Methodological report
Prepared for Health Canada
Contract Number: CW2351226
Supplier: Leger
Contract value: $38,489.10 (Including applicable taxes)
Contract award date: 2024-02-22
Delivery date: 2024-07-17
Registration number: POR 136-23
For more information on this report, please contact Health Canada at: hc.cpab.por-rop.dgcap.sc@canada.ca
Ce rapport est également disponible en français.
This report presents the methodology of an online survey conducted by Leger on behalf of Health Canada. The objective of the survey was to collect information on routine childhood immunization including flu, COVID-19 immunization, intention to get vaccinated and reasons not to, and attitudes and beliefs towards immunization. Data collection was conducted between March 28 and April 25, 2024.
Cette publication est aussi disponible en français sous le titre : Enquête sur la couverture vaccinale des enfants dans les populations clés (ECVEPC) : Travailleurs de la santé - 2024.
This publication may be reproduced for non commercial purposes only. Prior written permission must be obtained from Health Canada. For more information on this report, please contact: hc.cpab.por-rop.dgcap.sc@canada.ca.
Catalogue Number: H14-454/1-2024E-PDF
International Standard Book Number (ISBN): 978-0-660-72905-3
Related publications (registration number: POR 136-23):
Catalogue Number: H14-454/1-2024F-PDF (Final Report, French)
ISBN: 978-0-660-72906-0
©His Majesty the King in Right of Canada, as represented by the Minister of Health, 2024.
Leger is pleased to submit this report to Health Canada detailing the methodology of an online survey assessing immunization coverage and attitudes and beliefs of healthcare worker parents towards child vaccination.
Surveillance data suggests that vaccine coverage is uneven across Canada. Furthermore, results from existing surveillance tools suggest that certain key at-risk populations are under-surveyed. The childhood National Immunization Coverage survey (cNICS) is a general population survey that measures routine childhood immunization coverage among children aged 2, 7, 14 and 17 years and COVID-19 vaccine uptake in children ages 14 and 17 years, as well as parental knowledge, attitudes and beliefs about vaccination. This surveillance tool provides critical information about childhood immunization in Canada, though is limited in that it was not designed to sample from all child age ranges or from key at-risk populations.
Consequently, this results in insufficient data regarding routine childhood immunization status and COVID-19 vaccine coverage, and knowledge, attitudes and behaviors towards vaccination within these specific groups. In turn, this hinders core immunization functions including COVID-19 vaccine and routine childhood immunization surveillance, vaccine confidence, available data, policy, public health guidance, and knowledge mobilization activities.
In addition, the COVID-19 pandemic yielded a large shift in Canadians' knowledge, attitudes, and beliefs towards vaccinations. For certain populations, such as Indigenous peoples, recent evidence points that there has been a high prevalence of vaccine hesitancy and refusal for COVID-19 vaccines. Monitoring of parental attitudes is essential to predict expected vaccine uptake and to guide education and awareness efforts to promote vaccination among children issued from these specific populations.
Surveillance tools are needed to address data coverage gaps identified for these sub-populations and to inform public health vaccination programs and initiatives. In the effort of addressing vaccine coverage data gaps relating to at-risk populations, the Public Health Agency of Canada (PHAC) sought third party support to implement the cycle 2 of the surveillance initiative, the Childhood Immunization Coverage Survey in Key Populations (KPCICS) in Canada.
Results will be used by PHAC to provide timely, trusted, and evidence-based information for Canadians to take action on their children and collective health and safety regarding COVID-19 risk and other vaccine-preventable diseases. The surveillance project findings will also support equity in vaccine coverage by identifying determinants associated with low vaccine uptake or vaccine hesitancy in identified at-risk populations, including health care workers. Additional information collected from this population regarding their knowledge, attitudes, and beliefs, experiences, and barriers to vaccination will inform policy development and guide public education and awareness efforts.
The core objective of this survey is to maintain a surveillance tool that provides up-to-date vaccine coverage data (e.g., on measles, diphtheria, tetanus, pertussis, polio, COVID-19) specific to the children of health care workers. The survey will assess parent/guardian/other Person most knowledgeable (PMK)'s (e.g., child's step-parent, adoptive parent, foster parent, sister or brother, grandparent or relative caring for and responsible for health decisions for the child) opinions and views on their child's immunization uptake, as well as vaccine hesitancy and vaccine refusal. This survey will also investigate the reasons for vaccine hesitancy among these populations and the impact this has on childhood immunization.
The second objective is to continue to monitor the effects of the COVID-19 pandemic (and any new possible waves of COVID-19) on concurrent childhood immunizations to determine priorities for vaccine-preventable diseases, with the aim of identifying whether catch-up routine immunization campaigns are required.
The surveillance project aims to collect information on:
Quantitative research was conducted through online surveys using Computer Aided Web Interviewing (CAWI) technology between March 28 and April 25, 2024, with a total sample of 405 healthcare workers who are parents of children aged 17 and under.
While the LEO panel is meant to be representative of the Canadian population, it is not probabilistic; the results cannot be inferred to the healthcare worker parents population of Canada nor their children, as respondents are selected among those who have volunteered to participate/registered to participate in online surveys The sampling method used does not ensure that the sample represents the target population with a known margin of sampling error.
The total contract value for the project was $38,489.10 including applicable taxes.
I hereby certify, as Executive VP of Leger, that the deliverables are in full compliance with the neutrality requirements of the Policy on Communications and Federal Identity and the Directive on the Management of Communications—Appendix C (Appendix C: Mandatory Procedures for Public Opinion Research).
Specifically, the deliverables do not include information on electoral voting intentions, political party preferences, party positions, or the assessment of the performance of a political party or its leaders.
Signed by:
Christian Bourque
Executive Vice President and Associate
Leger
507 Place d'Armes, Suite 700
Montréal, Quebec
H2Y 2W8
Leger owns and operates an Internet panel of more than 400,000 Canadians from coast to coast. An Internet panel is made up of Web users profiled on different sociodemographic variables. The majority of Leger's panel members (61%) have been recruited randomly over the phone over the past decade through random digit dialing (RDD) methods, making it highly similar to the actual Canadian population on many demographic characteristics.
While the LEO panel is meant to be reflective of the Canadian population, it is not probabilistic; the results cannot be inferred to the general population of Canada as respondents are selected among those who have volunteered to participate/registered to participate in online surveys.
The questions for this survey were designed by the Public Health Agency of Canada and supplied to Leger in both English and French. Leger reviewed the French survey translations. The questionnaire contained core questions about routine childhood and COVID-19 immunizations, including vaccination status, barriers to vaccination, knowledge attitudes and beliefs related to vaccination, demographics, and questions about general health. In this iteration of the KPCICS, flu questions were separated out from routine Childhood vaccines.
