HomeJournal of Interdisciplinary Perspectivesvol. 4 no. 5 (2026)

Factors Contributing to Parental Vaccine Hesitancy in Selected Barangays of San Pablo City, Laguna

Leanne Mae P. Ladub | Juliana Clarisse G. Ison | Antonio D. Lumayno Jr | Francine Josh C. Pielago | Marc Lester F. Quintana | Girlie Mannphy A. Lacambra

Discipline: Environmental and Public Health

 

Abstract:

Vaccine hesitancy remains a major public health concern that limits vaccination uptake, yet limited studies have examined how information sources influence parental decisions at the barangay level. This study aimed to determine the factors associated with vaccine hesitancy among parents in selected barangays in San Pablo City, Laguna. A descriptive-correlational design was used, involving parents of children aged 0 to 18 selected through stratified random sampling. Data were collected using a validated adapted questionnaire and analyzed using mean, standard deviation, and chi-square test. Results showed that social media was the primary source of vaccine-related information influencing parents’ decisions. Parents reported moderate concerns about vaccine side effects and negative information. A significant association was found between the primary source of information and parental vaccine concerns (p = .010), while other variables showed no significant relationships. These findings suggest that information source plays a limited but important role in shaping vaccine hesitancy. The study highlights the need for targeted and reliable health communication strategies to address misinformation and improve vaccine acceptance among parents.



References:

