Abstract

Objective: To validate a Romanian version of the Vaccination Attitudes Examination (VAX) Scale and determine its psychometric properties in Romanian people. Methods: A cross-sectional survey was conducted in different social categories. The sample consists of 124 (30.6%) males, 259 (64.0%) females, 22 (5.4%) not specified gender with ages ranging from 16 to 62 years. Data were collected on the Romanian version of the Vaccination Attitudes Examination (VAX) Scale, the Attitudes Toward Vaccination Questionnaire, the General Health Perception Scale and the Perceived Sensitivity to Medicines Scale. Results: Scale's reliability analysis revealed an overall Cronbach’s alpha of a 0.82 showing good internal consistency. The Spearman correlation between the VAX scale's total score and the Attitudes Toward Vaccination Questionnaire, indicate good levels of convergent validity. Confirmatory Analysis revealed a good fit. Conclusion: The validated Romanian version of the Vaccination Attitudes Examination (VAX) Scale is a valid and reliable measure in detecting the vaccine-hesitant Romanian people.

Highlights

  • Attitude towards immunization vaccines is a widely debated issue among the population

  • People with age 16-30 year old indicate the higher score to Vaccination Attitudes Examination (VAX) scale toward people with age 31-45 and 46-62 year old

  • The aim of the present study was to test the psychometric properties of the Romanian version of the Vaccination Attitudes Examination (VAX) Scale in a sample of different social categories on Romanian people

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Summary

Introduction

Attitude towards immunization vaccines is a widely debated issue among the population. In this study we propose a measure of attitudes to vaccines appropriate to the all social categories of general population. Developed by McRee et al [11] in 2010, the Carolina HPV Immunization Attitudes and Beliefs Scale (CHIAS) assesed parental attitudes and beliefs toward daughters’ HPV vaccination. In 2012, Chow et al have developed a questionnaire that describes Australian parent’s, attitudes, behaviours and concerns about vaccination. An evaluation of attitude toward vaccines among healthcare workers was made in Italy in 2016-2017 [4]. Many of these measures are specific to the certain age groups and address parental attitudes. All four factors cover an extensive area of anti-vaccination attitudes and give the VAX

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