Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey

Goldman, Ran D.; Yan, Tyler D.; Seiler, Michelle; Cotanda, Cristina Parra; Brown, Julie C.; Klein, Eileen J.; Hoeffe, Julia; Gelernter, Renana; Hall, Jeanine E.; Davis, Adrienne L.; Griffiths, Mark; Mater, Ahmed; Manzano, Sergio; Gualco, Gianluca; Shimizu, Naoki; Hurt, Thomas L.; Ahmed, Sara; Hansen, Mitchell A.; Sheridan, David C.; Ali, Samina; Thompson, Graham; Gaucher, Nathalie; Staubli, Georg

doi:10.1016/j.vaccine.2020.09.084

Cited by 301 publications

(488 citation statements)

References 24 publications

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“…All except seven had national/state representative samples through random selection from the targeted population (e.g., via voter registration or phone numbers) or large national/international opt-in panels, many stratified by demographics. The other seven were convenience samples utilizing social media [2,7,[16][17][18] or recruiting posters [19,20].…”

Section: Search Results and Survey Characteristicsmentioning

confidence: 99%

“…The impacts of having been infected oneself or knowing a friend/family who had and the desire to protect oneself or others were also cited but less conclusive. Some studies indicated positive association [19,53], while others found no correlation [21]. One study reported only 55% of those worrying about themselves or family members getting infected would get vaccinated [49].…”

Section: Vaccine Attributes and Individual Factorsmentioning

confidence: 99%

“…A top facilitator of confidence is doctors' recommendation [2,19,32,59], motivating 80% of Chinese [29] and 62% of Americans [13] (compared to 54% if the FDA endorsed the vaccine safety [56]). Opinion of families and friends also played a role [2].…”

Section: Vaccine Attributes and Individual Factorsmentioning

confidence: 99%

“…Several factors are unique to this pandemic due to the novelties and magnitude of COVID-19 and current highly polarized partisan environment [13,19,[76][77][78]. The expedited vaccine development has caused apprehension and distrust [5,10,30,60,79], particularly the Emergency Use Authorization process [53].…”

Section: Contextual and Covid-19 Factorsmentioning

confidence: 99%

“…Parents may have different considerations for vaccinating their children than themselves. One survey reported 76.02% vs. 74.38% receptivity and another 45% vs. 36.2% [5,54]; 58% would do so as soon as possible [51], though having chronic illness was a deterrence [19]. Those who indicated refusal for themselves also would not vaccinate their children [48].…”

Section: Contextual and Covid-19 Factorsmentioning

confidence: 99%

See 4 more Smart Citations

Confidence and Receptivity for COVID-19 Vaccines: A Rapid Systematic Review

2020

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While COVID-19 continues raging worldwide, effective vaccines are highly anticipated. However, vaccine hesitancy is widespread. Survey results on uptake intentions vary and continue to change. This review compared trends and synthesized findings in vaccination receptivity over time across US and international polls, assessing survey design influences and evaluating context to inform policies and practices. Data sources included academic literature (PubMed, Embase, and PsycINFO following PRISMA guidelines), news and official reports published by 20 October 2020. Two researchers independently screened potential peer-reviewed articles and syndicated polls for eligibility; 126 studies and surveys were selected. Declining vaccine acceptance (from >70% in March to <50% in October) with demographic, socioeconomic, and partisan divides was observed. Perceived risk, concerns over vaccine safety and effectiveness, doctors’ recommendations, and inoculation history were common factors. Impacts of regional infection rates, gender, and personal COVID-19 experience were inconclusive. Unique COVID-19 factors included political party orientation, doubts toward expedited development/approval process, and perceived political interference. Many receptive participants preferred to wait until others have taken the vaccine; mandates could increase resistance. Survey wording and answer options showed influence on responses. To achieve herd immunity, communication campaigns are immediately needed, focusing on transparency and restoring trust in health authorities.

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Section: Search Results and Survey Characteristicsmentioning

confidence: 99%

Section: Vaccine Attributes and Individual Factorsmentioning

confidence: 99%

Section: Vaccine Attributes and Individual Factorsmentioning

confidence: 99%

Section: Contextual and Covid-19 Factorsmentioning

confidence: 99%

Section: Contextual and Covid-19 Factorsmentioning

confidence: 99%

See 3 more Smart Citations

Confidence and Receptivity for COVID-19 Vaccines: A Rapid Systematic Review

2020

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Parental Acceptance of COVID-19 Vaccination for Children and Its Association With Information Sufficiency and Credibility in South Korea

