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

Galanis, Petros; Vraka, Irène; Σίσκου, Όλγα; Konstantakopoulou, Olympia; Katsiroumpa, Aglaia; Kaitelidou, Daphne

doi:10.1016/j.ypmed.2022.106994

Cited by 120 publications

(171 citation statements)

References 112 publications

Supporting

Mentioning

116

Contrasting

Unclassified

Order By: Relevance

“…For instance, according to studies in China, more than 25% of the general population experienced moderate to severe levels of stress and anxiety during the COVID-19 pandemic (Qiu et al, 2020; Wang et al, 2020). The psychological management of the COVID-19 is essential since higher levels of perceived threat from the COVID-19 and fear of COVID-19 are associated with increased willingness to get vaccinated against COVID-19 (Galanis et al, 2022; Galanis, Vraka, et al, 2021; Patelarou et al, 2021). On the other hand, increased anxiety is related with socially disruptive behaviors, such as panic buying and surging unnecessarily into hospitals when people misinterpret their minor symptoms as signs of serious disease (Asmundson & Taylor, 2020a, 2020b).…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of the “COVID Stress Scales” in Greek

Galanis

Vraka

Katsiroumpa

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

Background: During the COVID-19 pandemic, several instruments were developed to measure the psychological impact of COVID-19, such as fear, anxiety, post-traumatic stress, phobia, etc. Objective: To adapt cross-cultural and validate the COVID Stress Scales in Greek. Methods: We conducted a cross-sectional study with 200 participants between November 2021 to February 2022. All participants were adults, and a convenience sample was obtained. We applied the forward-backward translation method to create a Greek version of the COVID Stress Scales. We assessed the reliability of the questionnaire with the test-retest method in a 10-day window, and we assessed the validity of the questionnaire with exploratory factor analysis. Results: Our five-factor model explained 72% of the variance and totally confirmed the factors of the initial COVID Stress Scales. In particular, we found the following five factors: (a) COVID-19 danger and contamination (eleven items), (b) COVID-19 socioeconomic consequences (six items), (c) COVID-19 xenophobia (six items), (d) COVID-19 traumatic stress (six items), and (e) COVID-19 compulsive checking (six items). Cronbach coefficients alpha for the five factors that emerged from the exploratory factor analysis were greater than 0.89 indicating excellent internal reliability. Conclusions: We found that the COVID Stress Scales is a reliable and valid tool to measure stress due to the COVID-19 in the Greek population.

show abstract

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of the “COVID Stress Scales” in Greek

Galanis

Vraka

Katsiroumpa

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Galanis et al reviewed 44 studies that included 317,055 parents and found that 60.1% of parents intended to vaccinate their children against COVID-19. They also found that 22.9% of parents refused to vaccinate their children and 25.8% were unsure about it [ 27 ]. This lower tendency to accept the vaccine in younger children may be attributed to the higher parental perceived risk versus benefit in this age group.…”

Section: Discussionmentioning

confidence: 99%

In-Person Schooling Amidst Children’s COVID-19 Vaccination: Exploring Parental Perceptions Just after Omicron Variant Announcement

et al. 2022

View full text Add to dashboard Cite

Background: The SARS-CoV-2 Omicron spread fast globally and became the predominant variant in many countries. Resumption of public regular life activities, including in-person schooling, presented parents with new sources of worry. Thus, it is important to study parental worry about the Omicron variant, willingness to vaccinate their children, and knowledge about school-based COVID-19 precautionary measures. Methods: A national, cross-sectional, pilot-validated online questionnaire targeting parents in the Kingdom of Saudi Arabia (KSA) was distributed between 31 December 2021, and 7 January 2022. The survey included sociodemographic, COVID-19 infection data, parental and children vaccination status, attitudes towards booster vaccine, parents’ Omicron-related perceptions and worries, and attitude towards in-person schooling. Results: A total of 1340 participants completed the survey, most (65.3%) of whom were mothers. Of the parents, 96.3% either received two or three doses of the COVID-19 vaccine. Only 32.1% of the parents were willing to vaccinate their young children (5–11 years of age). In relation to their children 12–18 years of age, 48% had already had them vaccinated, 31% were planning to vaccinate them, and 42.8% were willing to administer a booster dose. Only 16% were more worried about the Omicron variant compared to the Delta variant. Residents of western KSA were more worried about Omicron compared to Delta. Parents worried about the Omicron variant and male participants were significantly less aware of school-based COVID-19 precautionary measures. Parents with post-graduate degrees and those having more children were significantly more inclined to send their children to school even if COVID-19 outbreaks could occur in schools, while parents who were more worried about the Omicron variant and were more committed to infection prevention measures were significantly less inclined to do so. Conclusions: Overall, parents had lower worry levels about the Omicron variant compared to the Delta variant. They had a higher willingness to vaccinate their older children compared to the younger ones. In addition, our cohort of parents showed high willingness to send their children to schools and trusted the school-based preventative measures. These findings can inform policy makers when considering school related decisions during the current or future public health crises.

