(a)] TJ ET
BT 37.448 741.199 Td /F1 9.0 Tf  [( 3 missing answers; )] TJ ET
BT 118.970 743.567 Td /F1 8.0 Tf  [(b)] TJ ET
BT 123.418 741.199 Td /F1 9.0 Tf  [( 2 missing answers.)] TJ ET
1.000 1.000 1.000 rg
26.250 378.558 555.000 353.188 re f
0.965 0.965 0.965 rg
27.000 718.716 263.674 12.280 re f
0.267 0.267 0.267 rg
26.625 730.621 264.049 0.750 re f
26.625 718.341 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 31.500 721.472 Td /F4 9.8 Tf  [(Characteristics)] TJ ET
0.965 0.965 0.965 rg
290.674 718.716 91.837 12.280 re f
0.267 0.267 0.267 rg
290.674 730.621 91.837 0.750 re f
0.271 0.267 0.267 rg
BT 295.174 721.472 Td /F4 9.8 Tf  [(n)] TJ ET
0.965 0.965 0.965 rg
382.511 718.716 197.989 12.280 re f
0.267 0.267 0.267 rg
382.511 730.621 198.364 0.750 re f
580.125 718.341 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 387.011 721.472 Td /F4 9.8 Tf  [(Weighted %)] TJ ET
0.267 0.267 0.267 rg
26.625 718.341 264.049 0.750 re f
290.674 718.341 91.837 0.750 re f
382.511 718.341 198.364 0.750 re f
26.625 702.460 0.750 16.631 re f
580.125 702.460 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 708.486 Td /F1 9.8 Tf  [(Respondents� sex)] TJ ET
0.267 0.267 0.267 rg
26.625 702.460 264.424 0.750 re f
26.625 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 692.605 Td /F1 9.8 Tf  [(Male)] TJ ET
0.267 0.267 0.267 rg
290.299 702.460 92.587 0.750 re f
290.299 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 692.605 Td /F1 9.8 Tf  [(206)] TJ ET
0.267 0.267 0.267 rg
382.136 702.460 198.739 0.750 re f
382.136 686.578 0.750 16.631 re f
580.125 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 692.605 Td /F1 9.8 Tf  [(49.2)] TJ ET
0.267 0.267 0.267 rg
26.625 686.578 264.424 0.750 re f
26.625 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 676.723 Td /F1 9.8 Tf  [(Female)] TJ ET
0.267 0.267 0.267 rg
290.299 686.578 92.587 0.750 re f
290.299 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 676.723 Td /F1 9.8 Tf  [(383)] TJ ET
0.267 0.267 0.267 rg
382.136 686.578 198.739 0.750 re f
382.136 670.697 0.750 16.631 re f
580.125 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 676.723 Td /F1 9.8 Tf  [(50.8)] TJ ET
0.267 0.267 0.267 rg
26.625 670.697 264.049 0.750 re f
290.674 670.697 91.837 0.750 re f
382.511 670.697 198.364 0.750 re f
26.625 654.816 0.750 16.631 re f
580.125 654.816 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 660.842 Td /F1 9.8 Tf  [(Respondents� age)] TJ ET
0.267 0.267 0.267 rg
26.625 654.816 264.424 0.750 re f
26.625 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 644.961 Td /F1 9.8 Tf  [(18-34 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 654.816 92.587 0.750 re f
290.299 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 644.961 Td /F1 9.8 Tf  [(176)] TJ ET
0.267 0.267 0.267 rg
382.136 654.816 198.739 0.750 re f
382.136 638.935 0.750 16.631 re f
580.125 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 644.961 Td /F1 9.8 Tf  [(39.4)] TJ ET
0.267 0.267 0.267 rg
26.625 638.935 264.424 0.750 re f
26.625 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 629.080 Td /F1 9.8 Tf  [(35-44 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 638.935 92.587 0.750 re f
290.299 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 629.080 Td /F1 9.8 Tf  [(250)] TJ ET
0.267 0.267 0.267 rg
382.136 638.935 198.739 0.750 re f
382.136 623.053 0.750 16.631 re f
580.125 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 629.080 Td /F1 9.8 Tf  [(42.8)] TJ ET
0.267 0.267 0.267 rg
26.625 623.053 264.424 0.750 re f
26.625 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 613.198 Td /F1 9.8 Tf  [(45-49 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 623.053 92.587 0.750 re f
290.299 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 613.198 Td /F1 9.8 Tf  [(92)] TJ ET
0.267 0.267 0.267 rg
382.136 623.053 198.739 0.750 re f
382.136 607.172 0.750 16.631 re f
580.125 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 613.198 Td /F1 9.8 Tf  [(12.6)] TJ ET
0.267 0.267 0.267 rg
26.625 607.172 264.424 0.750 re f
26.625 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 597.317 Td /F1 9.8 Tf  [(50 yrs and over)] TJ ET
0.267 0.267 0.267 rg
290.299 607.172 92.587 0.750 re f
290.299 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 597.317 Td /F1 9.8 Tf  [(71)] TJ ET
0.267 0.267 0.267 rg
382.136 607.172 198.739 0.750 re f
382.136 591.291 0.750 16.631 re f
580.125 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 597.317 Td /F1 9.8 Tf  [(5.2)] TJ ET
0.267 0.267 0.267 rg
26.625 591.291 264.049 0.750 re f
290.674 591.291 91.837 0.750 re f
382.511 591.291 198.364 0.750 re f
26.625 572.459 0.750 19.582 re f
580.125 572.459 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 579.075 Td /F1 9.8 Tf  [(Children�s age)] TJ ET
BT 94.187 581.641 Td /F1 8.7 Tf  [(a)] TJ ET
0.267 0.267 0.267 rg
26.625 572.459 264.424 0.750 re f
26.625 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 562.604 Td /F1 9.8 Tf  [(0-4 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 572.459 92.587 0.750 re f
290.299 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 562.604 Td /F1 9.8 Tf  [(195)] TJ ET
0.267 0.267 0.267 rg
382.136 572.459 198.739 0.750 re f
382.136 556.578 0.750 16.631 re f
580.125 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 562.604 Td /F1 9.8 Tf  [(40.2)] TJ ET
0.267 0.267 0.267 rg
26.625 556.578 264.424 0.750 re f
26.625 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 546.723 Td /F1 9.8 Tf  [(5-17 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 556.578 92.587 0.750 re f
290.299 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 546.723 Td /F1 9.8 Tf  [(361)] TJ ET
0.267 0.267 0.267 rg
382.136 556.578 198.739 0.750 re f
382.136 540.696 0.750 16.631 re f
580.125 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 546.723 Td /F1 9.8 Tf  [(59.8)] TJ ET
0.267 0.267 0.267 rg
26.625 540.696 264.049 0.750 re f
290.674 540.696 91.837 0.750 re f
382.511 540.696 198.364 0.750 re f
26.625 524.815 0.750 16.631 re f
580.125 524.815 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 530.841 Td /F1 9.8 Tf  [(Number of people in the household)] TJ ET
0.267 0.267 0.267 rg
26.625 524.815 264.424 0.750 re f
26.625 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 514.960 Td /F1 9.8 Tf  [(1-4)] TJ ET
0.267 0.267 0.267 rg
290.299 524.815 92.587 0.750 re f
290.299 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 514.960 Td /F1 9.8 Tf  [(454)] TJ ET
0.267 0.267 0.267 rg
382.136 524.815 198.739 0.750 re f
382.136 508.934 0.750 16.631 re f
580.125 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 514.960 Td /F1 9.8 Tf  [(72.0)] TJ ET
0.267 0.267 0.267 rg
26.625 508.934 264.424 0.750 re f
26.625 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 499.079 Td /F1 9.8 Tf  [(5 and more)] TJ ET
0.267 0.267 0.267 rg
290.299 508.934 92.587 0.750 re f
290.299 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 499.079 Td /F1 9.8 Tf  [(135)] TJ ET
0.267 0.267 0.267 rg
382.136 508.934 198.739 0.750 re f
382.136 493.053 0.750 16.631 re f
580.125 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 499.079 Td /F1 9.8 Tf  [(28.0)] TJ ET
0.267 0.267 0.267 rg
26.625 493.053 264.049 0.750 re f
290.674 493.053 91.837 0.750 re f
382.511 493.053 198.364 0.750 re f
26.625 474.221 0.750 19.582 re f
580.125 474.221 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 480.837 Td /F1 9.8 Tf  [(Respondent�s highest level of education)] TJ ET
BT 204.216 483.402 Td /F1 8.7 Tf  [(b)] TJ ET
0.267 0.267 0.267 rg
26.625 474.221 264.424 0.750 re f
26.625 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 464.366 Td /F1 9.8 Tf  [(High scholl or less)] TJ ET
0.267 0.267 0.267 rg
290.299 474.221 92.587 0.750 re f
290.299 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 464.366 Td /F1 9.8 Tf  [(159)] TJ ET
0.267 0.267 0.267 rg
382.136 474.221 198.739 0.750 re f
382.136 458.339 0.750 16.631 re f
580.125 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 464.366 Td /F1 9.8 Tf  [(44.0)] TJ ET
0.267 0.267 0.267 rg
26.625 458.339 264.424 0.750 re f
26.625 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 448.484 Td /F1 9.8 Tf  [(College)] TJ ET
0.267 0.267 0.267 rg
290.299 458.339 92.587 0.750 re f
290.299 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 448.484 Td /F1 9.8 Tf  [(198)] TJ ET
0.267 0.267 0.267 rg
382.136 458.339 198.739 0.750 re f
382.136 442.458 0.750 16.631 re f
580.125 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 448.484 Td /F1 9.8 Tf  [(22.4)] TJ ET
0.267 0.267 0.267 rg
26.625 442.458 264.424 0.750 re f
26.625 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 432.603 Td /F1 9.8 Tf  [(University)] TJ ET
0.267 0.267 0.267 rg
290.299 442.458 92.587 0.750 re f
290.299 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 432.603 Td /F1 9.8 Tf  [(230)] TJ ET
0.267 0.267 0.267 rg
382.136 442.458 198.739 0.750 re f
382.136 426.577 0.750 16.631 re f
580.125 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 432.603 Td /F1 9.8 Tf  [(33.6)] TJ ET
0.267 0.267 0.267 rg
26.625 426.577 264.049 0.750 re f
290.674 426.577 91.837 0.750 re f
382.511 426.577 198.364 0.750 re f
26.625 410.696 0.750 16.631 re f
580.125 410.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 416.722 Td /F1 9.8 Tf  [(Self-reported status of the child)] TJ ET
0.267 0.267 0.267 rg
26.625 410.696 264.424 0.750 re f
26.625 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 400.841 Td /F1 9.8 Tf  [(Up-to-date \(UTD\))] TJ ET
0.267 0.267 0.267 rg
290.299 410.696 92.587 0.750 re f
290.299 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 400.841 Td /F1 9.8 Tf  [(478)] TJ ET
0.267 0.267 0.267 rg
382.136 410.696 198.739 0.750 re f
382.136 394.814 0.750 16.631 re f
580.125 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 400.841 Td /F1 9.8 Tf  [(80.4)] TJ ET
0.267 0.267 0.267 rg
26.625 394.814 264.424 0.750 re f
26.625 378.933 264.424 0.750 re f
26.625 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 384.959 Td /F1 9.8 Tf  [(Non-UTD)] TJ ET
0.267 0.267 0.267 rg
290.299 394.814 92.587 0.750 re f
290.299 378.933 92.587 0.750 re f
290.299 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 384.959 Td /F1 9.8 Tf  [(111)] TJ ET
0.267 0.267 0.267 rg
382.136 394.814 198.739 0.750 re f
382.136 378.933 198.739 0.750 re f
382.136 378.933 0.750 16.631 re f
580.125 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 384.959 Td /F1 9.8 Tf  [(19.6)] TJ ET
BT 26.250 324.034 Td /F1 9.8 Tf  [(A total of 478 \(80.4%, [95% CI: 72.5�88.4]\) children were declared to be UTD \(Table 1\). Overall, 218 parents \(40.2%; [95% CI: )] TJ ET
BT 26.250 312.130 Td /F1 9.8 Tf  [(30.7�49.6]\) said that they have hesitated to have their child vaccinated and most of them hesitated for some vaccines only )] TJ ET
BT 26.250 300.225 Td /F1 9.8 Tf  [(\(n=192\). Fifty-eight percent \(58.2%, [95% CI: 42.9�73.5%]\) of children of vaccine-hesitant parents were UTD compared to )] TJ ET
BT 26.250 288.320 Td /F1 9.8 Tf  [(95.3% [95% CI: 91.2�99.4%] of children of non-vaccine-hesitant parents \(p < 0.0001\). Vaccines most frequently reported by )] TJ ET
BT 26.250 276.415 Td /F1 9.8 Tf  [(vaccine-hesitant parents were: the influenza vaccine \(n=99\), the varicella vaccine \(n=35\), the HVP vaccine \(n=28\), and the )] TJ ET
BT 26.250 264.511 Td /F1 9.8 Tf  [(rotavirus vaccine \(n=20\) \(data not shown in Table\).)] TJ ET
BT 26.250 245.106 Td /F1 9.8 Tf  [(Parents� beliefs about vaccination according the vaccination status of the child and presence of vaccine hesitancy are reported )] TJ ET
BT 26.250 233.201 Td /F1 9.8 Tf  [(in Table 2. In univariate analysis, many statistically significant differences were found between KAB of parents of UTD and non-)] TJ ET
BT 26.250 221.296 Td /F1 9.8 Tf  [(UTD children. Parents of UTD children were significantly more likely than parents of non-UTD children to trust the information )] TJ ET
BT 26.250 209.392 Td /F1 9.8 Tf  [(they receive on vaccination \(p=0.023\). In addition, more parents of UTD children considered that it is important that they have )] TJ ET
BT 26.250 197.487 Td /F1 9.8 Tf  [(their child vaccinated both to prevent him/her against diseases \(p=0.0111\) and to prevent the spread of diseases in the )] TJ ET
BT 26.250 185.582 Td /F1 9.8 Tf  [(community \(p=0.006\) when compared to parents of a non-UTD child. Parents of non-UTD children were significantly more likely )] TJ ET
BT 26.250 173.677 Td /F1 9.8 Tf  [(to consider that children are receiving too many vaccines \(p=0.0242\), to believe that vaccines could weaken the immune system )] TJ ET
BT 26.250 161.773 Td /F1 9.8 Tf  [(\(p=0.0334\) and to report feeling pressure to have their child vaccinated \(p=0.0105\). There were no differences between parents )] TJ ET
BT 26.250 149.868 Td /F1 9.8 Tf  [(of UTD and non-UTD children for other questions: over 80% of parents considered that vaccines can prevent diseases and )] TJ ET
BT 26.250 137.963 Td /F1 9.8 Tf  [(almost all parents were comfortable asking questions to doctors or nurses in regard to vaccination and 77% considered that )] TJ ET
BT 26.250 126.058 Td /F1 9.8 Tf  [(diseases prevented by vaccines are serious. About one third indicated being fearful about vaccines. The same differences )] TJ ET
BT 26.250 114.154 Td /F1 9.8 Tf  [(found between KAB of parents of UTD and non-UTD children were also found for vaccine-hesitant and non-vaccine-hesitant )] TJ ET
BT 26.250 102.249 Td /F1 9.8 Tf  [(parents. Moreover, vaccine-hesitant parents were significantly more likely than non-vaccine-hesitant parents to report being )] TJ ET
BT 26.250 90.344 Td /F1 9.8 Tf  [(fearful about vaccines \(p=0.0111\).)] TJ ET
Q
q
15.000 45.491 577.500 731.509 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 1. Sociodemographic characteristics of the respondents)] TJ ET
Q
0.965 0.965 0.965 rg
26.250 731.746 555.000 24.018 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l  f
581.250 755.764 m 581.250 731.746 l 580.500 731.746 l 580.500 755.014 l  f
26.250 755.764 m 26.250 731.746 l 27.000 731.746 l 27.000 755.014 l  f
0.271 0.267 0.267 rg
BT 33.000 743.567 Td /F1 8.0 Tf  [(a)] TJ ET
BT 37.448 741.199 Td /F1 9.0 Tf  [( 3 missing answers; )] TJ ET
BT 118.970 743.567 Td /F1 8.0 Tf  [(b)] TJ ET
BT 123.418 741.199 Td /F1 9.0 Tf  [( 2 missing answers.)] TJ ET
1.000 1.000 1.000 rg
26.250 378.558 555.000 353.188 re f
0.965 0.965 0.965 rg
27.000 718.716 263.674 12.280 re f
0.267 0.267 0.267 rg
26.625 730.621 264.049 0.750 re f
26.625 718.341 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 31.500 721.472 Td /F4 9.8 Tf  [(Characteristics)] TJ ET
0.965 0.965 0.965 rg
290.674 718.716 91.837 12.280 re f
0.267 0.267 0.267 rg
290.674 730.621 91.837 0.750 re f
0.271 0.267 0.267 rg
BT 295.174 721.472 Td /F4 9.8 Tf  [(n)] TJ ET
0.965 0.965 0.965 rg
382.511 718.716 197.989 12.280 re f
0.267 0.267 0.267 rg
382.511 730.621 198.364 0.750 re f
580.125 718.341 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 387.011 721.472 Td /F4 9.8 Tf  [(Weighted %)] TJ ET
0.267 0.267 0.267 rg
26.625 718.341 264.049 0.750 re f
290.674 718.341 91.837 0.750 re f
382.511 718.341 198.364 0.750 re f
26.625 702.460 0.750 16.631 re f
580.125 702.460 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 708.486 Td /F1 9.8 Tf  [(Respondents� sex)] TJ ET
0.267 0.267 0.267 rg
26.625 702.460 264.424 0.750 re f
26.625 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 692.605 Td /F1 9.8 Tf  [(Male)] TJ ET
0.267 0.267 0.267 rg
290.299 702.460 92.587 0.750 re f
290.299 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 692.605 Td /F1 9.8 Tf  [(206)] TJ ET
0.267 0.267 0.267 rg
382.136 702.460 198.739 0.750 re f
382.136 686.578 0.750 16.631 re f
580.125 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 692.605 Td /F1 9.8 Tf  [(49.2)] TJ ET
0.267 0.267 0.267 rg
26.625 686.578 264.424 0.750 re f
26.625 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 676.723 Td /F1 9.8 Tf  [(Female)] TJ ET
0.267 0.267 0.267 rg
290.299 686.578 92.587 0.750 re f
290.299 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 676.723 Td /F1 9.8 Tf  [(383)] TJ ET
0.267 0.267 0.267 rg
382.136 686.578 198.739 0.750 re f
382.136 670.697 0.750 16.631 re f
580.125 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 676.723 Td /F1 9.8 Tf  [(50.8)] TJ ET
0.267 0.267 0.267 rg
26.625 670.697 264.049 0.750 re f
290.674 670.697 91.837 0.750 re f
382.511 670.697 198.364 0.750 re f
26.625 654.816 0.750 16.631 re f
580.125 654.816 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 660.842 Td /F1 9.8 Tf  [(Respondents� age)] TJ ET
0.267 0.267 0.267 rg
26.625 654.816 264.424 0.750 re f
26.625 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 644.961 Td /F1 9.8 Tf  [(18-34 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 654.816 92.587 0.750 re f
290.299 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 644.961 Td /F1 9.8 Tf  [(176)] TJ ET
0.267 0.267 0.267 rg
382.136 654.816 198.739 0.750 re f
382.136 638.935 0.750 16.631 re f
580.125 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 644.961 Td /F1 9.8 Tf  [(39.4)] TJ ET
0.267 0.267 0.267 rg
26.625 638.935 264.424 0.750 re f
26.625 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 629.080 Td /F1 9.8 Tf  [(35-44 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 638.935 92.587 0.750 re f
290.299 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 629.080 Td /F1 9.8 Tf  [(250)] TJ ET
0.267 0.267 0.267 rg
382.136 638.935 198.739 0.750 re f
382.136 623.053 0.750 16.631 re f
580.125 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 629.080 Td /F1 9.8 Tf  [(42.8)] TJ ET
0.267 0.267 0.267 rg
26.625 623.053 264.424 0.750 re f
26.625 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 613.198 Td /F1 9.8 Tf  [(45-49 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 623.053 92.587 0.750 re f
290.299 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 613.198 Td /F1 9.8 Tf  [(92)] TJ ET
0.267 0.267 0.267 rg
382.136 623.053 198.739 0.750 re f
382.136 607.172 0.750 16.631 re f
580.125 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 613.198 Td /F1 9.8 Tf  [(12.6)] TJ ET
0.267 0.267 0.267 rg
26.625 607.172 264.424 0.750 re f
26.625 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 597.317 Td /F1 9.8 Tf  [(50 yrs and over)] TJ ET
0.267 0.267 0.267 rg
290.299 607.172 92.587 0.750 re f
290.299 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 597.317 Td /F1 9.8 Tf  [(71)] TJ ET
0.267 0.267 0.267 rg
382.136 607.172 198.739 0.750 re f
382.136 591.291 0.750 16.631 re f
580.125 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 597.317 Td /F1 9.8 Tf  [(5.2)] TJ ET
0.267 0.267 0.267 rg
26.625 591.291 264.049 0.750 re f
290.674 591.291 91.837 0.750 re f
382.511 591.291 198.364 0.750 re f
26.625 572.459 0.750 19.582 re f
580.125 572.459 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 579.075 Td /F1 9.8 Tf  [(Children�s age)] TJ ET
BT 94.187 581.641 Td /F1 8.7 Tf  [(a)] TJ ET
0.267 0.267 0.267 rg
26.625 572.459 264.424 0.750 re f
26.625 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 562.604 Td /F1 9.8 Tf  [(0-4 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 572.459 92.587 0.750 re f
290.299 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 562.604 Td /F1 9.8 Tf  [(195)] TJ ET
0.267 0.267 0.267 rg
382.136 572.459 198.739 0.750 re f
382.136 556.578 0.750 16.631 re f
580.125 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 562.604 Td /F1 9.8 Tf  [(40.2)] TJ ET
0.267 0.267 0.267 rg
26.625 556.578 264.424 0.750 re f
26.625 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 546.723 Td /F1 9.8 Tf  [(5-17 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 556.578 92.587 0.750 re f
290.299 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 546.723 Td /F1 9.8 Tf  [(361)] TJ ET
0.267 0.267 0.267 rg
382.136 556.578 198.739 0.750 re f
382.136 540.696 0.750 16.631 re f
580.125 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 546.723 Td /F1 9.8 Tf  [(59.8)] TJ ET
0.267 0.267 0.267 rg
26.625 540.696 264.049 0.750 re f
290.674 540.696 91.837 0.750 re f
382.511 540.696 198.364 0.750 re f
26.625 524.815 0.750 16.631 re f
580.125 524.815 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 530.841 Td /F1 9.8 Tf  [(Number of people in the household)] TJ ET
0.267 0.267 0.267 rg
26.625 524.815 264.424 0.750 re f
26.625 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 514.960 Td /F1 9.8 Tf  [(1-4)] TJ ET
0.267 0.267 0.267 rg
290.299 524.815 92.587 0.750 re f
290.299 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 514.960 Td /F1 9.8 Tf  [(454)] TJ ET
0.267 0.267 0.267 rg
382.136 524.815 198.739 0.750 re f
382.136 508.934 0.750 16.631 re f
580.125 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 514.960 Td /F1 9.8 Tf  [(72.0)] TJ ET
0.267 0.267 0.267 rg
26.625 508.934 264.424 0.750 re f
26.625 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 499.079 Td /F1 9.8 Tf  [(5 and more)] TJ ET
0.267 0.267 0.267 rg
290.299 508.934 92.587 0.750 re f
290.299 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 499.079 Td /F1 9.8 Tf  [(135)] TJ ET
0.267 0.267 0.267 rg
382.136 508.934 198.739 0.750 re f
382.136 493.053 0.750 16.631 re f
580.125 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 499.079 Td /F1 9.8 Tf  [(28.0)] TJ ET
0.267 0.267 0.267 rg
26.625 493.053 264.049 0.750 re f
290.674 493.053 91.837 0.750 re f
382.511 493.053 198.364 0.750 re f
26.625 474.221 0.750 19.582 re f
580.125 474.221 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 480.837 Td /F1 9.8 Tf  [(Respondent�s highest level of education)] TJ ET
BT 204.216 483.402 Td /F1 8.7 Tf  [(b)] TJ ET
0.267 0.267 0.267 rg
26.625 474.221 264.424 0.750 re f
26.625 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 464.366 Td /F1 9.8 Tf  [(High scholl or less)] TJ ET
0.267 0.267 0.267 rg
290.299 474.221 92.587 0.750 re f
290.299 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 464.366 Td /F1 9.8 Tf  [(159)] TJ ET
0.267 0.267 0.267 rg
382.136 474.221 198.739 0.750 re f
382.136 458.339 0.750 16.631 re f
580.125 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 464.366 Td /F1 9.8 Tf  [(44.0)] TJ ET
0.267 0.267 0.267 rg
26.625 458.339 264.424 0.750 re f
26.625 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 448.484 Td /F1 9.8 Tf  [(College)] TJ ET
0.267 0.267 0.267 rg
290.299 458.339 92.587 0.750 re f
290.299 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 448.484 Td /F1 9.8 Tf  [(198)] TJ ET
0.267 0.267 0.267 rg
382.136 458.339 198.739 0.750 re f
382.136 442.458 0.750 16.631 re f
580.125 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 448.484 Td /F1 9.8 Tf  [(22.4)] TJ ET
0.267 0.267 0.267 rg
26.625 442.458 264.424 0.750 re f
26.625 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 432.603 Td /F1 9.8 Tf  [(University)] TJ ET
0.267 0.267 0.267 rg
290.299 442.458 92.587 0.750 re f
290.299 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 432.603 Td /F1 9.8 Tf  [(230)] TJ ET
0.267 0.267 0.267 rg
382.136 442.458 198.739 0.750 re f
382.136 426.577 0.750 16.631 re f
580.125 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 432.603 Td /F1 9.8 Tf  [(33.6)] TJ ET
0.267 0.267 0.267 rg
26.625 426.577 264.049 0.750 re f
290.674 426.577 91.837 0.750 re f
382.511 426.577 198.364 0.750 re f
26.625 410.696 0.750 16.631 re f
580.125 410.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 416.722 Td /F1 9.8 Tf  [(Self-reported status of the child)] TJ ET
0.267 0.267 0.267 rg
26.625 410.696 264.424 0.750 re f
26.625 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 400.841 Td /F1 9.8 Tf  [(Up-to-date \(UTD\))] TJ ET
0.267 0.267 0.267 rg
290.299 410.696 92.587 0.750 re f
290.299 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 400.841 Td /F1 9.8 Tf  [(478)] TJ ET
0.267 0.267 0.267 rg
382.136 410.696 198.739 0.750 re f
382.136 394.814 0.750 16.631 re f
580.125 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 400.841 Td /F1 9.8 Tf  [(80.4)] TJ ET
0.267 0.267 0.267 rg
26.625 394.814 264.424 0.750 re f
26.625 378.933 264.424 0.750 re f
26.625 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 384.959 Td /F1 9.8 Tf  [(Non-UTD)] TJ ET
0.267 0.267 0.267 rg
290.299 394.814 92.587 0.750 re f
290.299 378.933 92.587 0.750 re f
290.299 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 384.959 Td /F1 9.8 Tf  [(111)] TJ ET
0.267 0.267 0.267 rg
382.136 394.814 198.739 0.750 re f
382.136 378.933 198.739 0.750 re f
382.136 378.933 0.750 16.631 re f
580.125 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 384.959 Td /F1 9.8 Tf  [(19.6)] TJ ET
BT 26.250 324.034 Td /F1 9.8 Tf  [(A total of 478 \(80.4%, [95% CI: 72.5�88.4]\) children were declared to be UTD \(Table 1\). Overall, 218 parents \(40.2%; [95% CI: )] TJ ET
BT 26.250 312.130 Td /F1 9.8 Tf  [(30.7�49.6]\) said that they have hesitated to have their child vaccinated and most of them hesitated for some vaccines only )] TJ ET
BT 26.250 300.225 Td /F1 9.8 Tf  [(\(n=192\). Fifty-eight percent \(58.2%, [95% CI: 42.9�73.5%]\) of children of vaccine-hesitant parents were UTD compared to )] TJ ET
BT 26.250 288.320 Td /F1 9.8 Tf  [(95.3% [95% CI: 91.2�99.4%] of children of non-vaccine-hesitant parents \(p < 0.0001\). Vaccines most frequently reported by )] TJ ET
BT 26.250 276.415 Td /F1 9.8 Tf  [(vaccine-hesitant parents were: the influenza vaccine \(n=99\), the varicella vaccine \(n=35\), the HVP vaccine \(n=28\), and the )] TJ ET
BT 26.250 264.511 Td /F1 9.8 Tf  [(rotavirus vaccine \(n=20\) \(data not shown in Table\).)] TJ ET
BT 26.250 245.106 Td /F1 9.8 Tf  [(Parents� beliefs about vaccination according the vaccination status of the child and presence of vaccine hesitancy are reported )] TJ ET
BT 26.250 233.201 Td /F1 9.8 Tf  [(in Table 2. In univariate analysis, many statistically significant differences were found between KAB of parents of UTD and non-)] TJ ET
BT 26.250 221.296 Td /F1 9.8 Tf  [(UTD children. Parents of UTD children were significantly more likely than parents of non-UTD children to trust the information )] TJ ET
BT 26.250 209.392 Td /F1 9.8 Tf  [(they receive on vaccination \(p=0.023\). In addition, more parents of UTD children considered that it is important that they have )] TJ ET
BT 26.250 197.487 Td /F1 9.8 Tf  [(their child vaccinated both to prevent him/her against diseases \(p=0.0111\) and to prevent the spread of diseases in the )] TJ ET
BT 26.250 185.582 Td /F1 9.8 Tf  [(community \(p=0.006\) when compared to parents of a non-UTD child. Parents of non-UTD children were significantly more likely )] TJ ET
BT 26.250 173.677 Td /F1 9.8 Tf  [(to consider that children are receiving too many vaccines \(p=0.0242\), to believe that vaccines could weaken the immune system )] TJ ET
BT 26.250 161.773 Td /F1 9.8 Tf  [(\(p=0.0334\) and to report feeling pressure to have their child vaccinated \(p=0.0105\). There were no differences between parents )] TJ ET
BT 26.250 149.868 Td /F1 9.8 Tf  [(of UTD and non-UTD children for other questions: over 80% of parents considered that vaccines can prevent diseases and )] TJ ET
BT 26.250 137.963 Td /F1 9.8 Tf  [(almost all parents were comfortable asking questions to doctors or nurses in regard to vaccination and 77% considered that )] TJ ET
BT 26.250 126.058 Td /F1 9.8 Tf  [(diseases prevented by vaccines are serious. About one third indicated being fearful about vaccines. The same differences )] TJ ET
BT 26.250 114.154 Td /F1 9.8 Tf  [(found between KAB of parents of UTD and non-UTD children were also found for vaccine-hesitant and non-vaccine-hesitant )] TJ ET
BT 26.250 102.249 Td /F1 9.8 Tf  [(parents. Moreover, vaccine-hesitant parents were significantly more likely than non-vaccine-hesitant parents to report being )] TJ ET
BT 26.250 90.344 Td /F1 9.8 Tf  [(fearful about vaccines \(p=0.0111\).)] TJ ET
Q
q
15.000 45.491 577.500 731.509 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 1. Sociodemographic characteristics of the respondents)] TJ ET
Q
0.965 0.965 0.965 rg
26.250 731.746 555.000 24.018 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l  f
581.250 755.764 m 581.250 731.746 l 580.500 731.746 l 580.500 755.014 l  f
26.250 755.764 m 26.250 731.746 l 27.000 731.746 l 27.000 755.014 l  f
0.271 0.267 0.267 rg
BT 33.000 743.567 Td /F1 8.0 Tf  [(a)] TJ ET
BT 37.448 741.199 Td /F1 9.0 Tf  [( 3 missing answers; )] TJ ET
BT 118.970 743.567 Td /F1 8.0 Tf  [(b)] TJ ET
BT 123.418 741.199 Td /F1 9.0 Tf  [( 2 missing answers.)] TJ ET
1.000 1.000 1.000 rg
26.250 378.558 555.000 353.188 re f
0.965 0.965 0.965 rg
27.000 718.716 263.674 12.280 re f
0.267 0.267 0.267 rg
26.625 730.621 264.049 0.750 re f
26.625 718.341 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 31.500 721.472 Td /F4 9.8 Tf  [(Characteristics)] TJ ET
0.965 0.965 0.965 rg
290.674 718.716 91.837 12.280 re f
0.267 0.267 0.267 rg
290.674 730.621 91.837 0.750 re f
0.271 0.267 0.267 rg
BT 295.174 721.472 Td /F4 9.8 Tf  [(n)] TJ ET
0.965 0.965 0.965 rg
382.511 718.716 197.989 12.280 re f
0.267 0.267 0.267 rg
382.511 730.621 198.364 0.750 re f
580.125 718.341 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 387.011 721.472 Td /F4 9.8 Tf  [(Weighted %)] TJ ET
0.267 0.267 0.267 rg
26.625 718.341 264.049 0.750 re f
290.674 718.341 91.837 0.750 re f
382.511 718.341 198.364 0.750 re f
26.625 702.460 0.750 16.631 re f
580.125 702.460 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 708.486 Td /F1 9.8 Tf  [(Respondents� sex)] TJ ET
0.267 0.267 0.267 rg
26.625 702.460 264.424 0.750 re f
26.625 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 692.605 Td /F1 9.8 Tf  [(Male)] TJ ET
0.267 0.267 0.267 rg
290.299 702.460 92.587 0.750 re f
290.299 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 692.605 Td /F1 9.8 Tf  [(206)] TJ ET
0.267 0.267 0.267 rg
382.136 702.460 198.739 0.750 re f
382.136 686.578 0.750 16.631 re f
580.125 686.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 692.605 Td /F1 9.8 Tf  [(49.2)] TJ ET
0.267 0.267 0.267 rg
26.625 686.578 264.424 0.750 re f
26.625 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 676.723 Td /F1 9.8 Tf  [(Female)] TJ ET
0.267 0.267 0.267 rg
290.299 686.578 92.587 0.750 re f
290.299 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 676.723 Td /F1 9.8 Tf  [(383)] TJ ET
0.267 0.267 0.267 rg
382.136 686.578 198.739 0.750 re f
382.136 670.697 0.750 16.631 re f
580.125 670.697 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 676.723 Td /F1 9.8 Tf  [(50.8)] TJ ET
0.267 0.267 0.267 rg
26.625 670.697 264.049 0.750 re f
290.674 670.697 91.837 0.750 re f
382.511 670.697 198.364 0.750 re f
26.625 654.816 0.750 16.631 re f
580.125 654.816 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 660.842 Td /F1 9.8 Tf  [(Respondents� age)] TJ ET
0.267 0.267 0.267 rg
26.625 654.816 264.424 0.750 re f
26.625 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 644.961 Td /F1 9.8 Tf  [(18-34 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 654.816 92.587 0.750 re f
290.299 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 644.961 Td /F1 9.8 Tf  [(176)] TJ ET
0.267 0.267 0.267 rg
382.136 654.816 198.739 0.750 re f
382.136 638.935 0.750 16.631 re f
580.125 638.935 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 644.961 Td /F1 9.8 Tf  [(39.4)] TJ ET
0.267 0.267 0.267 rg
26.625 638.935 264.424 0.750 re f
26.625 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 629.080 Td /F1 9.8 Tf  [(35-44 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 638.935 92.587 0.750 re f
290.299 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 629.080 Td /F1 9.8 Tf  [(250)] TJ ET
0.267 0.267 0.267 rg
382.136 638.935 198.739 0.750 re f
382.136 623.053 0.750 16.631 re f
580.125 623.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 629.080 Td /F1 9.8 Tf  [(42.8)] TJ ET
0.267 0.267 0.267 rg
26.625 623.053 264.424 0.750 re f
26.625 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 613.198 Td /F1 9.8 Tf  [(45-49 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 623.053 92.587 0.750 re f
290.299 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 613.198 Td /F1 9.8 Tf  [(92)] TJ ET
0.267 0.267 0.267 rg
382.136 623.053 198.739 0.750 re f
382.136 607.172 0.750 16.631 re f
580.125 607.172 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 613.198 Td /F1 9.8 Tf  [(12.6)] TJ ET
0.267 0.267 0.267 rg
26.625 607.172 264.424 0.750 re f
26.625 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 597.317 Td /F1 9.8 Tf  [(50 yrs and over)] TJ ET
0.267 0.267 0.267 rg
290.299 607.172 92.587 0.750 re f
290.299 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 597.317 Td /F1 9.8 Tf  [(71)] TJ ET
0.267 0.267 0.267 rg
382.136 607.172 198.739 0.750 re f
382.136 591.291 0.750 16.631 re f
580.125 591.291 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 597.317 Td /F1 9.8 Tf  [(5.2)] TJ ET
0.267 0.267 0.267 rg
26.625 591.291 264.049 0.750 re f
290.674 591.291 91.837 0.750 re f
382.511 591.291 198.364 0.750 re f
26.625 572.459 0.750 19.582 re f
580.125 572.459 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 579.075 Td /F1 9.8 Tf  [(Children�s age)] TJ ET
BT 94.187 581.641 Td /F1 8.7 Tf  [(a)] TJ ET
0.267 0.267 0.267 rg
26.625 572.459 264.424 0.750 re f
26.625 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 562.604 Td /F1 9.8 Tf  [(0-4 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 572.459 92.587 0.750 re f
290.299 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 562.604 Td /F1 9.8 Tf  [(195)] TJ ET
0.267 0.267 0.267 rg
382.136 572.459 198.739 0.750 re f
382.136 556.578 0.750 16.631 re f
580.125 556.578 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 562.604 Td /F1 9.8 Tf  [(40.2)] TJ ET
0.267 0.267 0.267 rg
26.625 556.578 264.424 0.750 re f
26.625 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 546.723 Td /F1 9.8 Tf  [(5-17 yrs)] TJ ET
0.267 0.267 0.267 rg
290.299 556.578 92.587 0.750 re f
290.299 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 546.723 Td /F1 9.8 Tf  [(361)] TJ ET
0.267 0.267 0.267 rg
382.136 556.578 198.739 0.750 re f
382.136 540.696 0.750 16.631 re f
580.125 540.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 546.723 Td /F1 9.8 Tf  [(59.8)] TJ ET
0.267 0.267 0.267 rg
26.625 540.696 264.049 0.750 re f
290.674 540.696 91.837 0.750 re f
382.511 540.696 198.364 0.750 re f
26.625 524.815 0.750 16.631 re f
580.125 524.815 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 530.841 Td /F1 9.8 Tf  [(Number of people in the household)] TJ ET
0.267 0.267 0.267 rg
26.625 524.815 264.424 0.750 re f
26.625 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 514.960 Td /F1 9.8 Tf  [(1-4)] TJ ET
0.267 0.267 0.267 rg
290.299 524.815 92.587 0.750 re f
290.299 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 514.960 Td /F1 9.8 Tf  [(454)] TJ ET
0.267 0.267 0.267 rg
382.136 524.815 198.739 0.750 re f
382.136 508.934 0.750 16.631 re f
580.125 508.934 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 514.960 Td /F1 9.8 Tf  [(72.0)] TJ ET
0.267 0.267 0.267 rg
26.625 508.934 264.424 0.750 re f
26.625 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 499.079 Td /F1 9.8 Tf  [(5 and more)] TJ ET
0.267 0.267 0.267 rg
290.299 508.934 92.587 0.750 re f
290.299 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 499.079 Td /F1 9.8 Tf  [(135)] TJ ET
0.267 0.267 0.267 rg
382.136 508.934 198.739 0.750 re f
382.136 493.053 0.750 16.631 re f
580.125 493.053 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 499.079 Td /F1 9.8 Tf  [(28.0)] TJ ET
0.267 0.267 0.267 rg
26.625 493.053 264.049 0.750 re f
290.674 493.053 91.837 0.750 re f
382.511 493.053 198.364 0.750 re f
26.625 474.221 0.750 19.582 re f
580.125 474.221 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 480.837 Td /F1 9.8 Tf  [(Respondent�s highest level of education)] TJ ET
BT 204.216 483.402 Td /F1 8.7 Tf  [(b)] TJ ET
0.267 0.267 0.267 rg
26.625 474.221 264.424 0.750 re f
26.625 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 464.366 Td /F1 9.8 Tf  [(High scholl or less)] TJ ET
0.267 0.267 0.267 rg
290.299 474.221 92.587 0.750 re f
290.299 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 464.366 Td /F1 9.8 Tf  [(159)] TJ ET
0.267 0.267 0.267 rg
382.136 474.221 198.739 0.750 re f
382.136 458.339 0.750 16.631 re f
580.125 458.339 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 464.366 Td /F1 9.8 Tf  [(44.0)] TJ ET
0.267 0.267 0.267 rg
26.625 458.339 264.424 0.750 re f
26.625 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 448.484 Td /F1 9.8 Tf  [(College)] TJ ET
0.267 0.267 0.267 rg
290.299 458.339 92.587 0.750 re f
290.299 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 448.484 Td /F1 9.8 Tf  [(198)] TJ ET
0.267 0.267 0.267 rg
382.136 458.339 198.739 0.750 re f
382.136 442.458 0.750 16.631 re f
580.125 442.458 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 448.484 Td /F1 9.8 Tf  [(22.4)] TJ ET
0.267 0.267 0.267 rg
26.625 442.458 264.424 0.750 re f
26.625 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 432.603 Td /F1 9.8 Tf  [(University)] TJ ET
0.267 0.267 0.267 rg
290.299 442.458 92.587 0.750 re f
290.299 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 432.603 Td /F1 9.8 Tf  [(230)] TJ ET
0.267 0.267 0.267 rg
382.136 442.458 198.739 0.750 re f
382.136 426.577 0.750 16.631 re f
580.125 426.577 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 432.603 Td /F1 9.8 Tf  [(33.6)] TJ ET
0.267 0.267 0.267 rg
26.625 426.577 264.049 0.750 re f
290.674 426.577 91.837 0.750 re f
382.511 426.577 198.364 0.750 re f
26.625 410.696 0.750 16.631 re f
580.125 410.696 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 416.722 Td /F1 9.8 Tf  [(Self-reported status of the child)] TJ ET
0.267 0.267 0.267 rg
26.625 410.696 264.424 0.750 re f
26.625 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 400.841 Td /F1 9.8 Tf  [(Up-to-date \(UTD\))] TJ ET
0.267 0.267 0.267 rg
290.299 410.696 92.587 0.750 re f
290.299 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 400.841 Td /F1 9.8 Tf  [(478)] TJ ET
0.267 0.267 0.267 rg
382.136 410.696 198.739 0.750 re f
382.136 394.814 0.750 16.631 re f
580.125 394.814 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 400.841 Td /F1 9.8 Tf  [(80.4)] TJ ET
0.267 0.267 0.267 rg
26.625 394.814 264.424 0.750 re f
26.625 378.933 264.424 0.750 re f
26.625 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 384.959 Td /F1 9.8 Tf  [(Non-UTD)] TJ ET
0.267 0.267 0.267 rg
290.299 394.814 92.587 0.750 re f
290.299 378.933 92.587 0.750 re f
290.299 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 295.549 384.959 Td /F1 9.8 Tf  [(111)] TJ ET
0.267 0.267 0.267 rg
382.136 394.814 198.739 0.750 re f
382.136 378.933 198.739 0.750 re f
382.136 378.933 0.750 16.631 re f
580.125 378.933 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 387.386 384.959 Td /F1 9.8 Tf  [(19.6)] TJ ET
BT 26.250 324.034 Td /F1 9.8 Tf  [(A total of 478 \(80.4%, [95% CI: 72.5�88.4]\) children were declared to be UTD \(Table 1\). Overall, 218 parents \(40.2%; [95% CI: )] TJ ET
BT 26.250 312.130 Td /F1 9.8 Tf  [(30.7�49.6]\) said that they have hesitated to have their child vaccinated and most of them hesitated for some vaccines only )] TJ ET
BT 26.250 300.225 Td /F1 9.8 Tf  [(\(n=192\). Fifty-eight percent \(58.2%, [95% CI: 42.9�73.5%]\) of children of vaccine-hesitant parents were UTD compared to )] TJ ET
BT 26.250 288.320 Td /F1 9.8 Tf  [(95.3% [95% CI: 91.2�99.4%] of children of non-vaccine-hesitant parents \(p < 0.0001\). Vaccines most frequently reported by )] TJ ET
BT 26.250 276.415 Td /F1 9.8 Tf  [(vaccine-hesitant parents were: the influenza vaccine \(n=99\), the varicella vaccine \(n=35\), the HVP vaccine \(n=28\), and the )] TJ ET
