Parental COVID-19 vaccine hesitancy for children with neurodevelopmental disorders: a cross-sectional survey

Mohammad Ali1,2, Tasnuva Shamarukh Proma3, Zarin Tasnim4

  • 1Department of Physiotherapy and Rehabilitation, Uttara Adhunik Medical College and Hospital, Uttara Model Town, Dhaka, 1230, Bangladesh. m180002@student.bup.edu.bd.

Insights

Over 42% of parents in Bangladesh hesitated to vaccinate children with neurodevelopmental disorders against COVID-19. Key factors included living in the northern zone and perceived lack of vaccine safety or personal risk.

Area of Science:

  • Public Health
  • Epidemiology
  • Pediatrics

Background:

  • Parental hesitancy towards COVID-19 vaccination for children with neurodevelopmental disorders (NDD) is understudied.
  • This study aimed to determine the prevalence and predictors of vaccine hesitancy in this population.

Purpose of the Study:

  • To estimate the prevalence of COVID-19 vaccine hesitancy among parents of children with NDD in Bangladesh.
  • To identify factors associated with this hesitancy to inform targeted interventions.

Main Methods:

  • A cross-sectional survey was conducted with 396 parents of children with NDD in Bangladesh.
  • Data were collected via a structured vaccine hesitancy questionnaire and face-to-face interviews.
  • Multiple logistic regression analysis identified predictors of vaccine hesitancy.

Main Results:

  • Nearly half (42.7%) of parents surveyed expressed hesitancy towards vaccinating their children against COVID-19.
  • Significant predictors of hesitancy included parental residence in the northern zone, belief in vaccine ineffectiveness, unvaccinated parental status, and lower perceived personal or family risk of COVID-19 infection.
  • Lack of concern about future COVID-19 infection also correlated with increased hesitancy.

Conclusions:

  • High COVID-19 vaccine hesitancy among parents of children with NDD necessitates targeted public health strategies.
  • Interventions should address parental concerns about vaccine safety, efficacy, and personal risk perception.
  • Ensuring vaccination for children with NDD, their caregivers, and families is crucial for mitigating pandemic-related risks.
Abstract

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