The Government of Canada's standards for pre-testing were adhered to. The pretest was conducted in both English and French. The pretest was conducted between March 25 and 28, 2024. This led to 29 completed online surveys (13 French, and 16 English). After the pretest, minor wording changes were made to the questions, and minor corrections were made to the programming. For instance, the back button on the survey, which enables respondents to go back and change their answers, was removed as it created glitches in the questionnaire flow. Furthermore, some changes to skip logics were put in place to improve the survey flow (e.g., respondents who answered "I prefer not to answer" at C3c were excluded from answering C8). Responses that were not affected were included in the final results. A total sample of 405 healthcare workers who are parents of children aged 17 and under were surveyed. The questionnaire is presented in Appendix B.
Among those completing the survey online, the median survey length was 10 minutes while the average survey length was 12 minutes.
The target audience for the survey was health care workers in Canada who are parents/guardians/ PMK (e.g., child's stepparent, adoptive parent, foster parent, sister or brother, grandparent or relative caring for and responsible for health decisions for the child) for a child(ren) aged 17 years or younger living across the country. The minimum targeted number of completed surveys was 405 Canadian HCW parents. Questions within the survey further filtered out responses from anyone under the age of 18 years (S1) and responses for anyone who is not the parent/legal guardian of a child(ren) under the age of 18 (S2) and not being HCW. A total of 405 responses were obtained. The national participation rate for the survey was around 15%. Calculation of the Web survey's participation rate is presented in Appendix A.
A portion of the sample (371 respondents out of 405) comes from the portion of the LEO panel that was recruited using random digit dialing (RDD) methods. Although the sample containing 34 respondents was recruited using non-probabilistic methods, only the RDD-recruited panel sample has been considered in the analyses to enhance data validity and facilitate data interpretation.
A total sample of 405 healthcare workers who are parents of children aged 17 and under were surveyed. The following table shows the effective samples collected:
| Regions | Total sample n | Probability sample n | Non-probability sample n |
|---|---|---|---|
| Atlantic (New Brunswick + Nova Scotia + Newfoundland and Labrador + Prince Edward Island) | 38 | 35 | 3 |
| Quebec | 91 | 85 | 6 |
| Ontario | 120 | 109 | 11 |
| Saskatchewan + Manitoba | 30 | 27 | 3 |
| Alberta | 48 | 42 | 6 |
| British Columbia + Territories | 78 | 73 | 5 |
| TOTAL | 405 | 371 | 34 |
The margins of sampling error cannot be calculated for surveys using non-probabilistic sampling.
Based on data from Statistics Canada's 2021 national census, Leger weighted the results of this survey by age and sex at birth of selected child, and HCW parent's education level, gender, age and region.
The demographic profile derived from Statistics Canada is applied to the entire administrative database via statistical method for weighting. The administrative database includes all participants who attempted to complete the study, including those who are not eligible, as well as incomplete records. This process helps adjust all data in the administrative database to mirror the demographic structure of the general population.
Once the weights are applied to the administrative database, the demographic profile of eligible individuals (HCW parents) is extracted. This profile is considered reflective of the target population and is then applied to the eligible and completed subset of the sample (i.e., the total of 405 healthcare workers who are parents of children aged 17 and under). This step ensures that the final analysis is more reflective of the target population.
Other data cleaning and data processing methods were used, including:
Further details regarding the weighting procedures can be found in Appendix A.
Leger meets the strictest quantitative research guidelines. The questionnaire was prepared in accordance with the Standards for the Conduct of Government of Canada Public Opinion Research— Online Surveys.
The details of Leger's quality control mechanisms are presented in Appendix A.
A basic comparison of the unweighted and weighted sample sizes was conducted to identify any potential non-response bias that could be introduced by lower response rates among specific demographic subgroups (see A.5 Unweighted and weighted samples for further details). The small differences observed have not introduced a non-response bias for any of the subgroups. Further details regarding quality control and strategies undertaken to increase response rates and curtail the effect of non-response bias are included in Appendix A.
The respondents were randomly selected from members of our panel (LEO), part of which were recruited using random digit dialing (RDD) methods, ensuring that the sample closely resembles the actual population of Canada. While the LEO panel is meant to reflect the Canadian population, it is not probabilistic; the results cannot be inferred to HCW parents population in Canada as respondents are selected among those who have volunteered to participate/registered to participate in online surveys. The sampling method used does not ensure that the sample represents the target population with a known margin of sampling error.
A portion of the sample (371 respondents out of 405) comes from the portion of the LEO panel that was recruited using random digit dialing (RDD) methods. The remainder of the sample (34 respondents out of 405) was based on non-probabilistic recruitment methods. Even though Random Digit Dialing (RDD) is a probabilistic sampling method, the RDD sample is considered non-probabilistic as it is internet panel based.
Any results with an unweighted base size (denominator) of less than 30 should be interpreted with caution.1 - 2 Furthermore, for confidentiality purposes, any results with a base of less than 10 should be suppressed.
Users are urged to adhere to the following rounding guidelines for estimates.
Research was conducted through online surveys using Computer Aided Web Interviewing (CAWI) technology between March 28 and April 25, 2024. A total sample of 405 health care workers who are parents of children aged 17 and under were surveyed. Of these, 371 were randomly selected from the portion of the LEO panel that was recruited using probabilistic methods.
Leger adheres to the most stringent guidelines for quantitative research. The survey was in accordance with Government of Canada requirements for quantitative research, including the Standards of the Conduct of Government of Canada Public Opinion Research – Series A—fieldwork and data tabulation for online surveys.
Respondents were assured of the voluntary, confidential and anonymous nature of this research. As with all research conducted by Leger, all information that could allow for the identification of participants was removed from the data, in accordance with the Privacy Act.
Computer Aided Web Interviewing (CAWI)
Participant selection was done randomly from Leger's online panel (LEO), part of which were recruited using random digit dialing (RDD) methods. Leger owns and operates an Internet panel of more than 400,000 Canadians from coast to coast. An Internet panel is made up of Web users profiled on different sociodemographic variables. The majority of Leger's panel members (61%) have been recruited randomly over the phone over the past decade, making it highly similar to the actual Canadian population on many demographic characteristics.
As recruitment for the LEO panel is ongoing, each member of the Canadian public with a phone had a chance of being recruited to the Internet panel and thus the survey sample.
While the LEO panel is meant to be reflective of the Canadian population, it is not probabilistic; the results cannot be inferred to the general population of Canada as respondents are selected among those who have volunteered to participate/registered to participate in online surveys.