BT 26.250 264.511 Td /F1 9.8 Tf  [(rotavirus vaccine \(n=20\) \(data not shown in Table\).)] TJ ET
BT 26.250 245.106 Td /F1 9.8 Tf  [(Parents� beliefs about vaccination according the vaccination status of the child and presence of vaccine hesitancy are reported )] TJ ET
BT 26.250 233.201 Td /F1 9.8 Tf  [(in Table 2. In univariate analysis, many statistically significant differences were found between KAB of parents of UTD and non-)] TJ ET
BT 26.250 221.296 Td /F1 9.8 Tf  [(UTD children. Parents of UTD children were significantly more likely than parents of non-UTD children to trust the information )] TJ ET
BT 26.250 209.392 Td /F1 9.8 Tf  [(they receive on vaccination \(p=0.023\). In addition, more parents of UTD children considered that it is important that they have )] TJ ET
BT 26.250 197.487 Td /F1 9.8 Tf  [(their child vaccinated both to prevent him/her against diseases \(p=0.0111\) and to prevent the spread of diseases in the )] TJ ET
BT 26.250 185.582 Td /F1 9.8 Tf  [(community \(p=0.006\) when compared to parents of a non-UTD child. Parents of non-UTD children were significantly more likely )] TJ ET
BT 26.250 173.677 Td /F1 9.8 Tf  [(to consider that children are receiving too many vaccines \(p=0.0242\), to believe that vaccines could weaken the immune system )] TJ ET
BT 26.250 161.773 Td /F1 9.8 Tf  [(\(p=0.0334\) and to report feeling pressure to have their child vaccinated \(p=0.0105\). There were no differences between parents )] TJ ET
BT 26.250 149.868 Td /F1 9.8 Tf  [(of UTD and non-UTD children for other questions: over 80% of parents considered that vaccines can prevent diseases and )] TJ ET
BT 26.250 137.963 Td /F1 9.8 Tf  [(almost all parents were comfortable asking questions to doctors or nurses in regard to vaccination and 77% considered that )] TJ ET
BT 26.250 126.058 Td /F1 9.8 Tf  [(diseases prevented by vaccines are serious. About one third indicated being fearful about vaccines. The same differences )] TJ ET
BT 26.250 114.154 Td /F1 9.8 Tf  [(found between KAB of parents of UTD and non-UTD children were also found for vaccine-hesitant and non-vaccine-hesitant )] TJ ET
BT 26.250 102.249 Td /F1 9.8 Tf  [(parents. Moreover, vaccine-hesitant parents were significantly more likely than non-vaccine-hesitant parents to report being )] TJ ET
BT 26.250 90.344 Td /F1 9.8 Tf  [(fearful about vaccines \(p=0.0111\).)] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(3)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
169 0 obj
<< /Type /Page
/Parent 3 0 R
/Contents 170 0 R
>>
endobj
170 0 obj
<<
/Length 68545 >>
stream

0.271 0.267 0.267 rg
0.267 0.267 0.267 RG
q
15.000 52.042 577.500 724.958 re W n
q
26.250 749.527 555.000 27.473 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 2. Participants� beliefs regarding vaccination, according parental self-report of the vaccination status of the child and )] TJ ET
BT 26.250 752.275 Td /F1 9.8 Tf  [(vaccine hesitancy \(%\))] TJ ET
Q
0.965 0.965 0.965 rg
26.250 698.473 555.000 43.554 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 742.027 m 581.250 742.027 l 580.500 741.277 l 27.000 741.277 l  f
581.250 742.027 m 581.250 698.473 l 580.500 698.473 l 580.500 741.277 l  f
26.250 742.027 m 26.250 698.473 l 27.000 698.473 l 27.000 741.277 l  f
0.271 0.267 0.267 rg
BT 33.000 729.831 Td /F1 8.0 Tf  [(�)] TJ ET
BT 37.448 727.463 Td /F1 9.0 Tf  [( Strongly agree and Somewhat agree; )] TJ ET
BT 191.528 729.831 Td /F1 8.0 Tf  [(�)] TJ ET
BT 195.976 727.463 Td /F1 9.0 Tf  [( Parental self-report of the vaccination status of the child, UTD = all vaccines, Non-UTD = only )] TJ ET
BT 33.000 717.695 Td /F1 9.0 Tf  [(some vaccines/no vaccines; )] TJ ET
BT 147.543 720.063 Td /F1 8.0 Tf  [(� )] TJ ET
BT 154.215 717.695 Td /F1 9.0 Tf  [(Parental vaccine hesitancy level \(Have you ever hesitated to have <)] TJ ET
BT 424.593 717.695 Td /F5 9.0 Tf  [(NAME)] TJ ET
BT 450.594 717.695 Td /F1 9.0 Tf  [(> vaccinated?\), VH Parents = )] TJ ET
BT 33.000 707.927 Td /F1 9.0 Tf  [(yes, Non-VH Parents = no; )] TJ ET
BT 142.800 710.295 Td /F1 8.0 Tf  [(*)] TJ ET
BT 145.912 707.927 Td /F1 9.0 Tf  [( p<0.05; )] TJ ET
BT 181.192 710.295 Td /F1 8.0 Tf  [(**)] TJ ET
BT 187.416 707.927 Td /F1 9.0 Tf  [( p<0.01.)] TJ ET
1.000 1.000 1.000 rg
26.250 140.256 555.000 558.218 re f
0.965 0.965 0.965 rg
27.000 637.450 118.322 60.274 re f
0.267 0.267 0.267 rg
26.625 697.348 118.697 0.750 re f
26.625 685.444 0.750 12.655 re f
26.625 637.075 0.750 48.369 re f
0.271 0.267 0.267 rg
BT 31.500 688.200 Td /F4 9.8 Tf  [(Survey items)] TJ ET
0.965 0.965 0.965 rg
145.322 685.444 94.174 12.280 re f
0.267 0.267 0.267 rg
145.322 697.348 94.174 0.750 re f
0.965 0.965 0.965 rg
239.496 685.444 169.069 12.280 re f
0.267 0.267 0.267 rg
239.496 697.348 83.076 0.750 re f
322.572 697.348 85.992 0.750 re f
0.271 0.267 0.267 rg
BT 243.996 688.200 Td /F4 9.8 Tf  [(Vaccination status of the child)] TJ ET
0.965 0.965 0.965 rg
408.564 685.444 171.936 12.280 re f
0.267 0.267 0.267 rg
408.564 697.348 82.492 0.750 re f
491.056 697.348 89.819 0.750 re f
580.125 685.069 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 413.064 688.200 Td /F4 9.8 Tf  [(Parents� vaccine hesitancy)] TJ ET
0.965 0.965 0.965 rg
145.322 637.450 94.174 47.994 re f
0.267 0.267 0.267 rg
145.322 685.069 94.174 0.750 re f
0.271 0.267 0.267 rg
BT 149.822 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 149.822 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 200.746 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 207.974 664.015 Td /F4 9.8 Tf  [(% )] TJ ET
BT 149.822 652.110 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
239.496 637.450 83.076 47.994 re f
0.267 0.267 0.267 rg
239.496 685.069 83.076 0.750 re f
0.271 0.267 0.267 rg
BT 243.996 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 243.996 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 294.920 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 243.996 652.110 Td /F4 9.8 Tf  [(UTD % [95% CI])] TJ ET
0.965 0.965 0.965 rg
322.572 637.450 85.992 47.994 re f
0.267 0.267 0.267 rg
322.572 685.069 85.992 0.750 re f
0.271 0.267 0.267 rg
BT 327.072 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 327.072 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 377.996 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 327.072 652.110 Td /F4 9.8 Tf  [(Non-UTD)] TJ ET
BT 369.309 652.110 Td /F4 8.7 Tf  [(�)] TJ ET
BT 374.128 652.110 Td /F4 9.8 Tf  [( % )] TJ ET
BT 327.072 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
408.564 637.450 82.492 47.994 re f
0.267 0.267 0.267 rg
408.564 685.069 82.492 0.750 re f
0.271 0.267 0.267 rg
BT 413.064 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 413.064 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 463.988 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 413.064 652.110 Td /F4 9.8 Tf  [(VH Parents % )] TJ ET
BT 413.064 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
491.056 637.450 89.444 47.994 re f
0.267 0.267 0.267 rg
491.056 685.069 89.819 0.750 re f
580.125 637.075 0.750 48.744 re f
0.271 0.267 0.267 rg
BT 495.556 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 495.556 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 546.480 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 553.708 664.015 Td /F4 9.8 Tf  [(Non-)] TJ ET
BT 495.556 652.110 Td /F4 9.8 Tf  [(VH Parents)] TJ ET
BT 547.572 652.110 Td /F4 8.7 Tf  [(�)] TJ ET
BT 552.391 652.110 Td /F4 9.8 Tf  [( % )] TJ ET
BT 495.556 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.267 0.267 0.267 rg
26.625 637.075 119.072 0.750 re f
26.625 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 627.220 Td /F1 9.8 Tf  [(You trust the )] TJ ET
BT 31.875 619.588 Td /F1 9.8 Tf  [(vaccination information )] TJ ET
BT 31.875 611.957 Td /F1 9.8 Tf  [(that you receive.)] TJ ET
0.267 0.267 0.267 rg
144.947 637.075 94.924 0.750 re f
144.947 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 627.220 Td /F1 9.8 Tf  [(83.2 [75.2�91.2])] TJ ET
0.267 0.267 0.267 rg
239.121 637.075 83.826 0.750 re f
239.121 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 627.220 Td /F1 9.8 Tf  [(90.0 [84.0�96.0])] TJ ET
0.267 0.267 0.267 rg
322.197 637.075 86.742 0.750 re f
322.197 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 624.859 Td /F1 9.8 Tf  [(55.2)] TJ ET
BT 346.420 627.424 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 624.859 Td /F1 9.8 Tf  [( [31.6�78.8])] TJ ET
0.267 0.267 0.267 rg
408.189 637.075 83.242 0.750 re f
408.189 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 627.220 Td /F1 9.8 Tf  [(66.6 [50.8�82.4])] TJ ET
0.267 0.267 0.267 rg
490.681 637.075 90.194 0.750 re f
490.681 605.931 0.750 31.894 re f
580.125 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 624.859 Td /F1 9.8 Tf  [(94.3)] TJ ET
BT 514.905 627.424 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 624.859 Td /F1 9.8 Tf  [([89.9�98.7])] TJ ET
0.267 0.267 0.267 rg
26.625 605.931 119.072 0.750 re f
26.625 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 596.076 Td /F1 9.8 Tf  [(Vaccines can prevent )] TJ ET
BT 31.875 588.445 Td /F1 9.8 Tf  [(diseases.)] TJ ET
0.267 0.267 0.267 rg
144.947 605.931 94.924 0.750 re f
144.947 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 150.197 596.076 Td /F1 9.8 Tf  [(87.4 [80.3�94.5])] TJ ET
0.267 0.267 0.267 rg
239.121 605.931 83.826 0.750 re f
239.121 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 244.371 596.076 Td /F1 9.8 Tf  [(88.4 [80.9�96.0])] TJ ET
0.267 0.267 0.267 rg
322.197 605.931 86.742 0.750 re f
322.197 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 327.447 596.076 Td /F1 9.8 Tf  [(83.2 [64.7�100.0])] TJ ET
0.267 0.267 0.267 rg
408.189 605.931 83.242 0.750 re f
408.189 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 413.439 596.076 Td /F1 9.8 Tf  [(85.7 [73.2�98.3])] TJ ET
0.267 0.267 0.267 rg
490.681 605.931 90.194 0.750 re f
490.681 582.418 0.750 24.262 re f
580.125 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 495.931 596.076 Td /F1 9.8 Tf  [(88.5 [80.2�96.8])] TJ ET
0.267 0.267 0.267 rg
26.625 582.418 119.072 0.750 re f
26.625 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 572.563 Td /F1 9.8 Tf  [(The diseases prevented )] TJ ET
BT 31.875 564.932 Td /F1 9.8 Tf  [(by vaccines are serious.)] TJ ET
0.267 0.267 0.267 rg
144.947 582.418 94.924 0.750 re f
144.947 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 150.197 572.563 Td /F1 9.8 Tf  [(77.0 [67.8�86.2])] TJ ET
0.267 0.267 0.267 rg
239.121 582.418 83.826 0.750 re f
239.121 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 244.371 572.563 Td /F1 9.8 Tf  [(79.1 [69.7�88.6])] TJ ET
0.267 0.267 0.267 rg
322.197 582.418 86.742 0.750 re f
322.197 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 327.447 572.563 Td /F1 9.8 Tf  [(68.2 [42.9�93.6])] TJ ET
0.267 0.267 0.267 rg
408.189 582.418 83.242 0.750 re f
408.189 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 413.439 572.563 Td /F1 9.8 Tf  [(73.8 [57.7�89.5])] TJ ET
0.267 0.267 0.267 rg
490.681 582.418 90.194 0.750 re f
490.681 558.906 0.750 24.262 re f
580.125 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 495.931 572.563 Td /F1 9.8 Tf  [(79.3 [68.3�90.3])] TJ ET
0.267 0.267 0.267 rg
26.625 558.906 119.072 0.750 re f
26.625 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 549.051 Td /F1 9.8 Tf  [(You are comfortable )] TJ ET
BT 31.875 541.420 Td /F1 9.8 Tf  [(asking doctors or )] TJ ET
BT 31.875 533.788 Td /F1 9.8 Tf  [(nurses about )] TJ ET
BT 31.875 526.157 Td /F1 9.8 Tf  [(vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 558.906 94.924 0.750 re f
144.947 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 549.051 Td /F1 9.8 Tf  [(99.1[98.4�99.8])] TJ ET
0.267 0.267 0.267 rg
239.121 558.906 83.826 0.750 re f
239.121 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 549.051 Td /F1 9.8 Tf  [(99.2 )] TJ ET
BT 244.371 541.420 Td /F1 9.8 Tf  [([98.4�100.0])] TJ ET
0.267 0.267 0.267 rg
322.197 558.906 86.742 0.750 re f
322.197 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 549.051 Td /F1 9.8 Tf  [(98.6 [96.9�100.0])] TJ ET
0.267 0.267 0.267 rg
408.189 558.906 83.242 0.750 re f
408.189 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 549.051 Td /F1 9.8 Tf  [(98.9 [97.8�99.9])] TJ ET
0.267 0.267 0.267 rg
490.681 558.906 90.194 0.750 re f
490.681 520.131 0.750 39.525 re f
580.125 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 549.051 Td /F1 9.8 Tf  [(99.3 [98.3�100.0])] TJ ET
0.267 0.267 0.267 rg
26.625 520.131 119.072 0.750 re f
26.625 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 510.276 Td /F1 9.8 Tf  [(A good lifestyle, such as )] TJ ET
BT 31.875 502.645 Td /F1 9.8 Tf  [(eating a healthy diet, )] TJ ET
BT 31.875 495.013 Td /F1 9.8 Tf  [(can eliminate the need )] TJ ET
BT 31.875 487.382 Td /F1 9.8 Tf  [(for vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 520.131 94.924 0.750 re f
144.947 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 510.276 Td /F1 9.8 Tf  [(43.4 [33.8�53.0])] TJ ET
0.267 0.267 0.267 rg
239.121 520.131 83.826 0.750 re f
239.121 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 510.276 Td /F1 9.8 Tf  [(39.5 [29.3�49.7])] TJ ET
0.267 0.267 0.267 rg
322.197 520.131 86.742 0.750 re f
322.197 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 510.276 Td /F1 9.8 Tf  [(59.4 [38.2�80.5])] TJ ET
0.267 0.267 0.267 rg
408.189 520.131 83.242 0.750 re f
408.189 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 510.276 Td /F1 9.8 Tf  [(53.3 [38.5�68.1])] TJ ET
0.267 0.267 0.267 rg
490.681 520.131 90.194 0.750 re f
490.681 481.356 0.750 39.525 re f
580.125 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 510.276 Td /F1 9.8 Tf  [(36.8 [25.4�48.2])] TJ ET
0.267 0.267 0.267 rg
26.625 481.356 119.072 0.750 re f
26.625 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 31.875 471.501 Td /F1 9.8 Tf  [(Relying on alternative )] TJ ET
BT 31.875 463.870 Td /F1 9.8 Tf  [(medicine like )] TJ ET
BT 31.875 456.238 Td /F1 9.8 Tf  [(chiropractic, )] TJ ET
BT 31.875 448.607 Td /F1 9.8 Tf  [(homeopathy or )] TJ ET
BT 31.875 440.976 Td /F1 9.8 Tf  [(naturopathy can )] TJ ET
BT 31.875 433.345 Td /F1 9.8 Tf  [(eliminate the need for )] TJ ET
BT 31.875 425.713 Td /F1 9.8 Tf  [(vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 481.356 94.924 0.750 re f
144.947 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 150.197 471.501 Td /F1 9.8 Tf  [(20.9 [13.7�28.2])] TJ ET
0.267 0.267 0.267 rg
239.121 481.356 83.826 0.750 re f
239.121 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 244.371 471.501 Td /F1 9.8 Tf  [(18.2 [10.6�25.6])] TJ ET
0.267 0.267 0.267 rg
322.197 481.356 86.742 0.750 re f
322.197 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 327.447 471.501 Td /F1 9.8 Tf  [(32.3 [12.0�52.6])] TJ ET
0.267 0.267 0.267 rg
408.189 481.356 83.242 0.750 re f
408.189 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 413.439 471.501 Td /F1 9.8 Tf  [(24.0 [11.3�36.7])] TJ ET
0.267 0.267 0.267 rg
490.681 481.356 90.194 0.750 re f
490.681 419.687 0.750 62.419 re f
580.125 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 495.931 471.501 Td /F1 9.8 Tf  [(18.9 [10.5�27.3])] TJ ET
0.267 0.267 0.267 rg
26.625 419.687 119.072 0.750 re f
26.625 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 409.832 Td /F1 9.8 Tf  [(Today, children are )] TJ ET
BT 31.875 402.201 Td /F1 9.8 Tf  [(given too many )] TJ ET
BT 31.875 394.570 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
144.947 419.687 94.924 0.750 re f
144.947 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 409.832 Td /F1 9.8 Tf  [(37.7 [28.3�47.1])] TJ ET
0.267 0.267 0.267 rg
239.121 419.687 83.826 0.750 re f
239.121 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 409.832 Td /F1 9.8 Tf  [(31.8 [22.3�41.2])] TJ ET
0.267 0.267 0.267 rg
322.197 419.687 86.742 0.750 re f
322.197 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 407.472 Td /F1 9.8 Tf  [(62.1)] TJ ET
BT 346.420 410.037 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 407.472 Td /F1 9.8 Tf  [( [41.3�82.8])] TJ ET
0.267 0.267 0.267 rg
408.189 419.687 83.242 0.750 re f
408.189 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 409.832 Td /F1 9.8 Tf  [(51.5 [36.4�66.6])] TJ ET
0.267 0.267 0.267 rg
490.681 419.687 90.194 0.750 re f
490.681 388.543 0.750 31.894 re f
580.125 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 407.472 Td /F1 9.8 Tf  [(28.4)] TJ ET
BT 514.905 410.037 Td /F1 8.7 Tf  [(* )] TJ ET
BT 520.685 407.472 Td /F1 9.8 Tf  [([17.7�39.1])] TJ ET
0.267 0.267 0.267 rg
26.625 388.543 119.072 0.750 re f
26.625 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 378.688 Td /F1 9.8 Tf  [(You believe that )] TJ ET
BT 31.875 371.057 Td /F1 9.8 Tf  [(vaccines run the risk of )] TJ ET
BT 31.875 363.426 Td /F1 9.8 Tf  [(weakening the immune )] TJ ET
BT 31.875 355.795 Td /F1 9.8 Tf  [(system.)] TJ ET
0.267 0.267 0.267 rg
144.947 388.543 94.924 0.750 re f
144.947 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 378.688 Td /F1 9.8 Tf  [(31.6 [22.7�40.5])] TJ ET
0.267 0.267 0.267 rg
239.121 388.543 83.826 0.750 re f
239.121 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 378.688 Td /F1 9.8 Tf  [(25.9 [17.4�34.3])] TJ ET
0.267 0.267 0.267 rg
322.197 388.543 86.742 0.750 re f
322.197 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 376.328 Td /F1 9.8 Tf  [(55.0)] TJ ET
BT 346.420 378.893 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 376.328 Td /F1 9.8 Tf  [( [32.9�77.1])] TJ ET
0.267 0.267 0.267 rg
408.189 388.543 83.242 0.750 re f
408.189 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 378.688 Td /F1 9.8 Tf  [(43.7 [28.5�59.0])] TJ ET
0.267 0.267 0.267 rg
490.681 388.543 90.194 0.750 re f
490.681 349.768 0.750 39.525 re f
580.125 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 376.328 Td /F1 9.8 Tf  [(23.4)] TJ ET
BT 514.905 378.893 Td /F1 8.7 Tf  [(* )] TJ ET
BT 520.685 376.328 Td /F1 9.8 Tf  [([14.2�32.7])] TJ ET
0.267 0.267 0.267 rg
26.625 349.768 119.072 0.750 re f
26.625 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 339.913 Td /F1 9.8 Tf  [(Generally speaking, you )] TJ ET
BT 31.875 332.282 Td /F1 9.8 Tf  [(are fearful about )] TJ ET
BT 31.875 324.651 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
144.947 349.768 94.924 0.750 re f
144.947 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 339.913 Td /F1 9.8 Tf  [(33.3 [25.1�41.5])] TJ ET
0.267 0.267 0.267 rg
239.121 349.768 83.826 0.750 re f
239.121 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 339.913 Td /F1 9.8 Tf  [(31.9 [22.8�41.0])] TJ ET
0.267 0.267 0.267 rg
322.197 349.768 86.742 0.750 re f
322.197 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 339.913 Td /F1 9.8 Tf  [(39.2 [19.2�59.2])] TJ ET
0.267 0.267 0.267 rg
408.189 349.768 83.242 0.750 re f
408.189 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 339.913 Td /F1 9.8 Tf  [(46.6 [32.0�61.2])] TJ ET
0.267 0.267 0.267 rg
490.681 349.768 90.194 0.750 re f
490.681 318.625 0.750 31.894 re f
580.125 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 337.553 Td /F1 9.8 Tf  [(24.4)] TJ ET
BT 514.905 340.118 Td /F1 8.7 Tf  [(*)] TJ ET
BT 518.276 337.553 Td /F1 9.8 Tf  [( [14.7�34.2])] TJ ET
0.267 0.267 0.267 rg
26.625 318.625 119.072 0.750 re f
26.625 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 308.770 Td /F1 9.8 Tf  [(Generally speaking, the )] TJ ET
BT 31.875 301.138 Td /F1 9.8 Tf  [(people around you are )] TJ ET
BT 31.875 293.507 Td /F1 9.8 Tf  [(in favour of vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 318.625 94.924 0.750 re f
144.947 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 308.770 Td /F1 9.8 Tf  [(81.6 [73.7�89.4])] TJ ET
0.267 0.267 0.267 rg
239.121 318.625 83.826 0.750 re f
239.121 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 308.770 Td /F1 9.8 Tf  [(85.7 [78.7�92.7])] TJ ET
0.267 0.267 0.267 rg
322.197 318.625 86.742 0.750 re f
322.197 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 308.770 Td /F1 9.8 Tf  [(64.7 [40.9�88.6])] TJ ET
0.267 0.267 0.267 rg
408.189 318.625 83.242 0.750 re f
408.189 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 308.770 Td /F1 9.8 Tf  [(73.7 [58.8�88.5])] TJ ET
0.267 0.267 0.267 rg
490.681 318.625 90.194 0.750 re f
490.681 287.481 0.750 31.894 re f
580.125 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 308.770 Td /F1 9.8 Tf  [(86.8 [79.0�94.6])] TJ ET
0.267 0.267 0.267 rg
26.625 287.481 119.072 0.750 re f
26.625 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 31.875 277.626 Td /F1 9.8 Tf  [(It is important that you )] TJ ET
BT 31.875 269.995 Td /F1 9.8 Tf  [(have your child )] TJ ET
BT 31.875 262.363 Td /F1 9.8 Tf  [(vaccinated to protect )] TJ ET
BT 31.875 254.732 Td /F1 9.8 Tf  [(him/her against )] TJ ET
BT 31.875 247.101 Td /F1 9.8 Tf  [(diseases.)] TJ ET
0.267 0.267 0.267 rg
144.947 287.481 94.924 0.750 re f
144.947 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 150.197 277.626 Td /F1 9.8 Tf  [(90.3 [83.6�97.1])] TJ ET
0.267 0.267 0.267 rg
239.121 287.481 83.826 0.750 re f
239.121 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 244.371 277.626 Td /F1 9.8 Tf  [(98.2 [97.3�99.1])] TJ ET
0.267 0.267 0.267 rg
322.197 287.481 86.742 0.750 re f
322.197 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 327.447 275.265 Td /F1 9.8 Tf  [(58.0)] TJ ET
BT 346.420 277.831 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 275.265 Td /F1 9.8 Tf  [( [34.0�82.0])] TJ ET
0.267 0.267 0.267 rg
408.189 287.481 83.242 0.750 re f
408.189 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 413.439 277.626 Td /F1 9.8 Tf  [(77.8 [62.9�92.7])] TJ ET
0.267 0.267 0.267 rg
490.681 287.481 90.194 0.750 re f
490.681 241.075 0.750 47.156 re f
580.125 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 495.931 275.265 Td /F1 9.8 Tf  [(98.7)] TJ ET
BT 514.905 277.831 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 275.265 Td /F1 9.8 Tf  [([97.9�99.5])] TJ ET
0.267 0.267 0.267 rg
26.625 241.075 119.072 0.750 re f
26.625 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 31.875 231.220 Td /F1 9.8 Tf  [(It is important that you )] TJ ET
BT 31.875 223.588 Td /F1 9.8 Tf  [(have your child )] TJ ET
BT 31.875 215.957 Td /F1 9.8 Tf  [(vaccinated to prevent )] TJ ET
BT 31.875 208.326 Td /F1 9.8 Tf  [(the spreading of )] TJ ET
BT 31.875 200.695 Td /F1 9.8 Tf  [(diseases in your )] TJ ET
BT 31.875 193.063 Td /F1 9.8 Tf  [(community.)] TJ ET
0.267 0.267 0.267 rg
144.947 241.075 94.924 0.750 re f
144.947 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 150.197 231.220 Td /F1 9.8 Tf  [(86.2 [78.9�93.5])] TJ ET
0.267 0.267 0.267 rg
239.121 241.075 83.826 0.750 re f
239.121 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 244.371 231.220 Td /F1 9.8 Tf  [(94.5 [90.8�98.3])] TJ ET
0.267 0.267 0.267 rg
322.197 241.075 86.742 0.750 re f
322.197 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 327.447 228.859 Td /F1 9.8 Tf  [(51.9)] TJ ET
BT 346.420 231.424 Td /F1 8.7 Tf  [(**)] TJ ET
BT 327.447 220.638 Td /F1 9.8 Tf  [([28.9�75.0])] TJ ET
0.267 0.267 0.267 rg
408.189 241.075 83.242 0.750 re f
408.189 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 413.439 231.220 Td /F1 9.8 Tf  [(71.3 [56.0�86.7])] TJ ET
0.267 0.267 0.267 rg
490.681 241.075 90.194 0.750 re f
490.681 187.037 0.750 54.788 re f
580.125 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 495.931 228.859 Td /F1 9.8 Tf  [(96.2)] TJ ET
BT 514.905 231.424 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 228.859 Td /F1 9.8 Tf  [([94.0�98.3])] TJ ET
0.267 0.267 0.267 rg
26.625 187.037 119.072 0.750 re f
26.625 140.631 119.072 0.750 re f
26.625 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 31.875 177.182 Td /F1 9.8 Tf  [(You have already felt )] TJ ET
BT 31.875 169.551 Td /F1 9.8 Tf  [(pressure from people )] TJ ET
BT 31.875 161.920 Td /F1 9.8 Tf  [(close to you or from )] TJ ET
BT 31.875 154.288 Td /F1 9.8 Tf  [(society to have your )] TJ ET
BT 31.875 146.657 Td /F1 9.8 Tf  [(child vaccinated.)] TJ ET
0.267 0.267 0.267 rg
144.947 187.037 94.924 0.750 re f
144.947 140.631 94.924 0.750 re f
144.947 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 150.197 177.182 Td /F1 9.8 Tf  [(35.0 [25.7�44.4])] TJ ET
0.267 0.267 0.267 rg
239.121 187.037 83.826 0.750 re f
239.121 140.631 83.826 0.750 re f
239.121 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 244.371 177.182 Td /F1 9.8 Tf  [(28.2 [18.7�37.7])] TJ ET
0.267 0.267 0.267 rg
322.197 187.037 86.742 0.750 re f
322.197 140.631 86.742 0.750 re f
322.197 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 327.447 174.822 Td /F1 9.8 Tf  [(63.3)] TJ ET
BT 346.420 177.387 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 174.822 Td /F1 9.8 Tf  [( [42.3�84.2])] TJ ET
0.267 0.267 0.267 rg
408.189 187.037 83.242 0.750 re f
408.189 140.631 83.242 0.750 re f
408.189 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 413.439 177.182 Td /F1 9.8 Tf  [(65.5 [52.3�78.7])] TJ ET
0.267 0.267 0.267 rg
490.681 187.037 90.194 0.750 re f
490.681 140.631 90.194 0.750 re f
490.681 140.631 0.750 47.156 re f
580.125 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 495.931 174.822 Td /F1 9.8 Tf  [(14.6)] TJ ET
BT 514.905 177.387 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 174.822 Td /F1 9.8 Tf  [([6.4�22.9])] TJ ET
BT 26.250 85.732 Td /F1 9.8 Tf  [(Among the 218 vaccine-hesitant parents, the main reasons for having hesitated to vaccinate their child were collected in an )] TJ ET
BT 26.250 73.827 Td /F1 9.8 Tf  [(open-ended question \(Table 3\). Fear of adverse events and low perceived vulnerability of the child or severity of the disease )] TJ ET
BT 26.250 61.923 Td /F1 9.8 Tf  [(were the most frequent reasons mentioned by these vaccine-hesitant parents.)] TJ ET
Q
q
15.000 52.042 577.500 724.958 re W n
q
26.250 749.527 555.000 27.473 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 2. Participants� beliefs regarding vaccination, according parental self-report of the vaccination status of the child and )] TJ ET
BT 26.250 752.275 Td /F1 9.8 Tf  [(vaccine hesitancy \(%\))] TJ ET
Q
0.965 0.965 0.965 rg
26.250 698.473 555.000 43.554 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 742.027 m 581.250 742.027 l 580.500 741.277 l 27.000 741.277 l  f
581.250 742.027 m 581.250 698.473 l 580.500 698.473 l 580.500 741.277 l  f
26.250 742.027 m 26.250 698.473 l 27.000 698.473 l 27.000 741.277 l  f
0.271 0.267 0.267 rg
BT 33.000 729.831 Td /F1 8.0 Tf  [(�)] TJ ET
BT 37.448 727.463 Td /F1 9.0 Tf  [( Strongly agree and Somewhat agree; )] TJ ET
BT 191.528 729.831 Td /F1 8.0 Tf  [(�)] TJ ET
BT 195.976 727.463 Td /F1 9.0 Tf  [( Parental self-report of the vaccination status of the child, UTD = all vaccines, Non-UTD = only )] TJ ET
BT 33.000 717.695 Td /F1 9.0 Tf  [(some vaccines/no vaccines; )] TJ ET
BT 147.543 720.063 Td /F1 8.0 Tf  [(� )] TJ ET
BT 154.215 717.695 Td /F1 9.0 Tf  [(Parental vaccine hesitancy level \(Have you ever hesitated to have <)] TJ ET
BT 424.593 717.695 Td /F5 9.0 Tf  [(NAME)] TJ ET
BT 450.594 717.695 Td /F1 9.0 Tf  [(> vaccinated?\), VH Parents = )] TJ ET
BT 33.000 707.927 Td /F1 9.0 Tf  [(yes, Non-VH Parents = no; )] TJ ET
BT 142.800 710.295 Td /F1 8.0 Tf  [(*)] TJ ET
BT 145.912 707.927 Td /F1 9.0 Tf  [( p<0.05; )] TJ ET
BT 181.192 710.295 Td /F1 8.0 Tf  [(**)] TJ ET
BT 187.416 707.927 Td /F1 9.0 Tf  [( p<0.01.)] TJ ET
1.000 1.000 1.000 rg
26.250 140.256 555.000 558.218 re f
0.965 0.965 0.965 rg
27.000 637.450 118.322 60.274 re f
0.267 0.267 0.267 rg
26.625 697.348 118.697 0.750 re f
26.625 685.444 0.750 12.655 re f
26.625 637.075 0.750 48.369 re f
0.271 0.267 0.267 rg
BT 31.500 688.200 Td /F4 9.8 Tf  [(Survey items)] TJ ET
0.965 0.965 0.965 rg
145.322 685.444 94.174 12.280 re f
0.267 0.267 0.267 rg
145.322 697.348 94.174 0.750 re f
0.965 0.965 0.965 rg
239.496 685.444 169.069 12.280 re f
0.267 0.267 0.267 rg
239.496 697.348 83.076 0.750 re f
322.572 697.348 85.992 0.750 re f
0.271 0.267 0.267 rg
BT 243.996 688.200 Td /F4 9.8 Tf  [(Vaccination status of the child)] TJ ET
0.965 0.965 0.965 rg
408.564 685.444 171.936 12.280 re f
0.267 0.267 0.267 rg
408.564 697.348 82.492 0.750 re f
491.056 697.348 89.819 0.750 re f
580.125 685.069 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 413.064 688.200 Td /F4 9.8 Tf  [(Parents� vaccine hesitancy)] TJ ET
0.965 0.965 0.965 rg
145.322 637.450 94.174 47.994 re f
0.267 0.267 0.267 rg
145.322 685.069 94.174 0.750 re f
0.271 0.267 0.267 rg
BT 149.822 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 149.822 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 200.746 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 207.974 664.015 Td /F4 9.8 Tf  [(% )] TJ ET
BT 149.822 652.110 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
239.496 637.450 83.076 47.994 re f
0.267 0.267 0.267 rg
239.496 685.069 83.076 0.750 re f
0.271 0.267 0.267 rg
BT 243.996 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 243.996 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 294.920 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 243.996 652.110 Td /F4 9.8 Tf  [(UTD % [95% CI])] TJ ET
0.965 0.965 0.965 rg
322.572 637.450 85.992 47.994 re f
0.267 0.267 0.267 rg
322.572 685.069 85.992 0.750 re f
0.271 0.267 0.267 rg
BT 327.072 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 327.072 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 377.996 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 327.072 652.110 Td /F4 9.8 Tf  [(Non-UTD)] TJ ET
BT 369.309 652.110 Td /F4 8.7 Tf  [(�)] TJ ET
BT 374.128 652.110 Td /F4 9.8 Tf  [( % )] TJ ET
BT 327.072 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
408.564 637.450 82.492 47.994 re f
0.267 0.267 0.267 rg
408.564 685.069 82.492 0.750 re f
0.271 0.267 0.267 rg
BT 413.064 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 413.064 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 463.988 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 413.064 652.110 Td /F4 9.8 Tf  [(VH Parents % )] TJ ET
BT 413.064 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
491.056 637.450 89.444 47.994 re f
0.267 0.267 0.267 rg
491.056 685.069 89.819 0.750 re f
580.125 637.075 0.750 48.744 re f
0.271 0.267 0.267 rg
BT 495.556 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 495.556 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 546.480 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 553.708 664.015 Td /F4 9.8 Tf  [(Non-)] TJ ET
BT 495.556 652.110 Td /F4 9.8 Tf  [(VH Parents)] TJ ET
BT 547.572 652.110 Td /F4 8.7 Tf  [(�)] TJ ET
BT 552.391 652.110 Td /F4 9.8 Tf  [( % )] TJ ET
BT 495.556 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.267 0.267 0.267 rg
26.625 637.075 119.072 0.750 re f
26.625 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 627.220 Td /F1 9.8 Tf  [(You trust the )] TJ ET
BT 31.875 619.588 Td /F1 9.8 Tf  [(vaccination information )] TJ ET
BT 31.875 611.957 Td /F1 9.8 Tf  [(that you receive.)] TJ ET
0.267 0.267 0.267 rg
144.947 637.075 94.924 0.750 re f
144.947 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 627.220 Td /F1 9.8 Tf  [(83.2 [75.2�91.2])] TJ ET
0.267 0.267 0.267 rg
239.121 637.075 83.826 0.750 re f
239.121 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 627.220 Td /F1 9.8 Tf  [(90.0 [84.0�96.0])] TJ ET
0.267 0.267 0.267 rg
322.197 637.075 86.742 0.750 re f
322.197 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 624.859 Td /F1 9.8 Tf  [(55.2)] TJ ET
BT 346.420 627.424 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 624.859 Td /F1 9.8 Tf  [( [31.6�78.8])] TJ ET
0.267 0.267 0.267 rg
408.189 637.075 83.242 0.750 re f
408.189 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 627.220 Td /F1 9.8 Tf  [(66.6 [50.8�82.4])] TJ ET
0.267 0.267 0.267 rg
490.681 637.075 90.194 0.750 re f
490.681 605.931 0.750 31.894 re f
580.125 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 624.859 Td /F1 9.8 Tf  [(94.3)] TJ ET
BT 514.905 627.424 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 624.859 Td /F1 9.8 Tf  [([89.9�98.7])] TJ ET
0.267 0.267 0.267 rg
26.625 605.931 119.072 0.750 re f
26.625 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 596.076 Td /F1 9.8 Tf  [(Vaccines can prevent )] TJ ET
BT 31.875 588.445 Td /F1 9.8 Tf  [(diseases.)] TJ ET
0.267 0.267 0.267 rg
144.947 605.931 94.924 0.750 re f
144.947 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 150.197 596.076 Td /F1 9.8 Tf  [(87.4 [80.3�94.5])] TJ ET
0.267 0.267 0.267 rg
239.121 605.931 83.826 0.750 re f
239.121 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 244.371 596.076 Td /F1 9.8 Tf  [(88.4 [80.9�96.0])] TJ ET
0.267 0.267 0.267 rg
322.197 605.931 86.742 0.750 re f
322.197 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 327.447 596.076 Td /F1 9.8 Tf  [(83.2 [64.7�100.0])] TJ ET
0.267 0.267 0.267 rg
408.189 605.931 83.242 0.750 re f
408.189 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 413.439 596.076 Td /F1 9.8 Tf  [(85.7 [73.2�98.3])] TJ ET
0.267 0.267 0.267 rg
490.681 605.931 90.194 0.750 re f
490.681 582.418 0.750 24.262 re f
580.125 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 495.931 596.076 Td /F1 9.8 Tf  [(88.5 [80.2�96.8])] TJ ET
0.267 0.267 0.267 rg
26.625 582.418 119.072 0.750 re f
26.625 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 572.563 Td /F1 9.8 Tf  [(The diseases prevented )] TJ ET
BT 31.875 564.932 Td /F1 9.8 Tf  [(by vaccines are serious.)] TJ ET
0.267 0.267 0.267 rg
144.947 582.418 94.924 0.750 re f
144.947 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 150.197 572.563 Td /F1 9.8 Tf  [(77.0 [67.8�86.2])] TJ ET
0.267 0.267 0.267 rg
239.121 582.418 83.826 0.750 re f
239.121 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 244.371 572.563 Td /F1 9.8 Tf  [(79.1 [69.7�88.6])] TJ ET
0.267 0.267 0.267 rg
322.197 582.418 86.742 0.750 re f
322.197 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 327.447 572.563 Td /F1 9.8 Tf  [(68.2 [42.9�93.6])] TJ ET
0.267 0.267 0.267 rg
408.189 582.418 83.242 0.750 re f
408.189 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 413.439 572.563 Td /F1 9.8 Tf  [(73.8 [57.7�89.5])] TJ ET
0.267 0.267 0.267 rg
490.681 582.418 90.194 0.750 re f
490.681 558.906 0.750 24.262 re f
580.125 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 495.931 572.563 Td /F1 9.8 Tf  [(79.3 [68.3�90.3])] TJ ET
0.267 0.267 0.267 rg
26.625 558.906 119.072 0.750 re f
26.625 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 549.051 Td /F1 9.8 Tf  [(You are comfortable )] TJ ET
BT 31.875 541.420 Td /F1 9.8 Tf  [(asking doctors or )] TJ ET
BT 31.875 533.788 Td /F1 9.8 Tf  [(nurses about )] TJ ET
BT 31.875 526.157 Td /F1 9.8 Tf  [(vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 558.906 94.924 0.750 re f
144.947 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 549.051 Td /F1 9.8 Tf  [(99.1[98.4�99.8])] TJ ET
0.267 0.267 0.267 rg
239.121 558.906 83.826 0.750 re f
239.121 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 549.051 Td /F1 9.8 Tf  [(99.2 )] TJ ET
BT 244.371 541.420 Td /F1 9.8 Tf  [([98.4�100.0])] TJ ET
0.267 0.267 0.267 rg
322.197 558.906 86.742 0.750 re f
322.197 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 549.051 Td /F1 9.8 Tf  [(98.6 [96.9�100.0])] TJ ET
0.267 0.267 0.267 rg
408.189 558.906 83.242 0.750 re f
408.189 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 549.051 Td /F1 9.8 Tf  [(98.9 [97.8�99.9])] TJ ET
0.267 0.267 0.267 rg
490.681 558.906 90.194 0.750 re f
490.681 520.131 0.750 39.525 re f
580.125 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 549.051 Td /F1 9.8 Tf  [(99.3 [98.3�100.0])] TJ ET
0.267 0.267 0.267 rg
26.625 520.131 119.072 0.750 re f
26.625 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 510.276 Td /F1 9.8 Tf  [(A good lifestyle, such as )] TJ ET
BT 31.875 502.645 Td /F1 9.8 Tf  [(eating a healthy diet, )] TJ ET
BT 31.875 495.013 Td /F1 9.8 Tf  [(can eliminate the need )] TJ ET
BT 31.875 487.382 Td /F1 9.8 Tf  [(for vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 520.131 94.924 0.750 re f
144.947 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 510.276 Td /F1 9.8 Tf  [(43.4 [33.8�53.0])] TJ ET
0.267 0.267 0.267 rg
239.121 520.131 83.826 0.750 re f
239.121 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 510.276 Td /F1 9.8 Tf  [(39.5 [29.3�49.7])] TJ ET
0.267 0.267 0.267 rg
322.197 520.131 86.742 0.750 re f
322.197 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 510.276 Td /F1 9.8 Tf  [(59.4 [38.2�80.5])] TJ ET
0.267 0.267 0.267 rg
408.189 520.131 83.242 0.750 re f
408.189 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 510.276 Td /F1 9.8 Tf  [(53.3 [38.5�68.1])] TJ ET
0.267 0.267 0.267 rg
490.681 520.131 90.194 0.750 re f
490.681 481.356 0.750 39.525 re f
580.125 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 510.276 Td /F1 9.8 Tf  [(36.8 [25.4�48.2])] TJ ET
0.267 0.267 0.267 rg
26.625 481.356 119.072 0.750 re f
26.625 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 31.875 471.501 Td /F1 9.8 Tf  [(Relying on alternative )] TJ ET
BT 31.875 463.870 Td /F1 9.8 Tf  [(medicine like )] TJ ET
BT 31.875 456.238 Td /F1 9.8 Tf  [(chiropractic, )] TJ ET
BT 31.875 448.607 Td /F1 9.8 Tf  [(homeopathy or )] TJ ET
BT 31.875 440.976 Td /F1 9.8 Tf  [(naturopathy can )] TJ ET
BT 31.875 433.345 Td /F1 9.8 Tf  [(eliminate the need for )] TJ ET
BT 31.875 425.713 Td /F1 9.8 Tf  [(vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 481.356 94.924 0.750 re f
144.947 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 150.197 471.501 Td /F1 9.8 Tf  [(20.9 [13.7�28.2])] TJ ET
0.267 0.267 0.267 rg
239.121 481.356 83.826 0.750 re f
239.121 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 244.371 471.501 Td /F1 9.8 Tf  [(18.2 [10.6�25.6])] TJ ET
0.267 0.267 0.267 rg
322.197 481.356 86.742 0.750 re f
322.197 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 327.447 471.501 Td /F1 9.8 Tf  [(32.3 [12.0�52.6])] TJ ET
0.267 0.267 0.267 rg
408.189 481.356 83.242 0.750 re f
408.189 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 413.439 471.501 Td /F1 9.8 Tf  [(24.0 [11.3�36.7])] TJ ET
0.267 0.267 0.267 rg
490.681 481.356 90.194 0.750 re f
490.681 419.687 0.750 62.419 re f
580.125 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 495.931 471.501 Td /F1 9.8 Tf  [(18.9 [10.5�27.3])] TJ ET
0.267 0.267 0.267 rg
26.625 419.687 119.072 0.750 re f
26.625 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 409.832 Td /F1 9.8 Tf  [(Today, children are )] TJ ET
BT 31.875 402.201 Td /F1 9.8 Tf  [(given too many )] TJ ET
BT 31.875 394.570 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
144.947 419.687 94.924 0.750 re f
144.947 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 409.832 Td /F1 9.8 Tf  [(37.7 [28.3�47.1])] TJ ET
0.267 0.267 0.267 rg
239.121 419.687 83.826 0.750 re f
239.121 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 409.832 Td /F1 9.8 Tf  [(31.8 [22.3�41.2])] TJ ET
0.267 0.267 0.267 rg
322.197 419.687 86.742 0.750 re f
322.197 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 407.472 Td /F1 9.8 Tf  [(62.1)] TJ ET
BT 346.420 410.037 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 407.472 Td /F1 9.8 Tf  [( [41.3�82.8])] TJ ET
0.267 0.267 0.267 rg
408.189 419.687 83.242 0.750 re f
408.189 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 409.832 Td /F1 9.8 Tf  [(51.5 [36.4�66.6])] TJ ET
0.267 0.267 0.267 rg
490.681 419.687 90.194 0.750 re f
490.681 388.543 0.750 31.894 re f
580.125 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 407.472 Td /F1 9.8 Tf  [(28.4)] TJ ET
BT 514.905 410.037 Td /F1 8.7 Tf  [(* )] TJ ET
BT 520.685 407.472 Td /F1 9.8 Tf  [([17.7�39.1])] TJ ET
0.267 0.267 0.267 rg
26.625 388.543 119.072 0.750 re f
