Perception of barriers to immunization among parents of Hmong origin in California

Of 3 potential contributing factors to perceived barriers—nativity, socioeconomic position, and use of traditional Hmong health care (i.e., consulting shamans and herbalists)—the latter 2 significantly predicted higher perceived barriers to immunization. Nativity, indicated by years in the United States, age of arrival in the United States, and English language fluency, did not predict perceived barriers.