Exploring Determinants of COVID-19 Vaccine Acceptance, Uptake, and Hesitancy in the Pediatric Population: A Study of Parents and Caregivers in Saudi Arabia during the Initial Vaccination Phase
Abstract:Objectives: This study aims to assess COVID-19 vaccine acceptance, uptake, and hesitancy among parents and caregivers of children in Saudi Arabia during the initial rollout of pediatric COVID-19 vaccination. Methods: An electronic survey was used to collect data from participants who visited a COVID-19 vaccine center. The survey included demographic data, COVID-19 vaccine status among participants and their children, and reasons for vaccine acceptance or rejection. The Vaccine Hesitancy Scale (VHS) tool was al… Show more
“…Indeed, attitudes such as perceived benefit and risk have been shown to be related to HPV vaccination acceptance [ 60 , 61 ]. Our findings are consistent with similar patterns observed in COVID-19 vaccination, with hesitancy linked to concerns about effectiveness, safety, and necessity [ 62 ]. Communication programs focusing on individual benefits can increase vaccine intention and uptake.…”
Section: Discussionsupporting
confidence: 91%
“…Communication programs focusing on individual benefits can increase vaccine intention and uptake. Healthcare authorities can target hesitant parents through campaigns and endorsements, while using validated vaccine hesitancy scales to measure hesitancy consistently and develop targeted interventions [ 62 ].…”
The study examined whether the 3R (reframe, prioritize, and reform) communication model intervention can impact parents’ and adolescents’ HPV vaccination acceptability. We used face-to-face methods to recruit participants from three local churches in the Ashanti Region of Ghana. Participants completed pre- and post-intervention assessments based on the validated Theory of Planned Behavior survey. We organized two face-to-face presentations for parents and adolescents separately for parents (n = 85) and adolescents (n = 85). Participants’ post-intervention vs. pre-intervention scores for attitude (mean = 35.46 ± SD = 5.46 vs. mean = 23.42 ± SD = 8.63), knowledge (M = 28.48 ± SD = 5.14 vs. M = 16.56 ± SD = 7.19), confidence (M = 8.96 ± SD = 3.43 vs. M = 6.17 ± SD = 2.84), and intention for vaccine acceptance (M = 4.73 ± SD = 1.78 vs. M = 3.29 ± SD = 1.87) increased significantly (p < 0.001). The intervention showed that for every one-unit increase in the participants’ self-confidence and attitude scores, the odds of the HPV vaccination acceptability increased by 22% (95% CI: 10–36) and 6% (95% CI: 0.1–12), respectively. Intention for vaccine acceptance, F (1167) = 6.89, and attitude toward vaccination, F (1167) = 19.87, were significantly higher among parents than adolescents (p < 0.001), after controlling for the baseline scores. These findings suggest that the intervention targeting parents’ and adolescents’ attitudes and knowledge has the potential to increase HPV vaccination acceptance in Ghana.
“…Indeed, attitudes such as perceived benefit and risk have been shown to be related to HPV vaccination acceptance [ 60 , 61 ]. Our findings are consistent with similar patterns observed in COVID-19 vaccination, with hesitancy linked to concerns about effectiveness, safety, and necessity [ 62 ]. Communication programs focusing on individual benefits can increase vaccine intention and uptake.…”
Section: Discussionsupporting
confidence: 91%
“…Communication programs focusing on individual benefits can increase vaccine intention and uptake. Healthcare authorities can target hesitant parents through campaigns and endorsements, while using validated vaccine hesitancy scales to measure hesitancy consistently and develop targeted interventions [ 62 ].…”
The study examined whether the 3R (reframe, prioritize, and reform) communication model intervention can impact parents’ and adolescents’ HPV vaccination acceptability. We used face-to-face methods to recruit participants from three local churches in the Ashanti Region of Ghana. Participants completed pre- and post-intervention assessments based on the validated Theory of Planned Behavior survey. We organized two face-to-face presentations for parents and adolescents separately for parents (n = 85) and adolescents (n = 85). Participants’ post-intervention vs. pre-intervention scores for attitude (mean = 35.46 ± SD = 5.46 vs. mean = 23.42 ± SD = 8.63), knowledge (M = 28.48 ± SD = 5.14 vs. M = 16.56 ± SD = 7.19), confidence (M = 8.96 ± SD = 3.43 vs. M = 6.17 ± SD = 2.84), and intention for vaccine acceptance (M = 4.73 ± SD = 1.78 vs. M = 3.29 ± SD = 1.87) increased significantly (p < 0.001). The intervention showed that for every one-unit increase in the participants’ self-confidence and attitude scores, the odds of the HPV vaccination acceptability increased by 22% (95% CI: 10–36) and 6% (95% CI: 0.1–12), respectively. Intention for vaccine acceptance, F (1167) = 6.89, and attitude toward vaccination, F (1167) = 19.87, were significantly higher among parents than adolescents (p < 0.001), after controlling for the baseline scores. These findings suggest that the intervention targeting parents’ and adolescents’ attitudes and knowledge has the potential to increase HPV vaccination acceptance in Ghana.
