Table 4 Results of multivariable multinomial logistic regression analysis: determinants of pneumococcal vaccine uptake and hesitancy (expressed as delay vs. refusal) among respondents who answered on their children’s behalf (n = 1064)

Parent’s gender

 Male

74.5%

Ref.

16.1%

Ref.

9.4%

Ref.

 Female†

76.9%

2.4

−2.2, 7.1

12.1%

−4.0

−8.3, 0.2

11.0%

1.6

−1.3, 4.6

Parent’s age group, y

 18–34

76.4%

Ref.

14.6%

Ref.

9.0%

Ref.

 35–44

77.2%

0.8

−4.6, 6.2

13.4%

−1.2

−6.0, 3.7

9.4%

0.4

−3.2, 4.0

 45–64

72.0%

−4.4

−11.2, 2.3

14.4%

−0.2

−6.2, 5.8

13.6%

4.7

−0.1, 9.4

NUTS statistical region

 Northwestern Italy

74.9%

Ref.

13.9%

Ref.

11.3%

Ref.

 Northeastern Italy

80.2%

5.3

−1.3, 12.0

11.8%

−2.1

−8.1, 4.0

8.0%

−3.2

−7.6, 1.1

 Central Italy

74.8%

−0.1

−6.4, 6.2

14.8%

1.0

−4.7, 6.7

10.4%

−0.9

−5.2, 3.4

 Southern Italy

75.6%

0.7

−5.4, 6.8

14.1%

0.2

−5.3, 5.7

10.3%

−0.9

−5.1, 3.3

 Insular Italy

74.0%

−0.9

−8.7, 6.9

14.7%

0.9

−6.2, 7.9

11.3%

0.0

−5.3, 5.3

Degree of urbanization‡

 City

74.3%

Ref.

14.3%

Ref.

11.4%

Ref.

 Town or suburb

75.7%

1.4

−3.4, 6.2

14.7%

0.4

−4.0, 4.8

9.5%

−1.8

−5.1, 1.4

 Rural area

79.9%

5.6

−0.7, 11.9

10.3%

−4.0

−9.6, 1.5

9.8%

−1.5

−5.9, 2.8

Parent’s educational attainment

 Post-graduate/Doctorate degree

74.8%

Ref.

16.0%

Ref.

9.2%

Ref.

 Academic degree

69.6%

−5.2

−13.4, 3.0

17.1%

1.1

−6.4, 8.6

13.4%

4.1

−1.4, 9.6

 High school diploma

77.7%

2.9

−4.6, 10.5

12.8%

−3.2

−10.2, 3.8

9.5%

0.3

− 4.5, 5.1

 Less than high school diploma

83.8%

9.1

−0.4, 18.5

7.9%

−8.1

−16.5, 0.3

8.3%

−1.0

−7.4, 5.5

Child’s gender

 Male

75.1%

Ref.

14.3%

Ref.

10.6%

Ref.

 Female

76.7%

1.6

−2.8, 6.0

13.4%

−0.9

−4.9, 3.1

9.9%

−0.7

−3.7, 2.2

Child’s age group

 9 wk. to 3 y

76.7%

Ref.

13.8%

Ref.

9.5%

Ref.

 4 to 5 y

74.7%

−2.0

−7.5, 3.5

13.7%

−0.2

−5.1, 4.8

11.6%

2.2

−1.6, 5.9

 6 to 8 y

75.5%

−1.1

−6.4, 4.2

14.3%

0.5

−4.4, 5.3

10.1%

0.7

−2.8, 4.2

Worry about pneumococcal pneumonia

 Very worried

79.7%

Ref.

11.9%

Ref.

8.4%

Ref.

 Quite worried

77.0%

−2.7

−10.7, 5.2

16.7%

4.8

−2.4, 12.0

6.3%

−2.1

−7.9, 3.8

 A little worried

73.2%

−6.6

−14.4, 1.3

14.3%

2.4

−4.6, 9.5

12.5%

4.1

−1.8, 10.0

 Not worried

80.9%

1.2

−7.8, 10.1

6.9%

−5.0

−12.6, 2.6

12.2%

3.9

−3.2, 10.9

Perception of vaccine safety for the child

 Very safe

87.2%

Ref.

11.5%

Ref.

1.2%

Ref.

 Quite safe

77.5%

−9.7*

−15.2, −4.1

16.0%

4.5

−0.8, 9.8

6.4%

5.2*

2.6, 7.8

 Quite/Very unsafe

52.0%

−35.2*

−46.6, −23.9

12.2%

0.7

−7.5, 8.9

35.8%

34.5*

24.6, 44.4

Dear ones’ views on vaccination in general

 Very favorable

74.4%

Ref.

17.5%

Ref.

8.1%

Ref.

 Favorable

74.6%

0.2

−6.6, 6.9

16.4%

−1.1

−7.5, 5.3

9.0%

0.9

−4.1, 5.9

 Quite favorable

79.3%

4.8

−1.7, 11.4

10.2%

−7.3*

−13.4, − 1.3

10.6%

2.5

−2.4, 7.4

 Quite unfavorable

73.6%

−0.9

−10.8, 9.1

16.4%

−1.1

−10.5, 8.4

10.0%

1.9

−4.2, 8.1

 Unfavorable/Very unfavorable

75.2%

0.7

−10.8, 12.3

10.2%

−7.3

−17.5, 2.9

14.6%

6.6

−1.3, 14.4

Awareness that the child has priority for vaccination

 Yes

86.3%

Ref.

8.6%

Ref.

5.1%

Ref.

 No

53.4%

−32.9*

−45.0, −20.9

25.9%

17.3*

6.4, 28.2

20.7%

15.6*

7.7, 23.5

 Don’t know

57.6%

−28.7*

−34.9, −22.5

26.1%

17.5*

11.9, 23.2

16.3%

11.2*

7.2, 15.2

Perceived ease of access for the child to get the vaccine

 Very easy

79.7%

Ref.

11.0%

Ref.

9.3%

Ref.

 Quite easy

76.2%

−3.5

−9.7, 2.7

12.8%

1.8

−3.7, 7.3

11.0%

1.7

−2.9, 6.4

 Quite/Very difficult

68.8%

−10.9*

−19.9, −1.9

22.1%

11.1*

2.5, 19.6

9.1%

−0.2

−5.4, 5.0