The research team supervised programming and ensured that each question, response category and skip patterns have been properly entered and this, even after this information has been verified by two separate programmers and a data analyst, to check for consistency. The Project Authority at Health Canada also tested the programmed survey demo link.
In broad terms, Leger's quality methodological approach for an online survey includes the following steps:
Upon completion of data collection for online surveys, Leger's data analysts and data processing department will clean the data thoroughly, ensuring that:
The data is checked and cleaned after the pretest, after the first night of field, and at project completion. During analysis, all numbers are double-checked to ensure the data has been entered accurately in the first place.
To make sure that online respondents answered the survey properly and seriously, Leger proposes two basic methods. The first one is to insert validation questions within the questionnaire, such as: "Please select all the animals from the list below." Respondents who do not choose the animals in the list would then be automatically excluded from the survey. Our experience shows that including such questions reduces the likelihood that respondents do not read the questions. The filter questions used varies from survey to survey so as not become too obvious to all respondents.
In addition to this simple filter, Leger also checks its survey completion times so that all questionnaires filled more than twice as fast as the median completion time are checked for internal consistency. If there are any indications that responses are following a "straight-lining" pattern or contain too many residual answers (don't know or refused), this respondent would be removed from the study.
Finally, in order to increase response rates and curtail the effect of non-response bias, several measures are put in place, including:
The national participation rate for the survey was around 15%. Below is the calculation of the participation rate to the web survey. The participation rate is calculated using the following formula: Participation rate / response rate = R ÷ (U + IS + R). The table below provides details of the calculation.
| Target audience | |
|---|---|
| Invalid cases | |
| Invitations mistakenly sent to people who did not qualify for the study | - |
| Incomplete or missing email addresses | - |
| Unresolved (U) | 46,329 |
| Email invitations bounce back | 42 |
| Email invitations unanswered | 46,287 |
| In-scope non-responding units (IS) | 656 |
| Non-response from eligible respondents | - |
| Respondent refusals | 277 |
| Language problem | - |
| Selected respondent not available (illness; leave of absence; vacation; other) | - |
| Early breakoffs | 379 |
| Responding units (R) | 8,306 |
| Completed surveys disqualified – quota filled | 1 |
| Completed surveys disqualified for other reasons – ineligible respondents | 7,900 |
| Completed interviews | 405 |
| POTENTIAL SAMPLE (U+IS+R) | 55,291 |
| Participation rate = R ÷ (U + IS + R) | 15.02% |
The participation rate for the survey was around 15%. A 15% participation rate among the target audience is consistent with similar surveys. On the other hand, because of the particularity of the target audience of healthcare workers who are parents of children aged 17 and under, Leger had to invite a large number of parents to participate; 55,000 invitations were sent. Each potential respondent received 1 reminder to complete the survey. Since the age of children is only identified by age brackets in the profile of the panelists, the question was asked to a large number of parents in order to identify those who qualify for the survey and reach the minimum target survey quota.
The results of this survey were weighted by region, child's age and sex at birth, and HCW's parent's education level, gender, and age, based on data from Statistics Canada's 2021 national census. Because the survey was designed to gather information on both children's vaccination status and parents' attitudes towards vaccines, both parents' and children's demographic profiles were used for weighting.
The demographic profile derived from Statistics Canada is applied to the entire administrative database via statistical method for weighting. The administrative database includes all participants who attempted to complete the study, including those who are not eligible, as well as incomplete records. This process helps adjust all data in the administrative database to mirror the demographic structure of the general population.
Once the weights are applied to the administrative database, the demographic profile of eligible individuals is extracted. This profile is considered reflective of the target population and is then applied to the eligible and completed subset of the sample (i.e., the total of 405 healthcare workers who are parents of children aged 17 and under). This step ensures that the final analysis is more reflective of the target population.
Other data cleaning and data processing methods were used, including:
The tables below present the distribution of the target population by region, child's sex at birth and age, and HCW's parent's education level, age and gender before and after weighting.
Some proportions did not align with the actual population. The weighting process adjusted those differences.
| Province or territory | Unweighted count | Weighted count |
|---|---|---|
| British Columbia + Territories | 78 | 77 |
| Alberta | 48 | 59 |
| Saskatchewan + Manitoba | 30 | 31 |
| Ontario | 120 | 121 |
| Quebec | 91 | 88 |
| Atlantic Canada | 38 | 29 |
| Total | 405 | 405 |
| Gender | Unweighted count | Weighted count |
|---|---|---|
| Male | 239 | 208 |
| Female | 165 | 197 |
| Total | 404 | 405 |
| Age | Unweighted count | Weighted count |
|---|---|---|
| 0-4 years old | 123 | 103 |
| 5-11 years old | 116 | 163 |
| 12-17 years old | 166 | 140 |
| Total | 405 | 406 |
| Education | Unweighted count | Weighted count |
|---|---|---|
| Less than a Bachelor's degree | 192 | 251 |
| Bachelor's or above | 212 | 154 |
| Total | 404 | 405 |
| Age | Unweighted count | Weighted count |
|---|---|---|
| 18-34 years old | 194 | 196 |
| 35-54 years old | 200 | 199 |
| 55 years old and over | 11 | 10 |
| Total | 405 | 405 |
| Gender | Unweighted count | Weighted count |
|---|---|---|
| Man | 202 | 197 |
| Woman | 203 | 208 |
| Total | 405 | 405 |
Certain subgroups tend to be underrepresented or overrepresented in a sample compared to the target population. The weighting of a sample makes it possible to correct for differences in the representation of the various subgroups of that sample compared to what is usually observed in the overall study population. Weighting factors are therefore the weight given to each respondent that corresponds to a subgroup of the sample.
The weighting applied corrected the original imbalance for data analysis purposes; no further manipulation was required.
The results of this survey were weighted by region, child's age and sex at birth, and HCW parent's education level, gender, and age, based on data from Statistics Canada's 2021 national census3. The data sources used for weighting are presented below the tables.
