Plans to vaccinate children for COVID-19: a survey of US parents

Teasdale, Chloe A; Borrell, Luisa N.; Kimball, Spencer; Rinke, Michael L.; Rane, Madhura S.; Fleary, Sasha A.; Nash, Denis

doi:10.1101/2021.05.12.21256874

Cited by 11 publications

(8 citation statements)

References 21 publications

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“…In our data, education level correlated inversely with parents' intention to vaccinate their children for COVD-19; literature has been inconsistent in that regard (41,42). This inconsistency has been previously reported when evaluating the education levels of parents and vaccine acceptance, which translate into that education cannot always be relied upon as a predictor of vaccine acceptance or more accurate knowledge on vaccines (43).…”

Section: Discussionsupporting

confidence: 46%

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

Temsah

Alhuzaimi

Aljamaan

et al. 2021

Front. Public Health

120

122

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Objectives: To quantify parental acceptance of the COVID-19 vaccine and assess the vaccine hesitancy (VH) for COVID-19 vs. childhood vaccines.Methods: Eight vaccine hesitancy scale (VHS) items, adopted from WHO's Strategic Advisory Group of Immunization (SAGE), were used to assess VH for COVID-19 vaccine vs. routine childhood vaccines. We distributed the online survey to parents with the commence of the national childhood COVID-19 vaccination program in Saudi Arabia.Results: Among 3,167 parents, 47.6% are decided to vaccinate their children against COVID-19. The most common reasons for refusal were inadequate safety information (69%) and worry about side effects (60.6%). Parents have a significantly greater positive attitudes toward children's routine vaccines vs. the COVID-19 vaccine, with higher mean VHS (±SD) = 2.98 ± 0.58 vs. 2.63 ± 0.73, respectively (p-value < 0.001). Parents agreed more that routine childhood vaccines are more essential and effective as compared to the COVID-19 vaccine (Cohen's D: 0.946, and 0.826, consecutively; T-test p-value < 0.00). There is more parental anxiety about serious side effects of the COVID-19 vaccine vs. routine childhood vaccines (Cohen's D = 0.706, p-value < 0.001). Parents who relied on the Ministry of Health information were more predicted (OR = 1.28, p-value = 0.035) to intend to vaccinate as opposed to those who used the WHO website (OR = 0.47, −53%, p-value < 0.001). In a multivariate logistic regression analysis, the factors associated with intention to vaccinate children were parents who received COVID-19 vaccine, older parents, having children aged 12–18, and parents with lower education levels.Conclusions: Significant proportion of parents are hesitant about the COVID-19 vaccine because they are less confident in its effectiveness, safety, and whether it is essential for their children. Relying on the national official healthcare authority's website for the source of information was associated with increased acceptance of childhood COVID-19 vaccination. As parental intention to vaccinate children against COVID-19 is suboptimal, healthcare authorities could boost vaccine uptake by campaigns targeting hesitant parents.

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Section: Discussionsupporting

confidence: 46%

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

Temsah

Alhuzaimi

Aljamaan

et al. 2021

Front. Public Health

120

122

View full text Add to dashboard Cite

show abstract

“…The low levels of intention were in contrast to the findings from other countries [4] , [5] , [15] ; Feng et al, 2020; [22] , [32] , [33] ,Yoda & Katsuyama, 2021; [38] , [41] but consistent with an earlier, smaller-scale study conducted in Hong Kong parents [23] . We speculate that possible reasons to explain this low intention could be due to insufficient scientific information about the safety and efficacy of the COVID-19 vaccines in children, perception of relatively low severity of the pandemic in Hong Kong compared to other societies, possession of the belief that symptoms are not severe in children even if they are infected compared to adults, and low willingness to risk their children’s lives for receiving the vaccines because of the potential side effects.…”