26.625 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 378.688 Td /F1 9.8 Tf  [(You believe that )] TJ ET
BT 31.875 371.057 Td /F1 9.8 Tf  [(vaccines run the risk of )] TJ ET
BT 31.875 363.426 Td /F1 9.8 Tf  [(weakening the immune )] TJ ET
BT 31.875 355.795 Td /F1 9.8 Tf  [(system.)] TJ ET
0.267 0.267 0.267 rg
144.947 388.543 94.924 0.750 re f
144.947 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 378.688 Td /F1 9.8 Tf  [(31.6 [22.7�40.5])] TJ ET
0.267 0.267 0.267 rg
239.121 388.543 83.826 0.750 re f
239.121 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 378.688 Td /F1 9.8 Tf  [(25.9 [17.4�34.3])] TJ ET
0.267 0.267 0.267 rg
322.197 388.543 86.742 0.750 re f
322.197 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 376.328 Td /F1 9.8 Tf  [(55.0)] TJ ET
BT 346.420 378.893 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 376.328 Td /F1 9.8 Tf  [( [32.9�77.1])] TJ ET
0.267 0.267 0.267 rg
408.189 388.543 83.242 0.750 re f
408.189 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 378.688 Td /F1 9.8 Tf  [(43.7 [28.5�59.0])] TJ ET
0.267 0.267 0.267 rg
490.681 388.543 90.194 0.750 re f
490.681 349.768 0.750 39.525 re f
580.125 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 376.328 Td /F1 9.8 Tf  [(23.4)] TJ ET
BT 514.905 378.893 Td /F1 8.7 Tf  [(* )] TJ ET
BT 520.685 376.328 Td /F1 9.8 Tf  [([14.2�32.7])] TJ ET
0.267 0.267 0.267 rg
26.625 349.768 119.072 0.750 re f
26.625 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 339.913 Td /F1 9.8 Tf  [(Generally speaking, you )] TJ ET
BT 31.875 332.282 Td /F1 9.8 Tf  [(are fearful about )] TJ ET
BT 31.875 324.651 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
144.947 349.768 94.924 0.750 re f
144.947 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 339.913 Td /F1 9.8 Tf  [(33.3 [25.1�41.5])] TJ ET
0.267 0.267 0.267 rg
239.121 349.768 83.826 0.750 re f
239.121 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 339.913 Td /F1 9.8 Tf  [(31.9 [22.8�41.0])] TJ ET
0.267 0.267 0.267 rg
322.197 349.768 86.742 0.750 re f
322.197 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 339.913 Td /F1 9.8 Tf  [(39.2 [19.2�59.2])] TJ ET
0.267 0.267 0.267 rg
408.189 349.768 83.242 0.750 re f
408.189 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 339.913 Td /F1 9.8 Tf  [(46.6 [32.0�61.2])] TJ ET
0.267 0.267 0.267 rg
490.681 349.768 90.194 0.750 re f
490.681 318.625 0.750 31.894 re f
580.125 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 337.553 Td /F1 9.8 Tf  [(24.4)] TJ ET
BT 514.905 340.118 Td /F1 8.7 Tf  [(*)] TJ ET
BT 518.276 337.553 Td /F1 9.8 Tf  [( [14.7�34.2])] TJ ET
0.267 0.267 0.267 rg
26.625 318.625 119.072 0.750 re f
26.625 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 308.770 Td /F1 9.8 Tf  [(Generally speaking, the )] TJ ET
BT 31.875 301.138 Td /F1 9.8 Tf  [(people around you are )] TJ ET
BT 31.875 293.507 Td /F1 9.8 Tf  [(in favour of vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 318.625 94.924 0.750 re f
144.947 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 308.770 Td /F1 9.8 Tf  [(81.6 [73.7�89.4])] TJ ET
0.267 0.267 0.267 rg
239.121 318.625 83.826 0.750 re f
239.121 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 308.770 Td /F1 9.8 Tf  [(85.7 [78.7�92.7])] TJ ET
0.267 0.267 0.267 rg
322.197 318.625 86.742 0.750 re f
322.197 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 308.770 Td /F1 9.8 Tf  [(64.7 [40.9�88.6])] TJ ET
0.267 0.267 0.267 rg
408.189 318.625 83.242 0.750 re f
408.189 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 308.770 Td /F1 9.8 Tf  [(73.7 [58.8�88.5])] TJ ET
0.267 0.267 0.267 rg
490.681 318.625 90.194 0.750 re f
490.681 287.481 0.750 31.894 re f
580.125 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 308.770 Td /F1 9.8 Tf  [(86.8 [79.0�94.6])] TJ ET
0.267 0.267 0.267 rg
26.625 287.481 119.072 0.750 re f
26.625 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 31.875 277.626 Td /F1 9.8 Tf  [(It is important that you )] TJ ET
BT 31.875 269.995 Td /F1 9.8 Tf  [(have your child )] TJ ET
BT 31.875 262.363 Td /F1 9.8 Tf  [(vaccinated to protect )] TJ ET
BT 31.875 254.732 Td /F1 9.8 Tf  [(him/her against )] TJ ET
BT 31.875 247.101 Td /F1 9.8 Tf  [(diseases.)] TJ ET
0.267 0.267 0.267 rg
144.947 287.481 94.924 0.750 re f
144.947 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 150.197 277.626 Td /F1 9.8 Tf  [(90.3 [83.6�97.1])] TJ ET
0.267 0.267 0.267 rg
239.121 287.481 83.826 0.750 re f
239.121 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 244.371 277.626 Td /F1 9.8 Tf  [(98.2 [97.3�99.1])] TJ ET
0.267 0.267 0.267 rg
322.197 287.481 86.742 0.750 re f
322.197 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 327.447 275.265 Td /F1 9.8 Tf  [(58.0)] TJ ET
BT 346.420 277.831 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 275.265 Td /F1 9.8 Tf  [( [34.0�82.0])] TJ ET
0.267 0.267 0.267 rg
408.189 287.481 83.242 0.750 re f
408.189 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 413.439 277.626 Td /F1 9.8 Tf  [(77.8 [62.9�92.7])] TJ ET
0.267 0.267 0.267 rg
490.681 287.481 90.194 0.750 re f
490.681 241.075 0.750 47.156 re f
580.125 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 495.931 275.265 Td /F1 9.8 Tf  [(98.7)] TJ ET
BT 514.905 277.831 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 275.265 Td /F1 9.8 Tf  [([97.9�99.5])] TJ ET
0.267 0.267 0.267 rg
26.625 241.075 119.072 0.750 re f
26.625 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 31.875 231.220 Td /F1 9.8 Tf  [(It is important that you )] TJ ET
BT 31.875 223.588 Td /F1 9.8 Tf  [(have your child )] TJ ET
BT 31.875 215.957 Td /F1 9.8 Tf  [(vaccinated to prevent )] TJ ET
BT 31.875 208.326 Td /F1 9.8 Tf  [(the spreading of )] TJ ET
BT 31.875 200.695 Td /F1 9.8 Tf  [(diseases in your )] TJ ET
BT 31.875 193.063 Td /F1 9.8 Tf  [(community.)] TJ ET
0.267 0.267 0.267 rg
144.947 241.075 94.924 0.750 re f
144.947 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 150.197 231.220 Td /F1 9.8 Tf  [(86.2 [78.9�93.5])] TJ ET
0.267 0.267 0.267 rg
239.121 241.075 83.826 0.750 re f
239.121 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 244.371 231.220 Td /F1 9.8 Tf  [(94.5 [90.8�98.3])] TJ ET
0.267 0.267 0.267 rg
322.197 241.075 86.742 0.750 re f
322.197 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 327.447 228.859 Td /F1 9.8 Tf  [(51.9)] TJ ET
BT 346.420 231.424 Td /F1 8.7 Tf  [(**)] TJ ET
BT 327.447 220.638 Td /F1 9.8 Tf  [([28.9�75.0])] TJ ET
0.267 0.267 0.267 rg
408.189 241.075 83.242 0.750 re f
408.189 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 413.439 231.220 Td /F1 9.8 Tf  [(71.3 [56.0�86.7])] TJ ET
0.267 0.267 0.267 rg
490.681 241.075 90.194 0.750 re f
490.681 187.037 0.750 54.788 re f
580.125 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 495.931 228.859 Td /F1 9.8 Tf  [(96.2)] TJ ET
BT 514.905 231.424 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 228.859 Td /F1 9.8 Tf  [([94.0�98.3])] TJ ET
0.267 0.267 0.267 rg
26.625 187.037 119.072 0.750 re f
26.625 140.631 119.072 0.750 re f
26.625 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 31.875 177.182 Td /F1 9.8 Tf  [(You have already felt )] TJ ET
BT 31.875 169.551 Td /F1 9.8 Tf  [(pressure from people )] TJ ET
BT 31.875 161.920 Td /F1 9.8 Tf  [(close to you or from )] TJ ET
BT 31.875 154.288 Td /F1 9.8 Tf  [(society to have your )] TJ ET
BT 31.875 146.657 Td /F1 9.8 Tf  [(child vaccinated.)] TJ ET
0.267 0.267 0.267 rg
144.947 187.037 94.924 0.750 re f
144.947 140.631 94.924 0.750 re f
144.947 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 150.197 177.182 Td /F1 9.8 Tf  [(35.0 [25.7�44.4])] TJ ET
0.267 0.267 0.267 rg
239.121 187.037 83.826 0.750 re f
239.121 140.631 83.826 0.750 re f
239.121 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 244.371 177.182 Td /F1 9.8 Tf  [(28.2 [18.7�37.7])] TJ ET
0.267 0.267 0.267 rg
322.197 187.037 86.742 0.750 re f
322.197 140.631 86.742 0.750 re f
322.197 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 327.447 174.822 Td /F1 9.8 Tf  [(63.3)] TJ ET
BT 346.420 177.387 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 174.822 Td /F1 9.8 Tf  [( [42.3�84.2])] TJ ET
0.267 0.267 0.267 rg
408.189 187.037 83.242 0.750 re f
408.189 140.631 83.242 0.750 re f
408.189 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 413.439 177.182 Td /F1 9.8 Tf  [(65.5 [52.3�78.7])] TJ ET
0.267 0.267 0.267 rg
490.681 187.037 90.194 0.750 re f
490.681 140.631 90.194 0.750 re f
490.681 140.631 0.750 47.156 re f
580.125 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 495.931 174.822 Td /F1 9.8 Tf  [(14.6)] TJ ET
BT 514.905 177.387 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 174.822 Td /F1 9.8 Tf  [([6.4�22.9])] TJ ET
BT 26.250 85.732 Td /F1 9.8 Tf  [(Among the 218 vaccine-hesitant parents, the main reasons for having hesitated to vaccinate their child were collected in an )] TJ ET
BT 26.250 73.827 Td /F1 9.8 Tf  [(open-ended question \(Table 3\). Fear of adverse events and low perceived vulnerability of the child or severity of the disease )] TJ ET
BT 26.250 61.923 Td /F1 9.8 Tf  [(were the most frequent reasons mentioned by these vaccine-hesitant parents.)] TJ ET
Q
q
15.000 52.042 577.500 724.958 re W n
q
26.250 749.527 555.000 27.473 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 2. Participants� beliefs regarding vaccination, according parental self-report of the vaccination status of the child and )] TJ ET
BT 26.250 752.275 Td /F1 9.8 Tf  [(vaccine hesitancy \(%\))] TJ ET
Q
0.965 0.965 0.965 rg
26.250 698.473 555.000 43.554 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 742.027 m 581.250 742.027 l 580.500 741.277 l 27.000 741.277 l  f
581.250 742.027 m 581.250 698.473 l 580.500 698.473 l 580.500 741.277 l  f
26.250 742.027 m 26.250 698.473 l 27.000 698.473 l 27.000 741.277 l  f
0.271 0.267 0.267 rg
BT 33.000 729.831 Td /F1 8.0 Tf  [(�)] TJ ET
BT 37.448 727.463 Td /F1 9.0 Tf  [( Strongly agree and Somewhat agree; )] TJ ET
BT 191.528 729.831 Td /F1 8.0 Tf  [(�)] TJ ET
BT 195.976 727.463 Td /F1 9.0 Tf  [( Parental self-report of the vaccination status of the child, UTD = all vaccines, Non-UTD = only )] TJ ET
BT 33.000 717.695 Td /F1 9.0 Tf  [(some vaccines/no vaccines; )] TJ ET
BT 147.543 720.063 Td /F1 8.0 Tf  [(� )] TJ ET
BT 154.215 717.695 Td /F1 9.0 Tf  [(Parental vaccine hesitancy level \(Have you ever hesitated to have <)] TJ ET
BT 424.593 717.695 Td /F5 9.0 Tf  [(NAME)] TJ ET
BT 450.594 717.695 Td /F1 9.0 Tf  [(> vaccinated?\), VH Parents = )] TJ ET
BT 33.000 707.927 Td /F1 9.0 Tf  [(yes, Non-VH Parents = no; )] TJ ET
BT 142.800 710.295 Td /F1 8.0 Tf  [(*)] TJ ET
BT 145.912 707.927 Td /F1 9.0 Tf  [( p<0.05; )] TJ ET
BT 181.192 710.295 Td /F1 8.0 Tf  [(**)] TJ ET
BT 187.416 707.927 Td /F1 9.0 Tf  [( p<0.01.)] TJ ET
1.000 1.000 1.000 rg
26.250 140.256 555.000 558.218 re f
0.965 0.965 0.965 rg
27.000 637.450 118.322 60.274 re f
0.267 0.267 0.267 rg
26.625 697.348 118.697 0.750 re f
26.625 685.444 0.750 12.655 re f
26.625 637.075 0.750 48.369 re f
0.271 0.267 0.267 rg
BT 31.500 688.200 Td /F4 9.8 Tf  [(Survey items)] TJ ET
0.965 0.965 0.965 rg
145.322 685.444 94.174 12.280 re f
0.267 0.267 0.267 rg
145.322 697.348 94.174 0.750 re f
0.965 0.965 0.965 rg
239.496 685.444 169.069 12.280 re f
0.267 0.267 0.267 rg
239.496 697.348 83.076 0.750 re f
322.572 697.348 85.992 0.750 re f
0.271 0.267 0.267 rg
BT 243.996 688.200 Td /F4 9.8 Tf  [(Vaccination status of the child)] TJ ET
0.965 0.965 0.965 rg
408.564 685.444 171.936 12.280 re f
0.267 0.267 0.267 rg
408.564 697.348 82.492 0.750 re f
491.056 697.348 89.819 0.750 re f
580.125 685.069 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 413.064 688.200 Td /F4 9.8 Tf  [(Parents� vaccine hesitancy)] TJ ET
0.965 0.965 0.965 rg
145.322 637.450 94.174 47.994 re f
0.267 0.267 0.267 rg
145.322 685.069 94.174 0.750 re f
0.271 0.267 0.267 rg
BT 149.822 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 149.822 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 200.746 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 207.974 664.015 Td /F4 9.8 Tf  [(% )] TJ ET
BT 149.822 652.110 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
239.496 637.450 83.076 47.994 re f
0.267 0.267 0.267 rg
239.496 685.069 83.076 0.750 re f
0.271 0.267 0.267 rg
BT 243.996 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 243.996 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 294.920 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 243.996 652.110 Td /F4 9.8 Tf  [(UTD % [95% CI])] TJ ET
0.965 0.965 0.965 rg
322.572 637.450 85.992 47.994 re f
0.267 0.267 0.267 rg
322.572 685.069 85.992 0.750 re f
0.271 0.267 0.267 rg
BT 327.072 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 327.072 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 377.996 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 327.072 652.110 Td /F4 9.8 Tf  [(Non-UTD)] TJ ET
BT 369.309 652.110 Td /F4 8.7 Tf  [(�)] TJ ET
BT 374.128 652.110 Td /F4 9.8 Tf  [( % )] TJ ET
BT 327.072 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
408.564 637.450 82.492 47.994 re f
0.267 0.267 0.267 rg
408.564 685.069 82.492 0.750 re f
0.271 0.267 0.267 rg
BT 413.064 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 413.064 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 463.988 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 413.064 652.110 Td /F4 9.8 Tf  [(VH Parents % )] TJ ET
BT 413.064 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
491.056 637.450 89.444 47.994 re f
0.267 0.267 0.267 rg
491.056 685.069 89.819 0.750 re f
580.125 637.075 0.750 48.744 re f
0.271 0.267 0.267 rg
BT 495.556 675.920 Td /F4 9.8 Tf  [(Total in )] TJ ET
BT 495.556 664.015 Td /F4 9.8 Tf  [(Agreement)] TJ ET
BT 546.480 664.015 Td /F4 8.7 Tf  [(� )] TJ ET
BT 553.708 664.015 Td /F4 9.8 Tf  [(Non-)] TJ ET
BT 495.556 652.110 Td /F4 9.8 Tf  [(VH Parents)] TJ ET
BT 547.572 652.110 Td /F4 8.7 Tf  [(�)] TJ ET
BT 552.391 652.110 Td /F4 9.8 Tf  [( % )] TJ ET
BT 495.556 640.206 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.267 0.267 0.267 rg
26.625 637.075 119.072 0.750 re f
26.625 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 627.220 Td /F1 9.8 Tf  [(You trust the )] TJ ET
BT 31.875 619.588 Td /F1 9.8 Tf  [(vaccination information )] TJ ET
BT 31.875 611.957 Td /F1 9.8 Tf  [(that you receive.)] TJ ET
0.267 0.267 0.267 rg
144.947 637.075 94.924 0.750 re f
144.947 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 627.220 Td /F1 9.8 Tf  [(83.2 [75.2�91.2])] TJ ET
0.267 0.267 0.267 rg
239.121 637.075 83.826 0.750 re f
239.121 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 627.220 Td /F1 9.8 Tf  [(90.0 [84.0�96.0])] TJ ET
0.267 0.267 0.267 rg
322.197 637.075 86.742 0.750 re f
322.197 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 624.859 Td /F1 9.8 Tf  [(55.2)] TJ ET
BT 346.420 627.424 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 624.859 Td /F1 9.8 Tf  [( [31.6�78.8])] TJ ET
0.267 0.267 0.267 rg
408.189 637.075 83.242 0.750 re f
408.189 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 627.220 Td /F1 9.8 Tf  [(66.6 [50.8�82.4])] TJ ET
0.267 0.267 0.267 rg
490.681 637.075 90.194 0.750 re f
490.681 605.931 0.750 31.894 re f
580.125 605.931 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 624.859 Td /F1 9.8 Tf  [(94.3)] TJ ET
BT 514.905 627.424 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 624.859 Td /F1 9.8 Tf  [([89.9�98.7])] TJ ET
0.267 0.267 0.267 rg
26.625 605.931 119.072 0.750 re f
26.625 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 596.076 Td /F1 9.8 Tf  [(Vaccines can prevent )] TJ ET
BT 31.875 588.445 Td /F1 9.8 Tf  [(diseases.)] TJ ET
0.267 0.267 0.267 rg
144.947 605.931 94.924 0.750 re f
144.947 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 150.197 596.076 Td /F1 9.8 Tf  [(87.4 [80.3�94.5])] TJ ET
0.267 0.267 0.267 rg
239.121 605.931 83.826 0.750 re f
239.121 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 244.371 596.076 Td /F1 9.8 Tf  [(88.4 [80.9�96.0])] TJ ET
0.267 0.267 0.267 rg
322.197 605.931 86.742 0.750 re f
322.197 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 327.447 596.076 Td /F1 9.8 Tf  [(83.2 [64.7�100.0])] TJ ET
0.267 0.267 0.267 rg
408.189 605.931 83.242 0.750 re f
408.189 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 413.439 596.076 Td /F1 9.8 Tf  [(85.7 [73.2�98.3])] TJ ET
0.267 0.267 0.267 rg
490.681 605.931 90.194 0.750 re f
490.681 582.418 0.750 24.262 re f
580.125 582.418 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 495.931 596.076 Td /F1 9.8 Tf  [(88.5 [80.2�96.8])] TJ ET
0.267 0.267 0.267 rg
26.625 582.418 119.072 0.750 re f
26.625 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 572.563 Td /F1 9.8 Tf  [(The diseases prevented )] TJ ET
BT 31.875 564.932 Td /F1 9.8 Tf  [(by vaccines are serious.)] TJ ET
0.267 0.267 0.267 rg
144.947 582.418 94.924 0.750 re f
144.947 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 150.197 572.563 Td /F1 9.8 Tf  [(77.0 [67.8�86.2])] TJ ET
0.267 0.267 0.267 rg
239.121 582.418 83.826 0.750 re f
239.121 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 244.371 572.563 Td /F1 9.8 Tf  [(79.1 [69.7�88.6])] TJ ET
0.267 0.267 0.267 rg
322.197 582.418 86.742 0.750 re f
322.197 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 327.447 572.563 Td /F1 9.8 Tf  [(68.2 [42.9�93.6])] TJ ET
0.267 0.267 0.267 rg
408.189 582.418 83.242 0.750 re f
408.189 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 413.439 572.563 Td /F1 9.8 Tf  [(73.8 [57.7�89.5])] TJ ET
0.267 0.267 0.267 rg
490.681 582.418 90.194 0.750 re f
490.681 558.906 0.750 24.262 re f
580.125 558.906 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 495.931 572.563 Td /F1 9.8 Tf  [(79.3 [68.3�90.3])] TJ ET
0.267 0.267 0.267 rg
26.625 558.906 119.072 0.750 re f
26.625 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 549.051 Td /F1 9.8 Tf  [(You are comfortable )] TJ ET
BT 31.875 541.420 Td /F1 9.8 Tf  [(asking doctors or )] TJ ET
BT 31.875 533.788 Td /F1 9.8 Tf  [(nurses about )] TJ ET
BT 31.875 526.157 Td /F1 9.8 Tf  [(vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 558.906 94.924 0.750 re f
144.947 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 549.051 Td /F1 9.8 Tf  [(99.1[98.4�99.8])] TJ ET
0.267 0.267 0.267 rg
239.121 558.906 83.826 0.750 re f
239.121 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 549.051 Td /F1 9.8 Tf  [(99.2 )] TJ ET
BT 244.371 541.420 Td /F1 9.8 Tf  [([98.4�100.0])] TJ ET
0.267 0.267 0.267 rg
322.197 558.906 86.742 0.750 re f
322.197 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 549.051 Td /F1 9.8 Tf  [(98.6 [96.9�100.0])] TJ ET
0.267 0.267 0.267 rg
408.189 558.906 83.242 0.750 re f
408.189 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 549.051 Td /F1 9.8 Tf  [(98.9 [97.8�99.9])] TJ ET
0.267 0.267 0.267 rg
490.681 558.906 90.194 0.750 re f
490.681 520.131 0.750 39.525 re f
580.125 520.131 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 549.051 Td /F1 9.8 Tf  [(99.3 [98.3�100.0])] TJ ET
0.267 0.267 0.267 rg
26.625 520.131 119.072 0.750 re f
26.625 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 510.276 Td /F1 9.8 Tf  [(A good lifestyle, such as )] TJ ET
BT 31.875 502.645 Td /F1 9.8 Tf  [(eating a healthy diet, )] TJ ET
BT 31.875 495.013 Td /F1 9.8 Tf  [(can eliminate the need )] TJ ET
BT 31.875 487.382 Td /F1 9.8 Tf  [(for vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 520.131 94.924 0.750 re f
144.947 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 510.276 Td /F1 9.8 Tf  [(43.4 [33.8�53.0])] TJ ET
0.267 0.267 0.267 rg
239.121 520.131 83.826 0.750 re f
239.121 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 510.276 Td /F1 9.8 Tf  [(39.5 [29.3�49.7])] TJ ET
0.267 0.267 0.267 rg
322.197 520.131 86.742 0.750 re f
322.197 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 510.276 Td /F1 9.8 Tf  [(59.4 [38.2�80.5])] TJ ET
0.267 0.267 0.267 rg
408.189 520.131 83.242 0.750 re f
408.189 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 510.276 Td /F1 9.8 Tf  [(53.3 [38.5�68.1])] TJ ET
0.267 0.267 0.267 rg
490.681 520.131 90.194 0.750 re f
490.681 481.356 0.750 39.525 re f
580.125 481.356 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 510.276 Td /F1 9.8 Tf  [(36.8 [25.4�48.2])] TJ ET
0.267 0.267 0.267 rg
26.625 481.356 119.072 0.750 re f
26.625 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 31.875 471.501 Td /F1 9.8 Tf  [(Relying on alternative )] TJ ET
BT 31.875 463.870 Td /F1 9.8 Tf  [(medicine like )] TJ ET
BT 31.875 456.238 Td /F1 9.8 Tf  [(chiropractic, )] TJ ET
BT 31.875 448.607 Td /F1 9.8 Tf  [(homeopathy or )] TJ ET
BT 31.875 440.976 Td /F1 9.8 Tf  [(naturopathy can )] TJ ET
BT 31.875 433.345 Td /F1 9.8 Tf  [(eliminate the need for )] TJ ET
BT 31.875 425.713 Td /F1 9.8 Tf  [(vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 481.356 94.924 0.750 re f
144.947 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 150.197 471.501 Td /F1 9.8 Tf  [(20.9 [13.7�28.2])] TJ ET
0.267 0.267 0.267 rg
239.121 481.356 83.826 0.750 re f
239.121 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 244.371 471.501 Td /F1 9.8 Tf  [(18.2 [10.6�25.6])] TJ ET
0.267 0.267 0.267 rg
322.197 481.356 86.742 0.750 re f
322.197 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 327.447 471.501 Td /F1 9.8 Tf  [(32.3 [12.0�52.6])] TJ ET
0.267 0.267 0.267 rg
408.189 481.356 83.242 0.750 re f
408.189 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 413.439 471.501 Td /F1 9.8 Tf  [(24.0 [11.3�36.7])] TJ ET
0.267 0.267 0.267 rg
490.681 481.356 90.194 0.750 re f
490.681 419.687 0.750 62.419 re f
580.125 419.687 0.750 62.419 re f
0.271 0.267 0.267 rg
BT 495.931 471.501 Td /F1 9.8 Tf  [(18.9 [10.5�27.3])] TJ ET
0.267 0.267 0.267 rg
26.625 419.687 119.072 0.750 re f
26.625 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 409.832 Td /F1 9.8 Tf  [(Today, children are )] TJ ET
BT 31.875 402.201 Td /F1 9.8 Tf  [(given too many )] TJ ET
BT 31.875 394.570 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
144.947 419.687 94.924 0.750 re f
144.947 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 409.832 Td /F1 9.8 Tf  [(37.7 [28.3�47.1])] TJ ET
0.267 0.267 0.267 rg
239.121 419.687 83.826 0.750 re f
239.121 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 409.832 Td /F1 9.8 Tf  [(31.8 [22.3�41.2])] TJ ET
0.267 0.267 0.267 rg
322.197 419.687 86.742 0.750 re f
322.197 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 407.472 Td /F1 9.8 Tf  [(62.1)] TJ ET
BT 346.420 410.037 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 407.472 Td /F1 9.8 Tf  [( [41.3�82.8])] TJ ET
0.267 0.267 0.267 rg
408.189 419.687 83.242 0.750 re f
408.189 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 409.832 Td /F1 9.8 Tf  [(51.5 [36.4�66.6])] TJ ET
0.267 0.267 0.267 rg
490.681 419.687 90.194 0.750 re f
490.681 388.543 0.750 31.894 re f
580.125 388.543 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 407.472 Td /F1 9.8 Tf  [(28.4)] TJ ET
BT 514.905 410.037 Td /F1 8.7 Tf  [(* )] TJ ET
BT 520.685 407.472 Td /F1 9.8 Tf  [([17.7�39.1])] TJ ET
0.267 0.267 0.267 rg
26.625 388.543 119.072 0.750 re f
26.625 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 31.875 378.688 Td /F1 9.8 Tf  [(You believe that )] TJ ET
BT 31.875 371.057 Td /F1 9.8 Tf  [(vaccines run the risk of )] TJ ET
BT 31.875 363.426 Td /F1 9.8 Tf  [(weakening the immune )] TJ ET
BT 31.875 355.795 Td /F1 9.8 Tf  [(system.)] TJ ET
0.267 0.267 0.267 rg
144.947 388.543 94.924 0.750 re f
144.947 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 150.197 378.688 Td /F1 9.8 Tf  [(31.6 [22.7�40.5])] TJ ET
0.267 0.267 0.267 rg
239.121 388.543 83.826 0.750 re f
239.121 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 244.371 378.688 Td /F1 9.8 Tf  [(25.9 [17.4�34.3])] TJ ET
0.267 0.267 0.267 rg
322.197 388.543 86.742 0.750 re f
322.197 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 327.447 376.328 Td /F1 9.8 Tf  [(55.0)] TJ ET
BT 346.420 378.893 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 376.328 Td /F1 9.8 Tf  [( [32.9�77.1])] TJ ET
0.267 0.267 0.267 rg
408.189 388.543 83.242 0.750 re f
408.189 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 413.439 378.688 Td /F1 9.8 Tf  [(43.7 [28.5�59.0])] TJ ET
0.267 0.267 0.267 rg
490.681 388.543 90.194 0.750 re f
490.681 349.768 0.750 39.525 re f
580.125 349.768 0.750 39.525 re f
0.271 0.267 0.267 rg
BT 495.931 376.328 Td /F1 9.8 Tf  [(23.4)] TJ ET
BT 514.905 378.893 Td /F1 8.7 Tf  [(* )] TJ ET
BT 520.685 376.328 Td /F1 9.8 Tf  [([14.2�32.7])] TJ ET
0.267 0.267 0.267 rg
26.625 349.768 119.072 0.750 re f
26.625 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 339.913 Td /F1 9.8 Tf  [(Generally speaking, you )] TJ ET
BT 31.875 332.282 Td /F1 9.8 Tf  [(are fearful about )] TJ ET
BT 31.875 324.651 Td /F1 9.8 Tf  [(vaccines.)] TJ ET
0.267 0.267 0.267 rg
144.947 349.768 94.924 0.750 re f
144.947 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 339.913 Td /F1 9.8 Tf  [(33.3 [25.1�41.5])] TJ ET
0.267 0.267 0.267 rg
239.121 349.768 83.826 0.750 re f
239.121 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 339.913 Td /F1 9.8 Tf  [(31.9 [22.8�41.0])] TJ ET
0.267 0.267 0.267 rg
322.197 349.768 86.742 0.750 re f
322.197 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 339.913 Td /F1 9.8 Tf  [(39.2 [19.2�59.2])] TJ ET
0.267 0.267 0.267 rg
408.189 349.768 83.242 0.750 re f
408.189 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 339.913 Td /F1 9.8 Tf  [(46.6 [32.0�61.2])] TJ ET
0.267 0.267 0.267 rg
490.681 349.768 90.194 0.750 re f
490.681 318.625 0.750 31.894 re f
580.125 318.625 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 337.553 Td /F1 9.8 Tf  [(24.4)] TJ ET
BT 514.905 340.118 Td /F1 8.7 Tf  [(*)] TJ ET
BT 518.276 337.553 Td /F1 9.8 Tf  [( [14.7�34.2])] TJ ET
0.267 0.267 0.267 rg
26.625 318.625 119.072 0.750 re f
26.625 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 308.770 Td /F1 9.8 Tf  [(Generally speaking, the )] TJ ET
BT 31.875 301.138 Td /F1 9.8 Tf  [(people around you are )] TJ ET
BT 31.875 293.507 Td /F1 9.8 Tf  [(in favour of vaccination.)] TJ ET
0.267 0.267 0.267 rg
144.947 318.625 94.924 0.750 re f
144.947 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 150.197 308.770 Td /F1 9.8 Tf  [(81.6 [73.7�89.4])] TJ ET
0.267 0.267 0.267 rg
239.121 318.625 83.826 0.750 re f
239.121 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 244.371 308.770 Td /F1 9.8 Tf  [(85.7 [78.7�92.7])] TJ ET
0.267 0.267 0.267 rg
322.197 318.625 86.742 0.750 re f
322.197 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 327.447 308.770 Td /F1 9.8 Tf  [(64.7 [40.9�88.6])] TJ ET
0.267 0.267 0.267 rg
408.189 318.625 83.242 0.750 re f
408.189 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 413.439 308.770 Td /F1 9.8 Tf  [(73.7 [58.8�88.5])] TJ ET
0.267 0.267 0.267 rg
490.681 318.625 90.194 0.750 re f
490.681 287.481 0.750 31.894 re f
580.125 287.481 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 495.931 308.770 Td /F1 9.8 Tf  [(86.8 [79.0�94.6])] TJ ET
0.267 0.267 0.267 rg
26.625 287.481 119.072 0.750 re f
26.625 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 31.875 277.626 Td /F1 9.8 Tf  [(It is important that you )] TJ ET
BT 31.875 269.995 Td /F1 9.8 Tf  [(have your child )] TJ ET
BT 31.875 262.363 Td /F1 9.8 Tf  [(vaccinated to protect )] TJ ET
BT 31.875 254.732 Td /F1 9.8 Tf  [(him/her against )] TJ ET
BT 31.875 247.101 Td /F1 9.8 Tf  [(diseases.)] TJ ET
0.267 0.267 0.267 rg
144.947 287.481 94.924 0.750 re f
144.947 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 150.197 277.626 Td /F1 9.8 Tf  [(90.3 [83.6�97.1])] TJ ET
0.267 0.267 0.267 rg
239.121 287.481 83.826 0.750 re f
239.121 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 244.371 277.626 Td /F1 9.8 Tf  [(98.2 [97.3�99.1])] TJ ET
0.267 0.267 0.267 rg
322.197 287.481 86.742 0.750 re f
322.197 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 327.447 275.265 Td /F1 9.8 Tf  [(58.0)] TJ ET
BT 346.420 277.831 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 275.265 Td /F1 9.8 Tf  [( [34.0�82.0])] TJ ET
0.267 0.267 0.267 rg
408.189 287.481 83.242 0.750 re f
408.189 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 413.439 277.626 Td /F1 9.8 Tf  [(77.8 [62.9�92.7])] TJ ET
0.267 0.267 0.267 rg
490.681 287.481 90.194 0.750 re f
490.681 241.075 0.750 47.156 re f
580.125 241.075 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 495.931 275.265 Td /F1 9.8 Tf  [(98.7)] TJ ET
BT 514.905 277.831 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 275.265 Td /F1 9.8 Tf  [([97.9�99.5])] TJ ET
0.267 0.267 0.267 rg
26.625 241.075 119.072 0.750 re f
26.625 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 31.875 231.220 Td /F1 9.8 Tf  [(It is important that you )] TJ ET
BT 31.875 223.588 Td /F1 9.8 Tf  [(have your child )] TJ ET
BT 31.875 215.957 Td /F1 9.8 Tf  [(vaccinated to prevent )] TJ ET
BT 31.875 208.326 Td /F1 9.8 Tf  [(the spreading of )] TJ ET
BT 31.875 200.695 Td /F1 9.8 Tf  [(diseases in your )] TJ ET
BT 31.875 193.063 Td /F1 9.8 Tf  [(community.)] TJ ET
0.267 0.267 0.267 rg
144.947 241.075 94.924 0.750 re f
144.947 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 150.197 231.220 Td /F1 9.8 Tf  [(86.2 [78.9�93.5])] TJ ET
0.267 0.267 0.267 rg
239.121 241.075 83.826 0.750 re f
239.121 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 244.371 231.220 Td /F1 9.8 Tf  [(94.5 [90.8�98.3])] TJ ET
0.267 0.267 0.267 rg
322.197 241.075 86.742 0.750 re f
322.197 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 327.447 228.859 Td /F1 9.8 Tf  [(51.9)] TJ ET
BT 346.420 231.424 Td /F1 8.7 Tf  [(**)] TJ ET
BT 327.447 220.638 Td /F1 9.8 Tf  [([28.9�75.0])] TJ ET
0.267 0.267 0.267 rg
408.189 241.075 83.242 0.750 re f
408.189 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 413.439 231.220 Td /F1 9.8 Tf  [(71.3 [56.0�86.7])] TJ ET
0.267 0.267 0.267 rg
490.681 241.075 90.194 0.750 re f
490.681 187.037 0.750 54.788 re f
580.125 187.037 0.750 54.788 re f
0.271 0.267 0.267 rg
BT 495.931 228.859 Td /F1 9.8 Tf  [(96.2)] TJ ET
BT 514.905 231.424 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 228.859 Td /F1 9.8 Tf  [([94.0�98.3])] TJ ET
0.267 0.267 0.267 rg
26.625 187.037 119.072 0.750 re f
26.625 140.631 119.072 0.750 re f
26.625 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 31.875 177.182 Td /F1 9.8 Tf  [(You have already felt )] TJ ET
BT 31.875 169.551 Td /F1 9.8 Tf  [(pressure from people )] TJ ET
BT 31.875 161.920 Td /F1 9.8 Tf  [(close to you or from )] TJ ET
BT 31.875 154.288 Td /F1 9.8 Tf  [(society to have your )] TJ ET
BT 31.875 146.657 Td /F1 9.8 Tf  [(child vaccinated.)] TJ ET
0.267 0.267 0.267 rg
144.947 187.037 94.924 0.750 re f
144.947 140.631 94.924 0.750 re f
144.947 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 150.197 177.182 Td /F1 9.8 Tf  [(35.0 [25.7�44.4])] TJ ET
0.267 0.267 0.267 rg
239.121 187.037 83.826 0.750 re f
239.121 140.631 83.826 0.750 re f
239.121 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 244.371 177.182 Td /F1 9.8 Tf  [(28.2 [18.7�37.7])] TJ ET
0.267 0.267 0.267 rg
322.197 187.037 86.742 0.750 re f
322.197 140.631 86.742 0.750 re f
322.197 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 327.447 174.822 Td /F1 9.8 Tf  [(63.3)] TJ ET
BT 346.420 177.387 Td /F1 8.7 Tf  [(*)] TJ ET
BT 349.792 174.822 Td /F1 9.8 Tf  [( [42.3�84.2])] TJ ET
0.267 0.267 0.267 rg
408.189 187.037 83.242 0.750 re f
408.189 140.631 83.242 0.750 re f
408.189 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 413.439 177.182 Td /F1 9.8 Tf  [(65.5 [52.3�78.7])] TJ ET
0.267 0.267 0.267 rg
490.681 187.037 90.194 0.750 re f
490.681 140.631 90.194 0.750 re f
490.681 140.631 0.750 47.156 re f
580.125 140.631 0.750 47.156 re f
0.271 0.267 0.267 rg
BT 495.931 174.822 Td /F1 9.8 Tf  [(14.6)] TJ ET
BT 514.905 177.387 Td /F1 8.7 Tf  [(** )] TJ ET
BT 524.057 174.822 Td /F1 9.8 Tf  [([6.4�22.9])] TJ ET
BT 26.250 85.732 Td /F1 9.8 Tf  [(Among the 218 vaccine-hesitant parents, the main reasons for having hesitated to vaccinate their child were collected in an )] TJ ET
BT 26.250 73.827 Td /F1 9.8 Tf  [(open-ended question \(Table 3\). Fear of adverse events and low perceived vulnerability of the child or severity of the disease )] TJ ET
BT 26.250 61.923 Td /F1 9.8 Tf  [(were the most frequent reasons mentioned by these vaccine-hesitant parents.)] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(4)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
171 0 obj
<< /Type /Page
/Parent 3 0 R
/Contents 172 0 R
>>
endobj
172 0 obj
<<
/Length 25819 >>
stream

0.271 0.267 0.267 rg
0.267 0.267 0.267 RG
q
15.000 254.927 577.500 522.073 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 3. Main reasons for having hesitated to vacinate their child among the 218 vaccine-hesitant parents \(%\))] TJ ET
Q
1.000 1.000 1.000 rg
26.250 614.934 555.000 140.830 re f
0.965 0.965 0.965 rg
27.000 742.734 382.857 12.280 re f
0.267 0.267 0.267 rg
26.625 754.639 383.232 0.750 re f
26.625 742.359 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 31.500 745.490 Td /F4 9.8 Tf  [(Reasons)] TJ ET
0.965 0.965 0.965 rg
409.857 742.734 44.177 12.280 re f
0.267 0.267 0.267 rg
409.857 754.639 44.177 0.750 re f
0.271 0.267 0.267 rg
BT 414.357 745.490 Td /F4 9.8 Tf  [(n)] TJ ET
0.965 0.965 0.965 rg
454.034 742.734 126.466 12.280 re f
0.267 0.267 0.267 rg
454.034 754.639 126.841 0.750 re f
580.125 742.359 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 458.534 745.490 Td /F4 9.8 Tf  [(Weighted %)] TJ ET
0.267 0.267 0.267 rg
26.625 742.359 383.607 0.750 re f
26.625 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 732.504 Td /F1 9.8 Tf  [(Fear of adverse events)] TJ ET
0.267 0.267 0.267 rg
409.482 742.359 44.927 0.750 re f
409.482 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 732.504 Td /F1 9.8 Tf  [(69)] TJ ET
0.267 0.267 0.267 rg
453.659 742.359 127.216 0.750 re f
453.659 726.478 0.750 16.631 re f
580.125 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 732.504 Td /F1 9.8 Tf  [(36.0)] TJ ET
0.267 0.267 0.267 rg
26.625 726.478 383.607 0.750 re f
26.625 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 716.623 Td /F1 9.8 Tf  [(Low perception of vulnerability/severity of the disease)] TJ ET
0.267 0.267 0.267 rg
409.482 726.478 44.927 0.750 re f
409.482 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 716.623 Td /F1 9.8 Tf  [(60)] TJ ET
0.267 0.267 0.267 rg
453.659 726.478 127.216 0.750 re f
453.659 710.596 0.750 16.631 re f
580.125 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 716.623 Td /F1 9.8 Tf  [(30.3)] TJ ET
0.267 0.267 0.267 rg
26.625 710.596 383.607 0.750 re f
26.625 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 700.741 Td /F1 9.8 Tf  [(Doubts about vaccines)] TJ ET
0.267 0.267 0.267 rg
409.482 710.596 44.927 0.750 re f
409.482 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 700.741 Td /F1 9.8 Tf  [(39)] TJ ET
0.267 0.267 0.267 rg
453.659 710.596 127.216 0.750 re f
453.659 694.715 0.750 16.631 re f
580.125 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 700.741 Td /F1 9.8 Tf  [(14.3)] TJ ET
0.267 0.267 0.267 rg
26.625 694.715 383.607 0.750 re f
26.625 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 684.860 Td /F1 9.8 Tf  [(Influence of information on vaccination)] TJ ET
0.267 0.267 0.267 rg
409.482 694.715 44.927 0.750 re f
409.482 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 684.860 Td /F1 9.8 Tf  [(19)] TJ ET
0.267 0.267 0.267 rg
453.659 694.715 127.216 0.750 re f
453.659 678.834 0.750 16.631 re f
580.125 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 684.860 Td /F1 9.8 Tf  [(7.0)] TJ ET
0.267 0.267 0.267 rg
26.625 678.834 383.607 0.750 re f
26.625 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 668.979 Td /F1 9.8 Tf  [(Mistrust in general)] TJ ET
0.267 0.267 0.267 rg
409.482 678.834 44.927 0.750 re f
409.482 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 668.979 Td /F1 9.8 Tf  [(7)] TJ ET
0.267 0.267 0.267 rg
453.659 678.834 127.216 0.750 re f
453.659 662.953 0.750 16.631 re f
580.125 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 668.979 Td /F1 9.8 Tf  [(4.5)] TJ ET
0.267 0.267 0.267 rg
26.625 662.953 383.607 0.750 re f
26.625 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 653.098 Td /F1 9.8 Tf  [(Preference for other modes of prevention)] TJ ET
0.267 0.267 0.267 rg
409.482 662.953 44.927 0.750 re f
409.482 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 653.098 Td /F1 9.8 Tf  [(9)] TJ ET
0.267 0.267 0.267 rg
453.659 662.953 127.216 0.750 re f
453.659 647.071 0.750 16.631 re f
580.125 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 653.098 Td /F1 9.8 Tf  [(2.8)] TJ ET
0.267 0.267 0.267 rg
26.625 647.071 383.607 0.750 re f
26.625 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 637.216 Td /F1 9.8 Tf  [(Lack of knowledge/information)] TJ ET
0.267 0.267 0.267 rg
409.482 647.071 44.927 0.750 re f
409.482 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 637.216 Td /F1 9.8 Tf  [(6)] TJ ET
0.267 0.267 0.267 rg
453.659 647.071 127.216 0.750 re f
453.659 631.190 0.750 16.631 re f
580.125 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 637.216 Td /F1 9.8 Tf  [(1.1)] TJ ET
0.267 0.267 0.267 rg
26.625 631.190 383.607 0.750 re f
26.625 615.309 383.607 0.750 re f
26.625 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 621.335 Td /F1 9.8 Tf  [(Other)] TJ ET
0.267 0.267 0.267 rg
409.482 631.190 44.927 0.750 re f
409.482 615.309 44.927 0.750 re f
409.482 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 621.335 Td /F1 9.8 Tf  [(9)] TJ ET
0.267 0.267 0.267 rg
453.659 631.190 127.216 0.750 re f
453.659 615.309 127.216 0.750 re f
453.659 615.309 0.750 16.631 re f
580.125 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 621.335 Td /F1 9.8 Tf  [(4.2)] TJ ET
BT 26.250 560.410 Td /F1 9.8 Tf  [(Less than half of the 218 vaccine-hesitant parents \(n=99\), finally have accepted all vaccines when due and around 10% \(n=27\) )] TJ ET
BT 26.250 548.505 Td /F1 9.8 Tf  [(have accepted all vaccines, but on a delayed schedule. More than one third of the vaccine-hesitant parents \(n=87\) have )] TJ ET
BT 26.250 536.601 Td /F1 9.8 Tf  [(accepted some vaccines but refused others and a minority \(n=5\) have refused all vaccines. Among the 213 vaccine-hesitant )] TJ ET
BT 26.250 524.696 Td /F1 9.8 Tf  [(parents who finally have accepted to give at least some vaccines to their child, 208 gave a reason for their decision. The main )] TJ ET
BT 26.250 512.791 Td /F1 9.8 Tf  [(reasons reported were the protection of the child \(n=92\), having received a recommendation to vaccinate or more information )] TJ ET
BT 26.250 500.886 Td /F1 9.8 Tf  [(about vaccination \(n=26\), trusting the recommendations \(n=26\) and social pressure to do so \(n=15\).)] TJ ET
BT 26.250 481.482 Td /F1 9.8 Tf  [(Results of the multivariate analyses are shown in Table 4. The modeled probabilities are for the non-UTD vaccine status of the )] TJ ET
BT 26.250 469.577 Td /F1 9.8 Tf  [(children and the parents� vaccine hesitancy. After adjustments, three items were both associated with an incomplete vaccination )] TJ ET
BT 26.250 457.672 Td /F1 9.8 Tf  [(status of the child and parent vaccine hesitancy : not thinking that it is important to have the child vaccinated to prevent the )] TJ ET
BT 26.250 445.767 Td /F1 9.8 Tf  [(spreading of diseases in the community, not trusting the received vaccination information and having felt pressure to have the )] TJ ET
BT 26.250 433.863 Td /F1 9.8 Tf  [(child vaccinated. Not thinking that it is important to have the child vaccinated to protect him/her against diseases and believing )] TJ ET
BT 26.250 421.958 Td /F1 9.8 Tf  [(that children are given too many vaccines were associated with incomplete vaccination status of the child. The items �The )] TJ ET