The following tables illustrate the proportion assigned to each target audience in the final sample and in the administrative database. In other words, the table presents the weighted distribution of each profile in the final sample and in the administrative database.
| Profiles: Healthcare Worker Parent's Gender*Age | Final Sample proportion | Administrative database proportion |
|---|---|---|
| Man 18-24 | 10.80% | 5.22% |
| Man 25-34 | 18.18% | 8.33% |
| Man 35-44 | 12.41% | 8.11% |
| Man 45-54 | 6.16% | 7.69% |
| Man 55-64 | 1.02% | 8.58% |
| Man 65+ | 0.00% | 10.83% |
| Woman 18-24 | 3.05% | 4.88% |
| Woman 25-34 | 16.41% | 8.26% |
| Woman 35-44 | 19.44% | 8.38% |
| Woman 45-54 | 11.20% | 8.00% |
| Woman 55-64 | 1.34% | 8.95% |
| Woman 65+ | 0.00% | 12.75% |
| Total | 100% | 100% |
| Profiles: Region | Final Sample proportion | Administrative database proportion |
|---|---|---|
| British Columbia | 18.91% | 13.88% |
| Alberta | 14.66% | 11.10% |
| Saskatchewan | 3.71% | 2.92% |
| Manitoba | 4.01% | 3.50% |
| Ontario | 29.88% | 38.60% |
| Quebec | 21.64% | 23.02% |
| New Brunswick | 2.78% | 2.15% |
| Nova Scotia | 1.66% | 2.70% |
| Prince Edward Island | 0.17% | 0.42% |
| Newfoundland | 2.58% | 1.43% |
| Northwest Territories | 0.00% | 0.10% |
| Yukon | 0.00% | 0.11% |
| Nunavut | 0.00% | 0.08% |
| Total | 100% | 100% |
| Profiles: Healthcare Worker Parent's Gender*Region | Final Sample proportion | Administrative database proportion |
|---|---|---|
| Man British Columbia + Territories | 10.80% | 5.22% |
| Man Alberta | 18.18% | 8.33% |
| Man Manitoba/Saskatchewan | 12.41% | 8.11% |
| Man Ontario | 6.16% | 7.69% |
| Man Quebec | 1.02% | 8.58% |
| Man Atlantic | 0.00% | 10.83% |
| Woman British Columbia + Territories | 3.05% | 4.88% |
| Woman Alberta | 16.41% | 8.26% |
| Woman Manitoba/Saskatchewan | 19.44% | 8.38% |
| Woman Ontario | 11.20% | 8.00% |
| Woman Quebec | 1.34% | 8.95% |
| Woman Atlantic | 0.00% | 12.75% |
| Total | 100% | 100% |
| Profiles: Healthcare Worker Parent's Education level | Final Sample proportion | Administrative database proportion |
|---|---|---|
| University – completed Bachelor's degree and above | 30.84% | 45.82% |
| Not university – Less than a Bachelor's degree | 69.16% | 54.18% |
| Total | 100% | 100% |
| Profiles: Child's Gender*Age | Final Sample proportion |
|---|---|
| Boy Under 1 year old | 2.44% |
| Boy 1 year old | 2.52% |
| Boy 2 years old | 2.59% |
| Boy 3 years old | 2.67% |
| Boy 4 years old | 2.77% |
| Boy 5 years old | 2.85% |
| Boy 6 years old | 2.89% |
| Boy 7 years old | 2.90% |
| Boy 8 years old | 2.97% |
| Boy 9 years old | 2.97% |
| Boy 10 years old | 2.99% |
| Boy 11 years old | 3.05% |
| Boy 12 years old | 3.07% |
| Boy 13 years old | 3.05% |
| Boy 14 years old | 2.97% |
| Boy 15 years old | 2.90% |
| Boy 16 years old | 2.87% |
| Boy 17 years old | 2.88% |
| Girl Under 1 year old | 2.31% |
| Girl 1 years old | 2.40% |
| Girl 2 years old | 2.47% |
| Girl 3 years old | 2.54% |
| Girl 4 years old | 2.63% |
| Girl 5 years old | 2.72% |
| Girl 6 years old | 2.74% |
| Girl 7 years old | 2.77% |
| Girl 8 years old | 2.80% |
| Girl 9 years old | 2.82% |
| Girl 10 years old | 2.83% |
| Girl 11 years old | 2.89% |
| Girl 12 years old | 2.90% |
| Girl 13 years old | 2.89% |
| Girl 14 years old | 2.79% |
| Girl 15 years old | 2.73% |
| Girl 16 years old | 2.70% |
| Girl 17 years old | 2.70% |
| Total | 100% |
| Δ Note: Regarding children's age and gender, the general population proportions were applied directly to the sample of HCW parents. | |
Below are the sources of the general population demographic profiles used for weighting the administrative database and the final sample:
Presented below are the unweighted and weighted distribution of each profile along with the subsequent weighting factors.
| Profiles: Parent's Gender*Age | Unweighted n | Weighted n | Factor |
|---|---|---|---|
| Man 18-24 | 30 | 44 | 1.4667 |
| Man 25-34 | 91 | 74 | 0.8132 |
| Man 35-44 | 45 | 50 | 1.1111 |
| Man 45-54 | 31 | 25 | 0.8065 |
| Man 55-64 | 5 | 4 | 0.8000 |
| Man 65+ | 0 | 0 | - |
| Woman 18-24 | 11 | 12 | 1.0909 |
| Woman 25-34 | 62 | 67 | 1.0806 |
| Woman 35-44 | 83 | 79 | 0.9518 |
| Woman 45-54 | 41 | 45 | 1.0976 |
| Woman 55-64 | 6 | 5 | 0.8333 |
| Woman 65+ | 0 | 0 | - |
| Total | 405 | 405 | - |
| Profiles: Parent's Gender*Region | Unweighted n | Weighted n | Factor |
|---|---|---|---|
| Man British Columbia + Territories | 61 | 57 | 0.9344 |
| Man Alberta | 21 | 29 | 1.3810 |
| Man Manitoba/Saskatchewan | 12 | 10 | 0.8333 |
| Man Ontario | 56 | 53 | 0.9464 |
| Man Quebec | 32 | 35 | 1.0938 |
| Man Atlantic | 20 | 12 | 0.6000 |
| Woman British Columbia + Territories | 17 | 20 | 1.1765 |
| Woman Alberta | 27 | 30 | 1.1111 |
| Woman Manitoba/Saskatchewan | 18 | 21 | 1.1667 |
| Woman Ontario | 64 | 68 | 1.0625 |
| Woman Quebec | 59 | 53 | 0.8983 |
| Woman Atlantic | 18 | 18 | 1.0000 |
| Total | 405 | 406 | - |
| Profiles: Region | Unweighted n | Weighted n | Factor |
|---|---|---|---|
| British Columbia | 78 | 77 | 0.9872 |
| Alberta | 48 | 59 | 1.2292 |
| Saskatchewan | 14 | 15 | 1.0714 |
| Manitoba | 16 | 16 | 1.0000 |
| Ontario | 120 | 121 | 1.0083 |
| Quebec | 91 | 88 | 0.9670 |
| New Brunswick | 16 | 11 | 0.6875 |
| Nova Scotia | 9 | 7 | 0.7778 |
| Prince Edward Island | 1 | 1 | 1.0000 |
| Newfoundland | 12 | 10 | 0.8333 |
| Northwest Territories | 0 | 0 | - |
| Yukon | 0 | 0 | - |
| Nunavut | 0 | 0 | - |
| Total | 405 | 405 | - |
| Profiles: Education level | Unweighted n | Weighted n | Factor |
|---|---|---|---|
| University | 258 | 186 | 0.7209 |
| Not university | 147 | 219 | 1.4898 |
| Total | 405 | 405 | - |
| Profiles: Child's Gender*Age | Unweighted n | Weighted n | Factor |
|---|---|---|---|
| Boy Under 1 year old | 17 | 10 | 0.5882 |
| Boy 1 year old | 7 | 10 | 1.4286 |
| Boy 2 years old | 18 | 10 | 0.5556 |
| Boy 3 years old | 14 | 11 | 0.7857 |
| Boy 4 years old | 12 | 11 | 0.9167 |
| Boy 5 years old | 11 | 12 | 1.0909 |
| Boy 6 years old | 14 | 12 | 0.8571 |
| Boy 7 years old | 13 | 12 | 0.9231 |
| Boy 8 years old | 13 | 12 | 0.9231 |
