Vaccine Hesitancy: COVID-19 and Influenza Vaccine Willingness among Parents in Wuxi, China—A Cross-Sectional Study

Wang, Qiang; Xiu, Shixin; Zhao, Shuo; Wang, Jianli; Han, Ying; Dong, Shengde; Huang, Jinxin; Cui, Tingting; Yang, Liuqing; Shi, Nannan; Liu, Minqi; Yue-hong, Han; Wang, Xuwen; Yuan, Shen; Chen, Enpin; Lu, Bing; Jin, Hui; Lin, Leesa

doi:10.3390/vaccines9040342

Cited by 77 publications

(79 citation statements)

References 44 publications

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“…Provinces in China, on the other hand, report variable results. In Mainland China, Shanghai and Shenzhen, people expressed high intention to vaccinate(with acceptance rates higher than 80%), while the proportion of affirmative population was considerably lower in Hong Kong [46] , Wuxi [47] and Jiangsu province [48] (34.8%, 51.2% and 36.4%, respectively). It should be noted that the surveys were conducted in different time points, which might have imposed an effect on the final results.…”

Section: Resultsmentioning

confidence: 99%

Attitudes, acceptance and hesitancy among the general population worldwide to receive the COVID-19 vaccines and their contributing factors: A systematic review

et al. 2021

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Background High rates of vaccination worldwide are required to establish a herd immunity and stop the current COVID-19 pandemic evolution. Vaccine hesitancy is a major barrier in achieving herd immunity across different populations. This study sought to conduct a systematic review of the current literature regarding attitudes and hesitancy to receiving COVID-19 vaccination worldwide. Methods A systematic literature search of PubMed and Web of Science was performed on July 5th, 2021, using developed keywords. Inclusion criteria required the study to (1) be conducted in English; (2) investigate attitudes, hesitancy, and/or barriers to COVID-19 vaccine acceptability among a given population; (3) utilize validated measurement techniques; (4) have the full text paper available and be peer-reviewed prior to final publication. Findings Following PRISMA guidelines, 209 studies were included. The Newcastle Ottawa (NOS) scale for cross-sectional studies was used to assess the quality of the studies. Overall, vaccine acceptance rates ranged considerably between countries and between different time points, with Arabian countries showing the highest hesitancy rates compared with other parts of the world. Interpretation A variety of different factors contributed to increased hesitancy, including having negative perception of vaccine efficacy, safety, convenience, and price. Some of the consistent socio-demographic groups that were identified to be associated with increased hesitancy included: women, younger participants, and people who were less educated, had lower income, had no insurance, living in a rural area, and self-identified as a racial/ethnic minority.

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Section: Resultsmentioning

confidence: 99%

Attitudes, acceptance and hesitancy among the general population worldwide to receive the COVID-19 vaccines and their contributing factors: A systematic review

et al. 2021

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“…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%

“…Thirteen studies did not report data regarding response rate (S. Goldman et al, 2020;Jeffs et al, 2021;Kelly et al, 2021;Montalti et al, 2021;Ruggiero 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), five regarding children's age (Hetherington et al, 2021;Jeffs et al, 2021;Kelly et al, 2021;Skjefte et al, 2021;Yigit et al, 2021), and three regarding parents' age (Brandstetter et al, 2021;Ruggiero et al, 2021;A. M. Scherer 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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COVID-19 Parental Vaccine Hesitancy Among Nurses in the State of South Dakota

Viskupič

Wiltse

2022

J Community Health

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Parental vaccine hesitancy is present even among healthcare workers (HCWs). While HCWs are generally more likely to vaccinate their children than the general population, parental vaccine hesitancy exists even among this group [6,7]. A June 2021 poll of over 2,000 HCWs in the United States reported that only half of the registered and licensed practical nurses plan to vaccinate their children under 12 years immediately after vaccines become available [8]. A similar poll conducted in November 2021 on a sample of 4,000 HCWs revealed that only 47% of registered and licensed practical nurses plan to vaccinate their children under the age of 5 right away [9].We build upon the anecdotal evidence and systematically investigate the drivers of parental COVID-19 vaccine hesitancy among nurses. Our paper makes several unique contributions to the existing scholarship on parents' attitudes toward COVID-19 vaccination-we focus on HCWs, use vaccine uptake as dependent variable, and include parents' political views in the analysis.First, when it comes to understanding parents' hesitancy to vaccinate their children, most studies examined the general population and few focused on HCWs. The studies that explored parental COVID-19 vaccine hesitancy are few [10][11][12]. However, none of the studies were conducted in the United States, and none focus specifically on nurses. HCWs are on the front line of efforts to curb the spread of the virus, and they are impacted by the pandemic to a greater extent than the general population. Nurses, together with other HCWs, serve as primary advisers for people when it comes to health decisions, including vaccination [13][14][15]. The presence of parental vaccine hesitancy among nurses might negatively affect their ability to provide impartial advice to patients regarding vaccination decisions for their families. Vaccine hesitancy among nurses also interferes with the mission of public health officials to increase vaccination rates among children.Second, existing studies examined parents' attitudes toward a hypothetical vaccine only [6,[16][17][18]. This is

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Vaccine Hesitancy: COVID-19 and Influenza Vaccine Willingness among Parents in Wuxi, China—A Cross-Sectional Study

Cited by 77 publications

References 44 publications

Attitudes, acceptance and hesitancy among the general population worldwide to receive the COVID-19 vaccines and their contributing factors: A systematic review

Attitudes, acceptance and hesitancy among the general population worldwide to receive the COVID-19 vaccines and their contributing factors: A systematic review

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

COVID-19 Parental Vaccine Hesitancy Among Nurses in the State of South Dakota

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