Should COVID-19 vaccines be mandated in schools? - an international caregiver perspective

Baumer-Mouradian, Shannon H.; Hart, Rebecca; Bone, Jeffrey; Olson, Prasra; Keitel, Kristina; Manzano, Sergio; Gualco, Gianluca; Krupik, Danna; Schroter, Stephanie; Weigert, Rachel; Chung, SunHee; Thompson, Graham; Muhammad, Nina; Shah, Pareen; Gaucher, Nathalie; Lunoe, Maren M.; Evers, M.; Rochat, Cosette Pharisa; Nelson, Courtney E.; Gal, Moran Shefler; Doucas, Adrianna; Goldman, Ran D.

doi:10.1016/j.vaccine.2022.07.038

Cited by 3 publications

(6 citation statements)

References 38 publications

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“… 28 When mandatory COVID-19 vaccination was linked to school attendance, 44% of the caregivers stated that vaccines should never be mandated. 13 …”

Section: Discussionmentioning

confidence: 99%

“…In the fight to stop or slow the spread of COVID-19, several governments, schools, healthcare entities and private businesses around the world mandated COVID-19 vaccination. 12 , 13 Nevertheless, debates erupted during the pandemic regarding the legality, ethics and effectiveness of mandated COVID-19 vaccines for some populations, including children. 14 – 17 …”

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confidence: 99%

“…An exploratory factor analysis using principal axis factoring with the Promax rotation (k = 4) showed a one-factor solution that explained 58% of the variance in the data mandated COVID-19 vaccination. 12,13 Nevertheless, debates erupted during the pandemic regarding the legality, ethics and effectiveness of mandated COVID-19 vaccines for some populations, including children. [14][15][16][17] Although studies in this regard indicate that vaccination rates were low among young children, little research has been done to explore caregivers' support for mandatory COVID-19 vaccines, especially in the Arab world.…”

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confidence: 99%

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Support for Mandatory COVID-19 Vaccines for 5- to 11-Year-Old Children

Al Awaidy,

Khamis,

Al Ghafri

et al. 2024

Sultan Qaboos Univ Med J

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Objectives: The vaccination against COVID-19 has averted millions of fatalities during the COVID-19 pandemic. Nevertheless, a considerable number of parents and caregivers oppose mandating COVID-19 vaccines for children. This study investigated the variables that influenced a sample of Omani mothers' support for mandatory COVID-19 vaccines for children. Methods: A Cross-Sectional Study of Omani Mothers was collected from 700 mothers (response rate = 73.4%) of children 5–11 years old from several healthcare facilities in Oman using a structured questionnaire between February 20 and March 13, 2022. Univariable and multivariable logistic regression models were used to analyze the data. Results: The median age of mothers was 38 years (SD = 5.14). The results of multivariable logistic regression were generally consistent with those of the univariable analysis except for age (OR = 1.06, 95% CI [.58, 1.93], p =.86) and income (OR = 1.09, 95% CI [.58, 2.03], p =.79). Mothers who were vaccine hesitant (OR = 9.82, 95% CI [5.27, 18.28], p <.001), tested positive for COVID-19 (OR = 3.25, 95% CI [1.80, 5.86], p <.001), and had one or two doses of COVID-19 vaccines (OR = 5.41, 95% CI [2.92, 10.03], p <.001) were more likely to refuse mandating COVID-19 vaccines for children 5–11 years old. Conclusions: The findings should aid public health authorities in designing future childhood vaccine literacy programs with a specific attention to some subgroups in Oman to help reduce opposition to vaccines in future pandemics among mothers. Keywords: COVID-19; Mandatory vaccine; Vaccine hesitancy; Children; Oman.

