Changes in Parental Attitudes Toward COVID-19 Vaccination and Routine Childhood Vaccination During the COVID-19 Pandemic: Repeated Cross-sectional Survey Study

Wang, Qiang; Xiu, Shixin; Yang, Liuqing; Han, Ying; Cui, Tingting; Shi, Nannan; Liu, Minqi; Yi, Youqin; Liu, Chang; Wang, Xuwen; Yang, Guangzheng; Ji, Lili; Zhou, Weijie; Jin, Hui; Zhen, Shiqi; Lin, Leesa

doi:10.2196/33235

Cited by 11 publications

(25 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Worry about vaccine safety and its potential adverse effect [ 56 , 59 , 64 , 65 , 67 , 70 , 72 , 76 , 77 , 81 , 85 , 86 , 90 , 91 , 92 , 94 , 95 , 98 , 101 , 103 , 105 , 112 , 115 , 116 , 118 , 121 , 126 , 127 , 128 , 131 , 132 , 133 , 140 , 142 ], novelty of vaccine and its’ short development time [ 57 , 101 , 116 ], and hesitancy regarding vaccine’s efficacy and benefits [ 56 , 59 , 66 , 70 , 71 , 72 , 74 , 76 , 92 , 94 , 101 , 105 , 115 , 117 , …”

Section: Resultsmentioning

confidence: 99%

Worldwide Estimation of Parental Acceptance of COVID-19 Vaccine for Their Children: A Systematic Review and Meta-Analysis

2023

View full text Add to dashboard Cite

Currently, the best method to well control the spread of COVID-19 without severe mental health problems is to reach herd immunity. Therefore, the vaccination rate of the COVID-19 vaccine is critical. Among the populations, children are the vulnerable ones to get vaccinated; therefore, it is important to assess parents’ and guardians’ willingness to have their children vaccinated. The present systematic review and meta-analysis synthesized evidence to estimate the parents’ acceptance rate of COVID-19 vaccination toward their children. Additionally, factors explaining the acceptance rate were investigated. Four academic databases (PubMed, Scopus, Web of Science, and ProQuest) together with Google Scholar were searched, and the references of the included publications were searched as well. Using the PECO-S framework (population, exposure, comparison, outcome, and study design), observational studies of cross-sectional, cohort, or case-control studies were included. The outcome was parents’ or guardians’ willingness to let their children be vaccinated. The studies included in the present review were restricted to English and peer-reviewed papers published between December 2019 and July 2022. A total of 98 papers across 69 different countries with 413,590 participants were included. The mean age of the parents was 39.10 (range: 18–70) years and that of their children was 8.45 (range: 0–18) years. The pooled estimated prevalence of parental acceptance to vaccinate their children with the COVID-19 vaccine was 57% (98 studies, 95% CI: 52–62%, I2: 99.92%, τ2: 0.06). Moreover, data collection time was a significant factor explaining parental willingness in the multivariable meta-regression, with a 13% decrease in parental willingness by each month increase in time, explaining 11.44% of variance. Qualitative synthesis results showed that parents’ COVID-19 vaccine knowledge, trust in theCOVID-19 vaccine, and facilitators in vaccination (e.g., low cost, good vaccine accessibility, and government incentive) were significant factors for higher willingness, while mental health problems (e.g., having worries and psychological distress) were significant factors for lower willingness. Given that the acceptance rate was relatively low (57%) and does not achieve the requirement of herd immunity (i.e., 70%), governments and healthcare authorities should try to elevate parents’ knowledge and trust in the COVID-19 vaccine, facilitate in vaccination, and reduce their mental difficulties to improve the overall vaccination rate among children.

show abstract

Section: Resultsmentioning

confidence: 99%

Worldwide Estimation of Parental Acceptance of COVID-19 Vaccine for Their Children: A Systematic Review and Meta-Analysis

2023

View full text Add to dashboard Cite

show abstract

“…26,27 These factors caused the anti-vaccine movement to revive after the COVID-19 outbreak. 10,26,27 High rates of vaccine hesitancy against COVID-19, combined with economic difficulties, and growing discomfort with containment measures, serve as an advantage for anti-vaccine campaigners. 6 The anti-vaccine movement has tried to increase parents' hesitations about childhood vaccines by taking advantage of the difficulties experienced due to the COVID-19 pandemic and the high rates of vaccination hesitations against COVID-19.…”

Section: Discussionmentioning

confidence: 99%

“…9 A study conducted in China found that the childhood vaccine rejection rates of parents increased from 7.8% in September-October 2020 to 15.1% in February-March 2021 as the impact of the COVID-19 pandemic increased. 10 There is only one study examining the change in parents' hesitation about childhood vaccines during the COVID-19 pandemic. 10 The aim of this study was to examine the changes in parents' attitudes towards childhood vaccines during COVID-19 pandemic.…”

Section: Changes In Parents' Attitudes Towards Childhood Vaccines Dur...mentioning

confidence: 99%

See 1 more Smart Citation

Changes in parents' attitudes towards childhood vaccines during COVID‐19 pandemic

