Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey

Temsah, Mohamad-Hani; Alhuzaimi, Abdullah; Aljamaan, Fadi; Bahkali, Feras; Al‐Eyadhy, Ayman; Alrabiaah, Abdulkarim; Alhaboob, Ali; Bashiri, Fahad A.; Alshaer, Ahmad A; Temsah, Omar; Bassrawi, Rolan; Alshahrani, Fatimah; Chaiah, Yazan; Alaraj, Ali; Assiri, Rasha; Jamal, Amr; Batais, Mohammed Ali; Saddik, Basema; Halwani, Rabih; Alzamil, Fahad; Memish, Ziad A.; Barry, Mazin; Alsubaie, Sarah; Al‐Tawfiq, Jaffar A.; Alhasan, Khalid

doi:10.3389/fpubh.2021.752323

Cited by 115 publications

(121 citation statements)

References 34 publications

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“…Consistent with prior studies on parental hesitancy toward routine pediatric vaccines and emerging data on the current pandemic [8][9][10][18][19][20][21][22][23], bivariate analyses indicated all hypothesized demographic, individual and social determinants were significantly associated with parental intentions to vaccinate their child against COVID-19. Multivariate ordinal logistic regression demonstrated that race/ethnicity (non-Hispanic Asian compared to non-Hispanic White), parental vaccine status, education, financial security, vaccine safety and efficacy concerns, COVID-19 misconceptions and perceived childhood susceptibility to and severity of the disease, community support, and FDA and physician recommendations, accounted for 70.3% of the variance, indicating a goodness-of-fit between the model and parents' plans to vaccinate their child.…”

Section: Discussionsupporting

confidence: 68%

“…The most consistent predictor of parental COVID-19 vaccine hesitancy in the U.S. is lack of confidence in the safety and effectiveness of the vaccine followed by lack of trust in government and perceptions that children are not susceptible to the disease [8,9,[18][19][20][21][22][23]. Demographic variables have also been associated with parental COVID-19 vaccine acceptance.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

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

2021

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“…Parents and guardians aged < 30 were less likely to vaccinate their children against COVID-19 compared to those aged > 30 (OR: 0.6450, 95% CI: 0.4531-0.9180). The same trend was also observed in the association between children's age and vaccination acceptance in five studies [22,26,33,38,40]. In addition, lower household income was found to be a negative factor of vaccination willingness in five studies [18,21,27,39,41]…”

Section: Determinant Assessmentsupporting

confidence: 67%

“…There was contradictory evidence on whether educational level (OR: 1.3795, 95% CI: 0.8007, 2.3765) or gender of parents and guardians (OR: 1.1130, 95% CI: 0.5903, 2.0986) was an effective predictor. In nine studies [16,[18][19][20][21][22][23][24][25], participants with a high school or lower degree were less likely to accept COVID-19 vaccination for their children compared to those with college or higher education, while the opposite results were found in the other six studies [26][27][28][29][30][31]. Compared to women, men were more likely to accept the vaccination in ten studies [22,24,25,[27][28][29][32][33][34][35].…”

Section: Determinant Assessmentmentioning

confidence: 85%

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Parents’ and Guardians’ Willingness to Vaccinate Their Children against COVID-19: A Systematic Review and Meta-Analysis

Chen

Shi

2022

Vaccines

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COVID-19 vaccination for children is crucial to achieve herd immunity. This is the first systematic review and meta-analysis to estimate parents’ and guardians’ willingness to vaccinate their children against COVID-19 and identify the determinants of vaccination intention. Systematic research was performed on the two databases (PubMed and EMBASE) from inception to 6 November 2021. Acceptance rates were pooled by use of a random-effects model and all predictors of vaccine acceptance were identified according to the health belief model (HBM) framework. This analysis was registered with PROSPERO (CRD42021292326) and reported in compliance with the PRISMA guidelines. Of 452 identified records, 29 eligible studies were included (N = 68,327 participants). The estimated worldwide vaccination acceptance rate was 61.40% (95% CI: 53.56–68.69%, I2 = 99.3%), ranging from 21.6% to 91.4% across countries and regions. In the determinant assessment, the age of parents and guardians, access to scientific information and recommendations, routine and influenza vaccination behavior, and the willingness of parents and guardians to vaccinate themselves were potentially significant predictors of the vaccination willingness. Given the limited quality and quantity of included articles, future studies with a rigorous design will be necessary for the confirmation of our findings.

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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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Parental Attitudes and Hesitancy About COVID-19 vs. Routine Childhood Vaccinations: A National Survey

Cited by 115 publications

References 34 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

Parents’ and Guardians’ Willingness to Vaccinate Their Children against COVID-19: A Systematic Review and Meta-Analysis

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

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