Unveiling parental perspectives: COVID-19 vaccination for children in India

Priya Bhardwaj, Sunita K. Yadav, Sunita Jetly, Daman Saluja, Jyoti Taneja
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Abstract

ABSTRACT Irrespective of the availability of a safe and effective COVID-19 vaccine and its success rate in adults, administering vaccines to children remains a challenge for healthcare workers. Children’s vaccine hesitancy among parents remains substantial and is exacerbated due to misleading information. In the present study, we aimed to investigate the hesitancy of parents and their concern about the vaccination and clinical characteristics of COVID-19 in their children. A cross-sectional web-based and offline survey comprised of questions about the demographic of children, the status of COVID-19 infection, its severity, vaccination status, sources of information, willingness, concerns and attitude of parents to vaccinate their children against the COVID-19 virus, was conducted. Overall, 846 responses from parents fulfilling the inclusion criteria were analysed by GraphPad Prism 5. Out of the 846 responses, 51.2% (n = 433) of children were vaccinated against COVID-19. Out of vaccinated children (51.2%), 60.3% (n = 261) had experienced adverse events. Around 21% (n = 98) of children had a history of exposure to the SARS-CoV-2 virus. Among the infected children, 14.3% were asymptomatic and 85.7% had symptoms. Approximately 8% of children had comorbidities, with chronic lung diseases and asthma being the most common. Among the 846 participating parents, 59.5% were mothers and the remaining 40.5% were fathers. A total of 2.7% and 22.2% of parents were found hesitant to administer the COVID-19 vaccine to their children aged 15–18 years and below 15 years, respectively. Among hesitant parents, mothers were found slightly more hesitant as compared to fathers. Also, 35.5% of parents were found hesitant about their own COVID-19 vaccination. Furthermore, the concern for COVID-19 vaccine unwillingness among parents is that a child has already achieved natural immunity after COVID-19 infections (76.8%) followed by vaccine safety and its side effects. The motivating factors to convince parents for their children’s COVID-19 vaccination were if their doctors recommend it, followed by detailed information on vaccine side effects and efficacy in children. The most trusted source of information for the parents was found to be the healthcare workers. These results suggest that data and reviews regarding the safety and efficacy of the COVID-19 vaccine readily available in the public domain could serve as a highly effective strategy for promoting and implementing widespread vaccination among children. By providing easily accessible and comprehensive information, public health authorities can address parental concerns, dispel misconceptions and foster a greater sense of trust in the vaccination process.
揭开父母观点的面纱:印度儿童接种 COVID-19 疫苗
摘要 尽管有安全有效的 COVID-19 疫苗及其在成人中的成功率,但对医护人员来说,为儿童接种疫苗仍是一项挑战。家长对儿童接种疫苗的犹豫不决仍然很严重,而且由于误导性信息而加剧。在本研究中,我们旨在调查家长的犹豫态度及其对儿童接种 COVID-19 疫苗的关注程度和临床特征。 我们开展了一项基于网络和离线的横断面调查,其中包括有关儿童人口统计学、COVID-19 感染状况、感染严重程度、疫苗接种状况、信息来源、家长为其子女接种 COVID-19 病毒疫苗的意愿、担忧和态度等问题。我们使用 GraphPad Prism 5 对符合纳入标准的 846 份家长回复进行了分析。 在 846 份回复中,51.2% 的儿童(n = 433)接种了 COVID-19 疫苗。在接种过疫苗的儿童(51.2%)中,60.3%(n = 261)的儿童出现过不良反应。约 21% 的儿童(98 人)曾感染过 SARS-CoV-2 病毒。在受感染的儿童中,14.3%无症状,85.7%有症状。约 8% 的儿童患有合并症,其中以慢性肺病和哮喘最为常见。在 846 名参与研究的家长中,59.5% 是母亲,其余 40.5% 是父亲。分别有2.7%和22.2%的家长对是否为15-18岁和15岁以下的子女接种COVID-19疫苗持犹豫态度。在犹豫不决的家长中,母亲的犹豫不决程度略高于父亲。此外,35.5% 的家长对自己是否接种 COVID-19 疫苗犹豫不决。此外,家长不愿意接种 COVID-19 疫苗的原因是孩子在感染 COVID-19 后已经获得了自然免疫力(76.8%),其次是疫苗的安全性和副作用。说服家长为其子女接种 COVID-19 疫苗的动因是医生是否推荐接种,其次是有关疫苗副作用和对儿童疗效的详细信息。家长最信任的信息来源是医护人员。 这些结果表明,在公共领域随时提供有关 COVID-19 疫苗安全性和有效性的数据和评论可作为促进和实施儿童广泛接种疫苗的一项非常有效的策略。通过提供易于获取的全面信息,公共卫生部门可以消除家长的顾虑、消除误解并提高对疫苗接种过程的信任感。
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