Duran

Duran²,

Acunaş³

et al. 2023

Pediatrics International

View full text Add to dashboard Cite

Background: Concerns about the safety and adverse reactions of rapidly‐developed vaccines against COVID‐19 contributed to parents' vaccine hesitancy and this situation created an opportunity for anti‐vaccine campaigners. The aim of this study was to examine the changes in parents' attitudes towards childhood vaccines during COVID‐19 pandemic.Methods: In this cross‐sectional study, parents of children who applied to the outpatient clinic of pediatric department of Trakya University Hospital, Edirne, Türkiye, between August 2020 and February 2021 were recruited into two study groups according to COVID‐19 peak time in Türkiye. Group 1 included parents of children who applied after first peak of the COVID‐19 pandemic and Group 2 included parents of children who applied after second peak. The World Health Organization 10‐item Vaccine Hesitancy Scale (WHO‐VHS) was applied to each group.Results: A total of 610 parents agreed to participate in the study. Group 1 and 2 consisted of 160 and 450 parents, respectively. While the number of parents who were hesitant about childhood vaccines was 17 (10.6%) in Group 1, it was 90 (20%) in Group 2. A statistically significant difference was found between the two groups (p = 0.008). The (WHO‐VHS) mean ± SD score was found to be higher in Group 2 (23.7 ± 6.9) than Group 1 (21.3 ± 7.3) (p < 0.001). The WHO‐VHS‐ mean ± SD scores of parents who experienced COVID‐19 infection themselves or their family or acquaintances were significantly lower than those who did not (20.0 ± 6.5 vs. 24.7 ± 6.9) (p < 0.001).Conclusions: The hesitant attitudes towards childhood and COVID‐19 vaccines were low in parents who directly or indirectly experienced COVID‐19 or were worried about the devastating effects of this disease. However, it was shown that as the COVID‐19 pandemic progressed, parents' hesitations towards childhood vaccines increased.

show abstract

“…Although most reported cases were self-limited and the benefits of the COVID-19 vaccine in preventing COVID-19 and severe disease outweigh the risks of myocarditis, 5,6,8 the concern about myocarditis as a side effect reduces the willingness of adolescents to be vaccinated. 9,10 Therefore, further investigation into cardiac changes after vaccination is needed to establish public trust in vaccines.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic function evaluation in adolescents following BNT162b2 Pfizer-BioNTech mRNA vaccination: a preliminary prospective study

Hsu,

Jeng

2023

Journal of the Chinese Medical Association

View full text Add to dashboard Cite

Background: Vaccination against coronavirus disease 2019 (COVID-19) is crucial for preventing and minimizing illness. Myocarditis and pericarditis after mRNA COVID-19 vaccination in adolescents and young adult males have been reported. Most of the studies in this area rely on retrospective symptom reporting, especially for adolescents experiencing myocarditis as a potential side effect. However, prospective post-vaccination echocardiographic evaluation is rare. Methods: The study enrolled adolescents aged 12 to 15 years who received the second dose of the BNT162b2 mRNA-Pfizer-BioNTech vaccine (BNT vaccine). Serial echocardiographic examinations were conducted at baseline before vaccination, followed by subsequent assessments on days 2, 7, 14, and 28 to identify any notable differences or abnormal changes in cardiac function. Clinical symptom assessments were also recorded during each follow-up. Results: The study included 25 adolescents, comprising 14 males and 11 females, who completed the four follow-ups. Their mean age was 14 ± 1 years. The average interval between the first and second BNT vaccine doses was 90 ± 7 days. Ejection fraction values were 73.8% ± 5.2% at baseline and 75.7% ± 5.2% at subsequent assessment time points (75.5% ± 4.6%, 75.7% ± 4.5%, 75.79% ± 4.5%, and 77.8% ± 5.9% at day 2, 7, 14, and 28, respectively). The cardiac function remained stable across all time points, with no significant differences observed between male and female participants. Within post-vaccination 48 hours, 18 (72%) of the enrolled adolescents experienced temporary discomfort symptoms, which completely resolved by the final follow-up on the 28th day after vaccination. Conclusion: Although adolescents vaccinated with the second dose of BNT vaccine commonly experienced transient post-vaccination discomfort, the serial echocardiographic examinations did not reveal any significant deterioration of cardiac function within 28 days. Further studies are required to investigate the incidence of SARS-CoV-2 mRNA vaccination-associated myocarditis in adolescents and the related mechanisms.

show abstract

Changes in Parental Attitudes Toward COVID-19 Vaccination and Routine Childhood Vaccination During the COVID-19 Pandemic: Repeated Cross-sectional Survey Study

Cited by 11 publications

References 34 publications

Worldwide Estimation of Parental Acceptance of COVID-19 Vaccine for Their Children: A Systematic Review and Meta-Analysis

Worldwide Estimation of Parental Acceptance of COVID-19 Vaccine for Their Children: A Systematic Review and Meta-Analysis

Changes in parents' attitudes towards childhood vaccines during COVID‐19 pandemic

Echocardiographic function evaluation in adolescents following BNT162b2 Pfizer-BioNTech mRNA vaccination: a preliminary prospective study

Contact Info

Product

Resources

About