Objective To compare hesitancy toward a future COVID-19 vaccine for children of various sociodemographic groups in a major metropolitan area, and to understand how parents obtain information about COVID-19. Methods Cross-sectional online survey of parents with children < 18 years old in Chicago and Cook County, Illinois, in June 2020. We used logistic regression to determine the odds of parental COVID-19 vaccine hesitancy (VH) for racial/ethnic and socioeconomic groups, controlling for sociodemographic factors and the sources where parents obtain information regarding COVID-19. Results Surveys were received from 1702 parents and 1425 were included in analyses. Overall, 33% of parents reported VH for their child. COVID-19 VH was higher among non-Hispanic Black parents compared with non-Hispanic White parents (Odds Ratio (OR) 2.65, 95% Confidence Interval (CI): (1.99–3.53), parents of publicly insured children compared with privately insured (OR 1.93, (1.53–2.42)) and among lower income groups. Parents receive information about COVID-19 from a variety of sources, and those who report using family, internet and health care providers as information sources (compared to those who don’t use each respective source) had lower odds of COVID-19 VH for their children. Conclusions The highest rates of hesitancy toward a future COVID-19 vaccine were found in demographic groups that have been the most severely affected by the pandemic. These groups may require targeted outreach efforts from trusted sources of information in order to promote equitable uptake of a future COVID-19 vaccine.
OBJECTIVES:To determine if longitudinal associations exist between parental incarceration (PI) and health care use or health behaviors among a national sample of young adults. METHODS:We used the National Longitudinal Survey of Adolescent to Adult Health to examine associations between history of mother incarceration (MI) and father incarceration (FI), health care use, and 3 dimensions of health behaviors (eg, general health behaviors, substance use, and other risky behaviors) (N = 13 084). Multivariable logistic regression models accounted for individual, family, and geographic factors and generated adjusted odds ratios (aORs). RESULTS:Over 10% of the sample had a history of PI before the age of 18. History of MI and FI were both associated with forgone health care (aOR = 1 CONCLUSIONS:The effects of incarceration extend beyond incarcerated individuals. PI histories are associated with lower health care use and unhealthy behaviors in young adulthood. By addressing barriers to health care and health-harming behaviors, health care providers and policy makers may reduce health disparities among this population. Dr Heard-Garris conceived and designed the study, acquired data, conducted data analysis and interpretation, and drafted the initial manuscript; Dr Winkelman conceived and designed the study, acquired data, conducted data analysis and interpretation, and provided critical revisions to the manuscript; Dr Choi assisted in data analysis and interpretation and provided critical revisions to the manuscript; Mr Miller conducted the literature review for the study and provided critical revisions to the manuscript; Dr Kan conceived and designed the study, acquired and interpreted data, and provided critical revisions to the manuscript; Dr Shlafer interpreted data and provided critical revisions to the manuscript; Dr Davis interpreted data, provided critical PEDIATRICS Volume 142, number 2, August 2018:e20174314 WHAT'S KNOWN ON THIS SUBJECT:A history of parental incarceration (PI) is associated with poor physical and mental health outcomes into adulthood. However, the relationship between PI and health care use and multidimensional health behaviors has been understudied. WHAT THIS STUDY ADDS:Young adults with PI histories are less likely to use health care and more likely to engage in unhealthy behaviors compared with peers without PI. PI has been identified as 1 of several adverse childhood experiences (ACEs), a group of traumatic or persistent childhood experiences associated with poor physical and mental health across the life course. 8 -11 PI is associated with learning delays and behavioral problems, 12 -15 perhaps because of the traumatic separation from a parent, the loss of parental resources, and the lack of social support. 7,12 The authors of a growing body of literature indicate that PI is detrimental to health in childhood and adulthood. The prevalence of asthma, HIV and AIDS, depression, anxiety, and posttraumatic stress disorder is higher among individuals with a history of PI. 16,17 In contrast to wha...
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