BT 26.250 410.053 Td /F1 9.8 Tf  [(diseases prevented by vaccines are serious� remained significantly negatively associated with both the non-UTD status of the )] TJ ET
BT 26.250 398.148 Td /F1 9.8 Tf  [(child and presence of vaccine hesitancy. �Vaccines prevent diseases� was another item negatively associated with the child non-)] TJ ET
BT 26.250 386.244 Td /F1 9.8 Tf  [(UTD status, while the item �You believe that vaccines run the risk of weakening the immune system�\) remained significantly )] TJ ET
BT 26.250 374.339 Td /F1 9.8 Tf  [(negatively associated with vaccine hesitancy.)] TJ ET
BT 26.250 354.934 Td /F1 9.8 Tf  [(In multivariate analyses, the female respondent�s sex was significantly associated with a self-reported incomplete vaccine status )] TJ ET
BT 26.250 343.029 Td /F1 9.8 Tf  [(for the child \(adjusted OR=4.4, [95% CI: 1.9�10.0]; p=0.0005\) as well as the respondent�s age of 45 years or over \(adjusted )] TJ ET
BT 26.250 331.125 Td /F1 9.8 Tf  [(OR=4.8, [95% CI: 1.8�12.9]; p=0.0018\) and living in a household including 5 persons or more \(adjusted OR=6.1, [95% CI: )] TJ ET
BT 26.250 319.220 Td /F1 9.8 Tf  [(2,1�18.2]; p=0.0011\). No association was found for the parents� vaccine hesitancy.)] TJ ET
Q
q
15.000 254.927 577.500 522.073 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 3. Main reasons for having hesitated to vacinate their child among the 218 vaccine-hesitant parents \(%\))] TJ ET
Q
1.000 1.000 1.000 rg
26.250 614.934 555.000 140.830 re f
0.965 0.965 0.965 rg
27.000 742.734 382.857 12.280 re f
0.267 0.267 0.267 rg
26.625 754.639 383.232 0.750 re f
26.625 742.359 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 31.500 745.490 Td /F4 9.8 Tf  [(Reasons)] TJ ET
0.965 0.965 0.965 rg
409.857 742.734 44.177 12.280 re f
0.267 0.267 0.267 rg
409.857 754.639 44.177 0.750 re f
0.271 0.267 0.267 rg
BT 414.357 745.490 Td /F4 9.8 Tf  [(n)] TJ ET
0.965 0.965 0.965 rg
454.034 742.734 126.466 12.280 re f
0.267 0.267 0.267 rg
454.034 754.639 126.841 0.750 re f
580.125 742.359 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 458.534 745.490 Td /F4 9.8 Tf  [(Weighted %)] TJ ET
0.267 0.267 0.267 rg
26.625 742.359 383.607 0.750 re f
26.625 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 732.504 Td /F1 9.8 Tf  [(Fear of adverse events)] TJ ET
0.267 0.267 0.267 rg
409.482 742.359 44.927 0.750 re f
409.482 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 732.504 Td /F1 9.8 Tf  [(69)] TJ ET
0.267 0.267 0.267 rg
453.659 742.359 127.216 0.750 re f
453.659 726.478 0.750 16.631 re f
580.125 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 732.504 Td /F1 9.8 Tf  [(36.0)] TJ ET
0.267 0.267 0.267 rg
26.625 726.478 383.607 0.750 re f
26.625 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 716.623 Td /F1 9.8 Tf  [(Low perception of vulnerability/severity of the disease)] TJ ET
0.267 0.267 0.267 rg
409.482 726.478 44.927 0.750 re f
409.482 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 716.623 Td /F1 9.8 Tf  [(60)] TJ ET
0.267 0.267 0.267 rg
453.659 726.478 127.216 0.750 re f
453.659 710.596 0.750 16.631 re f
580.125 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 716.623 Td /F1 9.8 Tf  [(30.3)] TJ ET
0.267 0.267 0.267 rg
26.625 710.596 383.607 0.750 re f
26.625 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 700.741 Td /F1 9.8 Tf  [(Doubts about vaccines)] TJ ET
0.267 0.267 0.267 rg
409.482 710.596 44.927 0.750 re f
409.482 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 700.741 Td /F1 9.8 Tf  [(39)] TJ ET
0.267 0.267 0.267 rg
453.659 710.596 127.216 0.750 re f
453.659 694.715 0.750 16.631 re f
580.125 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 700.741 Td /F1 9.8 Tf  [(14.3)] TJ ET
0.267 0.267 0.267 rg
26.625 694.715 383.607 0.750 re f
26.625 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 684.860 Td /F1 9.8 Tf  [(Influence of information on vaccination)] TJ ET
0.267 0.267 0.267 rg
409.482 694.715 44.927 0.750 re f
409.482 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 684.860 Td /F1 9.8 Tf  [(19)] TJ ET
0.267 0.267 0.267 rg
453.659 694.715 127.216 0.750 re f
453.659 678.834 0.750 16.631 re f
580.125 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 684.860 Td /F1 9.8 Tf  [(7.0)] TJ ET
0.267 0.267 0.267 rg
26.625 678.834 383.607 0.750 re f
26.625 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 668.979 Td /F1 9.8 Tf  [(Mistrust in general)] TJ ET
0.267 0.267 0.267 rg
409.482 678.834 44.927 0.750 re f
409.482 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 668.979 Td /F1 9.8 Tf  [(7)] TJ ET
0.267 0.267 0.267 rg
453.659 678.834 127.216 0.750 re f
453.659 662.953 0.750 16.631 re f
580.125 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 668.979 Td /F1 9.8 Tf  [(4.5)] TJ ET
0.267 0.267 0.267 rg
26.625 662.953 383.607 0.750 re f
26.625 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 653.098 Td /F1 9.8 Tf  [(Preference for other modes of prevention)] TJ ET
0.267 0.267 0.267 rg
409.482 662.953 44.927 0.750 re f
409.482 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 653.098 Td /F1 9.8 Tf  [(9)] TJ ET
0.267 0.267 0.267 rg
453.659 662.953 127.216 0.750 re f
453.659 647.071 0.750 16.631 re f
580.125 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 653.098 Td /F1 9.8 Tf  [(2.8)] TJ ET
0.267 0.267 0.267 rg
26.625 647.071 383.607 0.750 re f
26.625 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 637.216 Td /F1 9.8 Tf  [(Lack of knowledge/information)] TJ ET
0.267 0.267 0.267 rg
409.482 647.071 44.927 0.750 re f
409.482 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 637.216 Td /F1 9.8 Tf  [(6)] TJ ET
0.267 0.267 0.267 rg
453.659 647.071 127.216 0.750 re f
453.659 631.190 0.750 16.631 re f
580.125 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 637.216 Td /F1 9.8 Tf  [(1.1)] TJ ET
0.267 0.267 0.267 rg
26.625 631.190 383.607 0.750 re f
26.625 615.309 383.607 0.750 re f
26.625 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 621.335 Td /F1 9.8 Tf  [(Other)] TJ ET
0.267 0.267 0.267 rg
409.482 631.190 44.927 0.750 re f
409.482 615.309 44.927 0.750 re f
409.482 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 621.335 Td /F1 9.8 Tf  [(9)] TJ ET
0.267 0.267 0.267 rg
453.659 631.190 127.216 0.750 re f
453.659 615.309 127.216 0.750 re f
453.659 615.309 0.750 16.631 re f
580.125 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 621.335 Td /F1 9.8 Tf  [(4.2)] TJ ET
BT 26.250 560.410 Td /F1 9.8 Tf  [(Less than half of the 218 vaccine-hesitant parents \(n=99\), finally have accepted all vaccines when due and around 10% \(n=27\) )] TJ ET
BT 26.250 548.505 Td /F1 9.8 Tf  [(have accepted all vaccines, but on a delayed schedule. More than one third of the vaccine-hesitant parents \(n=87\) have )] TJ ET
BT 26.250 536.601 Td /F1 9.8 Tf  [(accepted some vaccines but refused others and a minority \(n=5\) have refused all vaccines. Among the 213 vaccine-hesitant )] TJ ET
BT 26.250 524.696 Td /F1 9.8 Tf  [(parents who finally have accepted to give at least some vaccines to their child, 208 gave a reason for their decision. The main )] TJ ET
BT 26.250 512.791 Td /F1 9.8 Tf  [(reasons reported were the protection of the child \(n=92\), having received a recommendation to vaccinate or more information )] TJ ET
BT 26.250 500.886 Td /F1 9.8 Tf  [(about vaccination \(n=26\), trusting the recommendations \(n=26\) and social pressure to do so \(n=15\).)] TJ ET
BT 26.250 481.482 Td /F1 9.8 Tf  [(Results of the multivariate analyses are shown in Table 4. The modeled probabilities are for the non-UTD vaccine status of the )] TJ ET
BT 26.250 469.577 Td /F1 9.8 Tf  [(children and the parents� vaccine hesitancy. After adjustments, three items were both associated with an incomplete vaccination )] TJ ET
BT 26.250 457.672 Td /F1 9.8 Tf  [(status of the child and parent vaccine hesitancy : not thinking that it is important to have the child vaccinated to prevent the )] TJ ET
BT 26.250 445.767 Td /F1 9.8 Tf  [(spreading of diseases in the community, not trusting the received vaccination information and having felt pressure to have the )] TJ ET
BT 26.250 433.863 Td /F1 9.8 Tf  [(child vaccinated. Not thinking that it is important to have the child vaccinated to protect him/her against diseases and believing )] TJ ET
BT 26.250 421.958 Td /F1 9.8 Tf  [(that children are given too many vaccines were associated with incomplete vaccination status of the child. The items �The )] TJ ET
BT 26.250 410.053 Td /F1 9.8 Tf  [(diseases prevented by vaccines are serious� remained significantly negatively associated with both the non-UTD status of the )] TJ ET
BT 26.250 398.148 Td /F1 9.8 Tf  [(child and presence of vaccine hesitancy. �Vaccines prevent diseases� was another item negatively associated with the child non-)] TJ ET
BT 26.250 386.244 Td /F1 9.8 Tf  [(UTD status, while the item �You believe that vaccines run the risk of weakening the immune system�\) remained significantly )] TJ ET
BT 26.250 374.339 Td /F1 9.8 Tf  [(negatively associated with vaccine hesitancy.)] TJ ET
BT 26.250 354.934 Td /F1 9.8 Tf  [(In multivariate analyses, the female respondent�s sex was significantly associated with a self-reported incomplete vaccine status )] TJ ET
BT 26.250 343.029 Td /F1 9.8 Tf  [(for the child \(adjusted OR=4.4, [95% CI: 1.9�10.0]; p=0.0005\) as well as the respondent�s age of 45 years or over \(adjusted )] TJ ET
BT 26.250 331.125 Td /F1 9.8 Tf  [(OR=4.8, [95% CI: 1.8�12.9]; p=0.0018\) and living in a household including 5 persons or more \(adjusted OR=6.1, [95% CI: )] TJ ET
BT 26.250 319.220 Td /F1 9.8 Tf  [(2,1�18.2]; p=0.0011\). No association was found for the parents� vaccine hesitancy.)] TJ ET
Q
q
15.000 254.927 577.500 522.073 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 3. Main reasons for having hesitated to vacinate their child among the 218 vaccine-hesitant parents \(%\))] TJ ET
Q
1.000 1.000 1.000 rg
26.250 614.934 555.000 140.830 re f
0.965 0.965 0.965 rg
27.000 742.734 382.857 12.280 re f
0.267 0.267 0.267 rg
26.625 754.639 383.232 0.750 re f
26.625 742.359 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 31.500 745.490 Td /F4 9.8 Tf  [(Reasons)] TJ ET
0.965 0.965 0.965 rg
409.857 742.734 44.177 12.280 re f
0.267 0.267 0.267 rg
409.857 754.639 44.177 0.750 re f
0.271 0.267 0.267 rg
BT 414.357 745.490 Td /F4 9.8 Tf  [(n)] TJ ET
0.965 0.965 0.965 rg
454.034 742.734 126.466 12.280 re f
0.267 0.267 0.267 rg
454.034 754.639 126.841 0.750 re f
580.125 742.359 0.750 13.030 re f
0.271 0.267 0.267 rg
BT 458.534 745.490 Td /F4 9.8 Tf  [(Weighted %)] TJ ET
0.267 0.267 0.267 rg
26.625 742.359 383.607 0.750 re f
26.625 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 732.504 Td /F1 9.8 Tf  [(Fear of adverse events)] TJ ET
0.267 0.267 0.267 rg
409.482 742.359 44.927 0.750 re f
409.482 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 732.504 Td /F1 9.8 Tf  [(69)] TJ ET
0.267 0.267 0.267 rg
453.659 742.359 127.216 0.750 re f
453.659 726.478 0.750 16.631 re f
580.125 726.478 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 732.504 Td /F1 9.8 Tf  [(36.0)] TJ ET
0.267 0.267 0.267 rg
26.625 726.478 383.607 0.750 re f
26.625 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 716.623 Td /F1 9.8 Tf  [(Low perception of vulnerability/severity of the disease)] TJ ET
0.267 0.267 0.267 rg
409.482 726.478 44.927 0.750 re f
409.482 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 716.623 Td /F1 9.8 Tf  [(60)] TJ ET
0.267 0.267 0.267 rg
453.659 726.478 127.216 0.750 re f
453.659 710.596 0.750 16.631 re f
580.125 710.596 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 716.623 Td /F1 9.8 Tf  [(30.3)] TJ ET
0.267 0.267 0.267 rg
26.625 710.596 383.607 0.750 re f
26.625 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 700.741 Td /F1 9.8 Tf  [(Doubts about vaccines)] TJ ET
0.267 0.267 0.267 rg
409.482 710.596 44.927 0.750 re f
409.482 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 700.741 Td /F1 9.8 Tf  [(39)] TJ ET
0.267 0.267 0.267 rg
453.659 710.596 127.216 0.750 re f
453.659 694.715 0.750 16.631 re f
580.125 694.715 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 700.741 Td /F1 9.8 Tf  [(14.3)] TJ ET
0.267 0.267 0.267 rg
26.625 694.715 383.607 0.750 re f
26.625 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 684.860 Td /F1 9.8 Tf  [(Influence of information on vaccination)] TJ ET
0.267 0.267 0.267 rg
409.482 694.715 44.927 0.750 re f
409.482 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 684.860 Td /F1 9.8 Tf  [(19)] TJ ET
0.267 0.267 0.267 rg
453.659 694.715 127.216 0.750 re f
453.659 678.834 0.750 16.631 re f
580.125 678.834 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 684.860 Td /F1 9.8 Tf  [(7.0)] TJ ET
0.267 0.267 0.267 rg
26.625 678.834 383.607 0.750 re f
26.625 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 668.979 Td /F1 9.8 Tf  [(Mistrust in general)] TJ ET
0.267 0.267 0.267 rg
409.482 678.834 44.927 0.750 re f
409.482 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 668.979 Td /F1 9.8 Tf  [(7)] TJ ET
0.267 0.267 0.267 rg
453.659 678.834 127.216 0.750 re f
453.659 662.953 0.750 16.631 re f
580.125 662.953 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 668.979 Td /F1 9.8 Tf  [(4.5)] TJ ET
0.267 0.267 0.267 rg
26.625 662.953 383.607 0.750 re f
26.625 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 653.098 Td /F1 9.8 Tf  [(Preference for other modes of prevention)] TJ ET
0.267 0.267 0.267 rg
409.482 662.953 44.927 0.750 re f
409.482 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 653.098 Td /F1 9.8 Tf  [(9)] TJ ET
0.267 0.267 0.267 rg
453.659 662.953 127.216 0.750 re f
453.659 647.071 0.750 16.631 re f
580.125 647.071 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 653.098 Td /F1 9.8 Tf  [(2.8)] TJ ET
0.267 0.267 0.267 rg
26.625 647.071 383.607 0.750 re f
26.625 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 637.216 Td /F1 9.8 Tf  [(Lack of knowledge/information)] TJ ET
0.267 0.267 0.267 rg
409.482 647.071 44.927 0.750 re f
409.482 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 637.216 Td /F1 9.8 Tf  [(6)] TJ ET
0.267 0.267 0.267 rg
453.659 647.071 127.216 0.750 re f
453.659 631.190 0.750 16.631 re f
580.125 631.190 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 637.216 Td /F1 9.8 Tf  [(1.1)] TJ ET
0.267 0.267 0.267 rg
26.625 631.190 383.607 0.750 re f
26.625 615.309 383.607 0.750 re f
26.625 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 31.875 621.335 Td /F1 9.8 Tf  [(Other)] TJ ET
0.267 0.267 0.267 rg
409.482 631.190 44.927 0.750 re f
409.482 615.309 44.927 0.750 re f
409.482 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 414.732 621.335 Td /F1 9.8 Tf  [(9)] TJ ET
0.267 0.267 0.267 rg
453.659 631.190 127.216 0.750 re f
453.659 615.309 127.216 0.750 re f
453.659 615.309 0.750 16.631 re f
580.125 615.309 0.750 16.631 re f
0.271 0.267 0.267 rg
BT 458.909 621.335 Td /F1 9.8 Tf  [(4.2)] TJ ET
BT 26.250 560.410 Td /F1 9.8 Tf  [(Less than half of the 218 vaccine-hesitant parents \(n=99\), finally have accepted all vaccines when due and around 10% \(n=27\) )] TJ ET
BT 26.250 548.505 Td /F1 9.8 Tf  [(have accepted all vaccines, but on a delayed schedule. More than one third of the vaccine-hesitant parents \(n=87\) have )] TJ ET
BT 26.250 536.601 Td /F1 9.8 Tf  [(accepted some vaccines but refused others and a minority \(n=5\) have refused all vaccines. Among the 213 vaccine-hesitant )] TJ ET
BT 26.250 524.696 Td /F1 9.8 Tf  [(parents who finally have accepted to give at least some vaccines to their child, 208 gave a reason for their decision. The main )] TJ ET
BT 26.250 512.791 Td /F1 9.8 Tf  [(reasons reported were the protection of the child \(n=92\), having received a recommendation to vaccinate or more information )] TJ ET
BT 26.250 500.886 Td /F1 9.8 Tf  [(about vaccination \(n=26\), trusting the recommendations \(n=26\) and social pressure to do so \(n=15\).)] TJ ET
BT 26.250 481.482 Td /F1 9.8 Tf  [(Results of the multivariate analyses are shown in Table 4. The modeled probabilities are for the non-UTD vaccine status of the )] TJ ET
BT 26.250 469.577 Td /F1 9.8 Tf  [(children and the parents� vaccine hesitancy. After adjustments, three items were both associated with an incomplete vaccination )] TJ ET
BT 26.250 457.672 Td /F1 9.8 Tf  [(status of the child and parent vaccine hesitancy : not thinking that it is important to have the child vaccinated to prevent the )] TJ ET
BT 26.250 445.767 Td /F1 9.8 Tf  [(spreading of diseases in the community, not trusting the received vaccination information and having felt pressure to have the )] TJ ET
BT 26.250 433.863 Td /F1 9.8 Tf  [(child vaccinated. Not thinking that it is important to have the child vaccinated to protect him/her against diseases and believing )] TJ ET
BT 26.250 421.958 Td /F1 9.8 Tf  [(that children are given too many vaccines were associated with incomplete vaccination status of the child. The items �The )] TJ ET
BT 26.250 410.053 Td /F1 9.8 Tf  [(diseases prevented by vaccines are serious� remained significantly negatively associated with both the non-UTD status of the )] TJ ET
BT 26.250 398.148 Td /F1 9.8 Tf  [(child and presence of vaccine hesitancy. �Vaccines prevent diseases� was another item negatively associated with the child non-)] TJ ET
BT 26.250 386.244 Td /F1 9.8 Tf  [(UTD status, while the item �You believe that vaccines run the risk of weakening the immune system�\) remained significantly )] TJ ET
BT 26.250 374.339 Td /F1 9.8 Tf  [(negatively associated with vaccine hesitancy.)] TJ ET
BT 26.250 354.934 Td /F1 9.8 Tf  [(In multivariate analyses, the female respondent�s sex was significantly associated with a self-reported incomplete vaccine status )] TJ ET
BT 26.250 343.029 Td /F1 9.8 Tf  [(for the child \(adjusted OR=4.4, [95% CI: 1.9�10.0]; p=0.0005\) as well as the respondent�s age of 45 years or over \(adjusted )] TJ ET
BT 26.250 331.125 Td /F1 9.8 Tf  [(OR=4.8, [95% CI: 1.8�12.9]; p=0.0018\) and living in a household including 5 persons or more \(adjusted OR=6.1, [95% CI: )] TJ ET
BT 26.250 319.220 Td /F1 9.8 Tf  [(2,1�18.2]; p=0.0011\). No association was found for the parents� vaccine hesitancy.)] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(5)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
173 0 obj
<< /Type /Page
/Parent 3 0 R
/Contents 174 0 R
>>
endobj
174 0 obj
<<
/Length 52387 >>
stream

0.271 0.267 0.267 rg
q
15.000 27.272 577.500 749.728 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 4. Regression analyses on the factors associated with non-UTD vaccine status of the child and parents� vaccine hesitancy)] TJ ET
Q
0.965 0.965 0.965 rg
26.250 722.588 555.000 33.175 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l  f
581.250 755.764 m 581.250 722.588 l 580.500 722.588 l 580.500 755.014 l  f
26.250 755.764 m 26.250 722.588 l 27.000 722.588 l 27.000 755.014 l  f
0.271 0.267 0.267 rg
BT 33.000 743.567 Td /F1 8.0 Tf  [(1)] TJ ET
BT 37.448 741.199 Td /F1 9.0 Tf  [( Taking into account other items in the model, and adjustments for the number of people in the household \(continuous variable\), )] TJ ET
BT 33.000 731.920 Td /F1 9.0 Tf  [(education level, age \(into 4 categories\) and sex of the respondent.; * p<0.05; ** p<0.01.)] TJ ET
1.000 1.000 1.000 rg
26.250 109.424 555.000 613.164 re f
0.965 0.965 0.965 rg
27.000 673.469 223.927 48.369 re f
0.267 0.267 0.267 rg
26.625 721.463 224.302 0.750 re f
26.625 697.654 0.750 24.560 re f
26.625 673.094 0.750 24.560 re f
0.271 0.267 0.267 rg
BT 31.500 712.314 Td /F4 9.8 Tf  [(Survey items)] TJ ET
0.965 0.965 0.965 rg
250.927 697.654 164.645 24.185 re f
0.267 0.267 0.267 rg
250.927 721.463 84.138 0.750 re f
335.066 721.463 80.506 0.750 re f
0.271 0.267 0.267 rg
BT 255.427 712.314 Td /F4 9.8 Tf  [(Non-UTD vaccine status of the )] TJ ET
BT 255.427 700.410 Td /F4 9.8 Tf  [(child)] TJ ET
0.965 0.965 0.965 rg
415.572 697.654 164.928 24.185 re f
0.267 0.267 0.267 rg
415.572 721.463 83.214 0.750 re f
498.785 721.463 82.090 0.750 re f
580.125 697.279 0.750 24.935 re f
0.271 0.267 0.267 rg
BT 420.072 712.314 Td /F4 9.8 Tf  [(Parents� vaccine hesitancy)] TJ ET
0.965 0.965 0.965 rg
250.927 673.469 84.138 24.185 re f
0.267 0.267 0.267 rg
250.927 697.279 84.138 0.750 re f
0.271 0.267 0.267 rg
BT 255.427 688.130 Td /F4 9.8 Tf  [(Unadjusted OR)] TJ ET
0.965 0.965 0.965 rg
335.066 673.469 80.506 24.185 re f
0.267 0.267 0.267 rg
335.066 697.279 80.506 0.750 re f
0.271 0.267 0.267 rg
BT 339.566 688.130 Td /F4 9.8 Tf  [(Adjusted OR )] TJ ET
BT 339.566 676.225 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
415.572 673.469 83.214 24.185 re f
0.267 0.267 0.267 rg
415.572 697.279 83.214 0.750 re f
0.271 0.267 0.267 rg
BT 420.072 688.130 Td /F4 9.8 Tf  [(Unadjusted OR)] TJ ET
BT 420.072 677.283 Td /F4 8.7 Tf  [(1)] TJ ET
0.965 0.965 0.965 rg
498.785 673.469 81.715 24.185 re f
0.267 0.267 0.267 rg
498.785 697.279 82.090 0.750 re f
580.125 673.094 0.750 24.935 re f
0.271 0.267 0.267 rg
BT 503.285 688.130 Td /F4 9.8 Tf  [(Adjusted OR)] TJ ET
BT 562.331 688.130 Td /F4 8.7 Tf  [(1)] TJ ET
BT 503.285 676.225 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.267 0.267 0.267 rg
26.625 673.094 224.677 0.750 re f
26.625 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 663.239 Td /F1 9.8 Tf  [(You trust the vaccination information that you )] TJ ET
BT 31.875 655.608 Td /F1 9.8 Tf  [(receive. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 673.094 84.888 0.750 re f
250.552 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 660.879 Td /F1 9.8 Tf  [(7.3)] TJ ET
BT 269.355 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 673.094 81.256 0.750 re f
334.691 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 660.879 Td /F1 9.8 Tf  [(3.3)] TJ ET
BT 353.493 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 660.879 Td /F1 9.8 Tf  [( [1.3�8.5])] TJ ET
0.267 0.267 0.267 rg
415.197 673.094 83.964 0.750 re f
415.197 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 660.879 Td /F1 9.8 Tf  [(7.7)] TJ ET
BT 433.999 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 673.094 82.465 0.750 re f
498.410 649.582 0.750 24.262 re f
580.125 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 660.879 Td /F1 9.8 Tf  [(8.8)] TJ ET
BT 517.213 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
BT 523.956 660.879 Td /F1 9.8 Tf  [([1.9�40.9])] TJ ET
0.267 0.267 0.267 rg
26.625 649.582 224.677 0.750 re f
26.625 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 639.727 Td /F1 9.8 Tf  [(Vaccines prevent diseases. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 649.582 84.888 0.750 re f
250.552 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 255.802 639.727 Td /F1 9.8 Tf  [(1.5)] TJ ET
0.267 0.267 0.267 rg
334.691 649.582 81.256 0.750 re f
334.691 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 339.941 637.366 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 353.493 639.931 Td /F1 8.7 Tf  [(*)] TJ ET
BT 356.864 637.366 Td /F1 9.8 Tf  [([0.1�0.9])] TJ ET
0.267 0.267 0.267 rg
415.197 649.582 83.964 0.750 re f
415.197 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 420.447 639.727 Td /F1 9.8 Tf  [(1.3)] TJ ET
0.267 0.267 0.267 rg
498.410 649.582 82.465 0.750 re f
498.410 630.750 0.750 19.582 re f
580.125 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 503.660 639.727 Td /F1 9.8 Tf  [(0.9 [0.3�3.2])] TJ ET
0.267 0.267 0.267 rg
26.625 630.750 224.677 0.750 re f
26.625 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 620.895 Td /F1 9.8 Tf  [(The diseases prevented by vaccines are )] TJ ET
BT 31.875 613.263 Td /F1 9.8 Tf  [(serious.\(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 630.750 84.888 0.750 re f
250.552 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 620.895 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
334.691 630.750 81.256 0.750 re f
334.691 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 618.534 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 353.493 621.099 Td /F1 8.7 Tf  [(*)] TJ ET
BT 356.864 618.534 Td /F1 9.8 Tf  [( [0.1�0.9])] TJ ET
0.267 0.267 0.267 rg
415.197 630.750 83.964 0.750 re f
415.197 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 620.895 Td /F1 9.8 Tf  [(1.2)] TJ ET
0.267 0.267 0.267 rg
498.410 630.750 82.465 0.750 re f
498.410 607.237 0.750 24.262 re f
580.125 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 618.534 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 517.213 621.099 Td /F1 8.7 Tf  [(*)] TJ ET
BT 520.584 618.534 Td /F1 9.8 Tf  [([0.1�1.0])] TJ ET
0.267 0.267 0.267 rg
26.625 607.237 224.677 0.750 re f
26.625 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 597.382 Td /F1 9.8 Tf  [(You are comfortable asking doctors or nurses )] TJ ET
BT 31.875 589.751 Td /F1 9.8 Tf  [(about vaccination. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 607.237 84.888 0.750 re f
250.552 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 597.382 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
334.691 607.237 81.256 0.750 re f
334.691 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 597.382 Td /F1 9.8 Tf  [(0.3 [0.1�1.6])] TJ ET
0.267 0.267 0.267 rg
415.197 607.237 83.964 0.750 re f
415.197 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 597.382 Td /F1 9.8 Tf  [(1.6)] TJ ET
0.267 0.267 0.267 rg
498.410 607.237 82.465 0.750 re f
498.410 583.725 0.750 24.262 re f
580.125 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 597.382 Td /F1 9.8 Tf  [(0.8 [0.1�4.6])] TJ ET
0.267 0.267 0.267 rg
26.625 583.725 224.677 0.750 re f
26.625 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 573.870 Td /F1 9.8 Tf  [(A good lifestyle, such as eating a healthy diet, )] TJ ET
BT 31.875 566.238 Td /F1 9.8 Tf  [(can eliminate the need for vaccination. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 583.725 84.888 0.750 re f
250.552 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 573.870 Td /F1 9.8 Tf  [(2.2)] TJ ET
0.267 0.267 0.267 rg
334.691 583.725 81.256 0.750 re f
334.691 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 573.870 Td /F1 9.8 Tf  [(1.3 [0.5�3.3])] TJ ET
0.267 0.267 0.267 rg
415.197 583.725 83.964 0.750 re f
415.197 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 573.870 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
498.410 583.725 82.465 0.750 re f
498.410 560.212 0.750 24.262 re f
580.125 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 573.870 Td /F1 9.8 Tf  [(1.2 [0.4�3.4])] TJ ET
0.267 0.267 0.267 rg
26.625 560.212 224.677 0.750 re f
26.625 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 31.875 550.357 Td /F1 9.8 Tf  [(Relying on alternative medicine like chiropractic, )] TJ ET
BT 31.875 542.726 Td /F1 9.8 Tf  [(homeopathy or naturopathy can eliminate the )] TJ ET
BT 31.875 535.095 Td /F1 9.8 Tf  [(need for vaccination. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 560.212 84.888 0.750 re f
250.552 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 255.802 550.357 Td /F1 9.8 Tf  [(2.2)] TJ ET
0.267 0.267 0.267 rg
334.691 560.212 81.256 0.750 re f
334.691 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 339.941 550.357 Td /F1 9.8 Tf  [(1.0 [0.4-2.7])] TJ ET
0.267 0.267 0.267 rg
415.197 560.212 83.964 0.750 re f
415.197 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 420.447 550.357 Td /F1 9.8 Tf  [(1.4)] TJ ET
0.267 0.267 0.267 rg
498.410 560.212 82.465 0.750 re f
498.410 297.281 0.750 263.682 re f
580.125 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 503.660 550.357 Td /F1 9.8 Tf  [(0.5 [0.2�1.5])] TJ ET
0.267 0.267 0.267 rg
26.625 297.281 224.677 0.750 re f
26.625 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 287.426 Td /F1 9.8 Tf  [(Today, children are given too many vaccines. )] TJ ET
BT 31.875 279.794 Td /F1 9.8 Tf  [(\(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 297.281 84.888 0.750 re f
250.552 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 285.065 Td /F1 9.8 Tf  [(3.5)] TJ ET
BT 269.355 287.630 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
334.691 297.281 81.256 0.750 re f
334.691 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 285.065 Td /F1 9.8 Tf  [(3.1)] TJ ET
BT 353.493 287.630 Td /F1 8.7 Tf  [(* )] TJ ET
BT 359.274 285.065 Td /F1 9.8 Tf  [([1.1-8.9])] TJ ET
0.267 0.267 0.267 rg
415.197 297.281 83.964 0.750 re f
415.197 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 285.065 Td /F1 9.8 Tf  [(2.7)] TJ ET
BT 433.999 287.630 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 297.281 82.465 0.750 re f
498.410 273.768 0.750 24.263 re f
580.125 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 287.426 Td /F1 9.8 Tf  [(3.1 [0.9�10.3])] TJ ET
0.267 0.267 0.267 rg
26.625 273.768 224.677 0.750 re f
26.625 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 263.913 Td /F1 9.8 Tf  [(You believe that vaccines run the risk of )] TJ ET
BT 31.875 256.282 Td /F1 9.8 Tf  [(weakening the immune system. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 273.768 84.888 0.750 re f
250.552 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 261.553 Td /F1 9.8 Tf  [(3.5)] TJ ET
BT 269.355 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
334.691 273.768 81.256 0.750 re f
334.691 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 263.913 Td /F1 9.8 Tf  [(0.7 [0.2�2.3])] TJ ET
0.267 0.267 0.267 rg
415.197 273.768 83.964 0.750 re f
415.197 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 261.553 Td /F1 9.8 Tf  [(2.6)] TJ ET
BT 433.999 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 273.768 82.465 0.750 re f
498.410 250.256 0.750 24.263 re f
580.125 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 261.553 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 517.213 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
BT 520.584 261.553 Td /F1 9.8 Tf  [( [0.1�0.8])] TJ ET
0.267 0.267 0.267 rg
26.625 250.256 224.677 0.750 re f
26.625 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 240.401 Td /F1 9.8 Tf  [(Generally speaking, you are fearful about )] TJ ET
BT 31.875 232.769 Td /F1 9.8 Tf  [(vaccines. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 250.256 84.888 0.750 re f
250.552 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 240.401 Td /F1 9.8 Tf  [(1.4)] TJ ET
0.267 0.267 0.267 rg
334.691 250.256 81.256 0.750 re f
334.691 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 240.401 Td /F1 9.8 Tf  [(0.5 [0.2�1.2])] TJ ET
0.267 0.267 0.267 rg
415.197 250.256 83.964 0.750 re f
415.197 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 238.040 Td /F1 9.8 Tf  [(2.7)] TJ ET
BT 433.999 240.605 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 250.256 82.465 0.750 re f
498.410 226.743 0.750 24.263 re f
580.125 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 240.401 Td /F1 9.8 Tf  [(1.5 [0.6�3.8])] TJ ET
0.267 0.267 0.267 rg
26.625 226.743 224.677 0.750 re f
26.625 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 216.888 Td /F1 9.8 Tf  [(Generally speaking, the people around you are )] TJ ET
BT 31.875 209.257 Td /F1 9.8 Tf  [(in favour of vaccination. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 226.743 84.888 0.750 re f
250.552 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 216.888 Td /F1 9.8 Tf  [(3.3)] TJ ET
0.267 0.267 0.267 rg
334.691 226.743 81.256 0.750 re f
334.691 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 216.888 Td /F1 9.8 Tf  [(0.9 [0.2�3.8])] TJ ET
0.267 0.267 0.267 rg
415.197 226.743 83.964 0.750 re f
415.197 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 216.888 Td /F1 9.8 Tf  [(2.7)] TJ ET
0.267 0.267 0.267 rg
498.410 226.743 82.465 0.750 re f
498.410 203.231 0.750 24.263 re f
580.125 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 216.888 Td /F1 9.8 Tf  [(0.8 [0.2�3.1])] TJ ET
0.267 0.267 0.267 rg
26.625 203.231 224.677 0.750 re f
26.625 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 193.376 Td /F1 9.8 Tf  [(It is important that you have your child )] TJ ET
BT 31.875 185.744 Td /F1 9.8 Tf  [(vaccinated to protect him/her against diseases. )] TJ ET
BT 31.875 178.113 Td /F1 9.8 Tf  [(\(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 203.231 84.888 0.750 re f
250.552 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 191.015 Td /F1 9.8 Tf  [(38.1)] TJ ET
BT 274.776 193.580 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 203.231 81.256 0.750 re f
334.691 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 191.015 Td /F1 9.8 Tf  [(10.0)] TJ ET
BT 358.914 193.580 Td /F1 8.7 Tf  [(** )] TJ ET
BT 339.941 182.794 Td /F1 9.8 Tf  [([2.7�37.7])] TJ ET
0.267 0.267 0.267 rg
415.197 203.231 83.964 0.750 re f
415.197 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 191.015 Td /F1 9.8 Tf  [(21.2)] TJ ET
BT 439.420 193.580 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 203.231 82.465 0.750 re f
498.410 172.087 0.750 31.894 re f
580.125 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 193.376 Td /F1 9.8 Tf  [(3.6 [0.5�24.4])] TJ ET
0.267 0.267 0.267 rg
26.625 172.087 224.677 0.750 re f
26.625 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 162.232 Td /F1 9.8 Tf  [(It is important that you have your child )] TJ ET
BT 31.875 154.601 Td /F1 9.8 Tf  [(vaccinated to prevent the spreading of diseases )] TJ ET
BT 31.875 146.969 Td /F1 9.8 Tf  [(in your community. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 172.087 84.888 0.750 re f
250.552 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 159.871 Td /F1 9.8 Tf  [(16.0)] TJ ET
BT 274.776 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 172.087 81.256 0.750 re f
334.691 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 159.871 Td /F1 9.8 Tf  [(7.6)] TJ ET
BT 353.493 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 159.871 Td /F1 9.8 Tf  [( [2.5�22.8])] TJ ET
0.267 0.267 0.267 rg
415.197 172.087 83.964 0.750 re f
415.197 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 159.871 Td /F1 9.8 Tf  [(10.1)] TJ ET
BT 439.420 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 172.087 82.465 0.750 re f
498.410 140.943 0.750 31.894 re f
580.125 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 159.871 Td /F1 9.8 Tf  [(4.5)] TJ ET
BT 517.213 162.437 Td /F1 8.7 Tf  [(* )] TJ ET
BT 522.994 159.871 Td /F1 9.8 Tf  [([1.1�19.1])] TJ ET
0.267 0.267 0.267 rg
26.625 140.943 224.677 0.750 re f
26.625 109.799 224.677 0.750 re f
26.625 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 131.088 Td /F1 9.8 Tf  [(You have already felt pressure from people )] TJ ET
BT 31.875 123.457 Td /F1 9.8 Tf  [(close to you or from society to have your child )] TJ ET
BT 31.875 115.826 Td /F1 9.8 Tf  [(vaccinated. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 140.943 84.888 0.750 re f
250.552 109.799 84.888 0.750 re f
250.552 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 128.728 Td /F1 9.8 Tf  [(4.4)] TJ ET
BT 269.355 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 140.943 81.256 0.750 re f
334.691 109.799 81.256 0.750 re f
334.691 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 128.728 Td /F1 9.8 Tf  [(3.1)] TJ ET
BT 353.493 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 128.728 Td /F1 9.8 Tf  [( [1.2�7.8])] TJ ET
0.267 0.267 0.267 rg
415.197 140.943 83.964 0.750 re f
415.197 109.799 83.964 0.750 re f
415.197 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 128.728 Td /F1 9.8 Tf  [(11.1)] TJ ET
BT 439.420 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 140.943 82.465 0.750 re f
498.410 109.799 82.465 0.750 re f
498.410 109.799 0.750 31.894 re f
580.125 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 128.728 Td /F1 9.8 Tf  [(11.1)] TJ ET
BT 522.634 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
BT 529.377 128.728 Td /F1 9.8 Tf  [( [4.9�25.4])] TJ ET
Q
q
15.000 27.272 577.500 749.728 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 4. Regression analyses on the factors associated with non-UTD vaccine status of the child and parents� vaccine hesitancy)] TJ ET
Q
0.965 0.965 0.965 rg
26.250 722.588 555.000 33.175 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l  f
581.250 755.764 m 581.250 722.588 l 580.500 722.588 l 580.500 755.014 l  f
26.250 755.764 m 26.250 722.588 l 27.000 722.588 l 27.000 755.014 l  f
0.271 0.267 0.267 rg
BT 33.000 743.567 Td /F1 8.0 Tf  [(1)] TJ ET
BT 37.448 741.199 Td /F1 9.0 Tf  [( Taking into account other items in the model, and adjustments for the number of people in the household \(continuous variable\), )] TJ ET
BT 33.000 731.920 Td /F1 9.0 Tf  [(education level, age \(into 4 categories\) and sex of the respondent.; * p<0.05; ** p<0.01.)] TJ ET
1.000 1.000 1.000 rg
26.250 109.424 555.000 613.164 re f
0.965 0.965 0.965 rg
27.000 673.469 223.927 48.369 re f
0.267 0.267 0.267 rg
26.625 721.463 224.302 0.750 re f
26.625 697.654 0.750 24.560 re f
26.625 673.094 0.750 24.560 re f
0.271 0.267 0.267 rg
BT 31.500 712.314 Td /F4 9.8 Tf  [(Survey items)] TJ ET
0.965 0.965 0.965 rg
250.927 697.654 164.645 24.185 re f
0.267 0.267 0.267 rg
250.927 721.463 84.138 0.750 re f
335.066 721.463 80.506 0.750 re f
0.271 0.267 0.267 rg
BT 255.427 712.314 Td /F4 9.8 Tf  [(Non-UTD vaccine status of the )] TJ ET
BT 255.427 700.410 Td /F4 9.8 Tf  [(child)] TJ ET
0.965 0.965 0.965 rg
415.572 697.654 164.928 24.185 re f
0.267 0.267 0.267 rg
415.572 721.463 83.214 0.750 re f
498.785 721.463 82.090 0.750 re f
580.125 697.279 0.750 24.935 re f
0.271 0.267 0.267 rg
BT 420.072 712.314 Td /F4 9.8 Tf  [(Parents� vaccine hesitancy)] TJ ET
0.965 0.965 0.965 rg
250.927 673.469 84.138 24.185 re f
0.267 0.267 0.267 rg
250.927 697.279 84.138 0.750 re f
0.271 0.267 0.267 rg
BT 255.427 688.130 Td /F4 9.8 Tf  [(Unadjusted OR)] TJ ET
0.965 0.965 0.965 rg
335.066 673.469 80.506 24.185 re f
0.267 0.267 0.267 rg
335.066 697.279 80.506 0.750 re f
0.271 0.267 0.267 rg
BT 339.566 688.130 Td /F4 9.8 Tf  [(Adjusted OR )] TJ ET
BT 339.566 676.225 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
415.572 673.469 83.214 24.185 re f
0.267 0.267 0.267 rg
415.572 697.279 83.214 0.750 re f
0.271 0.267 0.267 rg
BT 420.072 688.130 Td /F4 9.8 Tf  [(Unadjusted OR)] TJ ET
BT 420.072 677.283 Td /F4 8.7 Tf  [(1)] TJ ET
0.965 0.965 0.965 rg
498.785 673.469 81.715 24.185 re f
0.267 0.267 0.267 rg
498.785 697.279 82.090 0.750 re f
580.125 673.094 0.750 24.935 re f
0.271 0.267 0.267 rg
BT 503.285 688.130 Td /F4 9.8 Tf  [(Adjusted OR)] TJ ET
BT 562.331 688.130 Td /F4 8.7 Tf  [(1)] TJ ET
BT 503.285 676.225 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.267 0.267 0.267 rg
26.625 673.094 224.677 0.750 re f
26.625 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 663.239 Td /F1 9.8 Tf  [(You trust the vaccination information that you )] TJ ET
BT 31.875 655.608 Td /F1 9.8 Tf  [(receive. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 673.094 84.888 0.750 re f
250.552 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 660.879 Td /F1 9.8 Tf  [(7.3)] TJ ET
BT 269.355 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 673.094 81.256 0.750 re f
334.691 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 660.879 Td /F1 9.8 Tf  [(3.3)] TJ ET
BT 353.493 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 660.879 Td /F1 9.8 Tf  [( [1.3�8.5])] TJ ET
0.267 0.267 0.267 rg
415.197 673.094 83.964 0.750 re f
415.197 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 660.879 Td /F1 9.8 Tf  [(7.7)] TJ ET
BT 433.999 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 673.094 82.465 0.750 re f
498.410 649.582 0.750 24.262 re f
580.125 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 660.879 Td /F1 9.8 Tf  [(8.8)] TJ ET
