The cross-sectional survey on COVID-19 vaccine hesitancy and it predictors among Chinese parents  of 3–17 years aged children in Shenzhen City

Li, Ting; Qiu*, Xichenhui; Gong, Xue; Zhan, Rou; Zheng, Xujuan

doi:10.26444/aaem/146263

Cited by 15 publications

(9 citation statements)

References 24 publications

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“…However, recent research from other countries has indicated lower percentages of vaccination hesitancy. For example, studies from China, Vietnam, and Italy found that roughly 26%, 21%, and 18% of parents were hesitant to vaccinate their 5–17 year old, 3–17 year old, and 12–18 year old children [ 25 , 26 , 27 ]. These findings point to a decrease in parental apprehension over immunization.…”

Section: Discussionmentioning

confidence: 99%

Parental COVID-19 Vaccine Hesitancy for Children and Its Influencing Factors: A Riyadh-Based Cross-Sectional Study

Almuqbil

Al-Asmi²,

AlRamly³

et al. 2023

Vaccines

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It is well known that vaccination is the best clinical approach for successfully controlling COVID-19 infection. Understanding the disparities in COVID-19 vaccination apprehension among parents in different societies is crucial for effectively implementing COVID-19 vaccination programs. This observational cross-sectional study was carried out in the Riyadh region of Saudi Arabia between February and April 2022. The validated questionnaire was shared with parents who had children between the ages of five and eleven years. The collected data were analyzed using descriptive and inferential statistical methods. Multinomial regression analysis was conducted to determine the factors significantly affecting vaccine-use decisions. Of the 699 participants, 83% of the mothers were between the ages of 35 and 44 years, 67% were university educated, and only 14% were healthcare workers. A large proportion of parents, with an age range of 18–34 years (p = 0.001), and those with a higher income group (p = 0.014), demonstrated significant vaccine hesitancy. Further, parents who received one or two vaccination doses were significantly (p = 0.02) more hesitant than those who received more than two doses of the vaccine. Furthermore, a significantly (p = 0.002) high percentage of parents who follow the Ministry of Health (MOH) guidelines for personal preventive measures were hesitant about their children’s vaccination. Concerns about side effects (31.4%) and a lack of safety data (31.2%) on the COVID-19 vaccines were the two most significant reasons for parents to develop vaccine hesitancy. Social media (24.3%), poor perceived immunity (16.3 %), and news articles (15.5%) were the top three contributors to this hesitancy. Vaccinated parents were 8.21 times more likely to be vaccination-hesitant than non-vaccinated parents. Additionally, parents with less education and a COVID-19-positive child at home increased the odds of vaccine hesitancy by 1.66 and 1.48 times, respectively. Overall, one-third of the parents were not prepared to vaccinate their children, and one-quarter of the respondents had not decided about vaccination. This study shows that parents in Riyadh are generally reluctant to vaccinate their children against COVID-19. As social media is a primary source of information for parents, public health professionals should utilize the platform to encourage parents to support vaccine acceptance.

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Section: Discussionmentioning

confidence: 99%

Parental COVID-19 Vaccine Hesitancy for Children and Its Influencing Factors: A Riyadh-Based Cross-Sectional Study

Almuqbil

Al-Asmi²,

AlRamly³

et al. 2023

Vaccines

View full text Add to dashboard Cite

show abstract

“…In terms of vaccine factors, parental attitudes toward vaccination and the perceived susceptibility of children infected with COVID-19 were critical to improving COVID-19 vaccination rates for children, as parents are the ones who decide whether to vaccinate their children against this disease. The trust in and acceptance of official and unofficial information about the COVID-19 pandemic and the safety, effectiveness, unknown effects, and side effects of the COVID-19 vaccine are the elements that influence the above two aspects ( 14 , 19 ). Therefore, as some previous studies have suggested, we should improve the accessibility and convenience of parents to accurate and easily accessible information about the COVID-19 vaccine, and increase the dissemination of information related to COVID-19 ( 41 – 43 ).…”

Section: Discussionmentioning

confidence: 99%

“…In terms of public vaccination acceptance, studies have reported that low rates of public acceptance or vaccine hesitancy may prolong pandemics, increase mortality and infection rates, and put more pressure on health systems ( 11 , 12 ). Previous studies already predicted that vaccine hesitancy could be a significant challenge for COVID-19 vaccine rollout ( 13 , 14 ). In addition, some prior literature studied in China, India, Canada, the United States and other countries and regions have published on COVID-19 vaccine hesitancy or willingness demonstrating that the factors that are responsible for vaccine hesitancy or willingness range from social demographics, occupation, religious beliefs, and social and environmental trust ( 15 – 18 ).…”