  1. Betsch, C., Wieler, L., & Habersaat, K. (2020). Monitoring behavioural insights related to COVID-19. The Lancet, 395(10232), 1255–1256. https://doi.org/10.1016/s0140-6736(20)30729-7
  2. Casiño, J., & Walag, A.M. (2022). Issues and challenges of, factors that affect, and the primary influences of parents’ decisions to vaccinate their adolescents: A case of a local national high school in Cagayan de Oro City, Philippines. Canadian Journal of Family and Youth / Le Journal Canadien De Famille Et De La Jeunesse, 14(1), 147–161. https://doi.org/10.29173/cjfy29752
  3. Domai, F., Agrupis, K.A., Han, S.M., Sayo, A.R., Ramirez, J., Nepomuceno, R., Suzuki, S., Villanueva, A.M., Salva, E., Villarama, J.B., Ariyoshi, K., Mulholland, K., Palla, L., Takahashi, K.,
  4. Smith, C., & Miranda, E. (2021). Measles outbreak in the Philippines: Epidemiological and clinical characteristics of hospitalized children, 2016-2019. The Lancet Regional Health - Western Pacific, 19, 100334. https://doi.org/10.1016/j.lanwpc.2021.100334
  5. Devi, B., Lepcha, N., Basnet, S., et al. (2022). Application of correlational research design in nursing and medical research. Journal of Xi'an Shiyou University, Natural Sciences Edition, 65(11). https://tinyurl.com/y5ezrchu
  6. Farajzadeh, N., Hosseini, H., Keshvari, M., & Maracy, M. (2023). A cross-sectional study on the reasons for vaccine hesitancy in children under seven years of age in Isfahan, Iran. Vaccine X, 15, 100396. https://doi.org/10.1016/j.jvacx.2023.100396
  7. Faye, S.L.B., & Lugand, M.M. (2021). Participatory research for the development of information, education and communication tools to promote intermittent preventive treatment of malaria in pregnancy in the Democratic Republic of the Congo, Nigeria and Mozambique. Malaria Journal, 20(1). https://doi.org/10.1186/s12936-021-03765-4
  8. Ghanad, A. (2023). An overview of quantitative research methods. International Journal of Multidisciplinary Research and Analysis, 06(08). https://doi.org/10.47191/ijmra/v6-i8-52
  9. Hyland-Wood, B., Gardner, J., Leask, J., & Ecker, U. (2021). Toward effective government communication strategies in the era of COVID-19. Humanities and Social Sciences Communications, 8(1). https://doi.org/10.1057/s41599-020-00701-w
  10. Jing-Shan, D., Chen-Qian, Y., Xiao-Qing, L., Chun-Lian, H., Mei-Xian, Z., Tao-Hsin, T., & Jian-Sheng, Z. (2023). Impact of household decision makers’ hesitancy to vaccinate children against COVID-19 on other household members: A family-based study in Taizhou, China. Science Direct. https://doi.org/10.1016/j.ssmph.2023.101517
  11. Kumar, S., Shah, Z., & Garfield, S. (2022). Causes of vaccine hesitancy in adults for the influenza and COVID-19 vaccines: A systematic literature review. Vaccines, 10(9), 1518. https://doi.org/10.3390/vaccines10091518
  12. Kiani, B., Sartorius, B., Martin, B.M., Restrepo, A., Mayfield, H., Paulino, C.T., Jarolim, P., De St Aubin, M., Ramm, R., Dumas, D., Garnier, S., Etienne, M.C., Peña, F., Abdalla, G.,
  13. Kucharski, A., Duke, W., Baldwin, M., Henríquez, B., De La Cruz, L., . . . Lau, C. (2025). Spatial multilevel analysis of individual, household, and community factors associated with COVID-19 vaccine hesitancy in the Dominican Republic. Scientific Reports, 15(1), 11203. https://doi.org/10.1038/s41598-025-94653-3
  14. Lane, J., Palacio, A., Chen, L.E., McCarter, D., Tamariz, L., Chen, C.J., Jr., & Ghany, R. (2022). Access to health care improves COVID-19 vaccination and mitigates health disparities among medicare beneficiaries. Journal of Racial and Ethnic Health Disparities, 10(4), 1569–1575. https://doi.org/10.1007/s40615-022-01343-1
  15. Landicho-Guevarra, J., Reñosa, M.D., Wachinger, J., Endoma, V., Aligato, M., Bravo, T.A., Landicho, J., Bärnighausen, K., & McMahon, S. (2021). Scared, powerless, insulted and embarrassed: Hesitancy towards vaccines among caregivers in Cavite Province, the Philippines. BMJ Global Health, 6(9), e006529. https://doi.org/10.1136/bmjgh-2021006529
  16. Larson, H. (2022). Defining and measuring vaccine hesitancy. Nature Human Behaviour, 6(12), 1609–1610. https://doi.org/10.1038/s41562-022-01484-7
  17. Maru, D. (2023). Confidence in childhood vaccines fell 25 pct in Philippines during pandemic - UNICEF. ABS-CBN News. https://tinyurl.com/3d74wnhn