BT 517.213 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
BT 523.956 660.879 Td /F1 9.8 Tf  [([1.9�40.9])] TJ ET
0.267 0.267 0.267 rg
26.625 649.582 224.677 0.750 re f
26.625 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 639.727 Td /F1 9.8 Tf  [(Vaccines prevent diseases. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 649.582 84.888 0.750 re f
250.552 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 255.802 639.727 Td /F1 9.8 Tf  [(1.5)] TJ ET
0.267 0.267 0.267 rg
334.691 649.582 81.256 0.750 re f
334.691 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 339.941 637.366 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 353.493 639.931 Td /F1 8.7 Tf  [(*)] TJ ET
BT 356.864 637.366 Td /F1 9.8 Tf  [([0.1�0.9])] TJ ET
0.267 0.267 0.267 rg
415.197 649.582 83.964 0.750 re f
415.197 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 420.447 639.727 Td /F1 9.8 Tf  [(1.3)] TJ ET
0.267 0.267 0.267 rg
498.410 649.582 82.465 0.750 re f
498.410 630.750 0.750 19.582 re f
580.125 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 503.660 639.727 Td /F1 9.8 Tf  [(0.9 [0.3�3.2])] TJ ET
0.267 0.267 0.267 rg
26.625 630.750 224.677 0.750 re f
26.625 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 620.895 Td /F1 9.8 Tf  [(The diseases prevented by vaccines are )] TJ ET
BT 31.875 613.263 Td /F1 9.8 Tf  [(serious.\(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 630.750 84.888 0.750 re f
250.552 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 620.895 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
334.691 630.750 81.256 0.750 re f
334.691 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 618.534 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 353.493 621.099 Td /F1 8.7 Tf  [(*)] TJ ET
BT 356.864 618.534 Td /F1 9.8 Tf  [( [0.1�0.9])] TJ ET
0.267 0.267 0.267 rg
415.197 630.750 83.964 0.750 re f
415.197 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 620.895 Td /F1 9.8 Tf  [(1.2)] TJ ET
0.267 0.267 0.267 rg
498.410 630.750 82.465 0.750 re f
498.410 607.237 0.750 24.262 re f
580.125 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 618.534 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 517.213 621.099 Td /F1 8.7 Tf  [(*)] TJ ET
BT 520.584 618.534 Td /F1 9.8 Tf  [([0.1�1.0])] TJ ET
0.267 0.267 0.267 rg
26.625 607.237 224.677 0.750 re f
26.625 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 597.382 Td /F1 9.8 Tf  [(You are comfortable asking doctors or nurses )] TJ ET
BT 31.875 589.751 Td /F1 9.8 Tf  [(about vaccination. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 607.237 84.888 0.750 re f
250.552 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 597.382 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
334.691 607.237 81.256 0.750 re f
334.691 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 597.382 Td /F1 9.8 Tf  [(0.3 [0.1�1.6])] TJ ET
0.267 0.267 0.267 rg
415.197 607.237 83.964 0.750 re f
415.197 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 597.382 Td /F1 9.8 Tf  [(1.6)] TJ ET
0.267 0.267 0.267 rg
498.410 607.237 82.465 0.750 re f
498.410 583.725 0.750 24.262 re f
580.125 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 597.382 Td /F1 9.8 Tf  [(0.8 [0.1�4.6])] TJ ET
0.267 0.267 0.267 rg
26.625 583.725 224.677 0.750 re f
26.625 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 573.870 Td /F1 9.8 Tf  [(A good lifestyle, such as eating a healthy diet, )] TJ ET
BT 31.875 566.238 Td /F1 9.8 Tf  [(can eliminate the need for vaccination. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 583.725 84.888 0.750 re f
250.552 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 573.870 Td /F1 9.8 Tf  [(2.2)] TJ ET
0.267 0.267 0.267 rg
334.691 583.725 81.256 0.750 re f
334.691 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 573.870 Td /F1 9.8 Tf  [(1.3 [0.5�3.3])] TJ ET
0.267 0.267 0.267 rg
415.197 583.725 83.964 0.750 re f
415.197 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 573.870 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
498.410 583.725 82.465 0.750 re f
498.410 560.212 0.750 24.262 re f
580.125 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 573.870 Td /F1 9.8 Tf  [(1.2 [0.4�3.4])] TJ ET
0.267 0.267 0.267 rg
26.625 560.212 224.677 0.750 re f
26.625 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 31.875 550.357 Td /F1 9.8 Tf  [(Relying on alternative medicine like chiropractic, )] TJ ET
BT 31.875 542.726 Td /F1 9.8 Tf  [(homeopathy or naturopathy can eliminate the )] TJ ET
BT 31.875 535.095 Td /F1 9.8 Tf  [(need for vaccination. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 560.212 84.888 0.750 re f
250.552 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 255.802 550.357 Td /F1 9.8 Tf  [(2.2)] TJ ET
0.267 0.267 0.267 rg
334.691 560.212 81.256 0.750 re f
334.691 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 339.941 550.357 Td /F1 9.8 Tf  [(1.0 [0.4-2.7])] TJ ET
0.267 0.267 0.267 rg
415.197 560.212 83.964 0.750 re f
415.197 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 420.447 550.357 Td /F1 9.8 Tf  [(1.4)] TJ ET
0.267 0.267 0.267 rg
498.410 560.212 82.465 0.750 re f
498.410 297.281 0.750 263.682 re f
580.125 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 503.660 550.357 Td /F1 9.8 Tf  [(0.5 [0.2�1.5])] TJ ET
0.267 0.267 0.267 rg
26.625 297.281 224.677 0.750 re f
26.625 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 287.426 Td /F1 9.8 Tf  [(Today, children are given too many vaccines. )] TJ ET
BT 31.875 279.794 Td /F1 9.8 Tf  [(\(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 297.281 84.888 0.750 re f
250.552 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 285.065 Td /F1 9.8 Tf  [(3.5)] TJ ET
BT 269.355 287.630 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
334.691 297.281 81.256 0.750 re f
334.691 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 285.065 Td /F1 9.8 Tf  [(3.1)] TJ ET
BT 353.493 287.630 Td /F1 8.7 Tf  [(* )] TJ ET
BT 359.274 285.065 Td /F1 9.8 Tf  [([1.1-8.9])] TJ ET
0.267 0.267 0.267 rg
415.197 297.281 83.964 0.750 re f
415.197 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 285.065 Td /F1 9.8 Tf  [(2.7)] TJ ET
BT 433.999 287.630 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 297.281 82.465 0.750 re f
498.410 273.768 0.750 24.263 re f
580.125 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 287.426 Td /F1 9.8 Tf  [(3.1 [0.9�10.3])] TJ ET
0.267 0.267 0.267 rg
26.625 273.768 224.677 0.750 re f
26.625 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 263.913 Td /F1 9.8 Tf  [(You believe that vaccines run the risk of )] TJ ET
BT 31.875 256.282 Td /F1 9.8 Tf  [(weakening the immune system. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 273.768 84.888 0.750 re f
250.552 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 261.553 Td /F1 9.8 Tf  [(3.5)] TJ ET
BT 269.355 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
334.691 273.768 81.256 0.750 re f
334.691 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 263.913 Td /F1 9.8 Tf  [(0.7 [0.2�2.3])] TJ ET
0.267 0.267 0.267 rg
415.197 273.768 83.964 0.750 re f
415.197 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 261.553 Td /F1 9.8 Tf  [(2.6)] TJ ET
BT 433.999 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 273.768 82.465 0.750 re f
498.410 250.256 0.750 24.263 re f
580.125 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 261.553 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 517.213 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
BT 520.584 261.553 Td /F1 9.8 Tf  [( [0.1�0.8])] TJ ET
0.267 0.267 0.267 rg
26.625 250.256 224.677 0.750 re f
26.625 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 240.401 Td /F1 9.8 Tf  [(Generally speaking, you are fearful about )] TJ ET
BT 31.875 232.769 Td /F1 9.8 Tf  [(vaccines. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 250.256 84.888 0.750 re f
250.552 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 240.401 Td /F1 9.8 Tf  [(1.4)] TJ ET
0.267 0.267 0.267 rg
334.691 250.256 81.256 0.750 re f
334.691 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 240.401 Td /F1 9.8 Tf  [(0.5 [0.2�1.2])] TJ ET
0.267 0.267 0.267 rg
415.197 250.256 83.964 0.750 re f
415.197 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 238.040 Td /F1 9.8 Tf  [(2.7)] TJ ET
BT 433.999 240.605 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 250.256 82.465 0.750 re f
498.410 226.743 0.750 24.263 re f
580.125 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 240.401 Td /F1 9.8 Tf  [(1.5 [0.6�3.8])] TJ ET
0.267 0.267 0.267 rg
26.625 226.743 224.677 0.750 re f
26.625 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 216.888 Td /F1 9.8 Tf  [(Generally speaking, the people around you are )] TJ ET
BT 31.875 209.257 Td /F1 9.8 Tf  [(in favour of vaccination. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 226.743 84.888 0.750 re f
250.552 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 216.888 Td /F1 9.8 Tf  [(3.3)] TJ ET
0.267 0.267 0.267 rg
334.691 226.743 81.256 0.750 re f
334.691 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 216.888 Td /F1 9.8 Tf  [(0.9 [0.2�3.8])] TJ ET
0.267 0.267 0.267 rg
415.197 226.743 83.964 0.750 re f
415.197 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 216.888 Td /F1 9.8 Tf  [(2.7)] TJ ET
0.267 0.267 0.267 rg
498.410 226.743 82.465 0.750 re f
498.410 203.231 0.750 24.263 re f
580.125 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 216.888 Td /F1 9.8 Tf  [(0.8 [0.2�3.1])] TJ ET
0.267 0.267 0.267 rg
26.625 203.231 224.677 0.750 re f
26.625 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 193.376 Td /F1 9.8 Tf  [(It is important that you have your child )] TJ ET
BT 31.875 185.744 Td /F1 9.8 Tf  [(vaccinated to protect him/her against diseases. )] TJ ET
BT 31.875 178.113 Td /F1 9.8 Tf  [(\(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 203.231 84.888 0.750 re f
250.552 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 191.015 Td /F1 9.8 Tf  [(38.1)] TJ ET
BT 274.776 193.580 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 203.231 81.256 0.750 re f
334.691 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 191.015 Td /F1 9.8 Tf  [(10.0)] TJ ET
BT 358.914 193.580 Td /F1 8.7 Tf  [(** )] TJ ET
BT 339.941 182.794 Td /F1 9.8 Tf  [([2.7�37.7])] TJ ET
0.267 0.267 0.267 rg
415.197 203.231 83.964 0.750 re f
415.197 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 191.015 Td /F1 9.8 Tf  [(21.2)] TJ ET
BT 439.420 193.580 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 203.231 82.465 0.750 re f
498.410 172.087 0.750 31.894 re f
580.125 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 193.376 Td /F1 9.8 Tf  [(3.6 [0.5�24.4])] TJ ET
0.267 0.267 0.267 rg
26.625 172.087 224.677 0.750 re f
26.625 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 162.232 Td /F1 9.8 Tf  [(It is important that you have your child )] TJ ET
BT 31.875 154.601 Td /F1 9.8 Tf  [(vaccinated to prevent the spreading of diseases )] TJ ET
BT 31.875 146.969 Td /F1 9.8 Tf  [(in your community. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 172.087 84.888 0.750 re f
250.552 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 159.871 Td /F1 9.8 Tf  [(16.0)] TJ ET
BT 274.776 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 172.087 81.256 0.750 re f
334.691 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 159.871 Td /F1 9.8 Tf  [(7.6)] TJ ET
BT 353.493 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 159.871 Td /F1 9.8 Tf  [( [2.5�22.8])] TJ ET
0.267 0.267 0.267 rg
415.197 172.087 83.964 0.750 re f
415.197 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 159.871 Td /F1 9.8 Tf  [(10.1)] TJ ET
BT 439.420 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 172.087 82.465 0.750 re f
498.410 140.943 0.750 31.894 re f
580.125 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 159.871 Td /F1 9.8 Tf  [(4.5)] TJ ET
BT 517.213 162.437 Td /F1 8.7 Tf  [(* )] TJ ET
BT 522.994 159.871 Td /F1 9.8 Tf  [([1.1�19.1])] TJ ET
0.267 0.267 0.267 rg
26.625 140.943 224.677 0.750 re f
26.625 109.799 224.677 0.750 re f
26.625 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 131.088 Td /F1 9.8 Tf  [(You have already felt pressure from people )] TJ ET
BT 31.875 123.457 Td /F1 9.8 Tf  [(close to you or from society to have your child )] TJ ET
BT 31.875 115.826 Td /F1 9.8 Tf  [(vaccinated. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 140.943 84.888 0.750 re f
250.552 109.799 84.888 0.750 re f
250.552 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 128.728 Td /F1 9.8 Tf  [(4.4)] TJ ET
BT 269.355 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 140.943 81.256 0.750 re f
334.691 109.799 81.256 0.750 re f
334.691 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 128.728 Td /F1 9.8 Tf  [(3.1)] TJ ET
BT 353.493 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 128.728 Td /F1 9.8 Tf  [( [1.2�7.8])] TJ ET
0.267 0.267 0.267 rg
415.197 140.943 83.964 0.750 re f
415.197 109.799 83.964 0.750 re f
415.197 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 128.728 Td /F1 9.8 Tf  [(11.1)] TJ ET
BT 439.420 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 140.943 82.465 0.750 re f
498.410 109.799 82.465 0.750 re f
498.410 109.799 0.750 31.894 re f
580.125 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 128.728 Td /F1 9.8 Tf  [(11.1)] TJ ET
BT 522.634 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
BT 529.377 128.728 Td /F1 9.8 Tf  [( [4.9�25.4])] TJ ET
Q
q
15.000 27.272 577.500 749.728 re W n
q
26.250 763.264 555.000 13.736 re W n
0.271 0.267 0.267 rg
BT 26.250 766.011 Td /F1 9.8 Tf  [(Table 4. Regression analyses on the factors associated with non-UTD vaccine status of the child and parents� vaccine hesitancy)] TJ ET
Q
0.965 0.965 0.965 rg
26.250 722.588 555.000 33.175 re f
0.267 0.267 0.267 rg
0.267 0.267 0.267 RG
26.250 755.764 m 581.250 755.764 l 580.500 755.014 l 27.000 755.014 l  f
581.250 755.764 m 581.250 722.588 l 580.500 722.588 l 580.500 755.014 l  f
26.250 755.764 m 26.250 722.588 l 27.000 722.588 l 27.000 755.014 l  f
0.271 0.267 0.267 rg
BT 33.000 743.567 Td /F1 8.0 Tf  [(1)] TJ ET
BT 37.448 741.199 Td /F1 9.0 Tf  [( Taking into account other items in the model, and adjustments for the number of people in the household \(continuous variable\), )] TJ ET
BT 33.000 731.920 Td /F1 9.0 Tf  [(education level, age \(into 4 categories\) and sex of the respondent.; * p<0.05; ** p<0.01.)] TJ ET
1.000 1.000 1.000 rg
26.250 109.424 555.000 613.164 re f
0.965 0.965 0.965 rg
27.000 673.469 223.927 48.369 re f
0.267 0.267 0.267 rg
26.625 721.463 224.302 0.750 re f
26.625 697.654 0.750 24.560 re f
26.625 673.094 0.750 24.560 re f
0.271 0.267 0.267 rg
BT 31.500 712.314 Td /F4 9.8 Tf  [(Survey items)] TJ ET
0.965 0.965 0.965 rg
250.927 697.654 164.645 24.185 re f
0.267 0.267 0.267 rg
250.927 721.463 84.138 0.750 re f
335.066 721.463 80.506 0.750 re f
0.271 0.267 0.267 rg
BT 255.427 712.314 Td /F4 9.8 Tf  [(Non-UTD vaccine status of the )] TJ ET
BT 255.427 700.410 Td /F4 9.8 Tf  [(child)] TJ ET
0.965 0.965 0.965 rg
415.572 697.654 164.928 24.185 re f
0.267 0.267 0.267 rg
415.572 721.463 83.214 0.750 re f
498.785 721.463 82.090 0.750 re f
580.125 697.279 0.750 24.935 re f
0.271 0.267 0.267 rg
BT 420.072 712.314 Td /F4 9.8 Tf  [(Parents� vaccine hesitancy)] TJ ET
0.965 0.965 0.965 rg
250.927 673.469 84.138 24.185 re f
0.267 0.267 0.267 rg
250.927 697.279 84.138 0.750 re f
0.271 0.267 0.267 rg
BT 255.427 688.130 Td /F4 9.8 Tf  [(Unadjusted OR)] TJ ET
0.965 0.965 0.965 rg
335.066 673.469 80.506 24.185 re f
0.267 0.267 0.267 rg
335.066 697.279 80.506 0.750 re f
0.271 0.267 0.267 rg
BT 339.566 688.130 Td /F4 9.8 Tf  [(Adjusted OR )] TJ ET
BT 339.566 676.225 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.965 0.965 0.965 rg
415.572 673.469 83.214 24.185 re f
0.267 0.267 0.267 rg
415.572 697.279 83.214 0.750 re f
0.271 0.267 0.267 rg
BT 420.072 688.130 Td /F4 9.8 Tf  [(Unadjusted OR)] TJ ET
BT 420.072 677.283 Td /F4 8.7 Tf  [(1)] TJ ET
0.965 0.965 0.965 rg
498.785 673.469 81.715 24.185 re f
0.267 0.267 0.267 rg
498.785 697.279 82.090 0.750 re f
580.125 673.094 0.750 24.935 re f
0.271 0.267 0.267 rg
BT 503.285 688.130 Td /F4 9.8 Tf  [(Adjusted OR)] TJ ET
BT 562.331 688.130 Td /F4 8.7 Tf  [(1)] TJ ET
BT 503.285 676.225 Td /F4 9.8 Tf  [([95% CI])] TJ ET
0.267 0.267 0.267 rg
26.625 673.094 224.677 0.750 re f
26.625 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 663.239 Td /F1 9.8 Tf  [(You trust the vaccination information that you )] TJ ET
BT 31.875 655.608 Td /F1 9.8 Tf  [(receive. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 673.094 84.888 0.750 re f
250.552 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 660.879 Td /F1 9.8 Tf  [(7.3)] TJ ET
BT 269.355 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 673.094 81.256 0.750 re f
334.691 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 660.879 Td /F1 9.8 Tf  [(3.3)] TJ ET
BT 353.493 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 660.879 Td /F1 9.8 Tf  [( [1.3�8.5])] TJ ET
0.267 0.267 0.267 rg
415.197 673.094 83.964 0.750 re f
415.197 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 660.879 Td /F1 9.8 Tf  [(7.7)] TJ ET
BT 433.999 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 673.094 82.465 0.750 re f
498.410 649.582 0.750 24.262 re f
580.125 649.582 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 660.879 Td /F1 9.8 Tf  [(8.8)] TJ ET
BT 517.213 663.444 Td /F1 8.7 Tf  [(**)] TJ ET
BT 523.956 660.879 Td /F1 9.8 Tf  [([1.9�40.9])] TJ ET
0.267 0.267 0.267 rg
26.625 649.582 224.677 0.750 re f
26.625 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 31.875 639.727 Td /F1 9.8 Tf  [(Vaccines prevent diseases. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 649.582 84.888 0.750 re f
250.552 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 255.802 639.727 Td /F1 9.8 Tf  [(1.5)] TJ ET
0.267 0.267 0.267 rg
334.691 649.582 81.256 0.750 re f
334.691 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 339.941 637.366 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 353.493 639.931 Td /F1 8.7 Tf  [(*)] TJ ET
BT 356.864 637.366 Td /F1 9.8 Tf  [([0.1�0.9])] TJ ET
0.267 0.267 0.267 rg
415.197 649.582 83.964 0.750 re f
415.197 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 420.447 639.727 Td /F1 9.8 Tf  [(1.3)] TJ ET
0.267 0.267 0.267 rg
498.410 649.582 82.465 0.750 re f
498.410 630.750 0.750 19.582 re f
580.125 630.750 0.750 19.582 re f
0.271 0.267 0.267 rg
BT 503.660 639.727 Td /F1 9.8 Tf  [(0.9 [0.3�3.2])] TJ ET
0.267 0.267 0.267 rg
26.625 630.750 224.677 0.750 re f
26.625 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 620.895 Td /F1 9.8 Tf  [(The diseases prevented by vaccines are )] TJ ET
BT 31.875 613.263 Td /F1 9.8 Tf  [(serious.\(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 630.750 84.888 0.750 re f
250.552 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 620.895 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
334.691 630.750 81.256 0.750 re f
334.691 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 618.534 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 353.493 621.099 Td /F1 8.7 Tf  [(*)] TJ ET
BT 356.864 618.534 Td /F1 9.8 Tf  [( [0.1�0.9])] TJ ET
0.267 0.267 0.267 rg
415.197 630.750 83.964 0.750 re f
415.197 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 620.895 Td /F1 9.8 Tf  [(1.2)] TJ ET
0.267 0.267 0.267 rg
498.410 630.750 82.465 0.750 re f
498.410 607.237 0.750 24.262 re f
580.125 607.237 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 618.534 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 517.213 621.099 Td /F1 8.7 Tf  [(*)] TJ ET
BT 520.584 618.534 Td /F1 9.8 Tf  [([0.1�1.0])] TJ ET
0.267 0.267 0.267 rg
26.625 607.237 224.677 0.750 re f
26.625 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 597.382 Td /F1 9.8 Tf  [(You are comfortable asking doctors or nurses )] TJ ET
BT 31.875 589.751 Td /F1 9.8 Tf  [(about vaccination. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 607.237 84.888 0.750 re f
250.552 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 597.382 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
334.691 607.237 81.256 0.750 re f
334.691 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 597.382 Td /F1 9.8 Tf  [(0.3 [0.1�1.6])] TJ ET
0.267 0.267 0.267 rg
415.197 607.237 83.964 0.750 re f
415.197 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 597.382 Td /F1 9.8 Tf  [(1.6)] TJ ET
0.267 0.267 0.267 rg
498.410 607.237 82.465 0.750 re f
498.410 583.725 0.750 24.262 re f
580.125 583.725 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 597.382 Td /F1 9.8 Tf  [(0.8 [0.1�4.6])] TJ ET
0.267 0.267 0.267 rg
26.625 583.725 224.677 0.750 re f
26.625 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 31.875 573.870 Td /F1 9.8 Tf  [(A good lifestyle, such as eating a healthy diet, )] TJ ET
BT 31.875 566.238 Td /F1 9.8 Tf  [(can eliminate the need for vaccination. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 583.725 84.888 0.750 re f
250.552 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 255.802 573.870 Td /F1 9.8 Tf  [(2.2)] TJ ET
0.267 0.267 0.267 rg
334.691 583.725 81.256 0.750 re f
334.691 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 339.941 573.870 Td /F1 9.8 Tf  [(1.3 [0.5�3.3])] TJ ET
0.267 0.267 0.267 rg
415.197 583.725 83.964 0.750 re f
415.197 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 420.447 573.870 Td /F1 9.8 Tf  [(1.9)] TJ ET
0.267 0.267 0.267 rg
498.410 583.725 82.465 0.750 re f
498.410 560.212 0.750 24.262 re f
580.125 560.212 0.750 24.262 re f
0.271 0.267 0.267 rg
BT 503.660 573.870 Td /F1 9.8 Tf  [(1.2 [0.4�3.4])] TJ ET
0.267 0.267 0.267 rg
26.625 560.212 224.677 0.750 re f
26.625 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 31.875 550.357 Td /F1 9.8 Tf  [(Relying on alternative medicine like chiropractic, )] TJ ET
BT 31.875 542.726 Td /F1 9.8 Tf  [(homeopathy or naturopathy can eliminate the )] TJ ET
BT 31.875 535.095 Td /F1 9.8 Tf  [(need for vaccination. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 560.212 84.888 0.750 re f
250.552 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 255.802 550.357 Td /F1 9.8 Tf  [(2.2)] TJ ET
0.267 0.267 0.267 rg
334.691 560.212 81.256 0.750 re f
334.691 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 339.941 550.357 Td /F1 9.8 Tf  [(1.0 [0.4-2.7])] TJ ET
0.267 0.267 0.267 rg
415.197 560.212 83.964 0.750 re f
415.197 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 420.447 550.357 Td /F1 9.8 Tf  [(1.4)] TJ ET
0.267 0.267 0.267 rg
498.410 560.212 82.465 0.750 re f
498.410 297.281 0.750 263.682 re f
580.125 297.281 0.750 263.682 re f
0.271 0.267 0.267 rg
BT 503.660 550.357 Td /F1 9.8 Tf  [(0.5 [0.2�1.5])] TJ ET
0.267 0.267 0.267 rg
26.625 297.281 224.677 0.750 re f
26.625 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 287.426 Td /F1 9.8 Tf  [(Today, children are given too many vaccines. )] TJ ET
BT 31.875 279.794 Td /F1 9.8 Tf  [(\(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 297.281 84.888 0.750 re f
250.552 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 285.065 Td /F1 9.8 Tf  [(3.5)] TJ ET
BT 269.355 287.630 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
334.691 297.281 81.256 0.750 re f
334.691 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 285.065 Td /F1 9.8 Tf  [(3.1)] TJ ET
BT 353.493 287.630 Td /F1 8.7 Tf  [(* )] TJ ET
BT 359.274 285.065 Td /F1 9.8 Tf  [([1.1-8.9])] TJ ET
0.267 0.267 0.267 rg
415.197 297.281 83.964 0.750 re f
415.197 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 285.065 Td /F1 9.8 Tf  [(2.7)] TJ ET
BT 433.999 287.630 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 297.281 82.465 0.750 re f
498.410 273.768 0.750 24.263 re f
580.125 273.768 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 287.426 Td /F1 9.8 Tf  [(3.1 [0.9�10.3])] TJ ET
0.267 0.267 0.267 rg
26.625 273.768 224.677 0.750 re f
26.625 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 263.913 Td /F1 9.8 Tf  [(You believe that vaccines run the risk of )] TJ ET
BT 31.875 256.282 Td /F1 9.8 Tf  [(weakening the immune system. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 273.768 84.888 0.750 re f
250.552 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 261.553 Td /F1 9.8 Tf  [(3.5)] TJ ET
BT 269.355 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
334.691 273.768 81.256 0.750 re f
334.691 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 263.913 Td /F1 9.8 Tf  [(0.7 [0.2�2.3])] TJ ET
0.267 0.267 0.267 rg
415.197 273.768 83.964 0.750 re f
415.197 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 261.553 Td /F1 9.8 Tf  [(2.6)] TJ ET
BT 433.999 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 273.768 82.465 0.750 re f
498.410 250.256 0.750 24.263 re f
580.125 250.256 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 261.553 Td /F1 9.8 Tf  [(0.3)] TJ ET
BT 517.213 264.118 Td /F1 8.7 Tf  [(*)] TJ ET
BT 520.584 261.553 Td /F1 9.8 Tf  [( [0.1�0.8])] TJ ET
0.267 0.267 0.267 rg
26.625 250.256 224.677 0.750 re f
26.625 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 240.401 Td /F1 9.8 Tf  [(Generally speaking, you are fearful about )] TJ ET
BT 31.875 232.769 Td /F1 9.8 Tf  [(vaccines. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 250.256 84.888 0.750 re f
250.552 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 240.401 Td /F1 9.8 Tf  [(1.4)] TJ ET
0.267 0.267 0.267 rg
334.691 250.256 81.256 0.750 re f
334.691 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 240.401 Td /F1 9.8 Tf  [(0.5 [0.2�1.2])] TJ ET
0.267 0.267 0.267 rg
415.197 250.256 83.964 0.750 re f
415.197 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 238.040 Td /F1 9.8 Tf  [(2.7)] TJ ET
BT 433.999 240.605 Td /F1 8.7 Tf  [(*)] TJ ET
0.267 0.267 0.267 rg
498.410 250.256 82.465 0.750 re f
498.410 226.743 0.750 24.263 re f
580.125 226.743 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 240.401 Td /F1 9.8 Tf  [(1.5 [0.6�3.8])] TJ ET
0.267 0.267 0.267 rg
26.625 226.743 224.677 0.750 re f
26.625 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 31.875 216.888 Td /F1 9.8 Tf  [(Generally speaking, the people around you are )] TJ ET
BT 31.875 209.257 Td /F1 9.8 Tf  [(in favour of vaccination. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 226.743 84.888 0.750 re f
250.552 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 255.802 216.888 Td /F1 9.8 Tf  [(3.3)] TJ ET
0.267 0.267 0.267 rg
334.691 226.743 81.256 0.750 re f
334.691 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 339.941 216.888 Td /F1 9.8 Tf  [(0.9 [0.2�3.8])] TJ ET
0.267 0.267 0.267 rg
415.197 226.743 83.964 0.750 re f
415.197 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 420.447 216.888 Td /F1 9.8 Tf  [(2.7)] TJ ET
0.267 0.267 0.267 rg
498.410 226.743 82.465 0.750 re f
498.410 203.231 0.750 24.263 re f
580.125 203.231 0.750 24.263 re f
0.271 0.267 0.267 rg
BT 503.660 216.888 Td /F1 9.8 Tf  [(0.8 [0.2�3.1])] TJ ET
0.267 0.267 0.267 rg
26.625 203.231 224.677 0.750 re f
26.625 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 193.376 Td /F1 9.8 Tf  [(It is important that you have your child )] TJ ET
BT 31.875 185.744 Td /F1 9.8 Tf  [(vaccinated to protect him/her against diseases. )] TJ ET
BT 31.875 178.113 Td /F1 9.8 Tf  [(\(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 203.231 84.888 0.750 re f
250.552 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 191.015 Td /F1 9.8 Tf  [(38.1)] TJ ET
BT 274.776 193.580 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 203.231 81.256 0.750 re f
334.691 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 191.015 Td /F1 9.8 Tf  [(10.0)] TJ ET
BT 358.914 193.580 Td /F1 8.7 Tf  [(** )] TJ ET
BT 339.941 182.794 Td /F1 9.8 Tf  [([2.7�37.7])] TJ ET
0.267 0.267 0.267 rg
415.197 203.231 83.964 0.750 re f
415.197 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 191.015 Td /F1 9.8 Tf  [(21.2)] TJ ET
BT 439.420 193.580 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 203.231 82.465 0.750 re f
498.410 172.087 0.750 31.894 re f
580.125 172.087 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 193.376 Td /F1 9.8 Tf  [(3.6 [0.5�24.4])] TJ ET
0.267 0.267 0.267 rg
26.625 172.087 224.677 0.750 re f
26.625 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 162.232 Td /F1 9.8 Tf  [(It is important that you have your child )] TJ ET
BT 31.875 154.601 Td /F1 9.8 Tf  [(vaccinated to prevent the spreading of diseases )] TJ ET
BT 31.875 146.969 Td /F1 9.8 Tf  [(in your community. \(disagree\))] TJ ET
0.267 0.267 0.267 rg
250.552 172.087 84.888 0.750 re f
250.552 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 159.871 Td /F1 9.8 Tf  [(16.0)] TJ ET
BT 274.776 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 172.087 81.256 0.750 re f
334.691 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 159.871 Td /F1 9.8 Tf  [(7.6)] TJ ET
BT 353.493 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 159.871 Td /F1 9.8 Tf  [( [2.5�22.8])] TJ ET
0.267 0.267 0.267 rg
415.197 172.087 83.964 0.750 re f
415.197 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 159.871 Td /F1 9.8 Tf  [(10.1)] TJ ET
BT 439.420 162.437 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 172.087 82.465 0.750 re f
498.410 140.943 0.750 31.894 re f
580.125 140.943 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 159.871 Td /F1 9.8 Tf  [(4.5)] TJ ET
BT 517.213 162.437 Td /F1 8.7 Tf  [(* )] TJ ET
BT 522.994 159.871 Td /F1 9.8 Tf  [([1.1�19.1])] TJ ET
0.267 0.267 0.267 rg
26.625 140.943 224.677 0.750 re f
26.625 109.799 224.677 0.750 re f
26.625 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 31.875 131.088 Td /F1 9.8 Tf  [(You have already felt pressure from people )] TJ ET
BT 31.875 123.457 Td /F1 9.8 Tf  [(close to you or from society to have your child )] TJ ET
BT 31.875 115.826 Td /F1 9.8 Tf  [(vaccinated. \(agree\))] TJ ET
0.267 0.267 0.267 rg
250.552 140.943 84.888 0.750 re f
250.552 109.799 84.888 0.750 re f
250.552 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 255.802 128.728 Td /F1 9.8 Tf  [(4.4)] TJ ET
BT 269.355 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
334.691 140.943 81.256 0.750 re f
334.691 109.799 81.256 0.750 re f
334.691 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 339.941 128.728 Td /F1 9.8 Tf  [(3.1)] TJ ET
BT 353.493 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
BT 360.236 128.728 Td /F1 9.8 Tf  [( [1.2�7.8])] TJ ET
0.267 0.267 0.267 rg
415.197 140.943 83.964 0.750 re f
415.197 109.799 83.964 0.750 re f
415.197 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 420.447 128.728 Td /F1 9.8 Tf  [(11.1)] TJ ET
BT 439.420 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
0.267 0.267 0.267 rg
498.410 140.943 82.465 0.750 re f
498.410 109.799 82.465 0.750 re f
498.410 109.799 0.750 31.894 re f
580.125 109.799 0.750 31.894 re f
0.271 0.267 0.267 rg
BT 503.660 128.728 Td /F1 9.8 Tf  [(11.1)] TJ ET
BT 522.634 131.293 Td /F1 8.7 Tf  [(**)] TJ ET
BT 529.377 128.728 Td /F1 9.8 Tf  [( [4.9�25.4])] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(6)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
175 0 obj
<< /Type /Page
/Parent 3 0 R
/Annots [ 177 0 R 179 0 R 181 0 R 183 0 R 185 0 R 187 0 R 189 0 R 191 0 R 193 0 R 195 0 R 197 0 R 199 0 R 201 0 R 203 0 R 205 0 R 207 0 R 209 0 R 211 0 R 213 0 R 215 0 R 217 0 R 219 0 R 221 0 R 223 0 R 225 0 R 227 0 R 229 0 R 231 0 R 233 0 R 235 0 R 237 0 R 239 0 R 241 0 R 243 0 R 245 0 R 247 0 R 249 0 R 251 0 R 253 0 R 255 0 R 257 0 R 259 0 R 261 0 R 263 0 R 265 0 R 267 0 R 269 0 R 271 0 R 273 0 R 275 0 R 277 0 R 279 0 R 281 0 R 283 0 R 285 0 R 287 0 R 289 0 R 291 0 R 293 0 R 295 0 R 297 0 R 299 0 R 301 0 R 303 0 R 305 0 R 307 0 R 309 0 R 311 0 R 313 0 R 315 0 R 317 0 R 319 0 R 321 0 R 323 0 R 325 0 R 327 0 R 329 0 R 331 0 R 333 0 R 335 0 R 337 0 R 339 0 R 341 0 R 343 0 R 345 0 R 347 0 R 349 0 R 351 0 R 353 0 R 355 0 R 357 0 R 359 0 R 361 0 R 363 0 R 365 0 R 367 0 R 369 0 R 371 0 R 373 0 R 375 0 R 377 0 R 379 0 R 381 0 R 383 0 R 385 0 R 387 0 R 389 0 R 391 0 R 393 0 R 395 0 R 397 0 R ]
/Contents 176 0 R
>>
endobj
176 0 obj
<<
/Length 41506 >>
stream

0.271 0.267 0.267 rg
0.267 0.267 0.267 RG
q
15.000 32.600 577.500 744.400 re W n
0.271 0.267 0.267 rg
BT 26.250 750.278 Td /F4 12.0 Tf  [(Discussion)] TJ ET
BT 26.250 730.324 Td /F1 9.8 Tf  [(Vaccination remains one of the most important public health achievements worldwide. Despite the overall success of )] TJ ET
BT 26.250 718.419 Td /F1 9.8 Tf  [(vaccination programs, it is often argued that public confidence in vaccines is decreasing.)] TJ ET
0.267 0.267 0.267 rg
BT 407.212 719.927 Td /F4 8.7 Tf  [(16)] TJ ET
0.271 0.267 0.267 rg
BT 416.849 722.308 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 419.258 719.927 Td /F4 8.7 Tf  [(17)] TJ ET
0.271 0.267 0.267 rg
BT 428.896 722.308 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 431.305 719.927 Td /F4 8.7 Tf  [(18)] TJ ET
0.271 0.267 0.267 rg
BT 440.942 718.419 Td /F1 9.8 Tf  [( Even people who accept to be )] TJ ET
BT 26.250 706.515 Td /F1 9.8 Tf  [(vaccinated or to have their child vaccinated can still have serious doubts and worries and be considered as vaccine-hesitant.)] TJ ET
0.267 0.267 0.267 rg
BT 562.744 708.022 Td /F4 8.7 Tf  [(19)] TJ ET
0.271 0.267 0.267 rg
BT 572.381 710.403 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 696.117 Td /F4 8.7 Tf  [(20)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 694.610 Td /F1 9.8 Tf  [( This latter group is an important target for vaccination promotion interventions as they are �at-risk� of stopping vaccinating, )] TJ ET
BT 26.250 682.705 Td /F1 9.8 Tf  [(but are more receptive to public health�s and healthcare providers� messages than outright refusers.)] TJ ET
0.267 0.267 0.267 rg
BT 455.981 684.212 Td /F4 8.7 Tf  [(21)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 663.300 Td /F1 9.8 Tf  [(This study presents findings on the prevalence of vaccine hesitancy in a large and representative sample of parents in Quebec )] TJ ET
BT 26.250 651.396 Td /F1 9.8 Tf  [(\(Canada\). Similar studies done in the United States have shown that around one third of parents could be considered as )] TJ ET
BT 26.250 639.491 Td /F1 9.8 Tf  [(vaccine-hesitant.)] TJ ET
0.267 0.267 0.267 rg
BT 99.404 640.998 Td /F4 8.7 Tf  [(12)] TJ ET
0.271 0.267 0.267 rg
BT 109.042 643.379 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 111.451 640.998 Td /F4 8.7 Tf  [(18)] TJ ET
0.271 0.267 0.267 rg
BT 121.088 639.491 Td /F1 9.8 Tf  [( Our study shows similar figures, with 40% of the parents saying that they have already hesitated to )] TJ ET
BT 26.250 627.586 Td /F1 9.8 Tf  [(vaccinate their child. Although parents� self-report vaccine hesitancy, measured in a single question, is an imperfect proxy, it )] TJ ET
BT 26.250 615.681 Td /F1 9.8 Tf  [(was used in a previous study and showed that 33% of the 938 surveyed parents were vaccine-hesitant and that hesitation can )] TJ ET
BT 26.250 603.777 Td /F1 9.8 Tf  [(translate into behaviors that affect vaccine coverage \(with at least one vaccine postponed in greater proportions among vaccine-)] TJ ET
BT 26.250 591.872 Td /F1 9.8 Tf  [(hesitant parents\).)] TJ ET
0.267 0.267 0.267 rg
BT 101.579 593.379 Td /F4 8.7 Tf  [(7)] TJ ET
0.271 0.267 0.267 rg
BT 106.397 591.872 Td /F1 9.8 Tf  [( Due to the retrospective design of the study, we cannot rule out the fact that some parents may not recall )] TJ ET
BT 26.250 579.967 Td /F1 9.8 Tf  [(their attitudes at the time of the vaccination decision. However, the statistically significant association between parents� report of )] TJ ET
BT 26.250 568.062 Td /F1 9.8 Tf  [(hesitancy and their child vaccination status indicated that the two measures capture to some extent the complex nature of )] TJ ET
BT 26.250 556.158 Td /F1 9.8 Tf  [(vaccine hesitancy.)] TJ ET
BT 26.250 536.753 Td /F1 9.8 Tf  [(Vaccine hesitancy among vaccine-hesitant parents was mostly associated with some vaccines: generated by the influenza, the )] TJ ET
BT 26.250 524.848 Td /F1 9.8 Tf  [(varicella, the HPV and the rotavirus vaccines. Some of these vaccines might be perceived by parents as being against �mild� )] TJ ET
BT 26.250 512.943 Td /F1 9.8 Tf  [(diseases, which could increase vaccine hesitancy compared to vaccines against diseases perceived as �serious� and life-)] TJ ET
BT 26.250 501.039 Td /F1 9.8 Tf  [(threatening.)] TJ ET
0.267 0.267 0.267 rg
BT 77.740 502.546 Td /F4 8.7 Tf  [(22)] TJ ET
0.271 0.267 0.267 rg
BT 87.377 504.927 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 89.786 502.546 Td /F4 8.7 Tf  [(23)] TJ ET
0.271 0.267 0.267 rg
BT 99.424 501.039 Td /F1 9.8 Tf  [( Research has also shown that new vaccines \(such as the HPV and the rotavirus vaccines\) are more prone to )] TJ ET
BT 26.250 489.134 Td /F1 9.8 Tf  [(vaccine hesitancy than �older� vaccines. For instance, in a recent pan-Canadian survey, half of the parents were concerned that )] TJ ET
BT 26.250 477.229 Td /F1 9.8 Tf  [(new vaccines are not as safe as older vaccines and one-third felt that children today receive too many vaccines, even if nine out )] TJ ET
BT 26.250 465.324 Td /F1 9.8 Tf  [(of ten of these parents indicated their child�s vaccination was UTD.)] TJ ET
0.267 0.267 0.267 rg
BT 313.456 466.832 Td /F4 8.7 Tf  [(24)] TJ ET
0.271 0.267 0.267 rg
BT 323.093 465.324 Td /F1 9.8 Tf  [( The HPV vaccine has also been subject to some )] TJ ET
BT 26.250 453.420 Td /F1 9.8 Tf  [(controversies in the media since the introduction of publicly funded program in Quebec in 2008, which could also partially )] TJ ET
BT 26.250 441.515 Td /F1 9.8 Tf  [(explain the fact that this vaccine has generated more hesitancy.)] TJ ET
0.267 0.267 0.267 rg
BT 301.015 443.022 Td /F4 8.7 Tf  [(25)] TJ ET
0.271 0.267 0.267 rg
BT 310.652 441.515 Td /F1 9.8 Tf  [( The decision to implement a publicly funded program for )] TJ ET
BT 26.250 429.610 Td /F1 9.8 Tf  [(vaccination against HPV was strongly criticized in Quebec. Negative media coverage around the HPV vaccine safety and )] TJ ET
BT 26.250 417.705 Td /F1 9.8 Tf  [(usefulness has been observed sporadically over the past few years. For instance, recently some social scientists were publicly )] TJ ET
BT 26.250 405.801 Td /F1 9.8 Tf  [(asking for a moratorium on the program \()] TJ ET
0.267 0.267 0.267 rg
BT 203.437 405.801 Td /F1 9.8 Tf  [(http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-)] TJ ET
BT 26.250 393.896 Td /F1 9.8 Tf  [(a-un-moratoire)] TJ ET
0.271 0.267 0.267 rg
BT 90.181 393.896 Td /F1 9.8 Tf  [(\). It is also reassuring to note that the majority of the vaccine-hesitant parents finally have decided to accept to )] TJ ET
BT 26.250 381.991 Td /F1 9.8 Tf  [(have their child vaccinated. Most of the vaccine-hesitant parents chose to vaccinate because of the desire to protect their child )] TJ ET
BT 26.250 370.086 Td /F1 9.8 Tf  [(from vaccine-preventable diseases or because they had received a recommendation to vaccinate from their providers. The )] TJ ET
BT 26.250 358.182 Td /F1 9.8 Tf  [(tremendous influence of healthcare providers� recommendations on vaccine acceptance is well-documented in the literature.)] TJ ET
0.267 0.267 0.267 rg
BT 561.642 359.689 Td /F4 8.7 Tf  [(26)] TJ ET
0.271 0.267 0.267 rg
BT 571.279 362.070 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 347.784 Td /F4 8.7 Tf  [(27)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 38.297 347.784 Td /F4 8.7 Tf  [(28)] TJ ET
0.271 0.267 0.267 rg
BT 47.934 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 50.343 347.784 Td /F4 8.7 Tf  [(29)] TJ ET
0.271 0.267 0.267 rg
BT 59.981 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 62.390 347.784 Td /F4 8.7 Tf  [(30)] TJ ET