“…This review identified parental age as one of the main factors described in 9 (out of 23) studies, influencing parents' intention to vaccinate their children against COVID-19. However, this is hard to interpret as out of the 23 included studies, only three studies (16,19,21) included age as a continuous variable. The remaining studies categorized age into different age categories without providing a valid rationale for such a categorization.…”
Section: Discussionmentioning
confidence: 99%
“…Altulaihi and colleagues described that the presence of extended family support was linked to parents' willingness to vaccinate their children against COVID-19 (8). Other factors included the mutual involvement of both parents in decisions regarding the child's care (16) and the type of COVID-19 vaccine to be given to the child (21).…”
Section: Determinants Of Parental Attitudes and Hesitancy Toward Covi...mentioning
IntroductionThe COVID-19 pandemic, affecting adults and children equally, has caused significant disruption to countries worldwide, including Saudi Arabia. In Saudi Arabia, the fast preventative measures and mass vaccine enrollment were vital to contain the devastating impact of the pandemic. However, vaccine hesitancy, especially among parents toward vaccinating their children, was a significant obstacle to vaccine uptake.MethodsThis systematic review followed PRISMA guidelines to assess parental willingness to vaccinate their children against COVID-19, determine the key determinants influencing such intention and attitudes, and underline the significant concerns and misconceptions regarding the vaccine among parents. The Joanne Briggs Institute (JBI) checklist for prevalence studies was used to assess included studies for risk of bias.ResultsTwenty-three studies were included in this systematic review, representing a total of 20,926 participants, with over 66% of them were female. Over 37% of the participants were willing to vaccinate their children against COVID-19. Parents’ age, gender, level of education, and income were the main determinants of their intention to vaccinate their children. The parents’ main concerns were the potential vaccine side effects, safety, and efficacy. Major misconceptions about the COVID-19 vaccine included it being dangerous to children and that children are at lower risk of severe infection; hence, vaccines were not needed.DiscussionThis seminal review provides insights to public health policymakers, which should be considered and taken together in light of other studies addressing parental vaccine hesitancy.
“…Advised by the Saudi Ministry of Health (MOH) and international health organizations, the government launched its vaccination campaign in December 2020, adopting a phased approach that focused initially on high-risk groups and healthcare workers. In August 2021, the government opened vaccination eligibility to all adults aged 18 years and above [ 15 ]. The vaccination program involved procuring and distributing various COVID-19 vaccines as they received regulatory approval, including those developed by Pfizer-BioNTech, AstraZeneca, Moderna, and others [ 16 ].…”
The rapid development and implementation of COVID-19 vaccines merit understanding its effects on metabolic indices. This retrospective longitudinal study investigated the influence of first-to-second-dose intervals and time since the final dose on the metabolic indices of individuals receiving COVID-19 vaccinations. A total of 318 Saudi subjects (59.7% females) aged 12–60 years received COVID-19 vaccines via the national vaccination program. We collected the anthropometric data and fasting blood samples at specific time points before vaccination and after the final vaccination dose, and biochemical metabolic indices, including glucose and lipid profile, were measured. We also collected the dates of vaccination and COVID-19 history during the study period. The participants were stratified into groups based on first-to-second-dose intervals and time since the final dose to compare pre-and post-vaccination changes in metabolic indices between the groups. Logistic regression analysis revealed no differences in pre- to post-vaccination metabolic status between groups based on first-to-second-dose intervals in either adolescents or adults. However, shorter intervals (≤6 months) between the final dose and follow-up were associated with a decrease in total cardiometabolic components, especially triglyceride levels (OR = 0.39, 95% CI: (0.22–0.68), p < 0.001) than longer intervals (>6 months) in adults. In conclusion, time duration since final dose was associated with pre- to post-vaccination changes in metabolic indices, especially triglyceride levels, indicating that post-vaccination improvements wane over time. Further research is needed to validate the observed relationship, as it may contribute to optimizing vaccine effectiveness and safety in the future.
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