Predictors of Pediatric COVID-19 vaccination: a case-control study in Tabriz, Iran

Abstract

Introduction COVID-19 vaccination of children can help reduce the severity of the infection and the death rate caused by it and also helps achieve herd immunity. The level of acceptance and high vaccination coverage is the main elements in the success of immunization programs. Children’s vaccination is dependent on their parent’s decision. This study aims to identify predictors of the children’s COVID-19 vaccination accomplishment by their parents. Method In this case-control study, 577 vaccinated children as cases and 366 un-vaccinated children as controls were randomly selected from the general population of Tabriz, Iran 2022, and their data were collected by telephone calls and interviews with the children’s parents. Cases and controls were compared in terms of clinical and demographic factors of the child as well as the socioeconomic status (SES) of their parents by using a multivariable mixed-effect logistic regression model. Results According to the results of the multivariable logistic regression, the age of the child (OR = 1.26 95% CI (1.14, 1.40), p-value < 0.001), previous COVID-19 infection of the child (OR = 1.92, 95% CI (1.21, 3.04), p-value < 0.001), having no underlying disease in the child (OR = 1.76, 95% CI (1.02, 3.02), p-value = 0.04), the dwelling place of the household (the high-level dwelling in compared to a low level (OR = 3.34, 95% CI (1.6, 6.64), p-value = 0.001), the middle level of dwelling compared with low level (OR = 4.87, 95% CI (2.46, 9.51), p-value < 0.001)), and Father’s job (Employee and technician Fathers compared to worker fathers (OR = 2.99, 95% CI (1.55, 5.77), p-value = 0.001)) were significant independent predictors of children COVID-19 vaccination. Conclusion Several demographic and socioeconomic factors were associated with children’s vaccination. Older children, children without any underlying disease, children with a history of COVID-19 infection, and children of parents with higher levels of SES were more likely to receive the COVID-19 vaccine. This finding can be considered in children’s vaccination policymaking.

Trust in primary health care and COVID-19 vaccine uptake among Iranian pediatric: a web-based cross-sectional survey

“…On February 8, 2022, Iran commenced the vaccination of children aged 5 to 12 against COVID-19 [ 21 ]. The vaccines administered are Sinopharm and Soberana (PastoCoVac), given in two doses with a minimum of 28 days between doses [ 21 ].…”

“…On February 8, 2022, Iran commenced the vaccination of children aged 5 to 12 against COVID-19 [ 21 ]. The vaccines administered are Sinopharm and Soberana (PastoCoVac), given in two doses with a minimum of 28 days between doses [ 21 ]. As of April 29, 2023, the Ministry of Health in Iran reported that 175 COVID-19 vaccine doses were administered per 100 people.…”

“…As of April 29, 2023, the Ministry of Health in Iran reported that 175 COVID-19 vaccine doses were administered per 100 people. The rate of two-dose vaccination coverage for individuals over 12 in Iran is over 75%, while for children aged 5–12, it is no more than 10% [ 21 ]. In December 2021, electronic vaccine certificates were obligatory for employment, military service applicants, and access to universities and schools [ 21 ].…”

“…The rate of two-dose vaccination coverage for individuals over 12 in Iran is over 75%, while for children aged 5–12, it is no more than 10% [ 21 ]. In December 2021, electronic vaccine certificates were obligatory for employment, military service applicants, and access to universities and schools [ 21 ]. However, as of 2024, no COVID-19 testing or vaccination mandates existed for individuals entering Iran [ 22 ].…”

Parental intention on getting children COVID-19 vaccinations: Invariance evaluation across parenting roles and COVID-19-like symptoms experiences among Iranians during the pandemic period

“…Therefore, Iran initiated a free vaccination program for children between five and 12 y beginning in February 2022. 37 However, parents’ hesitancy for the COVID-19 vaccine seemed to extend to children, although most Iranian parents had received COVID-19 vaccinations (i.e., 82.8% of mothers and 84.3% of fathers were vaccinated with 2–3 doses). 38 According to the head of the infectious disease management center of the Ministry of Health in Iran, the coverage of corona vaccination among the age group of 5–11 y is not very acceptable (maximum 10% of the age group) compared to those aged 12–18 y (75% of the age group) and above 18 y.…”