  18. Migriño, J., Jr., Gayados, B., Birol, K.R.J., De Jesus, L., Lopez, C.W., Mercado, W.C., Tolosa, J.-M.C., Torreda, J., & Tulagan, G. (2020). Factors affecting vaccine hesitancy among families with children 2 years old and younger in two urban communities in Manila, Philippines. Western Pacific Surveillance Response Journal, 11(2), 20–26. https://doi.org/10.5365/wpsar.2019.10.2.006
  19. Muizelaar, J., & Bos, M. (2024). Infographics as a tool to improve pregnancy vaccination leaflets. European Journal of Health Communication, 5(3), 33–58. https://doi.org/10.47368/ejhc.2024.303
  20. Murthy, V. (2021). Confronting health misinformation: The U.S. Surgeon General’s advisory on building a healthy information environment. https://tinyurl.com/bdfmkpds
  21. Nurmi, J., & Jaakola, J. (2023). Losing trust: Processes of vaccine hesitancy in parents’ narratives. Social Science & Medicine, 331, 116064. https://doi.org/10.1016/j.socscimed.2023.116064
  22. Ombay, G. (2023). PH’s measles cases spiked by 299% this year — DOH. GMA News Online. https://tinyurl.com/4pvmcxk6
  23. Paris, J. (2019). PH declares polio outbreak as disease returns after 19 years. RAPPLER. https://tinyurl.com/24h72vjm
  24. Patelarou, E., Galanis, P., Mechili, E., Argyriadi, A., Argyriadis, A., Asimakopoulou, E., Brokaj, S., Bucaj, J., Carmona-Torres, J.M., Cobo-Cuenca, A.I., Doležel, J., Finotto, S., Jarošová, D., Kalokairinou, A., Mecugni, D., Pulomenaj, V., Saliaj, A., Sopjani, I., Zahaj, M., & Patelarou, A. (2021). Factors influencing nursing students’ intention to accept COVID-19 vaccination: A pooled analysis of seven European countries. Nurse Education Today, 104, 105010. https://doi.org/10.1016/j.nedt.2021.105010
  25. Pattnaik, S., Murmu, J., Agrawal, R., Rehman, T., Kanungo, S., & Pati, S. (2023). Prevalence, pattern and determinants of disabilities in India: Insights from NFHS-5 (2019–21). Frontiers in Public Health, 11, 1036499. https://doi.org/10.3389/fpubh.2023.1036499
  26. Pereira, M., Aleluia, I.R., de Castro, C.T., de Almeida Oliveira, T., Cunha, M.S., Magno, L., Dourado, I., Barreto, F., Natividade, M., Appiah, S.C.Y., Abade, E., Paixao, E., & de Souza, M.L. (2024). COVID-19 vaccine acceptance and hesitancy among people living with HIV: Review and meta-analysis. AIDS and Behavior, 28(7), 2193–2204. https://doi.org/10.1007/s10461-024-04351-w
  27. Reyes, M.S.G., Dee, E.C., & Ho, B.L. (2020). Vaccination in the Philippines: Experiences from history and lessons for the future. Human Vaccines & Immunotherapeutics, 17(6), 1873–1876. https://doi.org/10.1080/21645515.2020.1841541
  28. Rozek, L., Jones, P., Menon, A., Hicken, A., Apsley, S., & King, E. (2021). Understanding vaccine hesitancy in the context of COVID-19: The role of trust and confidence in a seventeen- country survey. International Journal of Public Health, 66, 636255. https://doi.org/10.3389/ijph.2021.636255
  29. Singh, P., Dhalaria, P., Kashyap, S., Soni, G.K., Nandi, P., Ghosh, S., Mohapatra, M.K., Rastogi, A., & Prakash, D. (2022). Strategies to overcome vaccine hesitancy: A systematic review. Systematic Reviews, 11(1). https://doi.org/10.1186/s13643-022-01941-4
  30. Skafle, I., Nordahl-Hansen, A., Quintana, D., Wynn, R., & Gabarron, E. (2022). Misinformation about COVID-19 vaccines on social media: Rapid review. Journal of Medical Internet Research, 24(8), e37367. https://doi.org/10.2196/37367
  31. Smith, S., Sivertsen, N., Lines, L., & De Bellis, A. (2022). Decision making in vaccine hesitant parents and pregnant women – An integrative review. International Journal of Nursing Studies Advances, 4, 100062. https://doi.org/10.1016/j.ijnsa.2022.100062
  32. UNICEF Philippines. (2023). New data indicates declining confidence in childhood vaccines of up to 25 percentage points in the Philippines during the COVID-19 pandemic. https://tinyurl.com/4m8h9ykx
  33. Voo, J.Y.H., Lean, Q.Y., Ming, L.C., Md. Hanafiah, N.H., Al-Worafi, Y.M., & Ibrahim, B. (2021). Vaccine knowledge, awareness and hesitancy: A cross sectional survey among parents residing at Sandakan District, Sabah. Vaccines, 9(11), 1348. https://doi.org/10.3390/vaccines9111348
  34. World Health Organization. (2024). 50th anniversary of the Expanded Programme on Immunization (EPI). https://tinyurl.com/y6eydujf