| Boy 9 years old | 5 | 12 | 2.4000 |
| Boy 10 years old | 8 | 12 | 1.5000 |
| Boy 11 years old | 11 | 12 | 1.0909 |
| Boy 12 years old | 11 | 12 | 1.0909 |
| Boy 13 years old | 13 | 12 | 0.9231 |
| Boy 14 years old | 19 | 12 | 0.6316 |
| Boy 15 years old | 22 | 12 | 0.5455 |
| Boy 16 years old | 12 | 12 | 1.0000 |
| Boy 17 years old | 20 | 12 | 0.6000 |
| Girl Under 1 year old | 17 | 9 | 0.5294 |
| Girl 1 years old | 7 | 10 | 1.4286 |
| Girl 2 years old | 13 | 10 | 0.7692 |
| Girl 3 years old | 14 | 10 | 0.7143 |
| Girl 4 years old | 4 | 11 | 2.7500 |
| Girl 5 years old | 6 | 11 | 1.8333 |
| Girl 6 years old | 6 | 11 | 1.8333 |
| Girl 7 years old | 7 | 11 | 1.5714 |
| Girl 8 years old | 5 | 11 | 2.2000 |
| Girl 9 years old | 7 | 11 | 1.5714 |
| Girl 10 years old | 3 | 11 | 3.6667 |
| Girl 11 years old | 7 | 12 | 1.7143 |
| Girl 12 years old | 9 | 12 | 1.3333 |
| Girl 13 years old | 6 | 12 | 2.0000 |
| Girl 14 years old | 12 | 11 | 0.9167 |
| Girl 15 years old | 11 | 11 | 1.0000 |
| Girl 16 years old | 12 | 11 | 0.9167 |
| Girl 17 years old | 19 | 11 | 0.5789 |
| Total | 405 | 404 | - |
Consent
Si vous préférez répondre à l'étude en français, veuillez cliquer sur français dans le coin supérieur droit.
This public health survey is sponsored by the Public Health Agency of Canada and focused on knowledge, attitudes and experiences about childhood immunization for key populations. The Public Health Agency of Canada has contracted an independent public opinion research company, Léger, to conduct the research on the Public Health Agency of Canada's behalf.
It will take approximately 10 minutes to complete and is voluntary and confidential. Your responses will not be linked to any personally identifiable information, in an effort to protect your anonymity.
For more information about this survey and how the data will be used, please see below. If you agree to participate in this survey, please click on the "Next" button to continue:
Privacy Statement
Participation in this study is voluntary and you can withdraw at any time. There will be no consequences if you decide not to participate. You may skip questions that you do not feel comfortable answering by clicking "Prefer not to answer", where applicable. You may also complete the survey in several sessions and from different devices. If you are interrupted while doing the survey, you can click on the same link to pick up right where you left off. No personal identifying information will be linked to your survey responses nor shared with the survey sponsor. The results from partially completed or abandoned surveys will be deleted.
What You Will Be Asked to Do
You will be asked some demographic questions and questions related to childhood vaccines. Please note that certain questions will be asked at the start of the survey to determine if you are eligible to participate. If you are not eligible to participate, your data will be removed and destroyed.
What are the benefits of participating?
By participating, you are helping to generate data which will improve the health and well-being of children from key Canadian populations by providing public health authorities with the information they need to ensure health equity.
Why are we collecting your information?
You will be asked questions, such as yours and your child's age, gender, sexual orientation and ethnicity in order to better understand knowledge, attitudes, and experiences across different key populations. We will not ask you to provide us with any information that could directly identify you, such as name(s), or full date of birth, etc. The data collected will be stored on password-protected computers. However, in exceptional circumstances, individual responses in combination with other available information could lead to identifying you. The protection of your personal information is very important to us, and we will make every effort to safeguard it and reduce the risk that you are identified.
It is possible that some questions may be triggering to some people. You have the right to skip any questions you are not comfortable answering.
What is the Authority to Collect the Information?
The information you provide to the Public Health Agency of Canada is collected by Léger on behalf of the Centre for Immunization Surveillance under the authority of section 4 of the Department of Health Act and Section 3 of the Public Health Agency of Canada Act and handled in accordance with the Privacy Act.
Will we use or share your personal information for any other reason?
The survey firm, Léger, will be responsible for collecting survey data from all participants. Once data collection is complete, Léger will provide the Public Health Agency of Canada with a dataset that will not include any individual responses to reduce the risk that you or your child could be identified. All the responses received will be grouped for analysis and presented in grouped form. Your responses will remain anonymous. Any reports or publications produced based on this research will use grouped data and will not identify you or link you to these survey results.
What are your rights?
You have a right to complain to the Privacy Commissioner of Canada if you feel your personal information has not been handled properly.
For any questions or concerns about the survey or the information we are collecting, please e-mail: email address
For technical support with the survey, accessibility requirements, or to request to complete the survey over the phone you can contact: email address and phone number.
For more information about routine and catch-up immunization for infants and children in Canada: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html
This project has been registered with the Canadian Research Insights Council (CRIC) ( https://canadianresearchinsightscouncil.ca/rvs/home/) under number: number.
CRIC Pledge: https://www.canadianresearchinsightscouncil.ca/wp-content/uploads/2020/09/CRIC-Pledge-to-Canadians.pdf
FILT1
Thank you for deciding to participate in this study. First, please provide us with some general information about yourself.
