{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T01:12:50Z","timestamp":1783905170203,"version":"3.55.0"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"abstract":"<jats:p>\n                    Immunization is a key public health strategy for preventing vaccine-preventable diseases; however, vaccine hesitancy remains a persistent challenge. This study determined the level of vaccine hesitancy among mothers of non- and under-immunized children aged 0\u201324 months in a third-class municipality in Occidental Mindoro, Philippines. A community-based cross-sectional study was conducted in Magsaysay, Occidental Mindoro, from February to July 2020. A total of 299 mothers participated. Data were collected using a structured questionnaire assessing vaccine hesitancy across the domains of confidence and trust, complacency, and perceived risk. Descriptive statistics summarized participant characteristics and hesitancy levels, while nonparametric tests examined associations between sociodemographic factors and vaccine hesitancy domains at a significance level of\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .05. Results showed that work status was significantly associated with perceived confidence and trust (\n                    <jats:italic toggle=\"yes\">U<\/jats:italic>\n                    = 5408.50,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .03) and perceived complacency and risk (\n                    <jats:italic toggle=\"yes\">U<\/jats:italic>\n                    = 5122.00,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01), with stay-at-home mothers reporting higher ranks in both domains. Marital status was significantly associated with perceived confidence and trust,\n                    <jats:italic toggle=\"yes\">H<\/jats:italic>\n                    (3) = 25.07,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01. Geographic location,\n                    <jats:italic toggle=\"yes\">H<\/jats:italic>\n                    (2) = 24.61,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01, prenatal visit history,\n                    <jats:italic toggle=\"yes\">H<\/jats:italic>\n                    (2) = 17.20,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01, and health information sources were also significantly associated with perceived confidence and trust,\n                    <jats:italic toggle=\"yes\">H<\/jats:italic>\n                    (5) = 19.04,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01, and perceived complacency and risk,\n                    <jats:italic toggle=\"yes\">H<\/jats:italic>\n                    (5) = 32.50,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .01. These findings highlight the importance of targeted health communication strategies that address determinants of vaccine hesitancy. Engaging health care providers and leveraging trusted information sources may strengthen vaccine confidence and improve routine childhood immunization uptake.\n                  <\/jats:p>","DOI":"10.1177\/15248399261463540","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:31:10Z","timestamp":1783593070000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Parental Vaccine Hesitancy Toward Childhood Immunization: A Cross-Sectional Study in a Third-Class Municipality in the Philippines"],"prefix":"10.1177","author":[{"given":"Indah Amina An-Nur S.","family":"Ulay","sequence":"first","affiliation":[{"name":"Rural Health Unit\u2013Local Government Unit of Magsaysay, Occidental Mindoro, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherry May L.","family":"Delos Trinos","sequence":"additional","affiliation":[{"name":"Department of Health-Center for Health Development MIMAROPA, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chona D.","family":"Alejandro","sequence":"additional","affiliation":[{"name":"Department of Health-Center for Health Development MIMAROPA, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan B.","family":"Villarin","sequence":"additional","affiliation":[{"name":"Rural Health Unit\u2013Local Government Unit of Magsaysay, Occidental Mindoro, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leona F.","family":"Villas","sequence":"additional","affiliation":[{"name":"Occidental Mindoro State University, Occidental Mindoro, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9670-4269","authenticated-orcid":false,"suffix":"Jr.","given":"Artemio M.","family":"Gonzales","sequence":"additional","affiliation":[{"name":"Occidental Mindoro State University, Occidental Mindoro, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Acacio-Claro P. 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