Parents’ Intentions and Perceptions About COVID-19 Vaccination for Their Children: Results From a National Survey

Szilâgyi, Peter G.; Shah, Megha D.; Delgado, Jeanne R.; Thomas, Kyla; Vizueta, Nathalie; Cui, Yan; Vangala, Sitaram; Shetgiri, Rashmi; Kapteyn, Arie

doi:10.1542/peds.2021-052335

Cited by 229 publications

(324 citation statements)

References 47 publications

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“…M. Scherer et al, 2021;Skjefte et al, 2021;Szilagyi et al, 2021;Teasdale et al, 2021), higher income (Hetherington et al, 2021;Kelly et al, 2021;Skjefte et al, 2021;Teasdale et al, 2021), and health insurance (Skjefte et al, 2021) were associated with parents' intention to accept COVID-19 vaccination for their children. Increased intended uptake of a COVID-19 vaccine was associated with older age of children (Goldman et al, 2020;Szilagyi et al, 2021) and parents (Kelly et al, 2021;Montalti et al, 2021;Skjefte et al, 2021), and increased number of children (S. . Intention of parents to vaccinate their children against COVID-19 increased, when fathers completed the survey (Goldman et al, 2020;Kelly et al, 2021;Montalti et al, 2021;A.…”

Section: Factors Related With Parents' Willingness To Vaccinate Their Children Against Covid-19mentioning

confidence: 97%

“…In particular, higher educational level (Brandstetter et al, 2021;Hetherington et al, 2021;Kelly et al, 2021;Montalti et al, 2021;A. M. Scherer et al, 2021;Skjefte et al, 2021;Szilagyi et al, 2021;Teasdale et al, 2021), higher income (Hetherington et al, 2021;Kelly et al, 2021;Skjefte et al, 2021;Teasdale et al, 2021), and health insurance (Skjefte et al, 2021) were associated with parents' intention to accept COVID-19 vaccination for their children. Increased intended uptake of a COVID-19 vaccine was associated with older age of children (Goldman et al, 2020;Szilagyi et al, 2021) and parents (Kelly et al, 2021;Montalti et al, 2021;Skjefte et al, 2021), and increased number of children (S. .…”

Section: Factors Related With Parents' Willingness To Vaccinate Their Children Against Covid-19mentioning

confidence: 99%

“…Five studies were conducted in the USA (Kelly et al, 2021;Ruggiero et al, 2021;A. M. Scherer et al, 2021;Szilagyi et al, 2021;Teasdale et al, 2021), three studies in China (Wang, Xiu, et al, 2021;Zhang et al, 2020), two studies in Turkey (Yigit et al, 2021;Yilmaz & Sahin, 2021), one study in Canada (Hetherington et al, 2021), one study in New Zealand (Jeffs et al, 2021), and three studies in Europe (United Kingdom, Germany and Italy) (S. Brandstetter et al, 2021;Montalti et al, 2021). Also, two studies were multicenter including participants from several countries (Goldman et al, 2020;Skjefte et al, 2021).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…All studies were cross-sectional, while 14 studies used a convenience sample (S. Brandstetter et al, 2021;Goldman et al, 2020;Hetherington et al, 2021;Jeffs et al, 2021;Montalti et al, 2021;A. M. Scherer et al, 2021;Skjefte et al, 2021;Teasdale et al, 2021;Wang, Xiu, et al, 2021;Yigit et al, 2021;Yilmaz & Sahin, 2021;Zhang et al, 2020), two studies used a probability sample (Kelly et al, 2021;Szilagyi et al, 2021), and one study used the snowball sampling method (Ruggiero et al, 2021).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Quality was good in 14 studies (S. Brandstetter et al, 2021;Goldman et al, 2020;Kelly et al, 2021;Montalti et al, 2021;Ruggiero et al, 2021;A. M. Scherer et al, 2021;Skjefte et al, 2021;Szilagyi et al, 2021;Teasdale et al, 2021;Wang, Xiu, et al, 2021;Yilmaz & Sahin, 2021), and moderate in three studies (Hetherington et al, 2021;Jeffs et al, 2021;Yigit et al, 2021). Quality assessment of studies is shown in Supplementary Table 1.…”

Section: Quality Assessmentmentioning

confidence: 99%

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Willingness and influential factors of parents to vaccinate their children against the COVID-19: a systematic review and meta-analysis