Parent/Legal Guardian/PMK Sex at Birth
A4. What was your sex at birth?
Parent/Legal Guardian/PMK Gender
A5. What is your gender?
Help text: Gender refers to an individual's personal and social identity as a man, woman or a person who is not exclusively a man or a woman, for example, non-binary, agender, gender fluid, queer, or Two-Spirit.
A12. What is your province or territory of residence?
If A12 = Outside of Canada" Thank you for your interest but for this survey, we are looking for individuals who live in Canada.
Parent/Legal Guardian/PMK Age
S1. How old are you?
S1a.Show if S1 = "I prefer not to answer"
To ensure you are eligible for this survey, can you tell us your age group?
If S1 = "0 to 17 years" OR S1a = "Under 18": Thank you for your interest but for this survey, you must let us know if you are 18 years of age or older.
Parent/Legal Guardian/PMK Education
A8. What is the highest level of formal education that you have completed?
Parent/Legal Guardian/PMK Occupational Group
S11. Are you currently employed as a health care worker? Please include paid and unpaid/volunteer work.
Help text: This includes employment as a physician, nurse, community health worker, pharmacist, laboratory worker, mental health professional, first responder/paramedic, health care administration, occupational or physical therapist, traditional healer, employees or staff who work, study, or volunteer in hospitals, long-term care, nursing home, and community settings, etc.
If S11= ''No'' Thank you for your interest, but for this survey, we are looking for individuals who are employed as health care workers.
CREATE HEALTH CARE WORKER IDENTIFIER:
Health care worker = NO if S11 = "No" OR S11a=''No''
Health care worker = YES if S11 = "Yes" OR S11a=''Yes''
Health Care Worker Role
A13. You previously indicated that you are a health care worker. What is your current role?
Parent/Legal Guardian/PMK of Child(ren)
S2. Are you a parent or legal guardian or person most knowledgeable of a child(ren) under the age of 18?
Help text: The person most knowledgeable may include the child's step-parent, adoptive parent, foster parent, sister or brother, grandparent or other relative caring and responsible for health decisions for the child.
If S2 = "No" OR "I prefer not to answer": Thank you for your interest, but for this survey, we are looking for people who are parents or legal guardian or the person most knowledgeable of a child under the age of 18.
FILT2
The following questions ask you general questions about you and your child(ren) under the age of 18 you are a parent/legal guardian/person most knowledgeable of.
General Health
B3. In general, how would you describe your health?
Help text: By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.
You indicated that you are a parent or legal guardian or person most knowledgeable of a child(ren) under the age of 18.
S3. How many children under the age of 18 are you a parent/legal guardian/person most knowledgeable of?
If S3 = "None": Thank you for your interest, but for this survey, we are looking for people who are parents or legal guardians or the person most knowledgeable of a child under the age of 18.
S3b. If S3 = "I prefer not to answer"
For our analysis of the data, we need to know how many children under the age of 18 you are a parent/legal guardian/person most knowledgeable of.
To confirm, do you want to give this information?
If S3b= ''No, I will not answer'': Thank you for your interest, but for this survey, we are looking for people who are parents or legal guardians or the person most knowledgeable of a child under the age of 18.
We now have some questions about your child(ren) who is(are) under 18 years of age.
B2. How old is each child, starting with the oldest child?
Child Selection for Survey (data not retained by PHAC)
During the survey we would like to ask you about your child who is [randomize age groups from B2].
Show if more than one child is in the same age group (B2): If you have more than one child in this age group, please think of the [randomize: youngest/oldest].
In order to simplify your responses for the rest of the survey, please provide their initial(s) or a nickname which will be used to refer to this child throughout the survey. This information will be collected by Léger; it will not be transmitted to the Public Health Agency of Canada. It will only be used for you as a reference as you are completing this survey.
Please do not use your child's full name
Child's sex at Birth
A1. What was <name/initial>'s sex at birth?
Show if B2 = "Under 6 months"
B2ageunder6months. What is the exact age of <name/initial>?
Show if B2 = "6 months to less than 2 and a half years"
B2age6monthslessthan2half. What is the exact age of <name/initial>?
Show if B2 = "2 and a half years to less than 5 years"
B2age2halflessthan5. What is the exact age of <name/initial>?
Show if B2 = "5 years to less than 12 years"
B2agechild5to11. What is the exact age of <name/initial>?
Show if B2 = "12 years to less than 18 years"
B2agechild12to17. What is the exact age of <name/initial>?
B1. What is your relationship to <name/initial>?
B5. Does <name/initial> currently live in your household (primary or secondary residence)?
The following questions are about vaccination.
A0. Overall, what is your perception of childhood vaccination?
Childhood recommended Immunization Coverage
The next set of questions are about vaccines recommended in Canada for children. For these questions, please consider any vaccines that apply to <name/initial>, including vaccines received outside of Canada.
C1. Has <name/initial> ever been vaccinated?
Help text: Please consider any vaccines that <name/initial> has received.
C1a. Show if C1 = "Yes" OR "I prefer not to answer"
Has <name/initial> received any vaccines outside of Canada?
Routine Childhood immunization coverage
C2.Show if C1 = "Yes" OR "I prefer not to answer"
To the best of your knowledge, would you say that <name/initial> has received all, some, or none of the recommended routine vaccines for their age as of today?
If B2 = "Under 6 months": The following routine vaccines are offered in Canada for children under 6 months of age:
Help text: Some vaccines are given in combination with other vaccines or as stand-alone vaccines.
More information can be found here: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html (or direct link to PDF: https://www.canada.ca/content/dam/phac-aspc/documents/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children/provincial-territorial-routine-vaccination-programs-infants-children.pdf)
If B2 = "6 months to less than 2 and a half years": The following routine vaccines are offered in Canada for children between birth and less than 2 and half years:
Help text: Some vaccines are given in combination with other vaccines or as stand-alone vaccines.
More information can be found here: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html (or direct link to PDF: https://www.canada.ca/content/dam/phac-aspc/documents/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children/provincial-territorial-routine-vaccination-programs-infants-children.pdf)
If B2 = "2 and a half years to less than 5 years": The following routine vaccines are offered in Canada for children between birth and 4 years:
Help text: Some vaccines are given in combination with other vaccines or as stand-alone vaccines.
More information can be found here: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html (or direct link to PDF: https://www.canada.ca/content/dam/phac-aspc/documents/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children/provincial-territorial-routine-vaccination-programs-infants-children.pdf).
If B2 = "5 years to less than 12 years": The following routine vaccines are offered in Canada for children between birth and 11 years:
Help text: Some vaccines are given in combination with other vaccines or as stand-alone vaccines.