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“… 28 When mandatory COVID-19 vaccination was linked to school attendance, 44% of the caregivers stated that vaccines should never be mandated. 13 …”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Support for Mandatory COVID-19 Vaccines for 5- to 11-Year-Old Children

Al Awaidy,

Khamis,

Al Ghafri

et al. 2024

Sultan Qaboos Univ Med J

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“…To our knowledge, this is the first study of its kind to date to assess the availability of CVs for children in US EDs, and to explore facilitators/barriers experienced by pediatric EDs when implementing CV programs. Facilitators and barriers to CV administration have been widely discussed in the literature from the patient and caregiver perspective, with frequent mentions of issues with healthcare access [ 18 , 19 , 20 , 25 , 26 , 27 , 47 , 48 , 49 ]. For this reason, exploring opportunities to vaccinate in the ED is an important area of study.…”

Section: Discussionmentioning

confidence: 99%

“…Recent data from the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) find that only 13% of children age 6 months to 4 years have received at least one dose of a COVID-19 vaccine, while 39% of 5–11-year-olds and 68% of 12–17-year-olds have had at least one dose [ 17 ]. While common reasons for low COVID-19 vaccination rates in children include parental hesitancy, concerns about safety/side effects, and perceptions that the vaccines are “too new” or that development was “rushed”, many parents also cite barriers such as a lack of transportation, a lack of medical insurance, or difficulty obtaining an appointment for their child to receive a CV [ 18 , 19 , 23 , 24 , 25 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children

Hart,

Feygin,

Kluthe

et al. 2023

Vaccines

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COVID-19 vaccine (CV) acceptance rates remain suboptimal in children. Emergency departments (EDs) represent a unique opportunity to improve vaccination rates, particularly in underserved children. Little is known about the presence or reach of CV programs in US EDs. We assessed, via a cross-sectional survey of pediatric ED physicians, the number of EDs offering CVs to children, the approximate numbers of vaccines administered annually, and the perceived facilitators/barriers to vaccination. The proportion of EDs offering CVs is reported. Chi-square tests compared facilitators and barriers among frequent vaccinators (≥50 CVs/year), infrequent vaccinators (<50 CVs/year), and non-vaccinators. Among 492 physicians from 166 EDs, 142 responded (representing 61 (37.3%) EDs). Most EDs were in large, urban, academic, freestanding children’s hospitals. Only 11 EDs (18.0%) offer ≥1 CV/year, and only two (18.2%) of these gave ≥50 CVs. Common facilitators of vaccination included the electronic health record facilitation of vaccination, a strong provider/staff buy-in, storage/accessibility, and having a leadership team or champion. Barriers included patient/caregiver refusal, forgetting to offer vaccines, and, less commonly, a lack of buy-in/support and the inaccessibility of vaccines. Many (28/47, 59.6%) EDs expressed interest in establishing a CV program.

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Understanding Influenza and SARS-CoV-2 Vaccine Hesitancy in Racial and Ethnic Minority Caregivers

et al. 2022

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(1) Background: We compared influenza and SARS-CoV-2 vaccine hesitancy levels in Black, Hispanic, and White parents/caregivers and identified barriers and facilitators to vaccine acceptance. (2) Methods: This was a mixed methods study. A cross-sectional survey of ED caregivers presenting with children 6mo–18yo compared vaccine hesitancy levels among diverse caregivers. Six focus groups of survey participants, stratified by caregiver race/ethnicity and caregiver intent to receive SARS-CoV-2 vaccine, assessed facilitators and barriers of vaccination, with thematic coding using the Consolidated Framework for Implementation Research (CFIR). (3) Results: Surveys (n = 589) revealed Black caregivers had significantly higher vaccine hesitancy rates than White caregivers for pediatric influenza (42% versus 21%) and SARS-CoV-2 (63% versus 36%; both p < 0.05). Hispanic caregivers were more hesitant than White caregivers (37% flu and 58% SARS-CoV-2), but this was not significant. Qualitative analysis (n = 23 caregivers) identified barriers including vaccine side effects, lack of necessity, inadequate data/science, and distrust. Facilitators included vaccine convenience, fear of illness, and desire to protect others. (4) Conclusions: Minority caregivers reported higher levels of vaccine hesitancy for influenza and SARS-CoV-2. We identified vaccine facilitators and barriers inclusive of Black and Hispanic caregivers, which may guide interventions designed to equitably improve acceptance of pediatric vaccines.

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Should COVID-19 vaccines be mandated in schools? - an international caregiver perspective

Cited by 3 publications

References 38 publications

Support for Mandatory COVID-19 Vaccines for 5- to 11-Year-Old Children

Support for Mandatory COVID-19 Vaccines for 5- to 11-Year-Old Children

Emergency Departments: An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children

Understanding Influenza and SARS-CoV-2 Vaccine Hesitancy in Racial and Ethnic Minority Caregivers

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