et al. 2022

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ImportanceVaccination against COVID-19 is an effective method for individuals to reduce negative health outcomes. However, widespread COVID-19 vaccination among children has been challenging owing to parental hesitancy.ObjectiveTo examine parental decision-making in favor of the COVID-19 vaccine for their children and its association with the sufficiency and credibility of the information about the vaccine.Design, Setting, and ParticipantsThis cross-sectional survey study was conducted in South Korea from February 7 to 10, 2022, 7 weeks before initiation of the COVID-19 vaccine for children aged 5 to 11 years. Parents were included if they spoke Korean and had at least 1 child in elementary school (grades 1-6). Parents and children were included in a 1:1 ratio; a total of 113 450 parents and 113 450 children were included in the analysis. Statistical analysis was performed between March and April 2022.Main Outcomes and MeasuresThe main outcomes of interest were (1) parental acceptance of COVID-19 vaccination for their children and (2) its association with self-reported sufficiency and credibility of information about the vaccine. A multivariable logistic regression was used to evaluate factors associated with parental decision-making in favor of COVID-19 vaccination; path analysis was used to examine indirect effects of information sufficiency and credibility.ResultsOf the 113 450 children, 58 342 (51.4%) were boys, and the mean (SD) age was 10.1 (1.5) years. Of the 113 450 parents who responded, 7379 (6.5%) were accepting vaccination for their children; 15 731 (13.9%) reported the vaccine-related information they received was sufficient, and 23 021 (20.3%) reported the information was credible. Parents who reported that the information was sufficient were 3.08 times (95% CI, 2.85-3.33; P &lt; .001) more likely to report being willing to vaccinate their children than those who believed the information was insufficient, and those who reported that the information was credible were 7.55 times (95% CI, 6.46-8.87; P &lt; .001) more likely to report being willing to vaccinate their children than those who believed the information was not credible. Higher levels of information sufficiency and credibility were associated with perceptions of increased vaccine safety (sufficiency: β = 0.08; P &lt; .001; credibility: β = 0.59; P &lt; .001) and effectiveness (sufficiency: β = 0.05; P &lt; .001; credibility: β = 0.60; P &lt; .001).Conclusions and RelevanceIn this study, a significant association was found between self-reported sufficiency and credibility of vaccine-related information and parental decision-making regarding COVID-19 vaccination for their children, suggesting that communications and policies that provide sound information are essential to improve vaccination rates.

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COVID-19 Vaccine Uptake in Immigrant, Refugee, and Nonimmigrant Children and Adolescents in Ontario, Canada

Brandenberger

Duchen

et al. 2023

JAMA Netw Open

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ImportanceCOVID-19 vaccinations are recommended for minors. Surveys indicate lower vaccine acceptance by some immigrant and refugee groups.ObjectiveTo identify characteristics in immigrant, refugee, and nonimmigrant minors associated with vaccination.Design, Setting, and ParticipantsThis retrospective cohort study used linked, population-based demographic and health care data from Ontario, Canada, including all children aged 4 to 17 years registered for universal health insurance on January 1, 2021, across 2 distinct campaigns: for adolescents (ages 12-17 years), starting May 23, 2021, and for children (ages 5-11 years), starting November 25, 2021, through April 24, 2022. Data were analyzed from May 9 to August 2, 2022.ExposuresImmigrant or refugee status and immigration characteristics (recency, category, region of origin, and generation).Main Outcomes and MeasuresOutcomes of interest were crude rates of COVID-19 vaccination (defined as ≥1 vaccination for children and ≥2 vaccinations for adolescents) and adjusted odds ratios (aORs) with 95% CIs for vaccination, adjusted for clinical, sociodemographic, and health system factors.ResultsThe total cohort included 2.2 million children and adolescents, with 1 098 749 children (mean [SD] age, 7.06 [2.00] years; 563 388 [51.3%] males) and 1 142 429 adolescents (mean [SD] age, 14.00 [1.99] years; 586 617 [51.3%] males). Among children, 53 090 (4.8%) were first-generation and 256 886 (23.4%) were second-generation immigrants or refugees; among adolescents, 104 975 (9.2%) were first-generation and 221 981 (19.4%) were second-generation immigrants or refugees, most being economic or family-class immigrants. Immigrants, particularly refugees, were more likely to live in neighborhoods with highest material deprivation (first-generation immigrants: 18.6% of children and 20.2% of adolescents; first-generation refugees: 46.4% of children and 46.3% of adolescents; nonimmigrants: 18.5% of children and 17.2% of adolescents) and COVID-19 risk (first-generation immigrants; 20.0% of children and 20.5% of adolescents; first-generation refugees: 9.4% of children and 12.6% of adolescents; nonimmigrants: 6.9% of children and 6.8% of adolescents). Vaccination rates (53.1% in children and 79.2% in adolescents) were negatively associated with material deprivation. In both age groups, odds for vaccination were higher in immigrants (children: aOR, 1.30; 95% CI, 1.27-1.33; adolescents: aOR, 1.10; 95% CI, 1.08-1.12) but lower in refugees (children: aOR, 0.34; 95% CI, 0.33-0.36; adolescents: aOR, 0.88; 95% CI, 0.84-0.91) compared with nonimmigrants. In immigrant- and refugee-only models stratified by generation, region of origin was associated with uptake, compared with the overall rate, with the lowest odds observed in immigrants and refugees from Eastern Europe (children: aOR, 0.40; 95% CI, 0.35-0.46; adolescents: aOR, 0.41; 95% CI, 0.38-0.43) and Central Africa (children: aOR, 0.24; 95% CI, 0.16-0.35; adolescents: aOR, 0.51,CI: 0.45-0.59) and the highest odds observed in immigrants and refugees from Southeast Asia (children: aOR, 2.68; 95% CI, 2.47-2.92; adolescents aOR, 4.42; 95% CI, 4.10-4.77). Adjusted odds of vaccination among immigrants and refugees from regions with lowest vaccine coverage were similar across generations.Conclusions and RelevanceIn this cohort study using a population-based sample in Canada, nonrefugee immigrants had higher vaccine coverage than nonimmigrants. Substantial heterogeneity by region of origin and lower vaccination coverage in refugees persisted across generations. These findings suggest that vaccine campaigns need precision public health approaches targeting specific barriers in identified, undervaccinated subgroups.

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Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey

Cited by 301 publications

References 24 publications

Confidence and Receptivity for COVID-19 Vaccines: A Rapid Systematic Review

Confidence and Receptivity for COVID-19 Vaccines: A Rapid Systematic Review

Parental Acceptance of COVID-19 Vaccination for Children and Its Association With Information Sufficiency and Credibility in South Korea

COVID-19 Vaccine Uptake in Immigrant, Refugee, and Nonimmigrant Children and Adolescents in Ontario, Canada

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