More information can be found here: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html (or direct link to PDF: https://www.canada.ca/content/dam/phac-aspc/documents/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children/provincial-territorial-routine-vaccination-programs-infants-children.pdf).
If B2 = "12 years to less than 18 years": The following routine vaccines are offered in Canada for children between birth and 17 years:
Help text: Some vaccines are given in combination with other vaccines or as stand-alone vaccines.
More information can be found here: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html (or direct link to PDF: https://www.canada.ca/content/dam/phac-aspc/documents/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children/provincial-territorial-routine-vaccination-programs-infants-children.pdf)
C2a. Show if C2 = "Some"
Which of the following recommended vaccines has <name/initial> not received, if eligible? Please select all that apply.
If B2 = "Under 6 months": The following routine vaccines are offered in Canada for children under 6 months of age:
If B2 = "6 months to less than 2 and a half years": The following routine vaccines are offered in Canada for children between birth and less than 2 and half years:
If B2 = "2 and a half years to less than 5 years": The following routine vaccines are offered in Canada for children between birth and 4 years:
If B2 = "5 years to less than 12 years": The following routine vaccines are offered in Canada for children between birth and 11 years:
If B2 = "12 years to less than 18 years": The following routine vaccines are offered in Canada for children between birth and 17 years:
Flu vaccination
Show if children aged 6 months or older And C1=''Yes'' or ''I prefer not to answer"
C3a. Has < name/initial > ever received a seasonal influenza vaccine (also known as the flu shot)?
Help text: As of September 2023, the seasonal influenza (flu) vaccines have been included in the routine childhood vaccination schedule in all provinces and territories for children aged 6 months and older, with the exception of Quebec, where the flu vaccine is not part of the routine vaccination schedule but is still available and publicly funded for anyone aged 6 months and older.
For more information: https://www.canada.ca/en/public-health/services/provincial-territorial-immunization-information/provincial-territorial-routine-vaccination-programs-infants-children.html;Public Funding for Influenza Vaccination by Province/Territory (as of June 2023) - Canada.ca
C3b. If C3a="Yes" or "Prefer not to answer"
Between September 2023 and now, has < name/initial >received the seasonal influenza vaccine (also known as the flu shot)?
Obstacles when Getting Child Vaccinated
C4.Show if Parent is not opposed to vaccines (A0=1,2) AND (C2= '' All'', ''Some'', ''None'' OR C3a=''Yes, ''No'')
What obstacles, if any, have made it more difficult to get <name/initial> vaccinated with one or more recommended routine childhood and/or flu vaccines?
Please exclude COVID-19 vaccines
Please select all that apply.
Randomize all response options, except the two options.
Levels marked with * are randomized
Reasons for Not Getting Child Vaccinated
C5a. Show if C1=''No'' OR C2 = "some" OR "none"
What are the reasons <name/initial> has not been immunized with one or more recommended routine childhood vaccines?
Please exclude COVID-19 and flu vaccines. Please select all that apply.
Randomize answer options
Levels marked with * are randomized
C5b. Show if C1=''No'' OR C3a= ''No''
What are the reasons <name/initial> has not been immunized with the flu vaccine?
Please select all that apply.
Randomize answer options
Levels marked with * are randomized
Reasons for Overall Vaccine Acceptance
C7. Show if (C1 = "yes" and C2 = "all" OR "some") AND/OR (C1=''yes'' And C3a= ''Yes'')
What are the reasons <name/initial> received one or more recommended routine childhood and/or flu immunizations?
Please exclude COVID-19 vaccines.
Please select all that apply.
Was it:
Levels marked with * are randomized
Hesitancy to Vaccinate Child
C9a. Show if Parent is not opposed to vaccines (A0 = 1,2)
Are you or were you hesitant to vaccinate <name/initial> with one or more recommended routine childhood immunizations? Please exclude flu and COVID-19 vaccines.
Help text: Vaccine hesitancy refers to a reluctance or delay in acceptance or refusal of vaccines despite availability.
C9b. Show if Parent is not opposed to vaccines (A0 = 1,2)
Are you or were you hesitant to vaccinate <name/initial> with the flu vaccine?
Help text: Vaccine hesitancy refers to a reluctance or delay in acceptance or refusal of vaccines despite availability.
Reasons for Hesitancy/Deciding not to Vaccinate Child
C10. If C9a or C9b = "Yes, I am hesitant..." or '' I was hesitant...''
What are the reasons you are/were hesitant and/or decided not to get <name/initial> immunized with one or more recommended routine childhood and/or flu vaccines? Please exclude COVID-19 vaccines.
Levels marked with * are randomized
We now have a few questions about COVID-19 vaccines.
C3c. Show if child ever been vaccinated, C1 = "Yes" OR "I prefer not to answer" AND age of selected child, B2 = 6 months of age or older ("6 months to less than 2 and a half years" OR "2 and a half years to less than 5 years" OR "5 years to less than 12 years" OR "12 years to less than 18 years")
Since the start of COVID-19 pandemic, how many doses of the COVID-19 vaccines has <name/initial> received overall?
Help text: In Canada, Moderna Spikevax and Pfizer-BioNTech Comirnaty are approved vaccines for use in children aged 6 months and older; and Novavax Nuvaxovid is an approved vaccine for use in children aged 12 years and older.
COVID-19 Vaccination-Related Reasons & Hesitancy
Reasons for COVID-19 Specific Immunization
C8. Show if C3c = "1 dose" OR "2 doses" OR "3 doses'' OR ''4 doses " OR ''5 doses or more '' And age of selected child, B2 = 6 months of age or older ("6 months to less than 2 and a half years" OR "2 and a half years to less than 5 years" OR "5 years to less than 12 years" OR "12 years to less than 18 years")
What are the reasons <name/initial> received a COVID-19 vaccine? Please select all that apply.
Randomize answer options
C3d. Show to at least one dose (C3c = 1,2,3,4 or 5 doses or more) OR C3c= Prefer not to answer
From September 2023 to now, has <name/initial> received a COVID-19 vaccine?
Levels marked with * are randomized
Hesitancy to Vaccinate Child against COVID-19
C9c. Show to all children 6 months or older (age, B2 = "6 months to less than 2 and a half years" OR "2 and a half years to less than 5 years" OR "5 years to less than 12 years" OR "12 years to less than 18 years"), AND if Parent is not opposed to vaccines (A0 = 1,2)
Are you or were you hesitant to vaccinate <name/initial> against COVID-19?
Help text: Vaccine hesitancy refers to a reluctance or delay in acceptance or refusal of vaccines despite availability.
