An assessment of parental knowledge, attitudes, and beliefs regarding influenza vaccination

Goss, Maureen; Temte, Jonathan L.; Barlow, Shari; Temte, Emily; Temte, Jonathan L.; Birstler, Jen; Chen, Guanhua

doi:10.1016/j.vaccine.2019.11.040

Cited by 26 publications

(19 citation statements)

References 26 publications

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“…To date, research on racial/ethnic differences in parental COVID-19 vaccine hesitancy has not included a comprehensive analysis of social determinants identified in earlier studies on parental attitudes toward childhood vaccination for longstanding diseases such as influenza, rubella, and HPV [24][25][26][27][28][29][30][31]. These latter studies drew on health beliefs and planned behavior theoretical models to examine relationships between pediatric vaccine hesitancy and disease knowledge, perceived childhood disease susceptibility and symptom severity, vaccine safety and efficacy, trust in government and health care providers, and the influence of community norms.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Pediatric Vaccine Hesitancy among Racially Diverse Parents in the United States

2021

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On 29 October 2021, the U.S. FDA authorized the Pfizer-BioNTech COVID-19 (SARS-CoV-2) vaccine for emergency use in children ages 5–11 years. Racial/ethnic minorities have born the greatest burden of pediatric COVID-19 infection and hospitalization. Research indicates high prevalence of parental vaccine hesitancy among the general population, underscoring the urgency of understanding how race/ethnicity may influence parents’ decision to vaccinate their children. Two weeks prior to FDA approval, 400 Hispanic and non-Hispanic Asian, Black, and White parents of children 5–10 years participated in an online survey assessing determinants of COVID-19 pediatric vaccine hesitancy. Compared to 31% Black, 45% Hispanic, and 25% White parents, 62% of Asian parents planned to vaccinate their child. Bivariate and multivariate ordinal logistic regression demonstrated race/ethnicity, parental vaccine status, education, financial security, perceived childhood COVID-19 susceptibility and severity, vaccine safety and efficacy concerns, community support, and FDA and physician recommendations accounted for 70.3% of variance for vaccine hesitancy. Findings underscore the importance of multipronged population targeted approaches to increase pediatric COVID-19 vaccine uptake including integrating health science literacy with safety and efficacy messaging, communication efforts tailored to parents who express unwillingness to vaccinate, and interventions developed in partnership with and delivered through existing trusted community coalitions.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Pediatric Vaccine Hesitancy among Racially Diverse Parents in the United States

2021

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“…12 This article expands on some previous studies of the association of parental VH and child influenza vaccination coverage. [13][14][15][16][17]…”

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confidence: 99%

Parental Vaccine Hesitancy and Childhood Influenza Vaccination

et al. 2020

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OBJECTIVES: To quantify the prevalence of parental vaccine hesitancy (VH) in the United States and examine the association of VH with sociodemographics and childhood influenza vaccination coverage. METHODS: A 6-question VH module was included in the 2018 and 2019 National Immunization Survey-Flu, a telephone survey of households with children age 6 months to 17 years. RESULTS: The percentage of children having a parent reporting they were “hesitant about childhood shots” was 25.8% in 2018 and 19.5% in 2019. The prevalence of concern about the number of vaccines a child gets at one time impacting the decision to get their child vaccinated was 22.8% in 2018 and 19.1% in 2019; the prevalence of concern about serious, long-term side effects impacting the parent’s decision to get their child vaccinated was 27.3% in 2018 and 21.7% in 2019. Only small differences in VH by sociodemographic variables were found, except for an 11.9 percentage point higher prevalence of “hesitant about childhood shots” and 9.9 percentage point higher prevalence of concerns about serious, long-term side effects among parents of Black compared with white children. In both seasons studied, children of parents reporting they were “hesitant about childhood shots” had 26 percentage points lower influenza vaccination coverage compared with children of parents not reporting hesitancy. CONCLUSIONS: One in 5 children in the United States have a parent who is vaccine hesitant, and hesitancy is negatively associated with childhood influenza vaccination. Monitoring VH could help inform immunization programs as they develop and target methods to increase vaccine confidence and vaccination coverage.

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“…Moreover, these studies hold the government accountable because of problems related to regulation deficits and inappropriate crisis management 22 . Based on the ‘3 C’ model (complacency, confidence, and convenience) and previous studies 29,30,31,32 , we designed two scales to recognize the profiles of IVH among the guardians and the elderly in the country, and both passed the reliability and validity test. The three topmost serious issues (with the lowest item score) were, for the guardians, the impact of vaccine incidents, thinking that children have low probability of getting influenza, and the vaccine high cost.…”

Section: Discussionmentioning

confidence: 99%

Seasonal influenza vaccine hesitancy profiles and determinants among Chinese children’s guardians and the elderly

Zheng¹,

Sun²,

Yang³

et al. 2021

Preprint

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Seasonal influenza vaccine coverage remains low in China due to possible influenza vaccine hesitancy (IVH) and practical issues. We sought to investigate IVH and its determinants among children's guardians and the elderly for better understanding of the situation and for future intervention. We performed two cross-sectional studies to identify the profiles and determinants of IVH using stratified cluster random sampling in an eastern China province in 2019. Of the 1,564 guardians and 522 elders, 43.2% (95%CI 40.4-46.0%) of guardians and 33.5% of elders (95%CI 29.5-37.6%) had IVH. 'From rural area' (OR=1.36), 'don't know government recommendation for flu vaccination' (1.39), 'don't know flu vaccine is vaccinated annually' (1.93), 'family members (0.22), friends and neighbors had positive attitude toward flu vaccine'(0.58) were related factors of the guardians' IVH. 'Aged 70-79 years' (0.46), 'had flu before' (0.35) and 'once had been vaccinated' (0.42) were related to the elderly's IVH. Poor awareness of influenza and vaccination, relatives' negative/positive attitude, lack of government recommendations, anxiety about vaccine quality, and practical issues such as short supply are related to IVH in China. Precision education aiming hesitancy in wider groups are anticipated to increase vaccine confidence and coverage in influenza-vulnerable groups.

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An assessment of parental knowledge, attitudes, and beliefs regarding influenza vaccination

Cited by 26 publications

References 26 publications

COVID-19 Pediatric Vaccine Hesitancy among Racially Diverse Parents in the United States

COVID-19 Pediatric Vaccine Hesitancy among Racially Diverse Parents in the United States

Parental Vaccine Hesitancy and Childhood Influenza Vaccination

Seasonal influenza vaccine hesitancy profiles and determinants among Chinese children’s guardians and the elderly

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