Parental attitudes, beliefs, and experiences related to pediatric COVID-19 vaccination

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2025-07-26 DOI:10.1016/j.vaccine.2025.127043

Yoonjae Kang, Fan Zhang, Tara M. Vogt

{"title":"Parental attitudes, beliefs, and experiences related to pediatric COVID-19 vaccination","authors":"Yoonjae Kang, Fan Zhang, Tara M. Vogt","doi":"10.1016/j.vaccine.2025.127043","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To assess parental attitudes, beliefs, and experiences related to pediatric COVID-19 vaccination.</div></div><div><h3>Methods</h3><div>An online, national survey of 2005 U.S. parents aged 18 and older was conducted during August 17–25, 2023. Parental attitudes and beliefs about pediatric COVID-19 vaccination, receipt of a COVID-19 vaccination recommendation for their child, and reasons for not getting their child vaccinated against COVID-19 were assessed. Factors associated with child's COVID-19 vaccination were also assessed.</div></div><div><h3>Results</h3><div>Less than half (46.1 %) of responding parents strongly or somewhat agreed that COVID-19 vaccine is generally safe for children; agreement was higher among parents of 12–17-year-olds (54.2 %) vs. 0–4-year-olds (35.4 %), children with private (52.8 %) vs. Medicaid/CHIP health insurance (41.0 %), and those living in urban (54.2 %) vs. rural areas (29.8 %) (<em>p</em>-values<0.0001). Approximately 60 % of parents reported that their child's health care provider (HCP) recommended COVID-19 vaccination for their child, with higher proportions reporting a recommendation among those with 12–17-year-olds (73.1 %) vs. 0–4-year-olds (43.1 %) (<em>p</em>-value<0.0001), children with private (65.6 %) vs. Medicaid/CHIP health insurance (58.2 %) (<em>p</em>-value = 0.0013), and those living in urban (67.3 %) vs. rural areas (51.6 %) (<em>p</em>-value<0.0001). The top three reported reasons for not getting their child vaccinated against COVID-19 were 1) worry about serious/unknown long-term health problems from the vaccine (52.8 %), 2) a belief that COVID-19 vaccination is not effective at preventing COVID-19 (36.3 %), and 3) child/family has already had COVID-19 (19.3 %). Parents who had received COVID-19 vaccine themselves were more likely to vaccinate their child against COVID-19 (received bivalent vaccine dose: OR = 25.8 [15.9, 41.7]; received at least one dose, but not bivalent vaccine dose: OR = 11.1 [6.8, 18.2]).</div></div><div><h3>Conclusions</h3><div>Parental concerns around serious/unknown long-term health problems related to COVID-19 vaccination were observed. In addition, a significant proportion of parents reported not having received a COVID-19 vaccination recommendation. Addressing parents' concerns regarding vaccine safety remains important, especially in rural areas.</div></div>","PeriodicalId":23491,"journal":{"name":"Vaccine","volume":"62 ","pages":"Article 127043"},"PeriodicalIF":4.5000,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vaccine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0264410X25003408","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"IMMUNOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To assess parental attitudes, beliefs, and experiences related to pediatric COVID-19 vaccination.

Methods

An online, national survey of 2005 U.S. parents aged 18 and older was conducted during August 17–25, 2023. Parental attitudes and beliefs about pediatric COVID-19 vaccination, receipt of a COVID-19 vaccination recommendation for their child, and reasons for not getting their child vaccinated against COVID-19 were assessed. Factors associated with child's COVID-19 vaccination were also assessed.

Results

Less than half (46.1 %) of responding parents strongly or somewhat agreed that COVID-19 vaccine is generally safe for children; agreement was higher among parents of 12–17-year-olds (54.2 %) vs. 0–4-year-olds (35.4 %), children with private (52.8 %) vs. Medicaid/CHIP health insurance (41.0 %), and those living in urban (54.2 %) vs. rural areas (29.8 %) (p-values<0.0001). Approximately 60 % of parents reported that their child's health care provider (HCP) recommended COVID-19 vaccination for their child, with higher proportions reporting a recommendation among those with 12–17-year-olds (73.1 %) vs. 0–4-year-olds (43.1 %) (p-value<0.0001), children with private (65.6 %) vs. Medicaid/CHIP health insurance (58.2 %) (p-value = 0.0013), and those living in urban (67.3 %) vs. rural areas (51.6 %) (p-value<0.0001). The top three reported reasons for not getting their child vaccinated against COVID-19 were 1) worry about serious/unknown long-term health problems from the vaccine (52.8 %), 2) a belief that COVID-19 vaccination is not effective at preventing COVID-19 (36.3 %), and 3) child/family has already had COVID-19 (19.3 %). Parents who had received COVID-19 vaccine themselves were more likely to vaccinate their child against COVID-19 (received bivalent vaccine dose: OR = 25.8 [15.9, 41.7]; received at least one dose, but not bivalent vaccine dose: OR = 11.1 [6.8, 18.2]).

Conclusions

Parental concerns around serious/unknown long-term health problems related to COVID-19 vaccination were observed. In addition, a significant proportion of parents reported not having received a COVID-19 vaccination recommendation. Addressing parents' concerns regarding vaccine safety remains important, especially in rural areas.

查看原文本刊更多论文

父母对儿童COVID-19疫苗接种的态度、信念和经验

目的了解父母对儿童新冠肺炎疫苗接种的态度、信念和经验。方法在2023年8月17日至25日期间，对2005名18岁及以上的美国父母进行了一项全国在线调查。评估了父母对儿童COVID-19疫苗接种的态度和信念，为他们的孩子接受COVID-19疫苗接种建议，以及不让他们的孩子接种COVID-19疫苗的原因。还评估了与儿童COVID-19疫苗接种相关的因素。结果不到一半（46.1%）的受访家长强烈或有些同意COVID-19疫苗对儿童总体安全；12 - 17岁儿童的父母（54.2%）比0 - 4岁儿童的父母（35.4%）、拥有私人医疗保险的儿童（52.8%）比医疗补助/CHIP健康保险的儿童（41.0%）、生活在城市的儿童（54.2%）比农村地区的儿童（29.8%）的同意度更高（p值<；0.0001）。大约60%的父母报告说，他们孩子的卫生保健提供者（HCP）建议他们的孩子接种COVID-19疫苗，其中12 - 17岁儿童（73.1%）比0 - 4岁儿童（43.1%）（p值0.0001），私立儿童（65.6%）比医疗补助/CHIP健康保险（58.2%）（p值= 0.0013），以及生活在城市的儿童（67.3%）比农村地区（51.6%）（p值0.0001）的比例更高。报告中不让孩子接种COVID-19疫苗的前三大原因是：1)担心疫苗会导致严重/未知的长期健康问题（52.8%），2)认为COVID-19疫苗不能有效预防COVID-19(36.3%), 3)孩子/家庭已经患有COVID-19（19.3%）。自己接种过COVID-19疫苗的父母更有可能为孩子接种COVID-19疫苗(接种二价疫苗剂量：OR = 25.8 [15.9, 41.7]；至少接种了一剂疫苗，但不是二价疫苗：OR = 11.1[6.8, 18.2])。结论观察到家长对COVID-19疫苗接种相关的严重/未知长期健康问题的担忧。此外，很大一部分家长报告没有收到COVID-19疫苗接种建议。解决家长对疫苗安全的关切仍然很重要，特别是在农村地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.