0.271 0.267 0.267 rg
BT 72.027 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 74.437 347.784 Td /F4 8.7 Tf  [(31)] TJ ET
0.271 0.267 0.267 rg
BT 84.074 346.277 Td /F1 9.8 Tf  [( However, some of the vaccine-hesitant parents said they agreed to vaccinate because of feeling pressure to do )] TJ ET
BT 26.250 334.372 Td /F1 9.8 Tf  [(so. This could be interpreted as a positive indication that the pro-vaccine social norm is effectively enhancing vaccine )] TJ ET
BT 26.250 322.467 Td /F1 9.8 Tf  [(compliance in Quebec, but also as an indication that these parents are still vaccine-hesitant, despite having accepted the )] TJ ET
BT 26.250 310.563 Td /F1 9.8 Tf  [(vaccines. The latter is the most likely option, as having felt pressure to vaccinate was also a statistically significant factor of )] TJ ET
BT 26.250 298.658 Td /F1 9.8 Tf  [(incomplete vaccine status in multivariate analysis. Many studies have shown the important influence of social norms on parents� )] TJ ET
BT 26.250 286.753 Td /F1 9.8 Tf  [(vaccination decisions)] TJ ET
0.267 0.267 0.267 rg
BT 118.368 288.260 Td /F4 8.7 Tf  [(32)] TJ ET
0.271 0.267 0.267 rg
BT 128.005 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 130.415 288.260 Td /F4 8.7 Tf  [(33)] TJ ET
0.271 0.267 0.267 rg
BT 140.052 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 142.461 288.260 Td /F4 8.7 Tf  [(34)] TJ ET
0.271 0.267 0.267 rg
BT 152.099 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 154.508 288.260 Td /F4 8.7 Tf  [(35)] TJ ET
0.271 0.267 0.267 rg
BT 164.145 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 166.555 288.260 Td /F4 8.7 Tf  [(36)] TJ ET
0.271 0.267 0.267 rg
BT 176.192 286.753 Td /F1 9.8 Tf  [( and many studies have also indicated that even parents who accept to have their child )] TJ ET
BT 26.250 274.848 Td /F1 9.8 Tf  [(vaccinated can still have important doubts and concerns.)] TJ ET
0.267 0.267 0.267 rg
BT 271.199 276.356 Td /F4 8.7 Tf  [(13)] TJ ET
0.271 0.267 0.267 rg
BT 280.837 278.737 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 283.246 276.356 Td /F4 8.7 Tf  [(24)] TJ ET
0.271 0.267 0.267 rg
BT 292.883 278.737 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 295.293 276.356 Td /F4 8.7 Tf  [(37)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 255.444 Td /F1 9.8 Tf  [(Our study has also identified factors linked with vaccine hesitancy and vaccine delays or refusals. In addition to feeling pressure )] TJ ET
BT 26.250 243.539 Td /F1 9.8 Tf  [(to vaccinate, the strongest factors associated with both incomplete vaccine status and parents� vaccine hesitancy were parents� )] TJ ET
BT 26.250 231.634 Td /F1 9.8 Tf  [(perception of the usefulness of vaccines to protect their community against the spread of vaccine-preventable diseases and )] TJ ET
BT 26.250 219.729 Td /F1 9.8 Tf  [(parents� belief that diseases prevented by vaccines are not serious. Similarly, believing that children are receiving too many )] TJ ET
BT 26.250 207.825 Td /F1 9.8 Tf  [(vaccines was also a factor associated with incomplete vaccine status whereas believing that vaccines run the risk of weakening )] TJ ET
BT 26.250 195.920 Td /F1 9.8 Tf  [(the immune system was associated with parental vaccine hesitancy. Another factor associated with an incomplete vaccine )] TJ ET
BT 26.250 184.015 Td /F1 9.8 Tf  [(status was to not believing that vaccines prevent diseases. All of these factors are different measures of parents� perception of )] TJ ET
BT 26.250 172.110 Td /F1 9.8 Tf  [(the utility of vaccination, which has been also identified as a determinant of vaccination decision in numerous studies.)] TJ ET
0.267 0.267 0.267 rg
BT 531.320 173.618 Td /F4 8.7 Tf  [(33)] TJ ET
0.271 0.267 0.267 rg
BT 540.957 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 543.366 173.618 Td /F4 8.7 Tf  [(34)] TJ ET
0.271 0.267 0.267 rg
BT 553.004 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 555.413 173.618 Td /F4 8.7 Tf  [(38)] TJ ET
0.271 0.267 0.267 rg
BT 565.050 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 567.460 173.618 Td /F4 8.7 Tf  [(39)] TJ ET
0.271 0.267 0.267 rg
BT 577.097 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 161.713 Td /F4 8.7 Tf  [(40)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 163.829 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 38.297 161.713 Td /F4 8.7 Tf  [(41)] TJ ET
0.271 0.267 0.267 rg
BT 47.934 163.829 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 50.343 161.713 Td /F4 8.7 Tf  [(42)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 142.124 Td /F1 9.8 Tf  [(Finally, another significant factor was a lack of trust in the information received about vaccination. While public health role is to )] TJ ET
BT 26.250 130.219 Td /F1 9.8 Tf  [(ensure that the public is well-informed on vaccination, this finding highlights an important barrier when addressing vaccine )] TJ ET
BT 26.250 118.314 Td /F1 9.8 Tf  [(hesitancy: the fact that some vaccine-hesitant parents might not trust the information about vaccination that they received from )] TJ ET
BT 26.250 106.409 Td /F1 9.8 Tf  [(public health or their healthcare providers. An extensive review of the literature, has also highlighted that vaccine hesitancy in )] TJ ET
BT 26.250 94.505 Td /F1 9.8 Tf  [(the public was not due to people being uninformed or misinformed, but rather because of multiple forms of distrust \(of doctors, )] TJ ET
BT 26.250 82.600 Td /F1 9.8 Tf  [(of government sources, of pharmaceutical companies\).)] TJ ET
0.267 0.267 0.267 rg
BT 263.594 84.107 Td /F4 8.7 Tf  [(43)] TJ ET
0.271 0.267 0.267 rg
BT 273.232 82.600 Td /F1 9.8 Tf  [( The authors of this review have concluded that, among a post-)] TJ ET
BT 26.250 70.695 Td /F1 9.8 Tf  [(deferential public, the credibility of the institutions that deliver the information about vaccination seems to matter more than the )] TJ ET
BT 26.250 58.790 Td /F1 9.8 Tf  [(information in itself, showing the complexity of factors impacting trust in vaccination. The theme of trust and mistrust of the )] TJ ET
BT 26.250 46.886 Td /F1 9.8 Tf  [(pharmaceutical industry, governments, health authorities, doctors and research have also been highlighted in studies targeting )] TJ ET
Q
q
15.000 32.600 577.500 744.400 re W n
0.271 0.267 0.267 rg
BT 26.250 750.278 Td /F4 12.0 Tf  [(Discussion)] TJ ET
BT 26.250 730.324 Td /F1 9.8 Tf  [(Vaccination remains one of the most important public health achievements worldwide. Despite the overall success of )] TJ ET
BT 26.250 718.419 Td /F1 9.8 Tf  [(vaccination programs, it is often argued that public confidence in vaccines is decreasing.)] TJ ET
0.267 0.267 0.267 rg
BT 407.212 719.927 Td /F4 8.7 Tf  [(16)] TJ ET
0.271 0.267 0.267 rg
BT 416.849 722.308 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 419.258 719.927 Td /F4 8.7 Tf  [(17)] TJ ET
0.271 0.267 0.267 rg
BT 428.896 722.308 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 431.305 719.927 Td /F4 8.7 Tf  [(18)] TJ ET
0.271 0.267 0.267 rg
BT 440.942 718.419 Td /F1 9.8 Tf  [( Even people who accept to be )] TJ ET
BT 26.250 706.515 Td /F1 9.8 Tf  [(vaccinated or to have their child vaccinated can still have serious doubts and worries and be considered as vaccine-hesitant.)] TJ ET
0.267 0.267 0.267 rg
BT 562.744 708.022 Td /F4 8.7 Tf  [(19)] TJ ET
0.271 0.267 0.267 rg
BT 572.381 710.403 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 696.117 Td /F4 8.7 Tf  [(20)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 694.610 Td /F1 9.8 Tf  [( This latter group is an important target for vaccination promotion interventions as they are �at-risk� of stopping vaccinating, )] TJ ET
BT 26.250 682.705 Td /F1 9.8 Tf  [(but are more receptive to public health�s and healthcare providers� messages than outright refusers.)] TJ ET
0.267 0.267 0.267 rg
BT 455.981 684.212 Td /F4 8.7 Tf  [(21)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 663.300 Td /F1 9.8 Tf  [(This study presents findings on the prevalence of vaccine hesitancy in a large and representative sample of parents in Quebec )] TJ ET
BT 26.250 651.396 Td /F1 9.8 Tf  [(\(Canada\). Similar studies done in the United States have shown that around one third of parents could be considered as )] TJ ET
BT 26.250 639.491 Td /F1 9.8 Tf  [(vaccine-hesitant.)] TJ ET
0.267 0.267 0.267 rg
BT 99.404 640.998 Td /F4 8.7 Tf  [(12)] TJ ET
0.271 0.267 0.267 rg
BT 109.042 643.379 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 111.451 640.998 Td /F4 8.7 Tf  [(18)] TJ ET
0.271 0.267 0.267 rg
BT 121.088 639.491 Td /F1 9.8 Tf  [( Our study shows similar figures, with 40% of the parents saying that they have already hesitated to )] TJ ET
BT 26.250 627.586 Td /F1 9.8 Tf  [(vaccinate their child. Although parents� self-report vaccine hesitancy, measured in a single question, is an imperfect proxy, it )] TJ ET
BT 26.250 615.681 Td /F1 9.8 Tf  [(was used in a previous study and showed that 33% of the 938 surveyed parents were vaccine-hesitant and that hesitation can )] TJ ET
BT 26.250 603.777 Td /F1 9.8 Tf  [(translate into behaviors that affect vaccine coverage \(with at least one vaccine postponed in greater proportions among vaccine-)] TJ ET
BT 26.250 591.872 Td /F1 9.8 Tf  [(hesitant parents\).)] TJ ET
0.267 0.267 0.267 rg
BT 101.579 593.379 Td /F4 8.7 Tf  [(7)] TJ ET
0.271 0.267 0.267 rg
BT 106.397 591.872 Td /F1 9.8 Tf  [( Due to the retrospective design of the study, we cannot rule out the fact that some parents may not recall )] TJ ET
BT 26.250 579.967 Td /F1 9.8 Tf  [(their attitudes at the time of the vaccination decision. However, the statistically significant association between parents� report of )] TJ ET
BT 26.250 568.062 Td /F1 9.8 Tf  [(hesitancy and their child vaccination status indicated that the two measures capture to some extent the complex nature of )] TJ ET
BT 26.250 556.158 Td /F1 9.8 Tf  [(vaccine hesitancy.)] TJ ET
BT 26.250 536.753 Td /F1 9.8 Tf  [(Vaccine hesitancy among vaccine-hesitant parents was mostly associated with some vaccines: generated by the influenza, the )] TJ ET
BT 26.250 524.848 Td /F1 9.8 Tf  [(varicella, the HPV and the rotavirus vaccines. Some of these vaccines might be perceived by parents as being against �mild� )] TJ ET
BT 26.250 512.943 Td /F1 9.8 Tf  [(diseases, which could increase vaccine hesitancy compared to vaccines against diseases perceived as �serious� and life-)] TJ ET
BT 26.250 501.039 Td /F1 9.8 Tf  [(threatening.)] TJ ET
0.267 0.267 0.267 rg
BT 77.740 502.546 Td /F4 8.7 Tf  [(22)] TJ ET
0.271 0.267 0.267 rg
BT 87.377 504.927 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 89.786 502.546 Td /F4 8.7 Tf  [(23)] TJ ET
0.271 0.267 0.267 rg
BT 99.424 501.039 Td /F1 9.8 Tf  [( Research has also shown that new vaccines \(such as the HPV and the rotavirus vaccines\) are more prone to )] TJ ET
BT 26.250 489.134 Td /F1 9.8 Tf  [(vaccine hesitancy than �older� vaccines. For instance, in a recent pan-Canadian survey, half of the parents were concerned that )] TJ ET
BT 26.250 477.229 Td /F1 9.8 Tf  [(new vaccines are not as safe as older vaccines and one-third felt that children today receive too many vaccines, even if nine out )] TJ ET
BT 26.250 465.324 Td /F1 9.8 Tf  [(of ten of these parents indicated their child�s vaccination was UTD.)] TJ ET
0.267 0.267 0.267 rg
BT 313.456 466.832 Td /F4 8.7 Tf  [(24)] TJ ET
0.271 0.267 0.267 rg
BT 323.093 465.324 Td /F1 9.8 Tf  [( The HPV vaccine has also been subject to some )] TJ ET
BT 26.250 453.420 Td /F1 9.8 Tf  [(controversies in the media since the introduction of publicly funded program in Quebec in 2008, which could also partially )] TJ ET
BT 26.250 441.515 Td /F1 9.8 Tf  [(explain the fact that this vaccine has generated more hesitancy.)] TJ ET
0.267 0.267 0.267 rg
BT 301.015 443.022 Td /F4 8.7 Tf  [(25)] TJ ET
0.271 0.267 0.267 rg
BT 310.652 441.515 Td /F1 9.8 Tf  [( The decision to implement a publicly funded program for )] TJ ET
BT 26.250 429.610 Td /F1 9.8 Tf  [(vaccination against HPV was strongly criticized in Quebec. Negative media coverage around the HPV vaccine safety and )] TJ ET
BT 26.250 417.705 Td /F1 9.8 Tf  [(usefulness has been observed sporadically over the past few years. For instance, recently some social scientists were publicly )] TJ ET
BT 26.250 405.801 Td /F1 9.8 Tf  [(asking for a moratorium on the program \()] TJ ET
0.267 0.267 0.267 rg
BT 203.437 405.801 Td /F1 9.8 Tf  [(http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-)] TJ ET
BT 26.250 393.896 Td /F1 9.8 Tf  [(a-un-moratoire)] TJ ET
0.271 0.267 0.267 rg
BT 90.181 393.896 Td /F1 9.8 Tf  [(\). It is also reassuring to note that the majority of the vaccine-hesitant parents finally have decided to accept to )] TJ ET
BT 26.250 381.991 Td /F1 9.8 Tf  [(have their child vaccinated. Most of the vaccine-hesitant parents chose to vaccinate because of the desire to protect their child )] TJ ET
BT 26.250 370.086 Td /F1 9.8 Tf  [(from vaccine-preventable diseases or because they had received a recommendation to vaccinate from their providers. The )] TJ ET
BT 26.250 358.182 Td /F1 9.8 Tf  [(tremendous influence of healthcare providers� recommendations on vaccine acceptance is well-documented in the literature.)] TJ ET
0.267 0.267 0.267 rg
BT 561.642 359.689 Td /F4 8.7 Tf  [(26)] TJ ET
0.271 0.267 0.267 rg
BT 571.279 362.070 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 347.784 Td /F4 8.7 Tf  [(27)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 38.297 347.784 Td /F4 8.7 Tf  [(28)] TJ ET
0.271 0.267 0.267 rg
BT 47.934 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 50.343 347.784 Td /F4 8.7 Tf  [(29)] TJ ET
0.271 0.267 0.267 rg
BT 59.981 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 62.390 347.784 Td /F4 8.7 Tf  [(30)] TJ ET
0.271 0.267 0.267 rg
BT 72.027 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 74.437 347.784 Td /F4 8.7 Tf  [(31)] TJ ET
0.271 0.267 0.267 rg
BT 84.074 346.277 Td /F1 9.8 Tf  [( However, some of the vaccine-hesitant parents said they agreed to vaccinate because of feeling pressure to do )] TJ ET
BT 26.250 334.372 Td /F1 9.8 Tf  [(so. This could be interpreted as a positive indication that the pro-vaccine social norm is effectively enhancing vaccine )] TJ ET
BT 26.250 322.467 Td /F1 9.8 Tf  [(compliance in Quebec, but also as an indication that these parents are still vaccine-hesitant, despite having accepted the )] TJ ET
BT 26.250 310.563 Td /F1 9.8 Tf  [(vaccines. The latter is the most likely option, as having felt pressure to vaccinate was also a statistically significant factor of )] TJ ET
BT 26.250 298.658 Td /F1 9.8 Tf  [(incomplete vaccine status in multivariate analysis. Many studies have shown the important influence of social norms on parents� )] TJ ET
BT 26.250 286.753 Td /F1 9.8 Tf  [(vaccination decisions)] TJ ET
0.267 0.267 0.267 rg
BT 118.368 288.260 Td /F4 8.7 Tf  [(32)] TJ ET
0.271 0.267 0.267 rg
BT 128.005 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 130.415 288.260 Td /F4 8.7 Tf  [(33)] TJ ET
0.271 0.267 0.267 rg
BT 140.052 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 142.461 288.260 Td /F4 8.7 Tf  [(34)] TJ ET
0.271 0.267 0.267 rg
BT 152.099 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 154.508 288.260 Td /F4 8.7 Tf  [(35)] TJ ET
0.271 0.267 0.267 rg
BT 164.145 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 166.555 288.260 Td /F4 8.7 Tf  [(36)] TJ ET
0.271 0.267 0.267 rg
BT 176.192 286.753 Td /F1 9.8 Tf  [( and many studies have also indicated that even parents who accept to have their child )] TJ ET
BT 26.250 274.848 Td /F1 9.8 Tf  [(vaccinated can still have important doubts and concerns.)] TJ ET
0.267 0.267 0.267 rg
BT 271.199 276.356 Td /F4 8.7 Tf  [(13)] TJ ET
0.271 0.267 0.267 rg
BT 280.837 278.737 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 283.246 276.356 Td /F4 8.7 Tf  [(24)] TJ ET
0.271 0.267 0.267 rg
BT 292.883 278.737 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 295.293 276.356 Td /F4 8.7 Tf  [(37)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 255.444 Td /F1 9.8 Tf  [(Our study has also identified factors linked with vaccine hesitancy and vaccine delays or refusals. In addition to feeling pressure )] TJ ET
BT 26.250 243.539 Td /F1 9.8 Tf  [(to vaccinate, the strongest factors associated with both incomplete vaccine status and parents� vaccine hesitancy were parents� )] TJ ET
BT 26.250 231.634 Td /F1 9.8 Tf  [(perception of the usefulness of vaccines to protect their community against the spread of vaccine-preventable diseases and )] TJ ET
BT 26.250 219.729 Td /F1 9.8 Tf  [(parents� belief that diseases prevented by vaccines are not serious. Similarly, believing that children are receiving too many )] TJ ET
BT 26.250 207.825 Td /F1 9.8 Tf  [(vaccines was also a factor associated with incomplete vaccine status whereas believing that vaccines run the risk of weakening )] TJ ET
BT 26.250 195.920 Td /F1 9.8 Tf  [(the immune system was associated with parental vaccine hesitancy. Another factor associated with an incomplete vaccine )] TJ ET
BT 26.250 184.015 Td /F1 9.8 Tf  [(status was to not believing that vaccines prevent diseases. All of these factors are different measures of parents� perception of )] TJ ET
BT 26.250 172.110 Td /F1 9.8 Tf  [(the utility of vaccination, which has been also identified as a determinant of vaccination decision in numerous studies.)] TJ ET
0.267 0.267 0.267 rg
BT 531.320 173.618 Td /F4 8.7 Tf  [(33)] TJ ET
0.271 0.267 0.267 rg
BT 540.957 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 543.366 173.618 Td /F4 8.7 Tf  [(34)] TJ ET
0.271 0.267 0.267 rg
BT 553.004 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 555.413 173.618 Td /F4 8.7 Tf  [(38)] TJ ET
0.271 0.267 0.267 rg
BT 565.050 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 567.460 173.618 Td /F4 8.7 Tf  [(39)] TJ ET
0.271 0.267 0.267 rg
BT 577.097 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 161.713 Td /F4 8.7 Tf  [(40)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 163.829 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 38.297 161.713 Td /F4 8.7 Tf  [(41)] TJ ET
0.271 0.267 0.267 rg
BT 47.934 163.829 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 50.343 161.713 Td /F4 8.7 Tf  [(42)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 142.124 Td /F1 9.8 Tf  [(Finally, another significant factor was a lack of trust in the information received about vaccination. While public health role is to )] TJ ET
BT 26.250 130.219 Td /F1 9.8 Tf  [(ensure that the public is well-informed on vaccination, this finding highlights an important barrier when addressing vaccine )] TJ ET
BT 26.250 118.314 Td /F1 9.8 Tf  [(hesitancy: the fact that some vaccine-hesitant parents might not trust the information about vaccination that they received from )] TJ ET
BT 26.250 106.409 Td /F1 9.8 Tf  [(public health or their healthcare providers. An extensive review of the literature, has also highlighted that vaccine hesitancy in )] TJ ET
BT 26.250 94.505 Td /F1 9.8 Tf  [(the public was not due to people being uninformed or misinformed, but rather because of multiple forms of distrust \(of doctors, )] TJ ET
BT 26.250 82.600 Td /F1 9.8 Tf  [(of government sources, of pharmaceutical companies\).)] TJ ET
0.267 0.267 0.267 rg
BT 263.594 84.107 Td /F4 8.7 Tf  [(43)] TJ ET
0.271 0.267 0.267 rg
BT 273.232 82.600 Td /F1 9.8 Tf  [( The authors of this review have concluded that, among a post-)] TJ ET
BT 26.250 70.695 Td /F1 9.8 Tf  [(deferential public, the credibility of the institutions that deliver the information about vaccination seems to matter more than the )] TJ ET
BT 26.250 58.790 Td /F1 9.8 Tf  [(information in itself, showing the complexity of factors impacting trust in vaccination. The theme of trust and mistrust of the )] TJ ET
BT 26.250 46.886 Td /F1 9.8 Tf  [(pharmaceutical industry, governments, health authorities, doctors and research have also been highlighted in studies targeting )] TJ ET
Q
q
15.000 32.600 577.500 744.400 re W n
0.271 0.267 0.267 rg
BT 26.250 750.278 Td /F4 12.0 Tf  [(Discussion)] TJ ET
BT 26.250 730.324 Td /F1 9.8 Tf  [(Vaccination remains one of the most important public health achievements worldwide. Despite the overall success of )] TJ ET
BT 26.250 718.419 Td /F1 9.8 Tf  [(vaccination programs, it is often argued that public confidence in vaccines is decreasing.)] TJ ET
0.267 0.267 0.267 rg
BT 407.212 719.927 Td /F4 8.7 Tf  [(16)] TJ ET
0.271 0.267 0.267 rg
BT 416.849 722.308 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 419.258 719.927 Td /F4 8.7 Tf  [(17)] TJ ET
0.271 0.267 0.267 rg
BT 428.896 722.308 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 431.305 719.927 Td /F4 8.7 Tf  [(18)] TJ ET
0.271 0.267 0.267 rg
BT 440.942 718.419 Td /F1 9.8 Tf  [( Even people who accept to be )] TJ ET
BT 26.250 706.515 Td /F1 9.8 Tf  [(vaccinated or to have their child vaccinated can still have serious doubts and worries and be considered as vaccine-hesitant.)] TJ ET
0.267 0.267 0.267 rg
BT 562.744 708.022 Td /F4 8.7 Tf  [(19)] TJ ET
0.271 0.267 0.267 rg
BT 572.381 710.403 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 696.117 Td /F4 8.7 Tf  [(20)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 694.610 Td /F1 9.8 Tf  [( This latter group is an important target for vaccination promotion interventions as they are �at-risk� of stopping vaccinating, )] TJ ET
BT 26.250 682.705 Td /F1 9.8 Tf  [(but are more receptive to public health�s and healthcare providers� messages than outright refusers.)] TJ ET
0.267 0.267 0.267 rg
BT 455.981 684.212 Td /F4 8.7 Tf  [(21)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 663.300 Td /F1 9.8 Tf  [(This study presents findings on the prevalence of vaccine hesitancy in a large and representative sample of parents in Quebec )] TJ ET
BT 26.250 651.396 Td /F1 9.8 Tf  [(\(Canada\). Similar studies done in the United States have shown that around one third of parents could be considered as )] TJ ET
BT 26.250 639.491 Td /F1 9.8 Tf  [(vaccine-hesitant.)] TJ ET
0.267 0.267 0.267 rg
BT 99.404 640.998 Td /F4 8.7 Tf  [(12)] TJ ET
0.271 0.267 0.267 rg
BT 109.042 643.379 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 111.451 640.998 Td /F4 8.7 Tf  [(18)] TJ ET
0.271 0.267 0.267 rg
BT 121.088 639.491 Td /F1 9.8 Tf  [( Our study shows similar figures, with 40% of the parents saying that they have already hesitated to )] TJ ET
BT 26.250 627.586 Td /F1 9.8 Tf  [(vaccinate their child. Although parents� self-report vaccine hesitancy, measured in a single question, is an imperfect proxy, it )] TJ ET
BT 26.250 615.681 Td /F1 9.8 Tf  [(was used in a previous study and showed that 33% of the 938 surveyed parents were vaccine-hesitant and that hesitation can )] TJ ET
BT 26.250 603.777 Td /F1 9.8 Tf  [(translate into behaviors that affect vaccine coverage \(with at least one vaccine postponed in greater proportions among vaccine-)] TJ ET
BT 26.250 591.872 Td /F1 9.8 Tf  [(hesitant parents\).)] TJ ET
0.267 0.267 0.267 rg
BT 101.579 593.379 Td /F4 8.7 Tf  [(7)] TJ ET
0.271 0.267 0.267 rg
BT 106.397 591.872 Td /F1 9.8 Tf  [( Due to the retrospective design of the study, we cannot rule out the fact that some parents may not recall )] TJ ET
BT 26.250 579.967 Td /F1 9.8 Tf  [(their attitudes at the time of the vaccination decision. However, the statistically significant association between parents� report of )] TJ ET
BT 26.250 568.062 Td /F1 9.8 Tf  [(hesitancy and their child vaccination status indicated that the two measures capture to some extent the complex nature of )] TJ ET
BT 26.250 556.158 Td /F1 9.8 Tf  [(vaccine hesitancy.)] TJ ET
BT 26.250 536.753 Td /F1 9.8 Tf  [(Vaccine hesitancy among vaccine-hesitant parents was mostly associated with some vaccines: generated by the influenza, the )] TJ ET
BT 26.250 524.848 Td /F1 9.8 Tf  [(varicella, the HPV and the rotavirus vaccines. Some of these vaccines might be perceived by parents as being against �mild� )] TJ ET
BT 26.250 512.943 Td /F1 9.8 Tf  [(diseases, which could increase vaccine hesitancy compared to vaccines against diseases perceived as �serious� and life-)] TJ ET
BT 26.250 501.039 Td /F1 9.8 Tf  [(threatening.)] TJ ET
0.267 0.267 0.267 rg
BT 77.740 502.546 Td /F4 8.7 Tf  [(22)] TJ ET
0.271 0.267 0.267 rg
BT 87.377 504.927 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 89.786 502.546 Td /F4 8.7 Tf  [(23)] TJ ET
0.271 0.267 0.267 rg
BT 99.424 501.039 Td /F1 9.8 Tf  [( Research has also shown that new vaccines \(such as the HPV and the rotavirus vaccines\) are more prone to )] TJ ET
BT 26.250 489.134 Td /F1 9.8 Tf  [(vaccine hesitancy than �older� vaccines. For instance, in a recent pan-Canadian survey, half of the parents were concerned that )] TJ ET
BT 26.250 477.229 Td /F1 9.8 Tf  [(new vaccines are not as safe as older vaccines and one-third felt that children today receive too many vaccines, even if nine out )] TJ ET
BT 26.250 465.324 Td /F1 9.8 Tf  [(of ten of these parents indicated their child�s vaccination was UTD.)] TJ ET
0.267 0.267 0.267 rg
BT 313.456 466.832 Td /F4 8.7 Tf  [(24)] TJ ET
0.271 0.267 0.267 rg
BT 323.093 465.324 Td /F1 9.8 Tf  [( The HPV vaccine has also been subject to some )] TJ ET
BT 26.250 453.420 Td /F1 9.8 Tf  [(controversies in the media since the introduction of publicly funded program in Quebec in 2008, which could also partially )] TJ ET
BT 26.250 441.515 Td /F1 9.8 Tf  [(explain the fact that this vaccine has generated more hesitancy.)] TJ ET
0.267 0.267 0.267 rg
BT 301.015 443.022 Td /F4 8.7 Tf  [(25)] TJ ET
0.271 0.267 0.267 rg
BT 310.652 441.515 Td /F1 9.8 Tf  [( The decision to implement a publicly funded program for )] TJ ET
BT 26.250 429.610 Td /F1 9.8 Tf  [(vaccination against HPV was strongly criticized in Quebec. Negative media coverage around the HPV vaccine safety and )] TJ ET
BT 26.250 417.705 Td /F1 9.8 Tf  [(usefulness has been observed sporadically over the past few years. For instance, recently some social scientists were publicly )] TJ ET
BT 26.250 405.801 Td /F1 9.8 Tf  [(asking for a moratorium on the program \()] TJ ET
0.267 0.267 0.267 rg
BT 203.437 405.801 Td /F1 9.8 Tf  [(http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-)] TJ ET
BT 26.250 393.896 Td /F1 9.8 Tf  [(a-un-moratoire)] TJ ET
0.271 0.267 0.267 rg
BT 90.181 393.896 Td /F1 9.8 Tf  [(\). It is also reassuring to note that the majority of the vaccine-hesitant parents finally have decided to accept to )] TJ ET
BT 26.250 381.991 Td /F1 9.8 Tf  [(have their child vaccinated. Most of the vaccine-hesitant parents chose to vaccinate because of the desire to protect their child )] TJ ET
BT 26.250 370.086 Td /F1 9.8 Tf  [(from vaccine-preventable diseases or because they had received a recommendation to vaccinate from their providers. The )] TJ ET
BT 26.250 358.182 Td /F1 9.8 Tf  [(tremendous influence of healthcare providers� recommendations on vaccine acceptance is well-documented in the literature.)] TJ ET
0.267 0.267 0.267 rg
BT 561.642 359.689 Td /F4 8.7 Tf  [(26)] TJ ET
0.271 0.267 0.267 rg
BT 571.279 362.070 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 347.784 Td /F4 8.7 Tf  [(27)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 38.297 347.784 Td /F4 8.7 Tf  [(28)] TJ ET
0.271 0.267 0.267 rg
BT 47.934 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 50.343 347.784 Td /F4 8.7 Tf  [(29)] TJ ET
0.271 0.267 0.267 rg
BT 59.981 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 62.390 347.784 Td /F4 8.7 Tf  [(30)] TJ ET
0.271 0.267 0.267 rg
BT 72.027 350.165 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 74.437 347.784 Td /F4 8.7 Tf  [(31)] TJ ET
0.271 0.267 0.267 rg
BT 84.074 346.277 Td /F1 9.8 Tf  [( However, some of the vaccine-hesitant parents said they agreed to vaccinate because of feeling pressure to do )] TJ ET
BT 26.250 334.372 Td /F1 9.8 Tf  [(so. This could be interpreted as a positive indication that the pro-vaccine social norm is effectively enhancing vaccine )] TJ ET
BT 26.250 322.467 Td /F1 9.8 Tf  [(compliance in Quebec, but also as an indication that these parents are still vaccine-hesitant, despite having accepted the )] TJ ET
BT 26.250 310.563 Td /F1 9.8 Tf  [(vaccines. The latter is the most likely option, as having felt pressure to vaccinate was also a statistically significant factor of )] TJ ET
BT 26.250 298.658 Td /F1 9.8 Tf  [(incomplete vaccine status in multivariate analysis. Many studies have shown the important influence of social norms on parents� )] TJ ET
BT 26.250 286.753 Td /F1 9.8 Tf  [(vaccination decisions)] TJ ET
0.267 0.267 0.267 rg
BT 118.368 288.260 Td /F4 8.7 Tf  [(32)] TJ ET
0.271 0.267 0.267 rg
BT 128.005 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 130.415 288.260 Td /F4 8.7 Tf  [(33)] TJ ET
0.271 0.267 0.267 rg
BT 140.052 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 142.461 288.260 Td /F4 8.7 Tf  [(34)] TJ ET
0.271 0.267 0.267 rg
BT 152.099 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 154.508 288.260 Td /F4 8.7 Tf  [(35)] TJ ET
0.271 0.267 0.267 rg
BT 164.145 290.641 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 166.555 288.260 Td /F4 8.7 Tf  [(36)] TJ ET
0.271 0.267 0.267 rg
BT 176.192 286.753 Td /F1 9.8 Tf  [( and many studies have also indicated that even parents who accept to have their child )] TJ ET
BT 26.250 274.848 Td /F1 9.8 Tf  [(vaccinated can still have important doubts and concerns.)] TJ ET
0.267 0.267 0.267 rg
BT 271.199 276.356 Td /F4 8.7 Tf  [(13)] TJ ET
0.271 0.267 0.267 rg
BT 280.837 278.737 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 283.246 276.356 Td /F4 8.7 Tf  [(24)] TJ ET
0.271 0.267 0.267 rg
BT 292.883 278.737 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 295.293 276.356 Td /F4 8.7 Tf  [(37)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 255.444 Td /F1 9.8 Tf  [(Our study has also identified factors linked with vaccine hesitancy and vaccine delays or refusals. In addition to feeling pressure )] TJ ET
BT 26.250 243.539 Td /F1 9.8 Tf  [(to vaccinate, the strongest factors associated with both incomplete vaccine status and parents� vaccine hesitancy were parents� )] TJ ET
BT 26.250 231.634 Td /F1 9.8 Tf  [(perception of the usefulness of vaccines to protect their community against the spread of vaccine-preventable diseases and )] TJ ET
BT 26.250 219.729 Td /F1 9.8 Tf  [(parents� belief that diseases prevented by vaccines are not serious. Similarly, believing that children are receiving too many )] TJ ET
BT 26.250 207.825 Td /F1 9.8 Tf  [(vaccines was also a factor associated with incomplete vaccine status whereas believing that vaccines run the risk of weakening )] TJ ET
BT 26.250 195.920 Td /F1 9.8 Tf  [(the immune system was associated with parental vaccine hesitancy. Another factor associated with an incomplete vaccine )] TJ ET
BT 26.250 184.015 Td /F1 9.8 Tf  [(status was to not believing that vaccines prevent diseases. All of these factors are different measures of parents� perception of )] TJ ET
BT 26.250 172.110 Td /F1 9.8 Tf  [(the utility of vaccination, which has been also identified as a determinant of vaccination decision in numerous studies.)] TJ ET
0.267 0.267 0.267 rg
BT 531.320 173.618 Td /F4 8.7 Tf  [(33)] TJ ET
0.271 0.267 0.267 rg
BT 540.957 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 543.366 173.618 Td /F4 8.7 Tf  [(34)] TJ ET
0.271 0.267 0.267 rg
BT 553.004 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 555.413 173.618 Td /F4 8.7 Tf  [(38)] TJ ET
0.271 0.267 0.267 rg
BT 565.050 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 567.460 173.618 Td /F4 8.7 Tf  [(39)] TJ ET
0.271 0.267 0.267 rg
BT 577.097 175.999 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 26.250 161.713 Td /F4 8.7 Tf  [(40)] TJ ET
0.271 0.267 0.267 rg
BT 35.887 163.829 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 38.297 161.713 Td /F4 8.7 Tf  [(41)] TJ ET
0.271 0.267 0.267 rg
BT 47.934 163.829 Td /F1 8.7 Tf  [(,)] TJ ET
0.267 0.267 0.267 rg
BT 50.343 161.713 Td /F4 8.7 Tf  [(42)] TJ ET
0.271 0.267 0.267 rg
BT 26.250 142.124 Td /F1 9.8 Tf  [(Finally, another significant factor was a lack of trust in the information received about vaccination. While public health role is to )] TJ ET
BT 26.250 130.219 Td /F1 9.8 Tf  [(ensure that the public is well-informed on vaccination, this finding highlights an important barrier when addressing vaccine )] TJ ET
BT 26.250 118.314 Td /F1 9.8 Tf  [(hesitancy: the fact that some vaccine-hesitant parents might not trust the information about vaccination that they received from )] TJ ET
BT 26.250 106.409 Td /F1 9.8 Tf  [(public health or their healthcare providers. An extensive review of the literature, has also highlighted that vaccine hesitancy in )] TJ ET
BT 26.250 94.505 Td /F1 9.8 Tf  [(the public was not due to people being uninformed or misinformed, but rather because of multiple forms of distrust \(of doctors, )] TJ ET
BT 26.250 82.600 Td /F1 9.8 Tf  [(of government sources, of pharmaceutical companies\).)] TJ ET
0.267 0.267 0.267 rg
BT 263.594 84.107 Td /F4 8.7 Tf  [(43)] TJ ET
0.271 0.267 0.267 rg
BT 273.232 82.600 Td /F1 9.8 Tf  [( The authors of this review have concluded that, among a post-)] TJ ET
BT 26.250 70.695 Td /F1 9.8 Tf  [(deferential public, the credibility of the institutions that deliver the information about vaccination seems to matter more than the )] TJ ET
BT 26.250 58.790 Td /F1 9.8 Tf  [(information in itself, showing the complexity of factors impacting trust in vaccination. The theme of trust and mistrust of the )] TJ ET
BT 26.250 46.886 Td /F1 9.8 Tf  [(pharmaceutical industry, governments, health authorities, doctors and research have also been highlighted in studies targeting )] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(7)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
177 0 obj
<< /Type /Annot
/Subtype /Link
/A 178 0 R
/Border [0 0 0]
/H /I
/Rect [ 407.2117 719.1249 416.8491 727.9433 ]
>>
endobj
178 0 obj
<< /Type /Action
>>
endobj
179 0 obj
<< /Type /Annot
/Subtype /Link
/A 180 0 R
/Border [0 0 0]
/H /I
/Rect [ 419.2584 719.1249 428.8958 727.9433 ]
>>
endobj
180 0 obj
<< /Type /Action
>>
endobj
181 0 obj
<< /Type /Annot
/Subtype /Link
/A 182 0 R
/Border [0 0 0]
/H /I
/Rect [ 431.3051 719.1249 440.9424 727.9433 ]
>>
endobj
182 0 obj
<< /Type /Action
>>
endobj
183 0 obj
<< /Type /Annot
/Subtype /Link
/A 184 0 R
/Border [0 0 0]
/H /I
/Rect [ 562.7437 707.2202 572.3811 716.0385 ]
>>
endobj
184 0 obj
<< /Type /Action
>>
endobj
185 0 obj
<< /Type /Annot
/Subtype /Link
/A 186 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 695.3154 35.8873 704.1337 ]
>>
endobj
186 0 obj
<< /Type /Action
>>
endobj
187 0 obj
<< /Type /Annot
/Subtype /Link
/A 188 0 R
/Border [0 0 0]
/H /I
/Rect [ 455.9812 683.4107 465.6186 692.2290 ]
>>
endobj
188 0 obj
<< /Type /Action
>>
endobj
189 0 obj
<< /Type /Annot
/Subtype /Link
/A 190 0 R
/Border [0 0 0]
/H /I
/Rect [ 99.4043 640.1964 109.0416 649.0147 ]
>>
endobj
190 0 obj
<< /Type /Action
>>
endobj
191 0 obj
<< /Type /Annot
/Subtype /Link
/A 192 0 R
/Border [0 0 0]
/H /I
/Rect [ 111.4509 640.1964 121.0883 649.0147 ]
>>
endobj
192 0 obj
<< /Type /Action
>>
endobj
193 0 obj
<< /Type /Annot
/Subtype /Link
/A 194 0 R
/Border [0 0 0]
/H /I
/Rect [ 101.5785 592.5774 106.3972 601.3957 ]
>>
endobj
194 0 obj
<< /Type /Action
>>
endobj
195 0 obj
<< /Type /Annot
/Subtype /Link
/A 196 0 R
/Border [0 0 0]
/H /I
/Rect [ 77.7398 501.7442 87.3771 510.5625 ]
>>
endobj
196 0 obj
<< /Type /Action
>>
endobj
197 0 obj
<< /Type /Annot
/Subtype /Link
/A 198 0 R
/Border [0 0 0]
/H /I
/Rect [ 89.7864 501.7442 99.4238 510.5625 ]
>>
endobj
198 0 obj
<< /Type /Action
>>
endobj
199 0 obj
<< /Type /Annot
/Subtype /Link
/A 200 0 R
/Border [0 0 0]
/H /I
/Rect [ 313.4558 466.0299 323.0931 474.8483 ]
>>
endobj
200 0 obj
<< /Type /Action
>>
endobj
201 0 obj
<< /Type /Annot
/Subtype /Link
/A 202 0 R
/Border [0 0 0]
/H /I
/Rect [ 301.0147 442.2204 310.6521 451.0388 ]
>>
endobj
202 0 obj
<< /Type /Action
>>
endobj
203 0 obj
<< /Type /Annot
/Subtype /Link
/A 204 0 R
/Border [0 0 0]
/H /I
/Rect [ 203.4367 404.8988 580.0403 414.8195 ]
>>
endobj
204 0 obj
<< /Type /Action
/S /URI
/URI (http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-a-un-moratoire)
>>
endobj
205 0 obj
<< /Type /Annot
/Subtype /Link
/A 206 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 392.9941 90.1808 402.9147 ]
>>
endobj
206 0 obj
<< /Type /Action
/S /URI
/URI (http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-a-un-moratoire)
>>
endobj
207 0 obj
<< /Type /Annot
/Subtype /Link
/A 208 0 R
/Border [0 0 0]
/H /I
/Rect [ 561.6420 358.8872 571.2793 367.7055 ]
>>
endobj
208 0 obj
<< /Type /Action
>>
endobj
209 0 obj
<< /Type /Annot
/Subtype /Link
/A 210 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 346.9824 35.8873 355.8008 ]
>>
endobj
210 0 obj
<< /Type /Action
>>
endobj
211 0 obj
<< /Type /Annot
/Subtype /Link
/A 212 0 R
/Border [0 0 0]
/H /I
/Rect [ 38.2967 346.9824 47.9340 355.8008 ]
>>
endobj
212 0 obj
<< /Type /Action
>>
endobj
213 0 obj
<< /Type /Annot
/Subtype /Link
/A 214 0 R
/Border [0 0 0]
/H /I
/Rect [ 50.3433 346.9824 59.9807 355.8008 ]
>>
endobj
214 0 obj
<< /Type /Action
>>
endobj
215 0 obj
<< /Type /Annot
/Subtype /Link
/A 216 0 R
/Border [0 0 0]
/H /I
/Rect [ 62.3900 346.9824 72.0273 355.8008 ]
>>
endobj
216 0 obj
<< /Type /Action
>>
endobj
217 0 obj
<< /Type /Annot
/Subtype /Link
/A 218 0 R
/Border [0 0 0]
/H /I
/Rect [ 74.4367 346.9824 84.0740 355.8008 ]
>>
endobj
218 0 obj
<< /Type /Action
>>
endobj
219 0 obj
<< /Type /Annot
/Subtype /Link
/A 220 0 R
/Border [0 0 0]
/H /I
/Rect [ 118.3680 287.4587 128.0053 296.2770 ]
>>
endobj
220 0 obj
<< /Type /Action
>>
endobj
221 0 obj
<< /Type /Annot
/Subtype /Link
/A 222 0 R
/Border [0 0 0]
/H /I
/Rect [ 130.4147 287.4587 140.0520 296.2770 ]
>>
endobj
222 0 obj
<< /Type /Action
>>
endobj
223 0 obj
<< /Type /Annot
/Subtype /Link
/A 224 0 R
/Border [0 0 0]
/H /I
/Rect [ 142.4613 287.4587 152.0987 296.2770 ]
>>
endobj
224 0 obj
<< /Type /Action
>>
endobj
225 0 obj
<< /Type /Annot
/Subtype /Link
/A 226 0 R
/Border [0 0 0]
/H /I
/Rect [ 154.5080 287.4587 164.1453 296.2770 ]
>>
endobj
226 0 obj
<< /Type /Action
>>
endobj
227 0 obj
<< /Type /Annot
/Subtype /Link
/A 228 0 R
/Border [0 0 0]
/H /I
/Rect [ 166.5547 287.4587 176.1920 296.2770 ]
>>
endobj
228 0 obj
<< /Type /Action
>>
endobj
229 0 obj
<< /Type /Annot
/Subtype /Link
/A 230 0 R
/Border [0 0 0]
/H /I
/Rect [ 271.1993 275.5539 280.8366 284.3723 ]
>>
endobj
230 0 obj
<< /Type /Action
>>
endobj
231 0 obj
<< /Type /Annot
/Subtype /Link
/A 232 0 R
/Border [0 0 0]
/H /I
/Rect [ 283.2459 275.5539 292.8833 284.3723 ]
>>
endobj
232 0 obj
<< /Type /Action
>>
endobj
233 0 obj
<< /Type /Annot
/Subtype /Link
/A 234 0 R
/Border [0 0 0]
/H /I
/Rect [ 295.2926 275.5539 304.9299 284.3723 ]
>>
endobj
234 0 obj
<< /Type /Action
>>
endobj
235 0 obj
<< /Type /Annot
/Subtype /Link
/A 236 0 R
/Border [0 0 0]
/H /I
/Rect [ 531.3195 172.8159 540.9568 181.6343 ]
>>
endobj
236 0 obj
<< /Type /Action
>>
endobj
237 0 obj
<< /Type /Annot
/Subtype /Link
/A 238 0 R
/Border [0 0 0]
/H /I
/Rect [ 543.3662 172.8159 553.0035 181.6343 ]
>>
endobj
238 0 obj
<< /Type /Action
>>
endobj
239 0 obj
<< /Type /Annot
/Subtype /Link
/A 240 0 R
/Border [0 0 0]
/H /I
/Rect [ 555.4128 172.8159 565.0502 181.6343 ]
>>
endobj
240 0 obj
<< /Type /Action
>>
endobj
241 0 obj
<< /Type /Annot
/Subtype /Link
/A 242 0 R
/Border [0 0 0]
/H /I
/Rect [ 567.4595 172.8159 577.0968 181.6343 ]
>>
endobj
242 0 obj
<< /Type /Action
>>
endobj
243 0 obj
<< /Type /Annot
/Subtype /Link
