Public Health Policy, Communication & Vaccine Hesitancy Flashcards
7 cards from real APHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Public Health Policy, Communication & Vaccine Hesitancy flashcards as text
A measles outbreak occurs in a community with 85% vaccination coverage. This most likely indicates that:
Answer: Herd immunity threshold for measles has not been reached or vaccinated individuals are clustered
Measles requires approximately 95% population immunity for herd immunity; at 85%, outbreaks can occur especially if unvaccinated individuals are geographically clustered.
Which of the following best describes the role of the Vaccine Adverse Event Reporting System (VAERS)?
Answer: It serves as a safety signal detection system for hypothesis generation
VAERS is a passive surveillance system designed to detect potential safety signals that require further investigation; reports to VAERS do not establish causation.
Cultural humility differs from cultural competence in vaccine communication primarily because it:
Answer: Emphasizes ongoing self-reflection and acknowledging power imbalances in the provider-patient relationship
Cultural humility is a lifelong process of self-reflection and recognizing power dynamics, whereas cultural competence implies a finite set of knowledge about cultural groups.
Under the Affordable Care Act (ACA), which vaccines must be covered without cost-sharing by most private health plans?
Answer: ACIP-recommended vaccines given an 'A' or 'B' rating by USPSTF
The ACA requires most private health plans to cover ACIP-recommended vaccines that receive an 'A' or 'B' rating without cost-sharing to patients.
The 'deficit model' of vaccine hesitancy has been criticized because it assumes that:
Answer: Providing more information alone will change vaccine behavior
The deficit model incorrectly assumes hesitancy stems from a lack of information and that education alone will change behavior, ignoring values, trust, and social factors.
Which of the following best characterizes 'vaccine-hesitant' individuals compared to 'vaccine-refusing' individuals?
Answer: Vaccine-hesitant individuals delay or are uncertain; refusers actively oppose all vaccines
The WHO defines vaccine hesitancy as a delay in acceptance or refusal of vaccines despite availability, representing a spectrum distinct from outright refusal of all vaccines.
When evaluating the success of a community vaccination campaign, which indicator best reflects population-level protection?
Answer: Proportion of the target population that achieved recommended vaccination status
Vaccination coverage rate (proportion of target population vaccinated) is the most direct indicator of whether sufficient population immunity has been achieved.