Section: Resultssupporting

confidence: 84%

“…A preliminary study conducted in early 2021 based on a small sample of Hong Kong parents ( N = 349) found that only 21.2% of parents would vaccinate their primary school children if COVID-19 vaccines were officially authorized for use in children [23] ). This rate ranks almost the lowest among the existing findings from Australia [15] , Brazil [5] , Canada [22] , Japan (Yoda & Katsuyama, 2021), Latin America and the Caribbean [38] , mainland China (Feng et al, 2020; [41] , Poland [4] , and the US [32] , [33] .…”

Section: Introductionmentioning

confidence: 81%

Why do Hong Kong parents have low intention to vaccinate their children against COVID-19? testing health belief model and theory of planned behavior in a large-scale survey

Li¹,

Lau²,

Chan³

2022

Vaccine

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“…Several socio-demographic characteristics that we found to be associated with parents' intention to vaccinate their children are consistent with previous studies. For example, these previous studies found that significantly higher proportions of males [22][23][24], older parents [21], higher educational level [23,25] and higher income [25,26] exhibited higher intentions to vaccinate children against COVID-19.…”

Section: Discussionmentioning

confidence: 93%

Parents’ intention to vaccinate their 5-11 years old children with the COVID-19 vaccine: rates, predictors and the role of incentives

Shmueli

2021

Preprint

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BackgroundOn September 20, 2021, Pfizer announced encouraging effectiveness and safety results from their COVID-19 vaccine clinical trials in 5-11 years old children. This study aims to assess parents’ perceptions and intention to vaccinate their 5-11 years old children and to determine the socio-demographic, health-related and behavioral factors, as well as the role of incentives beyond these factors, in predicting this intention.MethodsA cross-sectional representative online survey among parents of children aged 5-11 years in Israel (n=1,012). The survey was carried out between September 23 and October 4, 2021, at a critical time, immediately after Pfizer’s announcement. Two multivariate regressions were performed to determine predictors of parents’ intention to vaccinate their 5-11 years old children against COVID-19 in the coming winter and how soon they intend to do so.ResultsOverall, 57% of the participants reported their intention to vaccinate their 5-11 years old children against COVID-19 in the coming winter. This intention was higher for participants over the age of 40. Perceived susceptibility, perceived benefits, perceived barriers, and cues to action, as well as two incentives - vaccine availability and receiving a ‘green pass’ - were all significant predictors of this intention. When asked about how soon they intend to vaccinate their 5-11 years old children, 27% of the participants responded immediately; 26% within three months; and 24% within more than three months. Participants having a family member suffering from a chronic disease as well as those whose children were vaccinated against influenza in the previous winter intend to vaccinate their children sooner. Perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, were all found to be significant predictors of this sense of urgency. Similar to the intention to vaccinate children in the coming winter, while vaccine availability and receiving a ‘green pass’ were found to be positive significant predictors of how soon parents intend to vaccinate their children, other incentives such as monetary rewards or monetary penalties were not found to be significant predictors. Parental concerns centered around the safety of the vaccine (64%), fear of severe side effects (60%), and fear that clinical trials and the authorization process were carried out too quickly (56%).ConclusionsThis study provides up-to-date information on the rates of the intention of parents to vaccinate their 5-11 years old children, how soon they intend to do so, and the predictors of those intentions, which is essential for health policy makers and healthcare providers for planning vaccination campaigns. Moreover, as vaccine safety and side effects were found to be key parental concerns, it is important to release post-approval safety data regarding the vaccine to the public as soon as such is available. Finally, our findings underscore the important role of vaccine accessibility and receiving a ‘green pass’ over other incentives in promoting parents’ intentions to vaccinate their children.

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Plans to vaccinate children for COVID-19: a survey of US parents

Cited by 11 publications

References 21 publications

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

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

Why do Hong Kong parents have low intention to vaccinate their children against COVID-19? testing health belief model and theory of planned behavior in a large-scale survey

Parents’ intention to vaccinate their 5-11 years old children with the COVID-19 vaccine: rates, predictors and the role of incentives

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