/A 244 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 160.9112 35.8873 169.7295 ]
>>
endobj
244 0 obj
<< /Type /Action
>>
endobj
245 0 obj
<< /Type /Annot
/Subtype /Link
/A 246 0 R
/Border [0 0 0]
/H /I
/Rect [ 38.2967 160.9112 47.9340 169.7295 ]
>>
endobj
246 0 obj
<< /Type /Action
>>
endobj
247 0 obj
<< /Type /Annot
/Subtype /Link
/A 248 0 R
/Border [0 0 0]
/H /I
/Rect [ 50.3433 160.9112 59.9807 169.7295 ]
>>
endobj
248 0 obj
<< /Type /Action
>>
endobj
249 0 obj
<< /Type /Annot
/Subtype /Link
/A 250 0 R
/Border [0 0 0]
/H /I
/Rect [ 263.5942 83.3054 273.2316 92.1238 ]
>>
endobj
250 0 obj
<< /Type /Action
>>
endobj
251 0 obj
<< /Type /Annot
/Subtype /Link
/A 252 0 R
/Border [0 0 0]
/H /I
/Rect [ 407.2117 719.1249 416.8491 727.9433 ]
>>
endobj
252 0 obj
<< /Type /Action
>>
endobj
253 0 obj
<< /Type /Annot
/Subtype /Link
/A 254 0 R
/Border [0 0 0]
/H /I
/Rect [ 419.2584 719.1249 428.8958 727.9433 ]
>>
endobj
254 0 obj
<< /Type /Action
>>
endobj
255 0 obj
<< /Type /Annot
/Subtype /Link
/A 256 0 R
/Border [0 0 0]
/H /I
/Rect [ 431.3051 719.1249 440.9424 727.9433 ]
>>
endobj
256 0 obj
<< /Type /Action
>>
endobj
257 0 obj
<< /Type /Annot
/Subtype /Link
/A 258 0 R
/Border [0 0 0]
/H /I
/Rect [ 562.7437 707.2202 572.3811 716.0385 ]
>>
endobj
258 0 obj
<< /Type /Action
>>
endobj
259 0 obj
<< /Type /Annot
/Subtype /Link
/A 260 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 695.3154 35.8873 704.1337 ]
>>
endobj
260 0 obj
<< /Type /Action
>>
endobj
261 0 obj
<< /Type /Annot
/Subtype /Link
/A 262 0 R
/Border [0 0 0]
/H /I
/Rect [ 455.9812 683.4107 465.6186 692.2290 ]
>>
endobj
262 0 obj
<< /Type /Action
>>
endobj
263 0 obj
<< /Type /Annot
/Subtype /Link
/A 264 0 R
/Border [0 0 0]
/H /I
/Rect [ 99.4043 640.1964 109.0416 649.0147 ]
>>
endobj
264 0 obj
<< /Type /Action
>>
endobj
265 0 obj
<< /Type /Annot
/Subtype /Link
/A 266 0 R
/Border [0 0 0]
/H /I
/Rect [ 111.4509 640.1964 121.0883 649.0147 ]
>>
endobj
266 0 obj
<< /Type /Action
>>
endobj
267 0 obj
<< /Type /Annot
/Subtype /Link
/A 268 0 R
/Border [0 0 0]
/H /I
/Rect [ 101.5785 592.5774 106.3972 601.3957 ]
>>
endobj
268 0 obj
<< /Type /Action
>>
endobj
269 0 obj
<< /Type /Annot
/Subtype /Link
/A 270 0 R
/Border [0 0 0]
/H /I
/Rect [ 77.7398 501.7442 87.3771 510.5625 ]
>>
endobj
270 0 obj
<< /Type /Action
>>
endobj
271 0 obj
<< /Type /Annot
/Subtype /Link
/A 272 0 R
/Border [0 0 0]
/H /I
/Rect [ 89.7864 501.7442 99.4238 510.5625 ]
>>
endobj
272 0 obj
<< /Type /Action
>>
endobj
273 0 obj
<< /Type /Annot
/Subtype /Link
/A 274 0 R
/Border [0 0 0]
/H /I
/Rect [ 313.4558 466.0299 323.0931 474.8483 ]
>>
endobj
274 0 obj
<< /Type /Action
>>
endobj
275 0 obj
<< /Type /Annot
/Subtype /Link
/A 276 0 R
/Border [0 0 0]
/H /I
/Rect [ 301.0147 442.2204 310.6521 451.0388 ]
>>
endobj
276 0 obj
<< /Type /Action
>>
endobj
277 0 obj
<< /Type /Annot
/Subtype /Link
/A 278 0 R
/Border [0 0 0]
/H /I
/Rect [ 203.4367 404.8988 580.0403 414.8195 ]
>>
endobj
278 0 obj
<< /Type /Action
/S /URI
/URI (http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-a-un-moratoire)
>>
endobj
279 0 obj
<< /Type /Annot
/Subtype /Link
/A 280 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 392.9941 90.1808 402.9147 ]
>>
endobj
280 0 obj
<< /Type /Action
/S /URI
/URI (http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-a-un-moratoire)
>>
endobj
281 0 obj
<< /Type /Annot
/Subtype /Link
/A 282 0 R
/Border [0 0 0]
/H /I
/Rect [ 561.6420 358.8872 571.2793 367.7055 ]
>>
endobj
282 0 obj
<< /Type /Action
>>
endobj
283 0 obj
<< /Type /Annot
/Subtype /Link
/A 284 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 346.9824 35.8873 355.8008 ]
>>
endobj
284 0 obj
<< /Type /Action
>>
endobj
285 0 obj
<< /Type /Annot
/Subtype /Link
/A 286 0 R
/Border [0 0 0]
/H /I
/Rect [ 38.2967 346.9824 47.9340 355.8008 ]
>>
endobj
286 0 obj
<< /Type /Action
>>
endobj
287 0 obj
<< /Type /Annot
/Subtype /Link
/A 288 0 R
/Border [0 0 0]
/H /I
/Rect [ 50.3433 346.9824 59.9807 355.8008 ]
>>
endobj
288 0 obj
<< /Type /Action
>>
endobj
289 0 obj
<< /Type /Annot
/Subtype /Link
/A 290 0 R
/Border [0 0 0]
/H /I
/Rect [ 62.3900 346.9824 72.0273 355.8008 ]
>>
endobj
290 0 obj
<< /Type /Action
>>
endobj
291 0 obj
<< /Type /Annot
/Subtype /Link
/A 292 0 R
/Border [0 0 0]
/H /I
/Rect [ 74.4367 346.9824 84.0740 355.8008 ]
>>
endobj
292 0 obj
<< /Type /Action
>>
endobj
293 0 obj
<< /Type /Annot
/Subtype /Link
/A 294 0 R
/Border [0 0 0]
/H /I
/Rect [ 118.3680 287.4587 128.0053 296.2770 ]
>>
endobj
294 0 obj
<< /Type /Action
>>
endobj
295 0 obj
<< /Type /Annot
/Subtype /Link
/A 296 0 R
/Border [0 0 0]
/H /I
/Rect [ 130.4147 287.4587 140.0520 296.2770 ]
>>
endobj
296 0 obj
<< /Type /Action
>>
endobj
297 0 obj
<< /Type /Annot
/Subtype /Link
/A 298 0 R
/Border [0 0 0]
/H /I
/Rect [ 142.4613 287.4587 152.0987 296.2770 ]
>>
endobj
298 0 obj
<< /Type /Action
>>
endobj
299 0 obj
<< /Type /Annot
/Subtype /Link
/A 300 0 R
/Border [0 0 0]
/H /I
/Rect [ 154.5080 287.4587 164.1453 296.2770 ]
>>
endobj
300 0 obj
<< /Type /Action
>>
endobj
301 0 obj
<< /Type /Annot
/Subtype /Link
/A 302 0 R
/Border [0 0 0]
/H /I
/Rect [ 166.5547 287.4587 176.1920 296.2770 ]
>>
endobj
302 0 obj
<< /Type /Action
>>
endobj
303 0 obj
<< /Type /Annot
/Subtype /Link
/A 304 0 R
/Border [0 0 0]
/H /I
/Rect [ 271.1993 275.5539 280.8366 284.3723 ]
>>
endobj
304 0 obj
<< /Type /Action
>>
endobj
305 0 obj
<< /Type /Annot
/Subtype /Link
/A 306 0 R
/Border [0 0 0]
/H /I
/Rect [ 283.2459 275.5539 292.8833 284.3723 ]
>>
endobj
306 0 obj
<< /Type /Action
>>
endobj
307 0 obj
<< /Type /Annot
/Subtype /Link
/A 308 0 R
/Border [0 0 0]
/H /I
/Rect [ 295.2926 275.5539 304.9299 284.3723 ]
>>
endobj
308 0 obj
<< /Type /Action
>>
endobj
309 0 obj
<< /Type /Annot
/Subtype /Link
/A 310 0 R
/Border [0 0 0]
/H /I
/Rect [ 531.3195 172.8159 540.9568 181.6343 ]
>>
endobj
310 0 obj
<< /Type /Action
>>
endobj
311 0 obj
<< /Type /Annot
/Subtype /Link
/A 312 0 R
/Border [0 0 0]
/H /I
/Rect [ 543.3662 172.8159 553.0035 181.6343 ]
>>
endobj
312 0 obj
<< /Type /Action
>>
endobj
313 0 obj
<< /Type /Annot
/Subtype /Link
/A 314 0 R
/Border [0 0 0]
/H /I
/Rect [ 555.4128 172.8159 565.0502 181.6343 ]
>>
endobj
314 0 obj
<< /Type /Action
>>
endobj
315 0 obj
<< /Type /Annot
/Subtype /Link
/A 316 0 R
/Border [0 0 0]
/H /I
/Rect [ 567.4595 172.8159 577.0968 181.6343 ]
>>
endobj
316 0 obj
<< /Type /Action
>>
endobj
317 0 obj
<< /Type /Annot
/Subtype /Link
/A 318 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 160.9112 35.8873 169.7295 ]
>>
endobj
318 0 obj
<< /Type /Action
>>
endobj
319 0 obj
<< /Type /Annot
/Subtype /Link
/A 320 0 R
/Border [0 0 0]
/H /I
/Rect [ 38.2967 160.9112 47.9340 169.7295 ]
>>
endobj
320 0 obj
<< /Type /Action
>>
endobj
321 0 obj
<< /Type /Annot
/Subtype /Link
/A 322 0 R
/Border [0 0 0]
/H /I
/Rect [ 50.3433 160.9112 59.9807 169.7295 ]
>>
endobj
322 0 obj
<< /Type /Action
>>
endobj
323 0 obj
<< /Type /Annot
/Subtype /Link
/A 324 0 R
/Border [0 0 0]
/H /I
/Rect [ 263.5942 83.3054 273.2316 92.1238 ]
>>
endobj
324 0 obj
<< /Type /Action
>>
endobj
325 0 obj
<< /Type /Annot
/Subtype /Link
/A 326 0 R
/Border [0 0 0]
/H /I
/Rect [ 407.2117 719.1249 416.8491 727.9433 ]
>>
endobj
326 0 obj
<< /Type /Action
>>
endobj
327 0 obj
<< /Type /Annot
/Subtype /Link
/A 328 0 R
/Border [0 0 0]
/H /I
/Rect [ 419.2584 719.1249 428.8958 727.9433 ]
>>
endobj
328 0 obj
<< /Type /Action
>>
endobj
329 0 obj
<< /Type /Annot
/Subtype /Link
/A 330 0 R
/Border [0 0 0]
/H /I
/Rect [ 431.3051 719.1249 440.9424 727.9433 ]
>>
endobj
330 0 obj
<< /Type /Action
>>
endobj
331 0 obj
<< /Type /Annot
/Subtype /Link
/A 332 0 R
/Border [0 0 0]
/H /I
/Rect [ 562.7437 707.2202 572.3811 716.0385 ]
>>
endobj
332 0 obj
<< /Type /Action
>>
endobj
333 0 obj
<< /Type /Annot
/Subtype /Link
/A 334 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 695.3154 35.8873 704.1337 ]
>>
endobj
334 0 obj
<< /Type /Action
>>
endobj
335 0 obj
<< /Type /Annot
/Subtype /Link
/A 336 0 R
/Border [0 0 0]
/H /I
/Rect [ 455.9812 683.4107 465.6186 692.2290 ]
>>
endobj
336 0 obj
<< /Type /Action
>>
endobj
337 0 obj
<< /Type /Annot
/Subtype /Link
/A 338 0 R
/Border [0 0 0]
/H /I
/Rect [ 99.4043 640.1964 109.0416 649.0147 ]
>>
endobj
338 0 obj
<< /Type /Action
>>
endobj
339 0 obj
<< /Type /Annot
/Subtype /Link
/A 340 0 R
/Border [0 0 0]
/H /I
/Rect [ 111.4509 640.1964 121.0883 649.0147 ]
>>
endobj
340 0 obj
<< /Type /Action
>>
endobj
341 0 obj
<< /Type /Annot
/Subtype /Link
/A 342 0 R
/Border [0 0 0]
/H /I
/Rect [ 101.5785 592.5774 106.3972 601.3957 ]
>>
endobj
342 0 obj
<< /Type /Action
>>
endobj
343 0 obj
<< /Type /Annot
/Subtype /Link
/A 344 0 R
/Border [0 0 0]
/H /I
/Rect [ 77.7398 501.7442 87.3771 510.5625 ]
>>
endobj
344 0 obj
<< /Type /Action
>>
endobj
345 0 obj
<< /Type /Annot
/Subtype /Link
/A 346 0 R
/Border [0 0 0]
/H /I
/Rect [ 89.7864 501.7442 99.4238 510.5625 ]
>>
endobj
346 0 obj
<< /Type /Action
>>
endobj
347 0 obj
<< /Type /Annot
/Subtype /Link
/A 348 0 R
/Border [0 0 0]
/H /I
/Rect [ 313.4558 466.0299 323.0931 474.8483 ]
>>
endobj
348 0 obj
<< /Type /Action
>>
endobj
349 0 obj
<< /Type /Annot
/Subtype /Link
/A 350 0 R
/Border [0 0 0]
/H /I
/Rect [ 301.0147 442.2204 310.6521 451.0388 ]
>>
endobj
350 0 obj
<< /Type /Action
>>
endobj
351 0 obj
<< /Type /Annot
/Subtype /Link
/A 352 0 R
/Border [0 0 0]
/H /I
/Rect [ 203.4367 404.8988 580.0403 414.8195 ]
>>
endobj
352 0 obj
<< /Type /Action
/S /URI
/URI (http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-a-un-moratoire)
>>
endobj
353 0 obj
<< /Type /Annot
/Subtype /Link
/A 354 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 392.9941 90.1808 402.9147 ]
>>
endobj
354 0 obj
<< /Type /Action
/S /URI
/URI (http://www.ledevoir.com/societe/sante/451710/vaccination-contre-les-vph-appel-urgent-a-un-moratoire)
>>
endobj
355 0 obj
<< /Type /Annot
/Subtype /Link
/A 356 0 R
/Border [0 0 0]
/H /I
/Rect [ 561.6420 358.8872 571.2793 367.7055 ]
>>
endobj
356 0 obj
<< /Type /Action
>>
endobj
357 0 obj
<< /Type /Annot
/Subtype /Link
/A 358 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 346.9824 35.8873 355.8008 ]
>>
endobj
358 0 obj
<< /Type /Action
>>
endobj
359 0 obj
<< /Type /Annot
/Subtype /Link
/A 360 0 R
/Border [0 0 0]
/H /I
/Rect [ 38.2967 346.9824 47.9340 355.8008 ]
>>
endobj
360 0 obj
<< /Type /Action
>>
endobj
361 0 obj
<< /Type /Annot
/Subtype /Link
/A 362 0 R
/Border [0 0 0]
/H /I
/Rect [ 50.3433 346.9824 59.9807 355.8008 ]
>>
endobj
362 0 obj
<< /Type /Action
>>
endobj
363 0 obj
<< /Type /Annot
/Subtype /Link
/A 364 0 R
/Border [0 0 0]
/H /I
/Rect [ 62.3900 346.9824 72.0273 355.8008 ]
>>
endobj
364 0 obj
<< /Type /Action
>>
endobj
365 0 obj
<< /Type /Annot
/Subtype /Link
/A 366 0 R
/Border [0 0 0]
/H /I
/Rect [ 74.4367 346.9824 84.0740 355.8008 ]
>>
endobj
366 0 obj
<< /Type /Action
>>
endobj
367 0 obj
<< /Type /Annot
/Subtype /Link
/A 368 0 R
/Border [0 0 0]
/H /I
/Rect [ 118.3680 287.4587 128.0053 296.2770 ]
>>
endobj
368 0 obj
<< /Type /Action
>>
endobj
369 0 obj
<< /Type /Annot
/Subtype /Link
/A 370 0 R
/Border [0 0 0]
/H /I
/Rect [ 130.4147 287.4587 140.0520 296.2770 ]
>>
endobj
370 0 obj
<< /Type /Action
>>
endobj
371 0 obj
<< /Type /Annot
/Subtype /Link
/A 372 0 R
/Border [0 0 0]
/H /I
/Rect [ 142.4613 287.4587 152.0987 296.2770 ]
>>
endobj
372 0 obj
<< /Type /Action
>>
endobj
373 0 obj
<< /Type /Annot
/Subtype /Link
/A 374 0 R
/Border [0 0 0]
/H /I
/Rect [ 154.5080 287.4587 164.1453 296.2770 ]
>>
endobj
374 0 obj
<< /Type /Action
>>
endobj
375 0 obj
<< /Type /Annot
/Subtype /Link
/A 376 0 R
/Border [0 0 0]
/H /I
/Rect [ 166.5547 287.4587 176.1920 296.2770 ]
>>
endobj
376 0 obj
<< /Type /Action
>>
endobj
377 0 obj
<< /Type /Annot
/Subtype /Link
/A 378 0 R
/Border [0 0 0]
/H /I
/Rect [ 271.1993 275.5539 280.8366 284.3723 ]
>>
endobj
378 0 obj
<< /Type /Action
>>
endobj
379 0 obj
<< /Type /Annot
/Subtype /Link
/A 380 0 R
/Border [0 0 0]
/H /I
/Rect [ 283.2459 275.5539 292.8833 284.3723 ]
>>
endobj
380 0 obj
<< /Type /Action
>>
endobj
381 0 obj
<< /Type /Annot
/Subtype /Link
/A 382 0 R
/Border [0 0 0]
/H /I
/Rect [ 295.2926 275.5539 304.9299 284.3723 ]
>>
endobj
382 0 obj
<< /Type /Action
>>
endobj
383 0 obj
<< /Type /Annot
/Subtype /Link
/A 384 0 R
/Border [0 0 0]
/H /I
/Rect [ 531.3195 172.8159 540.9568 181.6343 ]
>>
endobj
384 0 obj
<< /Type /Action
>>
endobj
385 0 obj
<< /Type /Annot
/Subtype /Link
/A 386 0 R
/Border [0 0 0]
/H /I
/Rect [ 543.3662 172.8159 553.0035 181.6343 ]
>>
endobj
386 0 obj
<< /Type /Action
>>
endobj
387 0 obj
<< /Type /Annot
/Subtype /Link
/A 388 0 R
/Border [0 0 0]
/H /I
/Rect [ 555.4128 172.8159 565.0502 181.6343 ]
>>
endobj
388 0 obj
<< /Type /Action
>>
endobj
389 0 obj
<< /Type /Annot
/Subtype /Link
/A 390 0 R
/Border [0 0 0]
/H /I
/Rect [ 567.4595 172.8159 577.0968 181.6343 ]
>>
endobj
390 0 obj
<< /Type /Action
>>
endobj
391 0 obj
<< /Type /Annot
/Subtype /Link
/A 392 0 R
/Border [0 0 0]
/H /I
/Rect [ 26.2500 160.9112 35.8873 169.7295 ]
>>
endobj
392 0 obj
<< /Type /Action
>>
endobj
393 0 obj
<< /Type /Annot
/Subtype /Link
/A 394 0 R
/Border [0 0 0]
/H /I
/Rect [ 38.2967 160.9112 47.9340 169.7295 ]
>>
endobj
394 0 obj
<< /Type /Action
>>
endobj
395 0 obj
<< /Type /Annot
/Subtype /Link
/A 396 0 R
/Border [0 0 0]
/H /I
/Rect [ 50.3433 160.9112 59.9807 169.7295 ]
>>
endobj
396 0 obj
<< /Type /Action
>>
endobj
397 0 obj
<< /Type /Annot
/Subtype /Link
/A 398 0 R
/Border [0 0 0]
/H /I
/Rect [ 263.5942 83.3054 273.2316 92.1238 ]
>>
endobj
398 0 obj
<< /Type /Action
>>
endobj
399 0 obj
<< /Type /Page
/Parent 3 0 R
/Annots [ 401 0 R 403 0 R 405 0 R 407 0 R 409 0 R 411 0 R 413 0 R 415 0 R 417 0 R 419 0 R 421 0 R 423 0 R ]
/Contents 400 0 R
>>
endobj
400 0 obj
<<
/Length 23923 >>
stream

0.271 0.267 0.267 rg
q
15.000 35.078 577.500 741.922 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(healthcare workers.)] TJ ET
0.267 0.267 0.267 rg
BT 111.319 768.983 Td /F4 8.7 Tf  [(44)] TJ ET
0.271 0.267 0.267 rg
BT 120.956 767.476 Td /F1 9.8 Tf  [( In our survey, we did not measure the level of trust in different sources of information about vaccination. )] TJ ET
BT 26.250 755.571 Td /F1 9.8 Tf  [(Finally, some sociodemographic characteristics of the parents were associated with the incomplete vaccine status of the child )] TJ ET
BT 26.250 743.667 Td /F1 9.8 Tf  [(\(female sex, older age and number of people in the household \(5 or more\) but not with vaccine hesitancy.)] TJ ET
BT 26.250 724.262 Td /F1 9.8 Tf  [(Some limitations of our study must be addressed. The vaccine uptake status of the child was based on parental self-reported )] TJ ET
BT 26.250 712.357 Td /F1 9.8 Tf  [(data and might therefore be subject to recall bias, which could result in over- or under-estimations of coverage. As Quebec has )] TJ ET
BT 26.250 700.452 Td /F1 9.8 Tf  [(no central immunization registry, information on vaccination coverage can only be obtained through surveys. While another )] TJ ET
BT 26.250 688.548 Td /F1 9.8 Tf  [(Quebec survey, based on a written questionnaire conducted every two years, uses the child vaccination booklet to determine )] TJ ET
BT 26.250 676.643 Td /F1 9.8 Tf  [(the child vaccine status, we did not systematically ask the parent to refer to the child vaccination booklet in our telephone )] TJ ET
BT 26.250 664.738 Td /F1 9.8 Tf  [(survey. The overall response rate for the study was low 35% and reason for non-participation was not asked. Finally, as )] TJ ET
BT 26.250 652.833 Td /F1 9.8 Tf  [(mentioned, we cannot exclude the potential of socially desirable responses. However, the fact that the interviews were )] TJ ET
BT 26.250 640.929 Td /F1 9.8 Tf  [(conducted by a professional polling firm should have minimized this bias.)] TJ ET
BT 26.250 621.524 Td /F1 9.8 Tf  [(To conclude, vaccine hesitancy is complex and multidimensional, varying across time, places and vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 490.087 623.031 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 494.905 621.524 Td /F1 9.8 Tf  [( As shown by this )] TJ ET
BT 26.250 609.619 Td /F1 9.8 Tf  [(study, vaccine coverage could not be used as the sole indicator to measure vaccine hesitancy as it does not account for parents )] TJ ET
BT 26.250 597.714 Td /F1 9.8 Tf  [(who have significant doubts and concerns about vaccines but still follow the recommended schedule. The number of factors )] TJ ET
BT 26.250 585.810 Td /F1 9.8 Tf  [(influencing vaccine acceptance is dynamic and evolves over time. The use of diverse types of data and measurements )] TJ ET
BT 26.250 573.905 Td /F1 9.8 Tf  [(approaches is thus needed to be able to capture this ever-moving target.)] TJ ET
0.267 0.267 0.267 rg
BT 339.498 575.412 Td /F4 8.7 Tf  [(45)] TJ ET
0.271 0.267 0.267 rg
BT 349.135 573.905 Td /F1 9.8 Tf  [( There is an important need to build good measures )] TJ ET
BT 26.250 562.000 Td /F1 9.8 Tf  [(that can identify and monitor patterns of vaccine hesitancy over time in individuals and populations. In that sense, identifying the )] TJ ET
BT 26.250 550.095 Td /F1 9.8 Tf  [(vaccine-hesitant who still vaccinate and differentiating acceptance from access issues is essential.)] TJ ET
0.267 0.267 0.267 rg
BT 450.005 551.603 Td /F4 8.7 Tf  [(46)] TJ ET
0.271 0.267 0.267 rg
BT 459.642 550.095 Td /F1 9.8 Tf  [( The findings of this study )] TJ ET
BT 26.250 538.191 Td /F1 9.8 Tf  [(indicate that vaccine hesitancy is prevalent among parents in Quebec and provide some information that negative beliefs )] TJ ET
BT 26.250 526.286 Td /F1 9.8 Tf  [(around usefulness of vaccination and lack of trust in the information received on this topic are factors that are associated with )] TJ ET
BT 26.250 514.381 Td /F1 9.8 Tf  [(partial, delayed or non-vaccination. Further researches will be needed to better understand when, how and why these beliefs )] TJ ET
BT 26.250 502.476 Td /F1 9.8 Tf  [(are formed in order to prevent the onset of vaccine hesitancy.)] TJ ET
BT 26.250 465.874 Td /F4 12.0 Tf  [(Competing interests)] TJ ET
BT 26.250 445.920 Td /F1 9.8 Tf  [(The authors have declared that no competing interests exist.)] TJ ET
BT 26.250 409.317 Td /F4 12.0 Tf  [(References)] TJ ET
BT 26.250 381.863 Td /F1 9.8 Tf  [(1.)] TJ ET
BT 38.132 381.863 Td /F1 9.8 Tf  [(Boulianne N, Audet D, Ouakki M, Dub� E, De Serres G, Guay M. Enqu�te sur la couverture vaccinale des enfants de 1 an et )] TJ ET
BT 26.250 369.958 Td /F1 9.8 Tf  [(2 ans au Qu�bec en 2014. Qu�bec: Institut national de sant� publique du Qu�bec, 2015.)] TJ ET
BT 26.250 350.553 Td /F1 9.8 Tf  [(2.)] TJ ET
BT 38.132 350.553 Td /F1 9.8 Tf  [(Gravel G, Markowski F, Toth E, Venne S. R�sultats de la campagne scolaire 2012-2013. Flash Vigie. 2013;8\(7\):1-2.)] TJ ET
BT 26.250 331.149 Td /F1 9.8 Tf  [(3.)] TJ ET
BT 38.132 331.149 Td /F1 9.8 Tf  [(Judd L, Markowski F, Toth E. Vaccination contre l'h�patite B en milieu scolaire - Campagne 2013. Flash Vigie. 2014;9\(9\).)] TJ ET
BT 26.250 311.744 Td /F1 9.8 Tf  [(4.)] TJ ET
BT 38.132 311.744 Td /F1 9.8 Tf  [(Boulianne N, Kiely M, Sauvageau C, Guay M, Gilca V. Avis du Groupe scientifique en immunisation sur les indicateurs des )] TJ ET
BT 26.250 299.839 Td /F1 9.8 Tf  [(retards vaccinaux au Qu�bec. Qu�bec: Institut national de sant� publique du Qu�bec, 2011.)] TJ ET
BT 26.250 280.434 Td /F1 9.8 Tf  [(5.)] TJ ET
BT 38.132 280.434 Td /F1 9.8 Tf  [(Guay M, Gallagher F, Petit G, M�nard S, Cl�ment P, Boyer G. Pourquoi les couvertures vaccinales chez les nourrissons de )] TJ ET
BT 26.250 268.530 Td /F1 9.8 Tf  [(l'Estrie sont-elles sous-optimales? Sherbrooke: Centre de sant� et de services sociaux - Institut universitaire de g�riatrie de )] TJ ET
BT 26.250 256.625 Td /F1 9.8 Tf  [(Sherbrooke, 2009.)] TJ ET
BT 26.250 237.220 Td /F1 9.8 Tf  [(6.)] TJ ET
BT 38.132 237.220 Td /F1 9.8 Tf  [(Landry M. �valuation pr�liminaire des retards dans le calendrier de vaccination au Qu�bec, rapport pr�par� pour le Groupe )] TJ ET
BT 26.250 225.315 Td /F1 9.8 Tf  [(provincial sur les retards en immunisation. 2005.)] TJ ET
BT 26.250 205.911 Td /F1 9.8 Tf  [(7.)] TJ ET
BT 38.132 205.911 Td /F1 9.8 Tf  [(Guay M, Ghorbel M, Lemaire J, Cadieux E, D�silets J, Cl�ment P, et al. Vaccine hesitation among Quebec parents of )] TJ ET
BT 26.250 194.006 Td /F1 9.8 Tf  [(children aged from 2 months to 5 years. Poster presentation. 11th Canadian Immunization Conference, Ottawa, December 2-4, )] TJ ET
BT 26.250 182.101 Td /F1 9.8 Tf  [(2014.)] TJ ET
BT 26.250 162.696 Td /F1 9.8 Tf  [(8.)] TJ ET
BT 38.132 162.696 Td /F1 9.8 Tf  [(Dub� E, Vivion M, Sauvageau C, Gagneur A, Gagnon R, Guay M. "Nature does things well, why should we interfere?": )] TJ ET
BT 26.250 150.792 Td /F1 9.8 Tf  [(vaccine hesitancy among mothers. Qual Health Res. 2015. Epub 2015/02/26.)] TJ ET
BT 26.250 131.387 Td /F1 9.8 Tf  [(9.)] TJ ET
BT 38.132 131.387 Td /F1 9.8 Tf  [(MacDonald NE. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33\(34\):4161-4.)] TJ ET
BT 26.250 111.982 Td /F1 9.8 Tf  [(10.)] TJ ET
BT 43.553 111.982 Td /F1 9.8 Tf  [(Dub� E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. )] TJ ET
BT 26.250 100.077 Td /F1 9.8 Tf  [(2013;9\(8\):1763-73.)] TJ ET
BT 26.250 80.673 Td /F1 9.8 Tf  [(11.)] TJ ET
BT 43.553 80.673 Td /F1 9.8 Tf  [(Peretti-Watel P, Larson HJ, Ward JK, Schulz WS, Verger P. Vaccine hesitancy: clarifying a theoretical framework for an )] TJ ET
BT 26.250 68.768 Td /F1 9.8 Tf  [(ambiguous notion. PLoS Curr. 2015;7.)] TJ ET
BT 26.250 49.363 Td /F1 9.8 Tf  [(12.)] TJ ET
BT 43.553 49.363 Td /F1 9.8 Tf  [(Opel DJ, Taylor JA, Zhou C, Catz S, Myaing M, Mangione-Smith R. The relationship between parent attitudes about )] TJ ET
Q
q
15.000 35.078 577.500 741.922 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(healthcare workers.)] TJ ET
0.267 0.267 0.267 rg
BT 111.319 768.983 Td /F4 8.7 Tf  [(44)] TJ ET
0.271 0.267 0.267 rg
BT 120.956 767.476 Td /F1 9.8 Tf  [( In our survey, we did not measure the level of trust in different sources of information about vaccination. )] TJ ET
BT 26.250 755.571 Td /F1 9.8 Tf  [(Finally, some sociodemographic characteristics of the parents were associated with the incomplete vaccine status of the child )] TJ ET
BT 26.250 743.667 Td /F1 9.8 Tf  [(\(female sex, older age and number of people in the household \(5 or more\) but not with vaccine hesitancy.)] TJ ET
BT 26.250 724.262 Td /F1 9.8 Tf  [(Some limitations of our study must be addressed. The vaccine uptake status of the child was based on parental self-reported )] TJ ET
BT 26.250 712.357 Td /F1 9.8 Tf  [(data and might therefore be subject to recall bias, which could result in over- or under-estimations of coverage. As Quebec has )] TJ ET
BT 26.250 700.452 Td /F1 9.8 Tf  [(no central immunization registry, information on vaccination coverage can only be obtained through surveys. While another )] TJ ET
BT 26.250 688.548 Td /F1 9.8 Tf  [(Quebec survey, based on a written questionnaire conducted every two years, uses the child vaccination booklet to determine )] TJ ET
BT 26.250 676.643 Td /F1 9.8 Tf  [(the child vaccine status, we did not systematically ask the parent to refer to the child vaccination booklet in our telephone )] TJ ET
BT 26.250 664.738 Td /F1 9.8 Tf  [(survey. The overall response rate for the study was low 35% and reason for non-participation was not asked. Finally, as )] TJ ET
BT 26.250 652.833 Td /F1 9.8 Tf  [(mentioned, we cannot exclude the potential of socially desirable responses. However, the fact that the interviews were )] TJ ET
BT 26.250 640.929 Td /F1 9.8 Tf  [(conducted by a professional polling firm should have minimized this bias.)] TJ ET
BT 26.250 621.524 Td /F1 9.8 Tf  [(To conclude, vaccine hesitancy is complex and multidimensional, varying across time, places and vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 490.087 623.031 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 494.905 621.524 Td /F1 9.8 Tf  [( As shown by this )] TJ ET
BT 26.250 609.619 Td /F1 9.8 Tf  [(study, vaccine coverage could not be used as the sole indicator to measure vaccine hesitancy as it does not account for parents )] TJ ET
BT 26.250 597.714 Td /F1 9.8 Tf  [(who have significant doubts and concerns about vaccines but still follow the recommended schedule. The number of factors )] TJ ET
BT 26.250 585.810 Td /F1 9.8 Tf  [(influencing vaccine acceptance is dynamic and evolves over time. The use of diverse types of data and measurements )] TJ ET
BT 26.250 573.905 Td /F1 9.8 Tf  [(approaches is thus needed to be able to capture this ever-moving target.)] TJ ET
0.267 0.267 0.267 rg
BT 339.498 575.412 Td /F4 8.7 Tf  [(45)] TJ ET
0.271 0.267 0.267 rg
BT 349.135 573.905 Td /F1 9.8 Tf  [( There is an important need to build good measures )] TJ ET
BT 26.250 562.000 Td /F1 9.8 Tf  [(that can identify and monitor patterns of vaccine hesitancy over time in individuals and populations. In that sense, identifying the )] TJ ET
BT 26.250 550.095 Td /F1 9.8 Tf  [(vaccine-hesitant who still vaccinate and differentiating acceptance from access issues is essential.)] TJ ET
0.267 0.267 0.267 rg
BT 450.005 551.603 Td /F4 8.7 Tf  [(46)] TJ ET
0.271 0.267 0.267 rg
BT 459.642 550.095 Td /F1 9.8 Tf  [( The findings of this study )] TJ ET
BT 26.250 538.191 Td /F1 9.8 Tf  [(indicate that vaccine hesitancy is prevalent among parents in Quebec and provide some information that negative beliefs )] TJ ET
BT 26.250 526.286 Td /F1 9.8 Tf  [(around usefulness of vaccination and lack of trust in the information received on this topic are factors that are associated with )] TJ ET
BT 26.250 514.381 Td /F1 9.8 Tf  [(partial, delayed or non-vaccination. Further researches will be needed to better understand when, how and why these beliefs )] TJ ET
BT 26.250 502.476 Td /F1 9.8 Tf  [(are formed in order to prevent the onset of vaccine hesitancy.)] TJ ET
BT 26.250 465.874 Td /F4 12.0 Tf  [(Competing interests)] TJ ET
BT 26.250 445.920 Td /F1 9.8 Tf  [(The authors have declared that no competing interests exist.)] TJ ET
BT 26.250 409.317 Td /F4 12.0 Tf  [(References)] TJ ET
BT 26.250 381.863 Td /F1 9.8 Tf  [(1.)] TJ ET
BT 38.132 381.863 Td /F1 9.8 Tf  [(Boulianne N, Audet D, Ouakki M, Dub� E, De Serres G, Guay M. Enqu�te sur la couverture vaccinale des enfants de 1 an et )] TJ ET
BT 26.250 369.958 Td /F1 9.8 Tf  [(2 ans au Qu�bec en 2014. Qu�bec: Institut national de sant� publique du Qu�bec, 2015.)] TJ ET
BT 26.250 350.553 Td /F1 9.8 Tf  [(2.)] TJ ET
BT 38.132 350.553 Td /F1 9.8 Tf  [(Gravel G, Markowski F, Toth E, Venne S. R�sultats de la campagne scolaire 2012-2013. Flash Vigie. 2013;8\(7\):1-2.)] TJ ET
BT 26.250 331.149 Td /F1 9.8 Tf  [(3.)] TJ ET
BT 38.132 331.149 Td /F1 9.8 Tf  [(Judd L, Markowski F, Toth E. Vaccination contre l'h�patite B en milieu scolaire - Campagne 2013. Flash Vigie. 2014;9\(9\).)] TJ ET
BT 26.250 311.744 Td /F1 9.8 Tf  [(4.)] TJ ET
BT 38.132 311.744 Td /F1 9.8 Tf  [(Boulianne N, Kiely M, Sauvageau C, Guay M, Gilca V. Avis du Groupe scientifique en immunisation sur les indicateurs des )] TJ ET
BT 26.250 299.839 Td /F1 9.8 Tf  [(retards vaccinaux au Qu�bec. Qu�bec: Institut national de sant� publique du Qu�bec, 2011.)] TJ ET
BT 26.250 280.434 Td /F1 9.8 Tf  [(5.)] TJ ET
BT 38.132 280.434 Td /F1 9.8 Tf  [(Guay M, Gallagher F, Petit G, M�nard S, Cl�ment P, Boyer G. Pourquoi les couvertures vaccinales chez les nourrissons de )] TJ ET
BT 26.250 268.530 Td /F1 9.8 Tf  [(l'Estrie sont-elles sous-optimales? Sherbrooke: Centre de sant� et de services sociaux - Institut universitaire de g�riatrie de )] TJ ET
BT 26.250 256.625 Td /F1 9.8 Tf  [(Sherbrooke, 2009.)] TJ ET
BT 26.250 237.220 Td /F1 9.8 Tf  [(6.)] TJ ET
BT 38.132 237.220 Td /F1 9.8 Tf  [(Landry M. �valuation pr�liminaire des retards dans le calendrier de vaccination au Qu�bec, rapport pr�par� pour le Groupe )] TJ ET
BT 26.250 225.315 Td /F1 9.8 Tf  [(provincial sur les retards en immunisation. 2005.)] TJ ET
BT 26.250 205.911 Td /F1 9.8 Tf  [(7.)] TJ ET
BT 38.132 205.911 Td /F1 9.8 Tf  [(Guay M, Ghorbel M, Lemaire J, Cadieux E, D�silets J, Cl�ment P, et al. Vaccine hesitation among Quebec parents of )] TJ ET
BT 26.250 194.006 Td /F1 9.8 Tf  [(children aged from 2 months to 5 years. Poster presentation. 11th Canadian Immunization Conference, Ottawa, December 2-4, )] TJ ET
BT 26.250 182.101 Td /F1 9.8 Tf  [(2014.)] TJ ET
BT 26.250 162.696 Td /F1 9.8 Tf  [(8.)] TJ ET
BT 38.132 162.696 Td /F1 9.8 Tf  [(Dub� E, Vivion M, Sauvageau C, Gagneur A, Gagnon R, Guay M. "Nature does things well, why should we interfere?": )] TJ ET
BT 26.250 150.792 Td /F1 9.8 Tf  [(vaccine hesitancy among mothers. Qual Health Res. 2015. Epub 2015/02/26.)] TJ ET
BT 26.250 131.387 Td /F1 9.8 Tf  [(9.)] TJ ET
BT 38.132 131.387 Td /F1 9.8 Tf  [(MacDonald NE. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33\(34\):4161-4.)] TJ ET
BT 26.250 111.982 Td /F1 9.8 Tf  [(10.)] TJ ET
BT 43.553 111.982 Td /F1 9.8 Tf  [(Dub� E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. )] TJ ET
BT 26.250 100.077 Td /F1 9.8 Tf  [(2013;9\(8\):1763-73.)] TJ ET
BT 26.250 80.673 Td /F1 9.8 Tf  [(11.)] TJ ET
BT 43.553 80.673 Td /F1 9.8 Tf  [(Peretti-Watel P, Larson HJ, Ward JK, Schulz WS, Verger P. Vaccine hesitancy: clarifying a theoretical framework for an )] TJ ET
BT 26.250 68.768 Td /F1 9.8 Tf  [(ambiguous notion. PLoS Curr. 2015;7.)] TJ ET
BT 26.250 49.363 Td /F1 9.8 Tf  [(12.)] TJ ET
BT 43.553 49.363 Td /F1 9.8 Tf  [(Opel DJ, Taylor JA, Zhou C, Catz S, Myaing M, Mangione-Smith R. The relationship between parent attitudes about )] TJ ET
Q
q
15.000 35.078 577.500 741.922 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(healthcare workers.)] TJ ET
0.267 0.267 0.267 rg
BT 111.319 768.983 Td /F4 8.7 Tf  [(44)] TJ ET
0.271 0.267 0.267 rg
BT 120.956 767.476 Td /F1 9.8 Tf  [( In our survey, we did not measure the level of trust in different sources of information about vaccination. )] TJ ET
BT 26.250 755.571 Td /F1 9.8 Tf  [(Finally, some sociodemographic characteristics of the parents were associated with the incomplete vaccine status of the child )] TJ ET
BT 26.250 743.667 Td /F1 9.8 Tf  [(\(female sex, older age and number of people in the household \(5 or more\) but not with vaccine hesitancy.)] TJ ET
BT 26.250 724.262 Td /F1 9.8 Tf  [(Some limitations of our study must be addressed. The vaccine uptake status of the child was based on parental self-reported )] TJ ET
BT 26.250 712.357 Td /F1 9.8 Tf  [(data and might therefore be subject to recall bias, which could result in over- or under-estimations of coverage. As Quebec has )] TJ ET
BT 26.250 700.452 Td /F1 9.8 Tf  [(no central immunization registry, information on vaccination coverage can only be obtained through surveys. While another )] TJ ET
BT 26.250 688.548 Td /F1 9.8 Tf  [(Quebec survey, based on a written questionnaire conducted every two years, uses the child vaccination booklet to determine )] TJ ET
BT 26.250 676.643 Td /F1 9.8 Tf  [(the child vaccine status, we did not systematically ask the parent to refer to the child vaccination booklet in our telephone )] TJ ET
BT 26.250 664.738 Td /F1 9.8 Tf  [(survey. The overall response rate for the study was low 35% and reason for non-participation was not asked. Finally, as )] TJ ET
BT 26.250 652.833 Td /F1 9.8 Tf  [(mentioned, we cannot exclude the potential of socially desirable responses. However, the fact that the interviews were )] TJ ET
BT 26.250 640.929 Td /F1 9.8 Tf  [(conducted by a professional polling firm should have minimized this bias.)] TJ ET
BT 26.250 621.524 Td /F1 9.8 Tf  [(To conclude, vaccine hesitancy is complex and multidimensional, varying across time, places and vaccines.)] TJ ET
0.267 0.267 0.267 rg
BT 490.087 623.031 Td /F4 8.7 Tf  [(9)] TJ ET
0.271 0.267 0.267 rg
BT 494.905 621.524 Td /F1 9.8 Tf  [( As shown by this )] TJ ET
BT 26.250 609.619 Td /F1 9.8 Tf  [(study, vaccine coverage could not be used as the sole indicator to measure vaccine hesitancy as it does not account for parents )] TJ ET
BT 26.250 597.714 Td /F1 9.8 Tf  [(who have significant doubts and concerns about vaccines but still follow the recommended schedule. The number of factors )] TJ ET
BT 26.250 585.810 Td /F1 9.8 Tf  [(influencing vaccine acceptance is dynamic and evolves over time. The use of diverse types of data and measurements )] TJ ET
BT 26.250 573.905 Td /F1 9.8 Tf  [(approaches is thus needed to be able to capture this ever-moving target.)] TJ ET
0.267 0.267 0.267 rg
BT 339.498 575.412 Td /F4 8.7 Tf  [(45)] TJ ET
0.271 0.267 0.267 rg
BT 349.135 573.905 Td /F1 9.8 Tf  [( There is an important need to build good measures )] TJ ET
BT 26.250 562.000 Td /F1 9.8 Tf  [(that can identify and monitor patterns of vaccine hesitancy over time in individuals and populations. In that sense, identifying the )] TJ ET
BT 26.250 550.095 Td /F1 9.8 Tf  [(vaccine-hesitant who still vaccinate and differentiating acceptance from access issues is essential.)] TJ ET
0.267 0.267 0.267 rg
BT 450.005 551.603 Td /F4 8.7 Tf  [(46)] TJ ET
0.271 0.267 0.267 rg
BT 459.642 550.095 Td /F1 9.8 Tf  [( The findings of this study )] TJ ET
BT 26.250 538.191 Td /F1 9.8 Tf  [(indicate that vaccine hesitancy is prevalent among parents in Quebec and provide some information that negative beliefs )] TJ ET
BT 26.250 526.286 Td /F1 9.8 Tf  [(around usefulness of vaccination and lack of trust in the information received on this topic are factors that are associated with )] TJ ET
BT 26.250 514.381 Td /F1 9.8 Tf  [(partial, delayed or non-vaccination. Further researches will be needed to better understand when, how and why these beliefs )] TJ ET
BT 26.250 502.476 Td /F1 9.8 Tf  [(are formed in order to prevent the onset of vaccine hesitancy.)] TJ ET
BT 26.250 465.874 Td /F4 12.0 Tf  [(Competing interests)] TJ ET
BT 26.250 445.920 Td /F1 9.8 Tf  [(The authors have declared that no competing interests exist.)] TJ ET
BT 26.250 409.317 Td /F4 12.0 Tf  [(References)] TJ ET
BT 26.250 381.863 Td /F1 9.8 Tf  [(1.)] TJ ET
BT 38.132 381.863 Td /F1 9.8 Tf  [(Boulianne N, Audet D, Ouakki M, Dub� E, De Serres G, Guay M. Enqu�te sur la couverture vaccinale des enfants de 1 an et )] TJ ET
BT 26.250 369.958 Td /F1 9.8 Tf  [(2 ans au Qu�bec en 2014. Qu�bec: Institut national de sant� publique du Qu�bec, 2015.)] TJ ET
BT 26.250 350.553 Td /F1 9.8 Tf  [(2.)] TJ ET
BT 38.132 350.553 Td /F1 9.8 Tf  [(Gravel G, Markowski F, Toth E, Venne S. R�sultats de la campagne scolaire 2012-2013. Flash Vigie. 2013;8\(7\):1-2.)] TJ ET
BT 26.250 331.149 Td /F1 9.8 Tf  [(3.)] TJ ET
BT 38.132 331.149 Td /F1 9.8 Tf  [(Judd L, Markowski F, Toth E. Vaccination contre l'h�patite B en milieu scolaire - Campagne 2013. Flash Vigie. 2014;9\(9\).)] TJ ET
BT 26.250 311.744 Td /F1 9.8 Tf  [(4.)] TJ ET
BT 38.132 311.744 Td /F1 9.8 Tf  [(Boulianne N, Kiely M, Sauvageau C, Guay M, Gilca V. Avis du Groupe scientifique en immunisation sur les indicateurs des )] TJ ET
BT 26.250 299.839 Td /F1 9.8 Tf  [(retards vaccinaux au Qu�bec. Qu�bec: Institut national de sant� publique du Qu�bec, 2011.)] TJ ET
BT 26.250 280.434 Td /F1 9.8 Tf  [(5.)] TJ ET
BT 38.132 280.434 Td /F1 9.8 Tf  [(Guay M, Gallagher F, Petit G, M�nard S, Cl�ment P, Boyer G. Pourquoi les couvertures vaccinales chez les nourrissons de )] TJ ET
BT 26.250 268.530 Td /F1 9.8 Tf  [(l'Estrie sont-elles sous-optimales? Sherbrooke: Centre de sant� et de services sociaux - Institut universitaire de g�riatrie de )] TJ ET
BT 26.250 256.625 Td /F1 9.8 Tf  [(Sherbrooke, 2009.)] TJ ET
BT 26.250 237.220 Td /F1 9.8 Tf  [(6.)] TJ ET
BT 38.132 237.220 Td /F1 9.8 Tf  [(Landry M. �valuation pr�liminaire des retards dans le calendrier de vaccination au Qu�bec, rapport pr�par� pour le Groupe )] TJ ET
BT 26.250 225.315 Td /F1 9.8 Tf  [(provincial sur les retards en immunisation. 2005.)] TJ ET
BT 26.250 205.911 Td /F1 9.8 Tf  [(7.)] TJ ET
BT 38.132 205.911 Td /F1 9.8 Tf  [(Guay M, Ghorbel M, Lemaire J, Cadieux E, D�silets J, Cl�ment P, et al. Vaccine hesitation among Quebec parents of )] TJ ET
BT 26.250 194.006 Td /F1 9.8 Tf  [(children aged from 2 months to 5 years. Poster presentation. 11th Canadian Immunization Conference, Ottawa, December 2-4, )] TJ ET
BT 26.250 182.101 Td /F1 9.8 Tf  [(2014.)] TJ ET
BT 26.250 162.696 Td /F1 9.8 Tf  [(8.)] TJ ET
BT 38.132 162.696 Td /F1 9.8 Tf  [(Dub� E, Vivion M, Sauvageau C, Gagneur A, Gagnon R, Guay M. "Nature does things well, why should we interfere?": )] TJ ET
BT 26.250 150.792 Td /F1 9.8 Tf  [(vaccine hesitancy among mothers. Qual Health Res. 2015. Epub 2015/02/26.)] TJ ET
BT 26.250 131.387 Td /F1 9.8 Tf  [(9.)] TJ ET
BT 38.132 131.387 Td /F1 9.8 Tf  [(MacDonald NE. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33\(34\):4161-4.)] TJ ET
BT 26.250 111.982 Td /F1 9.8 Tf  [(10.)] TJ ET
BT 43.553 111.982 Td /F1 9.8 Tf  [(Dub� E, Laberge C, Guay M, Bramadat P, Roy R, Bettinger J. Vaccine hesitancy: an overview. Hum Vaccin Immunother. )] TJ ET
BT 26.250 100.077 Td /F1 9.8 Tf  [(2013;9\(8\):1763-73.)] TJ ET
BT 26.250 80.673 Td /F1 9.8 Tf  [(11.)] TJ ET
BT 43.553 80.673 Td /F1 9.8 Tf  [(Peretti-Watel P, Larson HJ, Ward JK, Schulz WS, Verger P. Vaccine hesitancy: clarifying a theoretical framework for an )] TJ ET
BT 26.250 68.768 Td /F1 9.8 Tf  [(ambiguous notion. PLoS Curr. 2015;7.)] TJ ET
BT 26.250 49.363 Td /F1 9.8 Tf  [(12.)] TJ ET
BT 43.553 49.363 Td /F1 9.8 Tf  [(Opel DJ, Taylor JA, Zhou C, Catz S, Myaing M, Mangione-Smith R. The relationship between parent attitudes about )] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(8)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
401 0 obj
<< /Type /Annot
/Subtype /Link
/A 402 0 R
/Border [0 0 0]
/H /I
/Rect [ 111.3187 768.1817 120.9561 777.0000 ]
>>
endobj
402 0 obj
<< /Type /Action
>>
endobj
403 0 obj
<< /Type /Annot
/Subtype /Link
/A 404 0 R
/Border [0 0 0]
/H /I
/Rect [ 490.0867 622.2294 494.9054 631.0477 ]
>>
endobj
404 0 obj
<< /Type /Action
>>
endobj
405 0 obj
<< /Type /Annot
/Subtype /Link
/A 406 0 R
/Border [0 0 0]
/H /I
/Rect [ 339.4980 574.6104 349.1353 583.4287 ]
>>
endobj
406 0 obj
<< /Type /Action
>>
endobj
407 0 obj
<< /Type /Annot
/Subtype /Link
/A 408 0 R
/Border [0 0 0]
/H /I
/Rect [ 450.0045 550.8009 459.6418 559.6192 ]
>>
endobj
408 0 obj
<< /Type /Action
>>
endobj
409 0 obj
<< /Type /Annot
/Subtype /Link
/A 410 0 R
/Border [0 0 0]
/H /I
/Rect [ 111.3187 768.1817 120.9561 777.0000 ]
>>
endobj
410 0 obj
<< /Type /Action
>>
endobj
411 0 obj
<< /Type /Annot
/Subtype /Link
/A 412 0 R
/Border [0 0 0]
/H /I
/Rect [ 490.0867 622.2294 494.9054 631.0477 ]
>>
endobj
412 0 obj
<< /Type /Action
>>
endobj
413 0 obj
<< /Type /Annot
/Subtype /Link
/A 414 0 R
/Border [0 0 0]
/H /I
/Rect [ 339.4980 574.6104 349.1353 583.4287 ]
>>
endobj
414 0 obj
<< /Type /Action
>>
endobj
415 0 obj
<< /Type /Annot
/Subtype /Link
/A 416 0 R
/Border [0 0 0]
/H /I
/Rect [ 450.0045 550.8009 459.6418 559.6192 ]
>>
endobj
416 0 obj
<< /Type /Action
>>
endobj
417 0 obj
<< /Type /Annot
/Subtype /Link
/A 418 0 R
/Border [0 0 0]
/H /I
/Rect [ 111.3187 768.1817 120.9561 777.0000 ]
>>
endobj
418 0 obj
<< /Type /Action
>>
endobj
419 0 obj
<< /Type /Annot
/Subtype /Link
/A 420 0 R
/Border [0 0 0]
/H /I
/Rect [ 490.0867 622.2294 494.9054 631.0477 ]
>>
endobj
420 0 obj
<< /Type /Action
>>
endobj
421 0 obj
<< /Type /Annot
/Subtype /Link
/A 422 0 R
/Border [0 0 0]
/H /I
/Rect [ 339.4980 574.6104 349.1353 583.4287 ]
>>
endobj
422 0 obj
<< /Type /Action
>>
endobj
423 0 obj
<< /Type /Annot
/Subtype /Link
/A 424 0 R
/Border [0 0 0]
/H /I
/Rect [ 450.0045 550.8009 459.6418 559.6192 ]
>>
endobj
424 0 obj
<< /Type /Action
>>
endobj
425 0 obj
<< /Type /Page
/Parent 3 0 R
/Contents 426 0 R
>>
endobj
426 0 obj
<<
/Length 22069 >>
stream

0.271 0.267 0.267 rg
q
15.000 41.882 577.500 735.118 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(childhood vaccines survey scores and future child immunization status: a validation study. JAMA Pediatr. 2013;167\(11\):1065-71.)] TJ ET