show abstract

“…It is noteworthy that the mistrust in the COVID-19 vaccines is higher among individuals from ethnic minorities, both in the general population and among pregnant women (Green et al, 2021; Paul et al, 2021; Taubman – BeneAri et al, 2022). Another important issue is that several studies found a positive relation between trust in COVID-19 vaccines and parents’ willingness to vaccinate their children against the COVID-19 (Galanis, Vraka, Siskou, Konstantakopoulou, Katsiroumpa, & Kaitelidou, 2022a; Skjefte et al, 2021; Yilmaz & Sahin, 2021; Zhang et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Among others, we found that pregnant women who received a flu vaccine had also a greater probability to be vaccinated against the COVID-19. Systematic reviews have already shown that previous seasonal influenza vaccination history is a strong predictive factor for individuals to accept a COVID-19 vaccine, both for themselves and their children (Galanis, Vraka, et al, 2021; Galanis, Vraka, Siskou, Konstantakopoulou, Katsiroumpa, & Kaitelidou, 2022a; Li et al, 2021; Luo et al, 2021; Shamshirsaz et al, 2021). Moreover, recent studies expand this evidence by confirming that COVID-19 vaccination uptake is more common among individuals that are already vaccinated against the seasonal influenza (Doran et al, 2022; Galanis, Moisoglou, et al, 2021; Galanis, Vraka, Siskou, Konstantakopoulou, Katsiroumpa, Moisoglou, et al, 2022; Gilboa et al, 2021; Shariff et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial predictors of COVID-19 vaccine uptake among pregnant women: a cross-sectional study in Greece

Galanis

Vraka

Katsiroumpa

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Unvaccinated pregnant women with symptomatic COVID-19 have been found to have a higher risk of iatrogenic preterm births, intensive care unit admission, and invasive ventilation. Objective: To estimate the vaccination rate of pregnant women against the COVID-19 and to evaluate psychosocial factors associated with vaccine uptake among them. Methods: We conducted an anonymous cross-sectional study with a convenience sample in Greece from December 2021 to March 2022. We measured socio-demographic data of pregnant women, COVID-19-related vaccination status, worry about the side effects of COVID-19 vaccines, trust in COVID-19 vaccines, and COVID-19-related stress. Results: The study population included 812 pregnant women with a mean age of 31.6 years. Among the pregnant women, 58.6% had received a COVID-19 vaccine. The most important reasons that pregnant women were not vaccinated were doubts about the safety and effectiveness of COVID-19 vaccines (31.4%), fear that COVID-19 vaccines could be harmful to fetus (29.4%), and fear of adverse side effects of COVID-19 vaccines (29.4%). Increased danger and contamination fears, increased fears about economic consequences, and higher levels of trust in COVID-19 vaccines were related with COVID-19 vaccine uptake. On the other hand, increased compulsive checking and reassurance seeking and increased worry about the adverse side effects of COVID-19 vaccines reduced the likelihood of pregnant women being vaccinated against the COVID-19. Conclusions: An understanding of the psychosocial factors associated with COVID-19 vaccine uptake in pregnant women is paramount to persuade women to get vaccinated against the COVID-19. There is a need for targeted educational campaigns to increase knowledge about COVID-19 vaccines and reduce COVID-19 vaccine hesitancy in pregnancy.

show abstract

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

Cited by 120 publications

References 112 publications

Cross-cultural adaptation and validation of the “COVID Stress Scales” in Greek

Cross-cultural adaptation and validation of the “COVID Stress Scales” in Greek

In-Person Schooling Amidst Children’s COVID-19 Vaccination: Exploring Parental Perceptions Just after Omicron Variant Announcement

Psychosocial predictors of COVID-19 vaccine uptake among pregnant women: a cross-sectional study in Greece

Contact Info

Product

Resources

About