Galanis

Vraka

Σίσκου

et al. 2021

Preprint

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Background: Coronavirus disease 2019 (COVID-19) vaccine uptake among children will be critical in limiting the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the disease. Parents are key decision-makers for whether their children will receive a COVID-19 vaccine. Objective: To estimate parents willingness to vaccinate their children against the COVID-19, and to investigate the predictors for their decision. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review and meta-analysis. We searched Scopus, Web of Science, Medline, PubMed, ProQuest, and CINAHL from inception to August 11, 2021. The review protocol was registered with PROSPERO (CRD42021273125). We applied a random effect model to estimate pooled effects since the heterogeneity was very high. We used subgroup analysis and meta-regression analysis to explore sources of heterogeneity. Results: We found 17 studies including 45,783 parents. The overall proportion of parents that intend to vaccinate their children against the COVID-19 was 56.8% (95% confidence interval: 51.8-61.8%). Parents willingness ranged from 29% to 72.7%. Studies quality, sample size, data collection time, and the continent that studies were conducted did not affect the results. The main predictors of parents intention to vaccinate their children against COVID-19 were male gender, older age of parents and children, higher socio-economic status, white race, positive attitudes toward vaccination, higher levels of knowledge, and higher levels of perceived threat from the COVID-19, worry, fear, and anxiety. Conclusions: Parents willingness to vaccinate their children against the COVID-19 is moderate and several factors affect this decision. Understanding parental COVID-19 vaccine hesitancy does help policymakers to change the stereotypes and establish broad community COVID-19 vaccination. Identification of the factors that affect parents willingness to vaccinate their children against COVID-19 will provide opportunities to enhance parents trust in the COVID-19 vaccines and optimize children uptake of a COVID-19 vaccine.

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Section: Factors Related With Parents' Willingness To Vaccinate Their Children Against Covid-19mentioning

confidence: 97%

Section: Factors Related With Parents' Willingness To Vaccinate Their Children Against Covid-19mentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

See 3 more Smart Citations

Willingness and influential factors of parents to vaccinate their children against the COVID-19: a systematic review and meta-analysis

Galanis

Vraka

Σίσκου

et al. 2021

Preprint

View full text Add to dashboard Cite

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COVID-19 Vaccination Intentions, Concerns, and Facilitators Among US Parents of Children Ages 6 Months Through 4 Years

et al. 2022

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IMPORTANCEChildren aged 6 months through 4 years have become eligible for COVID-19 vaccination, but little is known about parental intentions regarding, concerns about, or facilitators to COVID-19 vaccination for this age group. OBJECTIVES To evaluate parental intentions, concerns, and facilitators for COVID-19 vaccination for children aged 6 months through 4 years and to help inform the US Centers for Disease Control and Prevention Advisory Committee on Immunization Practices' deliberations and recommendations for COVID-19 vaccination for children aged 6 months through 4 years. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study fielded an online survey from February 2 to 10, 2022, among a nonprobability sample of US parents of children aged 6 months through 4 years who were recruited through Qualtrics using quota-based sampling for respondent gender, race and ethnicity, and child age group. MAIN OUTCOMES AND MEASURES COVID-19 vaccination intentions, time to COVID-19 vaccination, COVID-19 vaccination concerns and facilitators, and trusted COVID-19 vaccination locations for children aged 6 months through 4 years. RESULTSThe final weighted sample of 2031 participants (73.5% participation rate) had more respondents who identified as male (985; weighted percentage, 54.8%) or White (696; weighted percentage, 66.2%), were aged 25 to 49 years (1628; weighted percentage, 85.6%), had at least a bachelor's degree (711; weighted percentage, 40.0%), lived in a metropolitan area (1743; weighted percentage, 82.9%) or the South (961; weighted percentage, 43.4%), or received at least 1 dose of a COVID-19 vaccine (1205; weighted percentage, 59.8%). Half of respondents (645; weighted percentage, 45.6%) indicated that they "definitely" or "probably" will vaccinate their child aged 6 months through 4 years once they became eligible. However, only one-fifth (396; weighted percentage, 19.0%) indicated they would get a COVID-19 vaccine for their child in this age group within 3 months of them becoming eligible for vaccination. Vaccine safety and efficacy were parents' top concerns, and receiving more information about safety and efficacy were the top facilitators to COVID-19 vaccination for this age group. A doctor's office or clinic and local pharmacy were the most trusted COVID-19 vaccination locations for this age group. CONCLUSIONS AND RELEVANCEThese results suggest that only a minority of parents of children in this age group are eager to vaccinate their children within the first few months of eligibility, with widespread concerns about COVID-19 vaccination for this age group. Thus, considerable efforts to increase parental COVID-19 vaccine confidence for children aged 6 months through 4 years may be needed to maximize COVID-19 vaccination for this age group in the United States.

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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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Parents’ Intentions and Perceptions About COVID-19 Vaccination for Their Children: Results From a National Survey

Cited by 229 publications

References 47 publications

Willingness and influential factors of parents to vaccinate their children against the COVID-19: a systematic review and meta-analysis

Willingness and influential factors of parents to vaccinate their children against the COVID-19: a systematic review and meta-analysis

COVID-19 Vaccination Intentions, Concerns, and Facilitators Among US Parents of Children Ages 6 Months Through 4 Years

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

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