Reasons for Hesitancy/Decided not to Vaccinate Child (COVID-19 Vaccines)
C11. Show if selected child age, B2 = "6 months to less than 2 and a half years" OR "2 and a half years to less than 5 years" OR "5 years to less than 12 years" OR "12 years to less than 18 years" And if C9c = "Yes, I am hesitant to vaccinate my child against COVID-19" OR "Yes, I was hesitant to vaccinate my child against COVID-19"
What are the reasons you are /were hesitant and/or decided not to get a COVID-19 vaccine for <name/initial>? Select all that apply.
Levels marked with * are randomized
The following questions ask you about your intention to vaccinate the child.
D1a. Show if parent not opposed to vaccines (A0=1,2) (regardless of child's age)
How likely is it that you will get <name/initial> vaccinated with the recommended routine childhood and/or flu vaccines in the future? Please exclude COVID-19 vaccines.
D1b. Show if parent not opposed to vaccines (A0=1,2) (regardless of child's age)
How likely is it that <name/initial> will receive a COVID-19 vaccine according to future public health recommendations?
Help text: In Canada, Moderna Spikevax®XBB.1.5 and Pfizer-BioNTech Comirnaty®Omicron XBB.1.5 are currently approved for use for individuals 6 months of age and older, regardless of whether they have previously received a COVID-19 vaccine; Novavax NuvaxovidTM XBB.1.5 is also approved for use for individuals 12 years and older.
Show to only those who are opposed to vaccines (A0 =3)
D1c. We acknowledge that you previously indicated that you are generally opposed to childhood vaccines.
How likely is it that <name/initial> will receive the following vaccines according to future public health recommendations?
The following questions ask you about your knowledge, attitudes and beliefs regarding vaccines.
Parent's perceived safety and effectiveness of vaccines for children
D2. For all children
Please rate your level of agreement with the statements below:
Change in Vaccine Attitudes and Beliefs
We are interested in understanding how the COVID-19 pandemic could have influenced your perspective on recommended routine childhood vaccines ( e.g., MMR, Pertussis, Rotavirus) and flu vaccines.
D6. For all children
Has the COVID-19 pandemic changed the way you think about childhood routine vaccines? Please exclude COVID-19 and flu vaccines.
D7. For all children
Has the COVID-19 pandemic changed the way you think about flu vaccines for children?
Vaccine Knowledge, Attitudes and Beliefs
For all children
D5a. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I think that vaccines, in general, help to protect my child's health.
D5b. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
In general, I am concerned about the potential side effects from vaccines for children.
D5c. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
In general, I believe the use of alternative practices, such as homeopathy or naturopathy, can eliminate the need for vaccination.
D5d. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
In general, I believe a healthy lifestyle such as healthy nutrition and hygiene can replace the need for vaccination.
D5e. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I think that having my child vaccinated helps to protect the health of others in my family and/ or community.
D5f. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I think that most parents in my community have their children vaccinated with recommended routine childhood vaccines, and against flu and/or COVID-19.
D5g. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I believe children receive too many vaccines at the same visit.
D5h. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I believe children receive too many vaccines, overall.
D5i. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I believe vaccination is a safer way to build immunity against disease than getting infected.
D5j. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I believe delaying child vaccines causes risks to their health.
D5k. Please rate the extent to which you agree or disagree with the following statements about childhood immunizations:
I believe unvaccinated children are at higher risk of getting some serious diseases, including COVID-19.
Sources of Information on Immunization
D3. For all children
Which of the following sources of information would you be most likely to consult in order to find information about childhood immunization?
Please select all that apply.
FILT3
Please select all the fruits from the following list.
Rows randomized.
Child's Sociodemographic Information
The next few questions will help us understand background characteristics of children in this survey. Remember that all the information you provide is completely anonymous and will be kept confidential.
For these questions, please consider <name/initial>.
Child's Gender
Show if child's age: 12 -17
To align with Canada's overall approach to public awareness and sensitivity towards 2SLGBTQI+ communities, it is recommended that we ask the following question to older children.
A2a. To the best of your awareness, is <name/initial>'s gender the same as their sex at birth?
Help text: Gender refers to an individual's personal and social identity as a boy, girl or a person who is not exclusively a boy or girl, for example, non-binary, agender, gender fluid, queer, or Two-Spirit.
A2b. Show if A2a= "No"
What is <name/initial>'s gender?
Child's Ethnicity/Culture
A3. What is <name/initial> 's racial or ethnic background? We recognize this list of racial or ethnic identifiers may not exactly match how you would describe your child. Please select all that apply.
Child's Indigenous group
A3b. If A3 = Indigenous (First Nations, Métis and/or Inuk (Inuit))
Is <name/initial> First Nations, Métis and/or Inuk (Inuit)? Please select all that apply.
Parent/Legal Guardian/PMK Sociodemographic Information
We would now like to ask you a few questions about your general background.
Parent/Legal Guardian/PMK Sexual Orientation
A6. What is your sexual orientation?
Ethnicity/Culture
Our racial and ethnic identities may shape how we are treated by different individuals and institutions.
A7. What is your racial or ethnic background? We recognize this list of racial or ethnic identifiers may not exactly match how you would describe yourself. Please select all that apply.
Household Income
A9. Please indicate your total household income, before taxes and deductions, for the year ending December 31, 2023. Your total household income consists of the total amount of money earned by all household members.
Geographic Location
A10.Show to all
Do you live in a community with a population of fewer than 1,000 people?
This is the end of the survey. On behalf of the Public Health Agency of Canada, we would like to thank you for your participation. Your responses will provide invaluable and insightful information about childhood immunization coverage in Canada.
Help text with supports: GET HELP HERE: MENTAL HEATH SUPPORT offers free mental health and substance use support as well as online mental health resources.
Show if A7 = Indigenous (First Nations, Métis and/or Inuk (Inuit))
This is the end of the survey. On behalf of the Public Health Agency of Canada, we would like to thank you for your participation. Your responses will provide valuable and insightful information immunization in Indigenous communities across Canada.
Help text with supports: The First Peoples Wellness Circle (FPWC) is a national not-for-profit corporation governed and managed by Indigenous Leaders and exists to improve the lives of Canada's First Peoples by addressing healing, wellness and other mental health challenges. Call 1-833-311-FPWC (3792)
Hope for Wellness Helpline is available 24/7 to all Indigenous people across Canada. Telephone and online counselling are available in English and French. Additional languages can be requested. Call the toll-free Help Line: 1-855-242-3310 or connect to the online chat at hopeforwellness.ca
Help text with supports: GET HELP HERE: MENTAL HEATH SUPPORT offers free mental health and substance use support as well as online mental health resources.