BT 26.250 748.071 Td /F1 9.8 Tf  [(13.)] TJ ET
BT 43.553 748.071 Td /F1 9.8 Tf  [(Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. )] TJ ET
BT 26.250 736.167 Td /F1 9.8 Tf  [(Pediatrics. 2008;122\(4\):718-25.)] TJ ET
BT 26.250 716.762 Td /F1 9.8 Tf  [(14.)] TJ ET
BT 43.553 716.762 Td /F1 9.8 Tf  [(Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, et al. Measuring vaccine hesitancy: the development of a )] TJ ET
BT 26.250 704.857 Td /F1 9.8 Tf  [(survey tool. Vaccine. 2015;33\(34\):4165-75.)] TJ ET
BT 26.250 685.452 Td /F1 9.8 Tf  [(15.)] TJ ET
BT 43.553 685.452 Td /F1 9.8 Tf  [(Dub� E, Gagnon D, Zhou Z, Guay M, Boulianne N, Sauvageau C, et al. Enqu�te qu�b�coise sur la vaccination contre la )] TJ ET
BT 26.250 673.548 Td /F1 9.8 Tf  [(grippe saisonni�re et le pneumocoque, 2014. Qu�bec: Institut national de sant� publique du Qu�bec, 2015.)] TJ ET
BT 26.250 654.143 Td /F1 9.8 Tf  [(16.)] TJ ET
BT 43.553 654.143 Td /F1 9.8 Tf  [(Black S, Rappuoli R. A crisis of public confidence in vaccines. Sci Transl Med. 2010;2\(61\):61mr1.)] TJ ET
BT 26.250 634.738 Td /F1 9.8 Tf  [(17.)] TJ ET
BT 43.553 634.738 Td /F1 9.8 Tf  [(Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. Addressing the vaccine confidence gap. Lancet. 2011;378\(9790\):526-)] TJ ET
BT 26.250 622.833 Td /F1 9.8 Tf  [(35.)] TJ ET
BT 26.250 603.429 Td /F1 9.8 Tf  [(18.)] TJ ET
BT 43.553 603.429 Td /F1 9.8 Tf  [(Siddiqui M, Salmon DA, Omer SB. Epidemiology of vaccine hesitancy in the United States. Hum Vaccin Immunother. )] TJ ET
BT 26.250 591.524 Td /F1 9.8 Tf  [(2013;9\(12\):2643-8.)] TJ ET
BT 26.250 572.119 Td /F1 9.8 Tf  [(19.)] TJ ET
BT 43.553 572.119 Td /F1 9.8 Tf  [(Hilton S, Petticrew M, Hunt K."Combined vaccines are like a sudden onslaught to the body's immune system": parental )] TJ ET
BT 26.250 560.214 Td /F1 9.8 Tf  [(concerns about vaccine "overload" and "immune-vulnerability". Vaccine. 2006;24\(20\):4321-7.)] TJ ET
BT 26.250 540.810 Td /F1 9.8 Tf  [(20.)] TJ ET
BT 43.553 540.810 Td /F1 9.8 Tf  [(Kennedy A, Lavail K, Nowak G, Basket M, Landry S. Confidence about vaccines in the United States: understanding )] TJ ET
BT 26.250 528.905 Td /F1 9.8 Tf  [(parents' perceptions. Health Affair. 2011;30\(6\):1151-9.)] TJ ET
BT 26.250 509.500 Td /F1 9.8 Tf  [(21.)] TJ ET
BT 43.553 509.500 Td /F1 9.8 Tf  [(Leask J. Target the fence-sitters. Nature. 2011;473\(7348\):443-5.)] TJ ET
BT 26.250 490.095 Td /F1 9.8 Tf  [(22.)] TJ ET
BT 43.553 490.095 Td /F1 9.8 Tf  [(MacDonald NE, Smith J, Appleton M. Risk perception, risk management and safety assessment: what can governments do )] TJ ET
BT 26.250 478.191 Td /F1 9.8 Tf  [(to increase public confidence in their vaccine system? Biologicals. 2012;40\(5\):384-8.)] TJ ET
BT 26.250 458.786 Td /F1 9.8 Tf  [(23.)] TJ ET
BT 43.553 458.786 Td /F1 9.8 Tf  [(Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between )] TJ ET
BT 26.250 446.881 Td /F1 9.8 Tf  [(risk perception and health behavior: the example of vaccination. Health Psychol. 2007;26\(2\):136-45.)] TJ ET
BT 26.250 427.476 Td /F1 9.8 Tf  [(24.)] TJ ET
BT 43.553 427.476 Td /F1 9.8 Tf  [(Ekos Research Associates Inc. Survey of parents on key issues related to immunization. Ottawa: Public Health Agency of )] TJ ET
BT 26.250 415.572 Td /F1 9.8 Tf  [(Canada, 2011.)] TJ ET
BT 26.250 396.167 Td /F1 9.8 Tf  [(25.)] TJ ET
BT 43.553 396.167 Td /F1 9.8 Tf  [(Feinberg Y, Pereira JA, Quach S, Kwong JC, Crowcroft NS, Wilson SE, et al. Understanding public perceptions of the HPV )] TJ ET
BT 26.250 384.262 Td /F1 9.8 Tf  [(vaccination based on online comments to Canadian news articles. PLoS One. 2015;10\(6\):e0129587.)] TJ ET
BT 26.250 364.857 Td /F1 9.8 Tf  [(26.)] TJ ET
BT 43.553 364.857 Td /F1 9.8 Tf  [(Clark SJ, Cowan AE, Wortley PM. Influenza vaccination attitudes and practices among US registered nurses. Am J Infect )] TJ ET
BT 26.250 352.953 Td /F1 9.8 Tf  [(Control. 2009;37\(7\):551-6.)] TJ ET
BT 26.250 333.548 Td /F1 9.8 Tf  [(27.)] TJ ET
BT 43.553 333.548 Td /F1 9.8 Tf  [(Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals: a review of )] TJ ET
BT 26.250 321.643 Td /F1 9.8 Tf  [(studies on attitudes and predictors. Vaccine. 2009;27\(30\):3935-44.)] TJ ET
BT 26.250 302.238 Td /F1 9.8 Tf  [(28.)] TJ ET
BT 43.553 302.238 Td /F1 9.8 Tf  [(Posfay-Barbe KM, Heininger U, Aebi C, Desgrandchamps D, Vaudaux B, Siegrist CA. How do physicians immunize their )] TJ ET
BT 26.250 290.334 Td /F1 9.8 Tf  [(own children? Differences among pediatricians and nonpediatricians. Pediatrics. 2005;116\(5\):e623-33.)] TJ ET
BT 26.250 270.929 Td /F1 9.8 Tf  [(29.)] TJ ET
BT 43.553 270.929 Td /F1 9.8 Tf  [(Katz-Sidlow RJ, Sidlow, R. A look at the pediatrician as parent: experiences with the introduction of varicella vaccines. Clin )] TJ ET
BT 26.250 259.024 Td /F1 9.8 Tf  [(Pediatr \(Phila\). 2003;42\(7\):635-40.)] TJ ET
BT 26.250 239.619 Td /F1 9.8 Tf  [(30.)] TJ ET
BT 43.553 239.619 Td /F1 9.8 Tf  [(Zimmerman RK, Bradford BJ, Janosky JE, Mieczkowski TA, DeSensi E, Grufferman S. Barriers to measles and pertussis )] TJ ET
BT 26.250 227.715 Td /F1 9.8 Tf  [(immunization: the knowledge and attitudes of Pennsylvania primary care physicians. Am J Prev Med. 1997;13\(2\):89-97.)] TJ ET
BT 26.250 208.310 Td /F1 9.8 Tf  [(31.)] TJ ET
BT 43.553 208.310 Td /F1 9.8 Tf  [(Connors CM, Miller NC, Krause VL. Universal hepatitis B vaccination: hospital factors influencing first-dose uptake for )] TJ ET
BT 26.250 196.405 Td /F1 9.8 Tf  [(neonates in Darwin. Aust N Z J Public Health. 1998;22\(1\):143-5.)] TJ ET
BT 26.250 177.000 Td /F1 9.8 Tf  [(32.)] TJ ET
BT 43.553 177.000 Td /F1 9.8 Tf  [(Brunson EK. The impact of social networks on parents' vaccination decisions. Pediatrics. 2013;131\(5\):e1397-404.)] TJ ET
BT 26.250 157.596 Td /F1 9.8 Tf  [(33.)] TJ ET
BT 43.553 157.596 Td /F1 9.8 Tf  [(Brown KF, Kroll JS, Hudson MJ, Ramsay M, Green J, Long SJ, et al. Factors underlying parental decisions about )] TJ ET
BT 26.250 145.691 Td /F1 9.8 Tf  [(combination childhood vaccinations including MMR: a systematic review. Vaccine. 2010;28\(26\):4235-48.)] TJ ET
BT 26.250 126.286 Td /F1 9.8 Tf  [(34.)] TJ ET
BT 43.553 126.286 Td /F1 9.8 Tf  [(Tickner S, Leman PJ, Woodcock A. Factors underlying suboptimal childhood immunisation. Vaccine. 2006;24\(49-50\):7030-)] TJ ET
BT 26.250 114.381 Td /F1 9.8 Tf  [(6.)] TJ ET
BT 26.250 94.977 Td /F1 9.8 Tf  [(35.)] TJ ET
BT 43.553 94.977 Td /F1 9.8 Tf  [(Hilton S, Petticrew M, Hunt K. Parents' champions vs. vested interests: who do parents believe about MMR? A qualitative )] TJ ET
BT 26.250 83.072 Td /F1 9.8 Tf  [(study. BMC Public Health. 2007;7:42.)] TJ ET
BT 26.250 63.667 Td /F1 9.8 Tf  [(36.)] TJ ET
BT 43.553 63.667 Td /F1 9.8 Tf  [(Petts J, Niemeyer S. Health risk communication and amplification: learning from the MMR vaccination controversy. Health, )] TJ ET
BT 26.250 51.762 Td /F1 9.8 Tf  [(Risk & Society. 2004;6\(1\):7-23.)] TJ ET
Q
q
15.000 41.882 577.500 735.118 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(childhood vaccines survey scores and future child immunization status: a validation study. JAMA Pediatr. 2013;167\(11\):1065-71.)] TJ ET
BT 26.250 748.071 Td /F1 9.8 Tf  [(13.)] TJ ET
BT 43.553 748.071 Td /F1 9.8 Tf  [(Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. )] TJ ET
BT 26.250 736.167 Td /F1 9.8 Tf  [(Pediatrics. 2008;122\(4\):718-25.)] TJ ET
BT 26.250 716.762 Td /F1 9.8 Tf  [(14.)] TJ ET
BT 43.553 716.762 Td /F1 9.8 Tf  [(Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, et al. Measuring vaccine hesitancy: the development of a )] TJ ET
BT 26.250 704.857 Td /F1 9.8 Tf  [(survey tool. Vaccine. 2015;33\(34\):4165-75.)] TJ ET
BT 26.250 685.452 Td /F1 9.8 Tf  [(15.)] TJ ET
BT 43.553 685.452 Td /F1 9.8 Tf  [(Dub� E, Gagnon D, Zhou Z, Guay M, Boulianne N, Sauvageau C, et al. Enqu�te qu�b�coise sur la vaccination contre la )] TJ ET
BT 26.250 673.548 Td /F1 9.8 Tf  [(grippe saisonni�re et le pneumocoque, 2014. Qu�bec: Institut national de sant� publique du Qu�bec, 2015.)] TJ ET
BT 26.250 654.143 Td /F1 9.8 Tf  [(16.)] TJ ET
BT 43.553 654.143 Td /F1 9.8 Tf  [(Black S, Rappuoli R. A crisis of public confidence in vaccines. Sci Transl Med. 2010;2\(61\):61mr1.)] TJ ET
BT 26.250 634.738 Td /F1 9.8 Tf  [(17.)] TJ ET
BT 43.553 634.738 Td /F1 9.8 Tf  [(Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. Addressing the vaccine confidence gap. Lancet. 2011;378\(9790\):526-)] TJ ET
BT 26.250 622.833 Td /F1 9.8 Tf  [(35.)] TJ ET
BT 26.250 603.429 Td /F1 9.8 Tf  [(18.)] TJ ET
BT 43.553 603.429 Td /F1 9.8 Tf  [(Siddiqui M, Salmon DA, Omer SB. Epidemiology of vaccine hesitancy in the United States. Hum Vaccin Immunother. )] TJ ET
BT 26.250 591.524 Td /F1 9.8 Tf  [(2013;9\(12\):2643-8.)] TJ ET
BT 26.250 572.119 Td /F1 9.8 Tf  [(19.)] TJ ET
BT 43.553 572.119 Td /F1 9.8 Tf  [(Hilton S, Petticrew M, Hunt K."Combined vaccines are like a sudden onslaught to the body's immune system": parental )] TJ ET
BT 26.250 560.214 Td /F1 9.8 Tf  [(concerns about vaccine "overload" and "immune-vulnerability". Vaccine. 2006;24\(20\):4321-7.)] TJ ET
BT 26.250 540.810 Td /F1 9.8 Tf  [(20.)] TJ ET
BT 43.553 540.810 Td /F1 9.8 Tf  [(Kennedy A, Lavail K, Nowak G, Basket M, Landry S. Confidence about vaccines in the United States: understanding )] TJ ET
BT 26.250 528.905 Td /F1 9.8 Tf  [(parents' perceptions. Health Affair. 2011;30\(6\):1151-9.)] TJ ET
BT 26.250 509.500 Td /F1 9.8 Tf  [(21.)] TJ ET
BT 43.553 509.500 Td /F1 9.8 Tf  [(Leask J. Target the fence-sitters. Nature. 2011;473\(7348\):443-5.)] TJ ET
BT 26.250 490.095 Td /F1 9.8 Tf  [(22.)] TJ ET
BT 43.553 490.095 Td /F1 9.8 Tf  [(MacDonald NE, Smith J, Appleton M. Risk perception, risk management and safety assessment: what can governments do )] TJ ET
BT 26.250 478.191 Td /F1 9.8 Tf  [(to increase public confidence in their vaccine system? Biologicals. 2012;40\(5\):384-8.)] TJ ET
BT 26.250 458.786 Td /F1 9.8 Tf  [(23.)] TJ ET
BT 43.553 458.786 Td /F1 9.8 Tf  [(Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between )] TJ ET
BT 26.250 446.881 Td /F1 9.8 Tf  [(risk perception and health behavior: the example of vaccination. Health Psychol. 2007;26\(2\):136-45.)] TJ ET
BT 26.250 427.476 Td /F1 9.8 Tf  [(24.)] TJ ET
BT 43.553 427.476 Td /F1 9.8 Tf  [(Ekos Research Associates Inc. Survey of parents on key issues related to immunization. Ottawa: Public Health Agency of )] TJ ET
BT 26.250 415.572 Td /F1 9.8 Tf  [(Canada, 2011.)] TJ ET
BT 26.250 396.167 Td /F1 9.8 Tf  [(25.)] TJ ET
BT 43.553 396.167 Td /F1 9.8 Tf  [(Feinberg Y, Pereira JA, Quach S, Kwong JC, Crowcroft NS, Wilson SE, et al. Understanding public perceptions of the HPV )] TJ ET
BT 26.250 384.262 Td /F1 9.8 Tf  [(vaccination based on online comments to Canadian news articles. PLoS One. 2015;10\(6\):e0129587.)] TJ ET
BT 26.250 364.857 Td /F1 9.8 Tf  [(26.)] TJ ET
BT 43.553 364.857 Td /F1 9.8 Tf  [(Clark SJ, Cowan AE, Wortley PM. Influenza vaccination attitudes and practices among US registered nurses. Am J Infect )] TJ ET
BT 26.250 352.953 Td /F1 9.8 Tf  [(Control. 2009;37\(7\):551-6.)] TJ ET
BT 26.250 333.548 Td /F1 9.8 Tf  [(27.)] TJ ET
BT 43.553 333.548 Td /F1 9.8 Tf  [(Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals: a review of )] TJ ET
BT 26.250 321.643 Td /F1 9.8 Tf  [(studies on attitudes and predictors. Vaccine. 2009;27\(30\):3935-44.)] TJ ET
BT 26.250 302.238 Td /F1 9.8 Tf  [(28.)] TJ ET
BT 43.553 302.238 Td /F1 9.8 Tf  [(Posfay-Barbe KM, Heininger U, Aebi C, Desgrandchamps D, Vaudaux B, Siegrist CA. How do physicians immunize their )] TJ ET
BT 26.250 290.334 Td /F1 9.8 Tf  [(own children? Differences among pediatricians and nonpediatricians. Pediatrics. 2005;116\(5\):e623-33.)] TJ ET
BT 26.250 270.929 Td /F1 9.8 Tf  [(29.)] TJ ET
BT 43.553 270.929 Td /F1 9.8 Tf  [(Katz-Sidlow RJ, Sidlow, R. A look at the pediatrician as parent: experiences with the introduction of varicella vaccines. Clin )] TJ ET
BT 26.250 259.024 Td /F1 9.8 Tf  [(Pediatr \(Phila\). 2003;42\(7\):635-40.)] TJ ET
BT 26.250 239.619 Td /F1 9.8 Tf  [(30.)] TJ ET
BT 43.553 239.619 Td /F1 9.8 Tf  [(Zimmerman RK, Bradford BJ, Janosky JE, Mieczkowski TA, DeSensi E, Grufferman S. Barriers to measles and pertussis )] TJ ET
BT 26.250 227.715 Td /F1 9.8 Tf  [(immunization: the knowledge and attitudes of Pennsylvania primary care physicians. Am J Prev Med. 1997;13\(2\):89-97.)] TJ ET
BT 26.250 208.310 Td /F1 9.8 Tf  [(31.)] TJ ET
BT 43.553 208.310 Td /F1 9.8 Tf  [(Connors CM, Miller NC, Krause VL. Universal hepatitis B vaccination: hospital factors influencing first-dose uptake for )] TJ ET
BT 26.250 196.405 Td /F1 9.8 Tf  [(neonates in Darwin. Aust N Z J Public Health. 1998;22\(1\):143-5.)] TJ ET
BT 26.250 177.000 Td /F1 9.8 Tf  [(32.)] TJ ET
BT 43.553 177.000 Td /F1 9.8 Tf  [(Brunson EK. The impact of social networks on parents' vaccination decisions. Pediatrics. 2013;131\(5\):e1397-404.)] TJ ET
BT 26.250 157.596 Td /F1 9.8 Tf  [(33.)] TJ ET
BT 43.553 157.596 Td /F1 9.8 Tf  [(Brown KF, Kroll JS, Hudson MJ, Ramsay M, Green J, Long SJ, et al. Factors underlying parental decisions about )] TJ ET
BT 26.250 145.691 Td /F1 9.8 Tf  [(combination childhood vaccinations including MMR: a systematic review. Vaccine. 2010;28\(26\):4235-48.)] TJ ET
BT 26.250 126.286 Td /F1 9.8 Tf  [(34.)] TJ ET
BT 43.553 126.286 Td /F1 9.8 Tf  [(Tickner S, Leman PJ, Woodcock A. Factors underlying suboptimal childhood immunisation. Vaccine. 2006;24\(49-50\):7030-)] TJ ET
BT 26.250 114.381 Td /F1 9.8 Tf  [(6.)] TJ ET
BT 26.250 94.977 Td /F1 9.8 Tf  [(35.)] TJ ET
BT 43.553 94.977 Td /F1 9.8 Tf  [(Hilton S, Petticrew M, Hunt K. Parents' champions vs. vested interests: who do parents believe about MMR? A qualitative )] TJ ET
BT 26.250 83.072 Td /F1 9.8 Tf  [(study. BMC Public Health. 2007;7:42.)] TJ ET
BT 26.250 63.667 Td /F1 9.8 Tf  [(36.)] TJ ET
BT 43.553 63.667 Td /F1 9.8 Tf  [(Petts J, Niemeyer S. Health risk communication and amplification: learning from the MMR vaccination controversy. Health, )] TJ ET
BT 26.250 51.762 Td /F1 9.8 Tf  [(Risk & Society. 2004;6\(1\):7-23.)] TJ ET
Q
q
15.000 41.882 577.500 735.118 re W n
0.271 0.267 0.267 rg
BT 26.250 767.476 Td /F1 9.8 Tf  [(childhood vaccines survey scores and future child immunization status: a validation study. JAMA Pediatr. 2013;167\(11\):1065-71.)] TJ ET
BT 26.250 748.071 Td /F1 9.8 Tf  [(13.)] TJ ET
BT 43.553 748.071 Td /F1 9.8 Tf  [(Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. )] TJ ET
BT 26.250 736.167 Td /F1 9.8 Tf  [(Pediatrics. 2008;122\(4\):718-25.)] TJ ET
BT 26.250 716.762 Td /F1 9.8 Tf  [(14.)] TJ ET
BT 43.553 716.762 Td /F1 9.8 Tf  [(Larson HJ, Jarrett C, Schulz WS, Chaudhuri M, Zhou Y, Dube E, et al. Measuring vaccine hesitancy: the development of a )] TJ ET
BT 26.250 704.857 Td /F1 9.8 Tf  [(survey tool. Vaccine. 2015;33\(34\):4165-75.)] TJ ET
BT 26.250 685.452 Td /F1 9.8 Tf  [(15.)] TJ ET
BT 43.553 685.452 Td /F1 9.8 Tf  [(Dub� E, Gagnon D, Zhou Z, Guay M, Boulianne N, Sauvageau C, et al. Enqu�te qu�b�coise sur la vaccination contre la )] TJ ET
BT 26.250 673.548 Td /F1 9.8 Tf  [(grippe saisonni�re et le pneumocoque, 2014. Qu�bec: Institut national de sant� publique du Qu�bec, 2015.)] TJ ET
BT 26.250 654.143 Td /F1 9.8 Tf  [(16.)] TJ ET
BT 43.553 654.143 Td /F1 9.8 Tf  [(Black S, Rappuoli R. A crisis of public confidence in vaccines. Sci Transl Med. 2010;2\(61\):61mr1.)] TJ ET
BT 26.250 634.738 Td /F1 9.8 Tf  [(17.)] TJ ET
BT 43.553 634.738 Td /F1 9.8 Tf  [(Larson HJ, Cooper LZ, Eskola J, Katz SL, Ratzan S. Addressing the vaccine confidence gap. Lancet. 2011;378\(9790\):526-)] TJ ET
BT 26.250 622.833 Td /F1 9.8 Tf  [(35.)] TJ ET
BT 26.250 603.429 Td /F1 9.8 Tf  [(18.)] TJ ET
BT 43.553 603.429 Td /F1 9.8 Tf  [(Siddiqui M, Salmon DA, Omer SB. Epidemiology of vaccine hesitancy in the United States. Hum Vaccin Immunother. )] TJ ET
BT 26.250 591.524 Td /F1 9.8 Tf  [(2013;9\(12\):2643-8.)] TJ ET
BT 26.250 572.119 Td /F1 9.8 Tf  [(19.)] TJ ET
BT 43.553 572.119 Td /F1 9.8 Tf  [(Hilton S, Petticrew M, Hunt K."Combined vaccines are like a sudden onslaught to the body's immune system": parental )] TJ ET
BT 26.250 560.214 Td /F1 9.8 Tf  [(concerns about vaccine "overload" and "immune-vulnerability". Vaccine. 2006;24\(20\):4321-7.)] TJ ET
BT 26.250 540.810 Td /F1 9.8 Tf  [(20.)] TJ ET
BT 43.553 540.810 Td /F1 9.8 Tf  [(Kennedy A, Lavail K, Nowak G, Basket M, Landry S. Confidence about vaccines in the United States: understanding )] TJ ET
BT 26.250 528.905 Td /F1 9.8 Tf  [(parents' perceptions. Health Affair. 2011;30\(6\):1151-9.)] TJ ET
BT 26.250 509.500 Td /F1 9.8 Tf  [(21.)] TJ ET
BT 43.553 509.500 Td /F1 9.8 Tf  [(Leask J. Target the fence-sitters. Nature. 2011;473\(7348\):443-5.)] TJ ET
BT 26.250 490.095 Td /F1 9.8 Tf  [(22.)] TJ ET
BT 43.553 490.095 Td /F1 9.8 Tf  [(MacDonald NE, Smith J, Appleton M. Risk perception, risk management and safety assessment: what can governments do )] TJ ET
BT 26.250 478.191 Td /F1 9.8 Tf  [(to increase public confidence in their vaccine system? Biologicals. 2012;40\(5\):384-8.)] TJ ET
BT 26.250 458.786 Td /F1 9.8 Tf  [(23.)] TJ ET
BT 43.553 458.786 Td /F1 9.8 Tf  [(Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between )] TJ ET
BT 26.250 446.881 Td /F1 9.8 Tf  [(risk perception and health behavior: the example of vaccination. Health Psychol. 2007;26\(2\):136-45.)] TJ ET
BT 26.250 427.476 Td /F1 9.8 Tf  [(24.)] TJ ET
BT 43.553 427.476 Td /F1 9.8 Tf  [(Ekos Research Associates Inc. Survey of parents on key issues related to immunization. Ottawa: Public Health Agency of )] TJ ET
BT 26.250 415.572 Td /F1 9.8 Tf  [(Canada, 2011.)] TJ ET
BT 26.250 396.167 Td /F1 9.8 Tf  [(25.)] TJ ET
BT 43.553 396.167 Td /F1 9.8 Tf  [(Feinberg Y, Pereira JA, Quach S, Kwong JC, Crowcroft NS, Wilson SE, et al. Understanding public perceptions of the HPV )] TJ ET
BT 26.250 384.262 Td /F1 9.8 Tf  [(vaccination based on online comments to Canadian news articles. PLoS One. 2015;10\(6\):e0129587.)] TJ ET
BT 26.250 364.857 Td /F1 9.8 Tf  [(26.)] TJ ET
BT 43.553 364.857 Td /F1 9.8 Tf  [(Clark SJ, Cowan AE, Wortley PM. Influenza vaccination attitudes and practices among US registered nurses. Am J Infect )] TJ ET
BT 26.250 352.953 Td /F1 9.8 Tf  [(Control. 2009;37\(7\):551-6.)] TJ ET
BT 26.250 333.548 Td /F1 9.8 Tf  [(27.)] TJ ET
BT 43.553 333.548 Td /F1 9.8 Tf  [(Hollmeyer HG, Hayden F, Poland G, Buchholz U. Influenza vaccination of health care workers in hospitals: a review of )] TJ ET
BT 26.250 321.643 Td /F1 9.8 Tf  [(studies on attitudes and predictors. Vaccine. 2009;27\(30\):3935-44.)] TJ ET
BT 26.250 302.238 Td /F1 9.8 Tf  [(28.)] TJ ET
BT 43.553 302.238 Td /F1 9.8 Tf  [(Posfay-Barbe KM, Heininger U, Aebi C, Desgrandchamps D, Vaudaux B, Siegrist CA. How do physicians immunize their )] TJ ET
BT 26.250 290.334 Td /F1 9.8 Tf  [(own children? Differences among pediatricians and nonpediatricians. Pediatrics. 2005;116\(5\):e623-33.)] TJ ET
BT 26.250 270.929 Td /F1 9.8 Tf  [(29.)] TJ ET
BT 43.553 270.929 Td /F1 9.8 Tf  [(Katz-Sidlow RJ, Sidlow, R. A look at the pediatrician as parent: experiences with the introduction of varicella vaccines. Clin )] TJ ET
BT 26.250 259.024 Td /F1 9.8 Tf  [(Pediatr \(Phila\). 2003;42\(7\):635-40.)] TJ ET
BT 26.250 239.619 Td /F1 9.8 Tf  [(30.)] TJ ET
BT 43.553 239.619 Td /F1 9.8 Tf  [(Zimmerman RK, Bradford BJ, Janosky JE, Mieczkowski TA, DeSensi E, Grufferman S. Barriers to measles and pertussis )] TJ ET
BT 26.250 227.715 Td /F1 9.8 Tf  [(immunization: the knowledge and attitudes of Pennsylvania primary care physicians. Am J Prev Med. 1997;13\(2\):89-97.)] TJ ET
BT 26.250 208.310 Td /F1 9.8 Tf  [(31.)] TJ ET
BT 43.553 208.310 Td /F1 9.8 Tf  [(Connors CM, Miller NC, Krause VL. Universal hepatitis B vaccination: hospital factors influencing first-dose uptake for )] TJ ET
BT 26.250 196.405 Td /F1 9.8 Tf  [(neonates in Darwin. Aust N Z J Public Health. 1998;22\(1\):143-5.)] TJ ET
BT 26.250 177.000 Td /F1 9.8 Tf  [(32.)] TJ ET
BT 43.553 177.000 Td /F1 9.8 Tf  [(Brunson EK. The impact of social networks on parents' vaccination decisions. Pediatrics. 2013;131\(5\):e1397-404.)] TJ ET
BT 26.250 157.596 Td /F1 9.8 Tf  [(33.)] TJ ET
BT 43.553 157.596 Td /F1 9.8 Tf  [(Brown KF, Kroll JS, Hudson MJ, Ramsay M, Green J, Long SJ, et al. Factors underlying parental decisions about )] TJ ET
BT 26.250 145.691 Td /F1 9.8 Tf  [(combination childhood vaccinations including MMR: a systematic review. Vaccine. 2010;28\(26\):4235-48.)] TJ ET
BT 26.250 126.286 Td /F1 9.8 Tf  [(34.)] TJ ET
BT 43.553 126.286 Td /F1 9.8 Tf  [(Tickner S, Leman PJ, Woodcock A. Factors underlying suboptimal childhood immunisation. Vaccine. 2006;24\(49-50\):7030-)] TJ ET
BT 26.250 114.381 Td /F1 9.8 Tf  [(6.)] TJ ET
BT 26.250 94.977 Td /F1 9.8 Tf  [(35.)] TJ ET
BT 43.553 94.977 Td /F1 9.8 Tf  [(Hilton S, Petticrew M, Hunt K. Parents' champions vs. vested interests: who do parents believe about MMR? A qualitative )] TJ ET
BT 26.250 83.072 Td /F1 9.8 Tf  [(study. BMC Public Health. 2007;7:42.)] TJ ET
BT 26.250 63.667 Td /F1 9.8 Tf  [(36.)] TJ ET
BT 43.553 63.667 Td /F1 9.8 Tf  [(Petts J, Niemeyer S. Health risk communication and amplification: learning from the MMR vaccination controversy. Health, )] TJ ET
BT 26.250 51.762 Td /F1 9.8 Tf  [(Risk & Society. 2004;6\(1\):7-23.)] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(9)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
427 0 obj
<< /Type /Page
/Parent 3 0 R
/Contents 428 0 R
>>
endobj
428 0 obj
<<
/Length 9518 >>
stream

0.271 0.267 0.267 rg
q
15.000 472.714 577.500 304.286 re W n
0.271 0.267 0.267 rg
BT 26.250 759.976 Td /F1 9.8 Tf  [(37.)] TJ ET
BT 43.553 759.976 Td /F1 9.8 Tf  [(Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young )] TJ ET
BT 26.250 748.071 Td /F1 9.8 Tf  [(children: results from the 2009 HealthStyles survey. Pediatrics. 2011;127 \(Suppl 1\):S92-9.)] TJ ET
BT 26.250 728.667 Td /F1 9.8 Tf  [(38.)] TJ ET
BT 43.553 728.667 Td /F1 9.8 Tf  [(Falagas ME, Zarkadoulia E. Factors associated with suboptimal compliance to vaccinations in children in developed )] TJ ET
BT 26.250 716.762 Td /F1 9.8 Tf  [(countries: a systematic review. Curr Med Res Opin. 2008;24\(6\):1719-41.)] TJ ET
BT 26.250 697.357 Td /F1 9.8 Tf  [(39.)] TJ ET
BT 43.553 697.357 Td /F1 9.8 Tf  [(Mills E, Jadad AR, Ross C, Wilson K. Systematic review of qualitative studies exploring parental beliefs and attitudes toward )] TJ ET
BT 26.250 685.452 Td /F1 9.8 Tf  [(childhood vaccination identifies common barriers to vaccination. J Clin Epidemiol. 2005;58\(11\):1081-8.)] TJ ET
BT 26.250 666.048 Td /F1 9.8 Tf  [(40.)] TJ ET
BT 43.553 666.048 Td /F1 9.8 Tf  [(Sturm LA, Mays RM, Zimet GD. Parental beliefs and decision making about child and adolescent immunization: from polio )] TJ ET
BT 26.250 654.143 Td /F1 9.8 Tf  [(to sexually transmitted infections. J Dev Behav Pediatr. 2005;26\(6\):441-52.)] TJ ET
BT 26.250 634.738 Td /F1 9.8 Tf  [(41.)] TJ ET
BT 43.553 634.738 Td /F1 9.8 Tf  [(Quadri-Sheriff M, Hendrix KS, Downs SM, Sturm LA, Zimet GD, Finnell SM. The role of herd immunity in parents' decision )] TJ ET
BT 26.250 622.833 Td /F1 9.8 Tf  [(to vaccinate children: a systematic review. Pediatrics. 2012;130\(3\):522-30.)] TJ ET
BT 26.250 603.429 Td /F1 9.8 Tf  [(42.)] TJ ET
BT 43.553 603.429 Td /F1 9.8 Tf  [(Roberts KA, Dixon-Woods M, Fitzpatrick R, Abrams KR, Jones DR. Factors affecting uptake of childhood immunisation: a )] TJ ET
BT 26.250 591.524 Td /F1 9.8 Tf  [(Bayesian synthesis of qualitative and quantitative evidence. Lancet. 2002;360\(9345\):1596-9.)] TJ ET
BT 26.250 572.119 Td /F1 9.8 Tf  [(43.)] TJ ET
BT 43.553 572.119 Td /F1 9.8 Tf  [(Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J. Attitudes to vaccination: a critical review. Soc Sci Med. 2014;112:1-11.)] TJ ET
BT 26.250 552.714 Td /F1 9.8 Tf  [(44.)] TJ ET
BT 43.553 552.714 Td /F1 9.8 Tf  [(European Centre for Disease Prevention and Control. Vaccine hesitancy among healthcare workers and their patients in )] TJ ET
BT 26.250 540.810 Td /F1 9.8 Tf  [(Europe - A qualitative study. Stockholm: ECDC, 2015.)] TJ ET
BT 26.250 521.405 Td /F1 9.8 Tf  [(45.)] TJ ET
BT 43.553 521.405 Td /F1 9.8 Tf  [(Larson H, Schulz W. The state of vaccine confidence [Internet]. 2015. Available from: http://www.vaccineconfidence.org/The-)] TJ ET
BT 26.250 509.500 Td /F1 9.8 Tf  [(State-of-Vaccine-Confidence-2015.pdf.)] TJ ET
BT 26.250 490.095 Td /F1 9.8 Tf  [(46.)] TJ ET
BT 43.553 490.095 Td /F1 9.8 Tf  [(Leask J, Willaby HW, Kaufman J. The big picture in addressing vaccine hesitancy. Hum Vaccin Immunother. 2014;10\(9\):1-3.)] TJ ET
Q
q
15.000 472.714 577.500 304.286 re W n
0.271 0.267 0.267 rg
BT 26.250 759.976 Td /F1 9.8 Tf  [(37.)] TJ ET
BT 43.553 759.976 Td /F1 9.8 Tf  [(Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young )] TJ ET
BT 26.250 748.071 Td /F1 9.8 Tf  [(children: results from the 2009 HealthStyles survey. Pediatrics. 2011;127 \(Suppl 1\):S92-9.)] TJ ET
BT 26.250 728.667 Td /F1 9.8 Tf  [(38.)] TJ ET
BT 43.553 728.667 Td /F1 9.8 Tf  [(Falagas ME, Zarkadoulia E. Factors associated with suboptimal compliance to vaccinations in children in developed )] TJ ET
BT 26.250 716.762 Td /F1 9.8 Tf  [(countries: a systematic review. Curr Med Res Opin. 2008;24\(6\):1719-41.)] TJ ET
BT 26.250 697.357 Td /F1 9.8 Tf  [(39.)] TJ ET
BT 43.553 697.357 Td /F1 9.8 Tf  [(Mills E, Jadad AR, Ross C, Wilson K. Systematic review of qualitative studies exploring parental beliefs and attitudes toward )] TJ ET
BT 26.250 685.452 Td /F1 9.8 Tf  [(childhood vaccination identifies common barriers to vaccination. J Clin Epidemiol. 2005;58\(11\):1081-8.)] TJ ET
BT 26.250 666.048 Td /F1 9.8 Tf  [(40.)] TJ ET
BT 43.553 666.048 Td /F1 9.8 Tf  [(Sturm LA, Mays RM, Zimet GD. Parental beliefs and decision making about child and adolescent immunization: from polio )] TJ ET
BT 26.250 654.143 Td /F1 9.8 Tf  [(to sexually transmitted infections. J Dev Behav Pediatr. 2005;26\(6\):441-52.)] TJ ET
BT 26.250 634.738 Td /F1 9.8 Tf  [(41.)] TJ ET
BT 43.553 634.738 Td /F1 9.8 Tf  [(Quadri-Sheriff M, Hendrix KS, Downs SM, Sturm LA, Zimet GD, Finnell SM. The role of herd immunity in parents' decision )] TJ ET
BT 26.250 622.833 Td /F1 9.8 Tf  [(to vaccinate children: a systematic review. Pediatrics. 2012;130\(3\):522-30.)] TJ ET
BT 26.250 603.429 Td /F1 9.8 Tf  [(42.)] TJ ET
BT 43.553 603.429 Td /F1 9.8 Tf  [(Roberts KA, Dixon-Woods M, Fitzpatrick R, Abrams KR, Jones DR. Factors affecting uptake of childhood immunisation: a )] TJ ET
BT 26.250 591.524 Td /F1 9.8 Tf  [(Bayesian synthesis of qualitative and quantitative evidence. Lancet. 2002;360\(9345\):1596-9.)] TJ ET
BT 26.250 572.119 Td /F1 9.8 Tf  [(43.)] TJ ET
BT 43.553 572.119 Td /F1 9.8 Tf  [(Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J. Attitudes to vaccination: a critical review. Soc Sci Med. 2014;112:1-11.)] TJ ET
BT 26.250 552.714 Td /F1 9.8 Tf  [(44.)] TJ ET
BT 43.553 552.714 Td /F1 9.8 Tf  [(European Centre for Disease Prevention and Control. Vaccine hesitancy among healthcare workers and their patients in )] TJ ET
BT 26.250 540.810 Td /F1 9.8 Tf  [(Europe - A qualitative study. Stockholm: ECDC, 2015.)] TJ ET
BT 26.250 521.405 Td /F1 9.8 Tf  [(45.)] TJ ET
BT 43.553 521.405 Td /F1 9.8 Tf  [(Larson H, Schulz W. The state of vaccine confidence [Internet]. 2015. Available from: http://www.vaccineconfidence.org/The-)] TJ ET
BT 26.250 509.500 Td /F1 9.8 Tf  [(State-of-Vaccine-Confidence-2015.pdf.)] TJ ET
BT 26.250 490.095 Td /F1 9.8 Tf  [(46.)] TJ ET
BT 43.553 490.095 Td /F1 9.8 Tf  [(Leask J, Willaby HW, Kaufman J. The big picture in addressing vaccine hesitancy. Hum Vaccin Immunother. 2014;10\(9\):1-3.)] TJ ET
Q
q
15.000 472.714 577.500 304.286 re W n
0.271 0.267 0.267 rg
BT 26.250 759.976 Td /F1 9.8 Tf  [(37.)] TJ ET
BT 43.553 759.976 Td /F1 9.8 Tf  [(Kennedy A, Basket M, Sheedy K. Vaccine attitudes, concerns, and information sources reported by parents of young )] TJ ET
BT 26.250 748.071 Td /F1 9.8 Tf  [(children: results from the 2009 HealthStyles survey. Pediatrics. 2011;127 \(Suppl 1\):S92-9.)] TJ ET
BT 26.250 728.667 Td /F1 9.8 Tf  [(38.)] TJ ET
BT 43.553 728.667 Td /F1 9.8 Tf  [(Falagas ME, Zarkadoulia E. Factors associated with suboptimal compliance to vaccinations in children in developed )] TJ ET
BT 26.250 716.762 Td /F1 9.8 Tf  [(countries: a systematic review. Curr Med Res Opin. 2008;24\(6\):1719-41.)] TJ ET
BT 26.250 697.357 Td /F1 9.8 Tf  [(39.)] TJ ET
BT 43.553 697.357 Td /F1 9.8 Tf  [(Mills E, Jadad AR, Ross C, Wilson K. Systematic review of qualitative studies exploring parental beliefs and attitudes toward )] TJ ET
BT 26.250 685.452 Td /F1 9.8 Tf  [(childhood vaccination identifies common barriers to vaccination. J Clin Epidemiol. 2005;58\(11\):1081-8.)] TJ ET
BT 26.250 666.048 Td /F1 9.8 Tf  [(40.)] TJ ET
BT 43.553 666.048 Td /F1 9.8 Tf  [(Sturm LA, Mays RM, Zimet GD. Parental beliefs and decision making about child and adolescent immunization: from polio )] TJ ET
BT 26.250 654.143 Td /F1 9.8 Tf  [(to sexually transmitted infections. J Dev Behav Pediatr. 2005;26\(6\):441-52.)] TJ ET
BT 26.250 634.738 Td /F1 9.8 Tf  [(41.)] TJ ET
BT 43.553 634.738 Td /F1 9.8 Tf  [(Quadri-Sheriff M, Hendrix KS, Downs SM, Sturm LA, Zimet GD, Finnell SM. The role of herd immunity in parents' decision )] TJ ET
BT 26.250 622.833 Td /F1 9.8 Tf  [(to vaccinate children: a systematic review. Pediatrics. 2012;130\(3\):522-30.)] TJ ET
BT 26.250 603.429 Td /F1 9.8 Tf  [(42.)] TJ ET
BT 43.553 603.429 Td /F1 9.8 Tf  [(Roberts KA, Dixon-Woods M, Fitzpatrick R, Abrams KR, Jones DR. Factors affecting uptake of childhood immunisation: a )] TJ ET
BT 26.250 591.524 Td /F1 9.8 Tf  [(Bayesian synthesis of qualitative and quantitative evidence. Lancet. 2002;360\(9345\):1596-9.)] TJ ET
BT 26.250 572.119 Td /F1 9.8 Tf  [(43.)] TJ ET
BT 43.553 572.119 Td /F1 9.8 Tf  [(Yaqub O, Castle-Clarke S, Sevdalis N, Chataway J. Attitudes to vaccination: a critical review. Soc Sci Med. 2014;112:1-11.)] TJ ET
BT 26.250 552.714 Td /F1 9.8 Tf  [(44.)] TJ ET
BT 43.553 552.714 Td /F1 9.8 Tf  [(European Centre for Disease Prevention and Control. Vaccine hesitancy among healthcare workers and their patients in )] TJ ET
BT 26.250 540.810 Td /F1 9.8 Tf  [(Europe - A qualitative study. Stockholm: ECDC, 2015.)] TJ ET
BT 26.250 521.405 Td /F1 9.8 Tf  [(45.)] TJ ET
BT 43.553 521.405 Td /F1 9.8 Tf  [(Larson H, Schulz W. The state of vaccine confidence [Internet]. 2015. Available from: http://www.vaccineconfidence.org/The-)] TJ ET
BT 26.250 509.500 Td /F1 9.8 Tf  [(State-of-Vaccine-Confidence-2015.pdf.)] TJ ET
BT 26.250 490.095 Td /F1 9.8 Tf  [(46.)] TJ ET
BT 43.553 490.095 Td /F1 9.8 Tf  [(Leask J, Willaby HW, Kaufman J. The big picture in addressing vaccine hesitancy. Hum Vaccin Immunother. 2014;10\(9\):1-3.)] TJ ET
Q
q
0.000 0.000 0.000 rg
BT 291.710 19.825 Td /F1 11.0 Tf  [(10)] TJ ET
BT 25.000 19.825 Td /F1 11.0 Tf  [(PLOS Currents Outbreaks)] TJ ET

Q
endstream
endobj
xref
0 429
0000000000 65535 f 
0000000008 00000 n 
0000000073 00000 n 
0000000119 00000 n 
0000000428 00000 n 
0000000465 00000 n 
0000000662 00000 n 
0000001270 00000 n 
0000030668 00000 n 
0000030775 00000 n 
0000030883 00000 n 
0000030994 00000 n 
0000031107 00000 n 
0000031495 00000 n 
0000041163 00000 n 
0000041290 00000 n 
0000041429 00000 n 
0000041556 00000 n 
0000041677 00000 n 
0000041803 00000 n 
0000041905 00000 n 
0000042032 00000 n 
0000042137 00000 n 
0000042265 00000 n 
0000042364 00000 n 
0000042492 00000 n 
0000042598 00000 n 
0000042726 00000 n 
0000042762 00000 n 
0000042888 00000 n 
0000042924 00000 n 
0000043052 00000 n 
0000043088 00000 n 
0000043216 00000 n 
0000043252 00000 n 
0000043380 00000 n 
0000043416 00000 n 
0000043544 00000 n 
0000043580 00000 n 
0000043708 00000 n 
0000043744 00000 n 
0000043872 00000 n 
0000043908 00000 n 
0000044036 00000 n 
0000044072 00000 n 
0000044200 00000 n 
0000044236 00000 n 
0000044364 00000 n 
0000044400 00000 n 
0000044528 00000 n 
0000044564 00000 n 
0000044689 00000 n 
0000044725 00000 n 
0000044851 00000 n 
0000044887 00000 n 
0000045013 00000 n 
0000045049 00000 n 
0000045175 00000 n 
0000045211 00000 n 
0000045337 00000 n 
0000045373 00000 n 
0000045499 00000 n 
0000045535 00000 n 
0000045662 00000 n 
0000045801 00000 n 
0000045928 00000 n 
0000046049 00000 n 
0000046175 00000 n 
0000046277 00000 n 
0000046404 00000 n 
0000046509 00000 n 
0000046637 00000 n 
0000046736 00000 n 
0000046864 00000 n 
0000046970 00000 n 
0000047098 00000 n 
0000047134 00000 n 
0000047260 00000 n 
0000047296 00000 n 
0000047424 00000 n 
0000047460 00000 n 
0000047588 00000 n 
0000047624 00000 n 
0000047752 00000 n 
0000047788 00000 n 
0000047916 00000 n 
0000047952 00000 n 
0000048080 00000 n 
0000048116 00000 n 
0000048244 00000 n 
0000048280 00000 n 
0000048408 00000 n 
0000048444 00000 n 
0000048572 00000 n 
0000048608 00000 n 
0000048736 00000 n 
0000048772 00000 n 
0000048900 00000 n 
0000048936 00000 n 
0000049061 00000 n 
0000049097 00000 n 
0000049225 00000 n 
0000049262 00000 n 
0000049390 00000 n 
0000049427 00000 n 
0000049555 00000 n 
0000049592 00000 n 
0000049720 00000 n 
0000049757 00000 n 
0000049885 00000 n 
0000049922 00000 n 
0000050051 00000 n 
0000050191 00000 n 
0000050320 00000 n 
0000050442 00000 n 
0000050570 00000 n 
0000050673 00000 n 
0000050802 00000 n 
0000050908 00000 n 
0000051038 00000 n 
0000051138 00000 n 
0000051268 00000 n 
0000051375 00000 n 
0000051505 00000 n 
0000051542 00000 n 
0000051670 00000 n 
0000051707 00000 n 
0000051837 00000 n 
0000051874 00000 n 
0000052004 00000 n 
0000052041 00000 n 
0000052171 00000 n 
0000052208 00000 n 
0000052338 00000 n 
0000052375 00000 n 
0000052505 00000 n 
0000052542 00000 n 
0000052672 00000 n 
0000052709 00000 n 
0000052839 00000 n 
0000052876 00000 n 
0000053006 00000 n 
0000053043 00000 n 
0000053173 00000 n 
0000053210 00000 n 
0000053340 00000 n 
0000053377 00000 n 
0000053504 00000 n 
0000053541 00000 n 
0000053669 00000 n 
0000053706 00000 n 
0000053834 00000 n 
0000053871 00000 n 
0000053999 00000 n 
0000054036 00000 n 
0000054164 00000 n 
0000054201 00000 n 
0000054329 00000 n 
0000054366 00000 n 
0000054469 00000 n 
0000078996 00000 n 
0000079113 00000 n 
0000079243 00000 n 
0000079280 00000 n 
0000079410 00000 n 
0000079447 00000 n 
0000079577 00000 n 
0000079614 00000 n 
0000079681 00000 n 
0000122703 00000 n 
0000122770 00000 n 
0000191370 00000 n 
0000191437 00000 n 
0000217311 00000 n 
0000217378 00000 n 
0000269820 00000 n 
0000270787 00000 n 
0000312348 00000 n 
0000312478 00000 n 
0000312515 00000 n 
0000312645 00000 n 
0000312682 00000 n 
0000312812 00000 n 
0000312849 00000 n 
0000312979 00000 n 
0000313016 00000 n 
0000313144 00000 n 
0000313181 00000 n 
0000313311 00000 n 
0000313348 00000 n 
0000313477 00000 n 
0000313514 00000 n 
0000313644 00000 n 
0000313681 00000 n 
0000313811 00000 n 
0000313848 00000 n 
0000313976 00000 n 
0000314013 00000 n 
0000314141 00000 n 
0000314178 00000 n 
0000314308 00000 n 
0000314345 00000 n 
0000314475 00000 n 
0000314512 00000 n 
0000314642 00000 n 
0000314794 00000 n 
0000314922 00000 n 
0000315074 00000 n 
0000315204 00000 n 
0000315241 00000 n 
0000315369 00000 n 
0000315406 00000 n 
0000315534 00000 n 
0000315571 00000 n 
0000315699 00000 n 
0000315736 00000 n 
0000315864 00000 n 
0000315901 00000 n 
0000316029 00000 n 
0000316066 00000 n 
0000316196 00000 n 
0000316233 00000 n 
0000316363 00000 n 
0000316400 00000 n 
0000316530 00000 n 
0000316567 00000 n 
0000316697 00000 n 
0000316734 00000 n 
0000316864 00000 n 
0000316901 00000 n 
0000317031 00000 n 
0000317068 00000 n 
0000317198 00000 n 
0000317235 00000 n 
0000317365 00000 n 
0000317402 00000 n 
0000317532 00000 n 
0000317569 00000 n 
0000317699 00000 n 
0000317736 00000 n 
0000317866 00000 n 
0000317903 00000 n 
0000318033 00000 n 
0000318070 00000 n 
0000318198 00000 n 
0000318235 00000 n 
0000318363 00000 n 
0000318400 00000 n 
0000318528 00000 n 
0000318565 00000 n 
0000318693 00000 n 
0000318730 00000 n 
0000318860 00000 n 
0000318897 00000 n 
0000319027 00000 n 
0000319064 00000 n 
0000319194 00000 n 
0000319231 00000 n 
0000319361 00000 n 
0000319398 00000 n 
0000319526 00000 n 
0000319563 00000 n 
0000319693 00000 n 
0000319730 00000 n 
0000319859 00000 n 
0000319896 00000 n 
0000320026 00000 n 
0000320063 00000 n 
0000320193 00000 n 
0000320230 00000 n 
0000320358 00000 n 
0000320395 00000 n 
0000320523 00000 n 
0000320560 00000 n 
0000320690 00000 n 
0000320727 00000 n 
0000320857 00000 n 
0000320894 00000 n 
0000321024 00000 n 
0000321176 00000 n 
0000321304 00000 n 
0000321456 00000 n 
0000321586 00000 n 
0000321623 00000 n 
0000321751 00000 n 
0000321788 00000 n 
0000321916 00000 n 
0000321953 00000 n 
0000322081 00000 n 
0000322118 00000 n 
0000322246 00000 n 
0000322283 00000 n 
0000322411 00000 n 
0000322448 00000 n 
0000322578 00000 n 
0000322615 00000 n 
0000322745 00000 n 
0000322782 00000 n 
0000322912 00000 n 
0000322949 00000 n 
0000323079 00000 n 
0000323116 00000 n 
0000323246 00000 n 
0000323283 00000 n 
0000323413 00000 n 
0000323450 00000 n 
0000323580 00000 n 
0000323617 00000 n 
0000323747 00000 n 
0000323784 00000 n 
0000323914 00000 n 
0000323951 00000 n 
0000324081 00000 n 
0000324118 00000 n 
0000324248 00000 n 
0000324285 00000 n 
0000324415 00000 n 
0000324452 00000 n 
0000324580 00000 n 
0000324617 00000 n 
0000324745 00000 n 
0000324782 00000 n 
0000324910 00000 n 
0000324947 00000 n 
0000325075 00000 n 
0000325112 00000 n 
0000325242 00000 n 
0000325279 00000 n 
0000325409 00000 n 
0000325446 00000 n 
0000325576 00000 n 
0000325613 00000 n 
0000325743 00000 n 
0000325780 00000 n 
0000325908 00000 n 
0000325945 00000 n 
0000326075 00000 n 
0000326112 00000 n 
0000326241 00000 n 
0000326278 00000 n 
0000326408 00000 n 
0000326445 00000 n 
0000326575 00000 n 
0000326612 00000 n 
0000326740 00000 n 
0000326777 00000 n 
0000326905 00000 n 
0000326942 00000 n 
0000327072 00000 n 
0000327109 00000 n 
0000327239 00000 n 
0000327276 00000 n 
0000327406 00000 n 
0000327558 00000 n 
0000327686 00000 n 
0000327838 00000 n 
0000327968 00000 n 
0000328005 00000 n 
0000328133 00000 n 
0000328170 00000 n 
0000328298 00000 n 
0000328335 00000 n 
0000328463 00000 n 
0000328500 00000 n 
0000328628 00000 n 
0000328665 00000 n 
0000328793 00000 n 
0000328830 00000 n 
0000328960 00000 n 
0000328997 00000 n 
0000329127 00000 n 
0000329164 00000 n 
0000329294 00000 n 
0000329331 00000 n 
0000329461 00000 n 
0000329498 00000 n 
0000329628 00000 n 
0000329665 00000 n 
0000329795 00000 n 
0000329832 00000 n 
0000329962 00000 n 
0000329999 00000 n 
0000330129 00000 n 
0000330166 00000 n 
0000330296 00000 n 
0000330333 00000 n 
0000330463 00000 n 
0000330500 00000 n 
0000330630 00000 n 
0000330667 00000 n 
0000330797 00000 n 
0000330834 00000 n 
0000330962 00000 n 
0000330999 00000 n 
0000331127 00000 n 
0000331164 00000 n 
0000331292 00000 n 
0000331329 00000 n 
0000331457 00000 n 
0000331494 00000 n 
0000331669 00000 n 
0000355647 00000 n 
0000355777 00000 n 
0000355814 00000 n 
0000355944 00000 n 
0000355981 00000 n 
0000356111 00000 n 
0000356148 00000 n 
0000356278 00000 n 
0000356315 00000 n 
0000356445 00000 n 
0000356482 00000 n 
0000356612 00000 n 
0000356649 00000 n 
0000356779 00000 n 
0000356816 00000 n 
0000356946 00000 n 
0000356983 00000 n 
0000357113 00000 n 
0000357150 00000 n 
0000357280 00000 n 
0000357317 00000 n 
0000357447 00000 n 
0000357484 00000 n 
0000357614 00000 n 
0000357651 00000 n 
0000357718 00000 n 
0000379842 00000 n 
0000379909 00000 n 
trailer
<<
/Size 429
/Root 1 0 R
/Info 5 0 R
>>
startxref
389481
%%EOF