Section: Introductionmentioning

confidence: 99%

Chinese parents' willingness to vaccinate their children against COVID-19: A systematic review and meta-analysis

Ren

Zheng

et al. 2022

Front. Public Health

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IntroductionTo evaluate Chinese parents' willingness to vaccinate their children against COVID-19, identify its predictors, and provide a reference for raising the COVID-19 vaccination rate for children.MethodPubMed, Cochrane Library, Embase, and the databases in Chinese, including CNKI, WanFang, VIP, CBM, were searched from December 2019 to June 2022, and citation tracking was used to identify relevant studies. To calculate the rate with 95% confidence intervals (CI), a random-effects model was used. To explore sources of heterogeneity, sensitivity analysis and subgroup analysis were conducted. This analysis was registered on PROSPERO (CRD42022346866) and reported in compliance with the PRISMA guidelines.ResultOverall, 80 studies were screened, and 13 studies with 47994 parents were included after removing duplicates and excluding 19 studies that did not meet the selection criteria by title, abstract and full-text screening. The pooled willingness rate of Chinese parents to vaccinate their children against COVID-19 was 70.0% (95% CI: 62.0~78.0%). Level of education, perceived susceptibility of children infected with COVID-19, and parental attitudes toward vaccination (such as perceived efficacy and safety of the COVID-19 vaccines, parental willingness to vaccinate themselves, parental vaccination hesitancy, and the history of children's vaccination against influenza) were the main predictors of parents' intention to vaccinate their children.DiscussionChinese parents' willingness to vaccinate their children against COVID-19 is moderate, and factors including parental education level, perceived susceptibility of children infected with COVID-19, and parental attitudes toward vaccination affect this decision. Fully identifying these factors and their mechanism will be essential to further raise the willingness rate.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022346866.

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“…Common concerns, such as vaccine safety, effectiveness, and rapid vaccine development, were negatively associated with vaccine acceptability [ 27 ]. In China, most studies investigating parental vaccine acceptability for children focused on children aged 6–18 years [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ]. Our previous work investigated the changes in parental COVID-19 vaccine hesitancy for children aged 3–17 years [ 41 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in COVID-19 Vaccine Acceptability among Parents with Children Aged 6–35 Months in China—Repeated Cross-Sectional Surveys in 2020 and 2021

et al. 2023

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China is considering to offer COVID-19 vaccination for children aged 6–35 months. This study investigated the changes in COVID-19 vaccine acceptability and associated factors among parents with children aged 6–35 months in 2020 and 2021. Two rounds of cross-sectional online surveys were conducted among adult factory workers in Shenzhen, China. A subset of 208 (first round) and 229 (second round) parents with at least one child aged 6–35 months was included in the study. Parental acceptability of COVID-19 vaccination increased significantly from 66.8% in the first round to 79.5% in the second round (p = 0.01). Positive attitudes, perceived subjective norm, and perceived behavioral control were associated with higher parental acceptability in both rounds of surveys (p values ranged from <0.001 to 0.003). A negative association of negative attitudes with parental acceptability was observed in the second round (p = 0.02). No significant associations of exposure to information related to COVID-19 vaccination on social media with parental acceptability was found in either round of survey. Expanding the existing COVID-19 vaccination programs to cover children aged 6–35 months is necessary in China. Future programs should focus on modifying perceptions among parents to promote COVID-19 vaccination for children in this age group.

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The cross-sectional survey on COVID-19 vaccine hesitancy and it predictors among Chinese parents of 3–17 years aged children in Shenzhen City

Cited by 15 publications

References 24 publications

Parental COVID-19 Vaccine Hesitancy for Children and Its Influencing Factors: A Riyadh-Based Cross-Sectional Study

Parental COVID-19 Vaccine Hesitancy for Children and Its Influencing Factors: A Riyadh-Based Cross-Sectional Study

Chinese parents' willingness to vaccinate their children against COVID-19: A systematic review and meta-analysis

Changes in COVID-19 Vaccine Acceptability among Parents with Children Aged 6–35 Months in China—Repeated Cross-Sectional Surveys in 2020 and 2021

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